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Obesity and vulnerability of the CNS
Open accessAbstract
The incidence of obesity is increasing worldwide, and is especially pronounced in developed western countries. While the consequences of obesity on metabolic and cardiovascular physiology are well established, epidemiological and experimental data are beginning to establish that the central nervous system (CNS) may also be detrimentally affected by obesity and obesity-induced metabolic dysfunction. In particular, data show that obesity in human populations is associated with cognitive decline and enhanced vulnerability to brain injury, while experimental studies in animal models confirm a profile of heightened vulnerability and decreased cognitive function. This review will describe findings from human and animal studies to summarize current understanding of how obesity affects the brain. Furthermore, studies aimed at identifying key elements of body-brain dialog will be discussed to assess how various metabolic and adipose-related signals could adversely affect the CNS. Overall, data suggest that obesity-induced alterations in metabolism may significantly synergize with age to impair brain function and accelerate age-related diseases of the nervous system. Thus, enhanced understanding of the effects of obesity and obesity-related metabolic dysfunction on the brain are especially critical as increasing numbers of obese individuals approach advanced age.
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“It is becoming clear that the obesity-induced toxic internal environment does not spare the brain ([24](#B24), [46](#B46), [48](#B48), [52](#B52), [59](#B59), [95](#B95), [121](#B121), [127](#B127), [177](#B177), [182](#B182), [198](#B198)).”
From Food reward, hyperphagia, and obesity (2011) · cites this paper as [24]
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BackgroundMechanisms of Granulin Deficiency: Lessons from Cellular and Animal Models
Kleinberger, G., Capell, A., Haass, C., & Broeckhoven, C. V. (2012) · Molecular Neurobiology · doi:10.1007/s12035-012-8380-8 · Cited by 73
“A link between neurodegenerative diseases and obesity has been suggested and a number of studies associate obesity with cognitive decline and enhanced vulnerability to brain injury [137].”
BackgroundKuijer, E. J., & Steenbergen, L. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105296 · Cited by 76
Martins, I. V. A., Rivers‐Auty, J., Allan, S. M., & Lawrence, C. B. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-160640 · Cited by 70
“Keywords: 3xTgAD, Alzheimer’s disease, high-fat diet, memory, mitochondria, Non-Tg, obesity, synapses”
NOX activity in brain aging: Exacerbation by high fat diet
Bruce‐Keller, A. J., White, C. L., Gupta, S., Knight, A. G., Pistell, P. J., Ingram, D. K., Morrison, C. D., & Keller, J. N. (2010) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2010.03.006 · Cited by 66
“Indeed, VHFD mice were heavier than WD mice at each age, and increased obesity per se could potentially mediate neurological perturbations noted in this study, as epidemiological and experimental data have established that the brain is sensitive to obesity and obesity-induced metabolic dysfunction (reviewed in [49]).”
BackgroundSelf-citationNeuroinflammatory and autonomic mechanisms in diabetes and hypertension
Han, C., Rice, M. W., & Cai, D. (2016) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00012.2016 · Cited by 66
Evidences of a new psychobiotic formulation on body composition and anxiety
Colica, C., Avolio, E., Bollero, P., Costa de Miranda, R., Ferraro, S., Sinibaldi Salimei, P., De Lorenzo, A., & Di Renzo, L. (2017) · Mediators of Inflammation · doi:10.1155/2017/5650627 · Cited by 63
“At the same time, anxiety and other psychological disorders seem to be related to body composition and obesity [31].”
BackgroundObesity and episodic memory function
Loprinzi, P. D., & Frith, E. (2018) · The Journal of Physiological Sciences · doi:10.1007/s12576-018-0612-x · Cited by 63
A randomised controlled trial of manualized cognitive remediation therapy in adult obesity
Raman, J., Hay, P., Tchanturia, K., & Smith, E. (2017) · Appetite · doi:10.1016/j.appet.2017.12.023 · Cited by 61
“…executive function, with obesity impacting on executive functioning via biological mechanisms and impaired executive functioning increasing the risk of obesity v a disordered eating patterns and behaviours (Elias et al., 2003; Bruce-Keller et al., 2009; Smith et al., 2011; Stanek & Gunstad, 2013).”
