Guarnieri Lorenza, Bosco Francesca, Ruga Stefano, Tallarico Martina, Leo Antonio, De Sarro Giovambattista, Citraro Rita
Science of Health Department, School of Medicine and Surgery, Magna Graecia University of Catanzaro, 88100, Catanzaro, Italy.
Department of Health Science, Research Center FAS@UMG, University "Magna Graecia" of Catanzaro, 88100, Catanzaro, Italy.
Mol Neurobiol. 2025 Apr;62(4):4837-4853. doi: 10.1007/s12035-024-04593-8. Epub 2024 Nov 2.
The consumption of a high-fat diet (HFD) represents a risk factor for diseases such as obesity, diabetes, insulin resistance (IR), and different brain disorders. HFD-induced obesity is linked with systemic and neuroinflammation implicated in the pathogenesis of metabolic impairment and epilepsy. In this study, we studied the negative effects of HFD consumption (16 weeks) on absence epilepsy and behavior comorbidities in WAG/Rij rats, a well-validated idiopathic model of absence epilepsy and comorbidities. Moreover, we investigated how, by restoring a normocaloric diet (NCD; 12 weeks), epileptic seizures and neuropsychiatric comorbidities could improve. We found that the HFD group showed a worsening of absence seizures, aggravation of depressive-like behavior, and performance in learning and memory than the NCD group even in the absence of hyperglycemia and/or obesity. In addition, intestinal villus rupture, inflammatory infiltrate, and intestinal permeability alteration increased after prolonged HFD intake, which could prevent weight gain. Inflammatory protein levels were found higher in the colon of the HFD group than in the NCD group, and also in the cortex and hippocampus, regions involved in absence seizures and behavioral alterations. After replacing HFD with NCD, a reduction in absence seizures and behavioral alterations was observed, and this decrease was well correlated with an improvement in inflammatory pathways. In conclusion, HFD consumption is sufficient to disrupt gut integrity resulting in systemic and brain inflammation contributing to the worsening of absence epilepsy and its comorbidities also without obesity development. These alterations can be improved by switching back the diet to NCD.
高脂饮食(HFD)的摄入是肥胖、糖尿病、胰岛素抵抗(IR)和不同脑部疾病等病症的一个风险因素。HFD诱发的肥胖与全身和神经炎症有关,而这些炎症参与了代谢障碍和癫痫的发病机制。在本研究中,我们研究了WAG/Rij大鼠(一种经过充分验证的失神癫痫及共病的特发性模型)摄入HFD(16周)对失神癫痫和行为共病的负面影响。此外,我们还研究了恢复正常热量饮食(NCD;12周)如何改善癫痫发作和神经精神共病。我们发现,即使在没有高血糖和/或肥胖的情况下,HFD组的失神发作恶化、抑郁样行为加剧,学习和记忆表现也比NCD组差。此外,长期摄入HFD后,肠绒毛破裂、炎性浸润和肠道通透性改变增加,这可能会阻止体重增加。发现HFD组结肠中的炎症蛋白水平高于NCD组,在涉及失神发作和行为改变的皮质和海马区域也是如此。用NCD替代HFD后,观察到失神发作和行为改变有所减少,这种减少与炎症途径的改善密切相关。总之,摄入HFD足以破坏肠道完整性,导致全身和脑部炎症,从而导致失神癫痫及其共病恶化,即使没有肥胖发生。通过将饮食换回NCD,这些改变可以得到改善。