BackgroundUnravelling the impacts of western-style diets on brain, gut microbiota and cognition
Kendig, M. D., Leigh, S., & Morris, M. J. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.05.031 · Cited by 63
Behavioral experiences as drivers of oligodendrocyte lineage dynamics and myelin plasticity
Tomlinson, L., Leiton, C. V., & Colognato, H. (2015) · Neuropharmacology · doi:10.1016/j.neuropharm.2015.09.016 · Cited by 65
“…in saturated fats have a deleterious impact on white matter integrity, cognitive function, neuronal plasticity, neurotrophic signaling and activation of the stress-related hypothalamicpituitary-adrenal axis (Auvinen et al., 2012; Bruce-Keller et al., 2009; Freeman et al., 2014; White et al., 2009).”
BackgroundLee, J., Wang, P., Yang, I.-H., Huang, H., Chang, C., Wu, C., & Chuang, J. (2015) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.15-16504 · Cited by 57
Adult obese mice suffer from chronic secondary brain injury after mild TBI
Sherman, M., Liu, M., Birnbaum, S. G., Wolf, S. E., Minei, J. P., & Gatson, J. W. (2016) · Journal of Neuroinflammation · doi:10.1186/s12974-016-0641-4 · Cited by 53
“In the brain, links between obesity, neuroinflammation, neurodegeneration, deficits in neurogenesis, and cognitive/mood disorders have been reported [10–25].”
BackgroundThe Impact of Obesity and Exercise on Cognitive Aging
Chan, J. S. Y., Yan, J. H., & Payne, V. G. (2013) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2013.00097 · Cited by 53
“Triglyceride adversely affects the neural system after its breakdown into free fatty acids (Bruce-Keller et al., 2009).”
BackgroundGrape Seed and Skin Extract Prevents High-Fat Diet-Induced Brain Lipotoxicity in Rat
Charradi, K., Elkahoui, S., Karkouch, I., Limam, F., Hassine, F. B., & Aouani, E. (2012) · Neurochemical Research · doi:10.1007/s11064-012-0821-2 · Cited by 51
Meningeal and choroid plexus cells—Novel drug targets for CNS disorders
Dragunow, M. (2013) · Brain Research · doi:10.1016/j.brainres.2013.01.013 · Cited by 51
Kim, T.-W., Choi, H.-H., & Chung, Y.-R. (2016) · Journal of Exercise Rehabilitation · doi:10.12965/jer.1632644.322 · Cited by 50
“Obesity impaired cognitive function and increased vulnerability to brain damage (Bruce-Keller et al., 2009).”
BackgroundBayazid, A. B., Kim, J. G., Azam, S., Jeong, S. A., Kim, D. H., Park, C. W., & Lim, B. O. (2021) · Food and Chemical Toxicology · doi:10.1016/j.fct.2021.112743 · Cited by 49
Park, H.-S., Cho, H.-S., & Kim, T.-W. (2017) · Metabolic Brain Disease · doi:10.1007/s11011-017-0160-8 · Cited by 49
Metabolic and neurologic consequences of chronic lopinavir/ritonavir administration to C57BL/6 mice
Pistell, P. J., Gupta, S., Knight, A. G., Domingue, M., Uranga, R. M., Ingram, D. K., Kheterpal, I., Ruiz, C., Keller, J. N., & Bruce‐Keller, A. J. (2010) · Antiviral Research · doi:10.1016/j.antiviral.2010.10.006 · Cited by 44
“These data are consistent with a new but growing body of literature describing the sensitivity of the brain to metabolic dysfunction (reviewed in (Bruce-Keller et al., 2009).”
Self-citationWang, C., Wang, D., Zhang, T., Yanagita, T., Xue, C., Chang, Y., & Wang, Y. (2018) · Journal of Functional Foods · doi:10.1016/j.jff.2018.09.027 · Cited by 42
Ko, J. W., Chung, Y.-S., Kwak, C. S., & Kwon, Y. H. (2019) · Nutrients · doi:10.3390/nu11081702 · Cited by 40
“Oxidative stress could lead to increased inflammatory cytokine levels, memory loss, and neuronal apoptosis [26,27].”
BackgroundBlaisdell, A. P., Lau, Y. L. M., Telminova, E., Lim, H. C., Fan, B., Fast, C. D., Garlick, D., & Pendergrass, D. C. (2014) · Physiology & Behavior · doi:10.1016/j.physbeh.2014.02.025 · Cited by 39
“Although the effects of HFD feeding on cognition have been explored [11 – 15], little is known about the impact of re fi ned vs. unre fi ned food on cognition, and it remains dif fi cult to disentangle the effects of dietary fat from the effects of HFD-induced obesity.”
Wo-hua, Z., & Weiming, X. (2019) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2019.108940 · Cited by 39
Deidda, G., & Biazzo, M. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.753915 · Cited by 37
Obesity and Bipolar Disorder: Synergistic Neurotoxic Effects?
Liu, C. S., Carvalho, A. F., Mansur, R. B., & McIntyre, R. S. (2013) · Advances in Therapy · doi:10.1007/s12325-013-0067-7 · Cited by 37
Aerobic Interval Training Regulated SIRT3 Attenuates High-Fat-Diet-Associated Cognitive Dysfunction
Shi, Z., Li, C., Yin, Y., Yang, Z., Han, X. M., Mu, N., Wang, Y., Liu, M., & Ma, H. (2018) · BioMed Research International · doi:10.1155/2018/2708491 · Cited by 35
“The rising epidemical evidence also shows that obesity is closely related to brain dysfunction and early onset of Alzheimer’s disease [6].”
BackgroundBerry, A., Bellisario, V., Panetta, P., Raggi, C., Magnifico, M. C., Arese, M., & Cirulli, F. (2018) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2018.00048 · Cited by 34
“…oxygen species (ROS; Zhang et al., 2005) and protein oxidation (Souza et al., 2007), thus resulting in increased oxidative damage in the brain (Cecarini et al., 2007; Bruce-Keller et al., 2009; Zhang et al., 2009) and, more in general, in oxidative cell injury (Gutteridge and Halliwell, 2000).”
BackgroundDietary influence on central nervous system myelin production, injury, and regeneration
Langley, M. R., Triplet, E. M., & Scarisbrick, I. A. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2020.165779 · Cited by 35
Brain injury caused by HIV protease inhibitors: Role of lipodystrophy and insulin resistance
Gupta, S., Knight, A. G., Losso, B. Y., Ingram, D. K., Keller, J. N., & Bruce‐Keller, A. J. (2012) · Antiviral Research · doi:10.1016/j.antiviral.2012.04.010 · Cited by 35
“Furthermore, epidemiological and experimental studies reveal quite clearly that metabolic dysfunction can increase brain injury and decrease cognitive function (reviewed in (Fillit et al., 2008), (Bruce-Keller et al., 2009), (Haan and Wallace, 2004), (Middleton and Yaffe, 2009)).”
BackgroundSelf-citationFrago, L. M., Canelles, S., Freire‐Regatillo, A., Argente-Arizón, P., Barrios, V., Argente, J., García‐Segura, L. M., & Chowen, J. A. (2017) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2017.00330 · Cited by 34
Multiple Pathways Involved in Palmitic Acid-Induced Toxicity: A System Biology Approach
Osorio, D., Pinzón, A. M., Martín-Jiménez, C., Barreto, G. E., & González, J. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01410 · Cited by 36
Serotonin transporter gene moderates associations between mood, memory and hippocampal volume
Price, J. S., Strong, J. A., Eliassen, J. C., McQueeny, T. M., Miller, M. M., Padula, C. B., Shear, P. K., & Lisdahl, K. M. (2012) · Behavioural Brain Research · doi:10.1016/j.bbr.2012.11.013 · Cited by 35
Jin, Z. H., Kim, K. E., Shin, H. J., Jeong, E. A., Park, K.-A., Lee, J. Y., An, H. S., Choi, E. B., Jeong, J. H., Kwak, W., et al. (2020) · Journal of Neuropathology & Experimental Neurology · doi:10.1093/jnen/nlaa017 · Cited by 34
Henry, R. J., Barrett, J. P., Vaida, M. L., Khan, N., Makarevich, O. D., Ritzel, R. M., Faden, A. I., & Stoica, B. A. (2024) · Journal of Neuroinflammation · doi:10.1186/s12974-024-03107-6 · Cited by 35
“Because mice inherently prefer to explore novel objects, a preference for the novel object (more time than chance [15 s] spent with the novel object) indicates intact memory for the familiar object.”
BackgroundSucrose consumption alters steroid and dopamine signalling in the female rat brain
Tobiansky, D. J., Kachkovski, G. V., Enos, R. T., Schmidt, K. L., Murphy, E. A., & Soma, K. K. (2020) · Journal of Endocrinology · doi:10.1530/joe-19-0386 · Cited by 32
Costache, A. D., Ignat, B. E., Grosu, C., Maștaleru, A., Abdulan, I. M., Oancea, A., Roca, M., Leon, M. M., Bădescu, M. C., Avadanei-Luca, S., et al. (2023) · Biomedicines · doi:10.3390/biomedicines11123233 · Cited by 31
Yon, M. A., Mauger, S. L., & Pickavance, L. C. (2013) · British Journal Of Nutrition · doi:10.1017/s000711451200579x · Cited by 30
Pepping, J. K., Vandanmagsar, B., Fernandez-Kim, S.-O., Zhang, J., Mynatt, R. L., & Bruce‐Keller, A. J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0181500 · Cited by 29
Self-citationLiao, C., Wang, C., Liu, K., Liu, Y.-Y., Wen, M., & Yeh, T. (2018) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2018.06.005 · Cited by 31
Gratton, R., Tricarico, P. M., Guimarães, R. L., Celsi, F., & Crovella, S. (2018) · Current HIV Research · doi:10.2174/1570162x16666180528100922 · Cited by 28
Impact of the principal stroke risk factors on human movements
O’Reilly, C., & Réjean Plamondon, B. (2010) · Human Movement Science · doi:10.1016/j.humov.2010.07.010 · Cited by 27
Metadata
- Authors
- Bruce-Keller, A. J., Keller, J. N., & Morrison, C. D.
- Affiliations
- Pennington Biomedical Research Center (US)
- Venue
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
- Publisher
- Elsevier BV
- Published
- 2009-05
- Volume
- 1792
- Issue
- 5
- Pages
- 395-400
- ISSN
- 0925-4439 (ISSN-L)
- PMC
- PMC2699212
- OpenAlex
- W2154638777
- Cited by
- 200
- References
- 124
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 7 · 2023: 13 · 2022: 5 · 2021: 18 · 2020: 8 · 2019: 14 · 2018: 17 · 2017: 15 · 2016: 16 · 2015: 7 · 2014: 13 · 2013: 14 · 2012: 16
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Civil War Book Review (submittedVersion)
- HAL (submittedVersion, other-oa)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Funders
- National Institute on Aging (P01AG005119)
- National Institute of Neurological Disorders and Stroke (R01NS046267)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- obesity, central nervous system, cognitive decline, metabolic dysfunction, aging, neurodegenerative diseases, animal models of obesity
- MeSH terms
- Aging, Animals, Brain, Energy Metabolism, Humans, Obesity, Signal Transduction
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