1. Introduction
Obesity is a chronic health condition that has been ranked as the fifth most common cause of mortality worldwide [
1]. Genetic heritability and the obesogenic environment play important roles as causal pathways for obesity [
2]. Inflammatory reactions in various critical organs, including the brain, have been associated with the obesogenic condition [
3,
4,
5,
6]. Moreover, neuroinflammation may result in reduced neuroproliferation in several brain areas such as the prefrontal cortex and hippocampus [
7,
8,
9,
10,
11,
12]. Experimental studies with rodent models of insulin resistance, type 2 diabetes or dietary obesity models have demonstrated deficits in a wide range of cognitive tasks [
13,
14,
15]. However, these experiments were mainly performed in adult rodents, upon long exposure to either the genetic or dietary obesity/diabetic model.
Cognitive decline is putatively due to neuronal signaling impairment, decreased synaptic plasticity and reduced insulin signaling [
16]. Interestingly, insulin itself plays a profound role in the formation of neural circuits and synaptic connections in rodents, non-human primates and humans [
17,
18]. Several studies have convincingly shown that insulin administration enhances behavioral performances [
19], protect against neuroinflammation [
20] and inhibits pro-inflammatory factors in obese non-diabetic human subjects [
21]. Consequently, decreased sensitivity to insulin caused by insulin resistance due to an obesogenic or diabetic condition, and the resulting interruption of its signal transduction can challenge the positive effect insulin seems to have on brain functioning [
13,
17].
This study aimed to gain insight into the interplay between cognition and the development of obesity/diabetes during the adolescent period. We were interested whether the enhanced levels of insulin during development had effects on cognition at an age where the consequences of low-grade systemic inflammation due to the production of inflammatory mediators by dysfunctional adipose tissue are slowly starting to emerge. Therefore, the obese Zucker diabetic fatty (ZDF) rat was selected since the homozygotes ZDF rats (Leprfa/Leprfa) spontaneously develop obesity, hyperlipidemia, insulin resistance, and hyperglycemia by 6 to 8 weeks of age [
22,
23]. Prior to the experiments with the obese ZDF research model, we performed all experimental assays in two groups of outbred Long Evans rats to investigate under which feeding circumstances (ad libitum food and sucrose rewards versus food restriction and grain rewards) the rats could acquire the full operant higher-order cognitive task within the adolescent period. We used a touchscreen-based task, which resemble those used to assess cognition in humans and thereby has high translational impact [
24,
25]. We chose the visual discrimination task since we expected the rats were able to acquire this long-term memory test within the full adolescent period. We hypothesized that when obese ZDF animals age and the physiological obesogenic phenotype emerged, their cognitive performances would decline over test sessions and that overall a lower cognition would be observed.
4. Discussion
This study investigated whether cognitive performance is impacted already during adolescence in a genetic rat model of obesity and diabetes. Interestingly, we observed that adolescent ZDF obese rats cognitively outperformed both ZDF lean rats and healthy LE rats implemented with the same food regime. This enhanced cognition lasted during the entire visual discrimination period. Clear features of type 2 diabetes were observed in ZDF obese rats from week 6 of age onwards. Furthermore, early adult ZDF obese rats presented mild signs of hepatic and white adipose tissue inflammation. Interestingly, no alterations in the number and morphology of neuron and microglia cells, nor differences in PSD-95, SIRT-1 and GAPDH expression were observed between young adult ZDF obese and lean rats. The comparison between the LE-sucrose and LE-grain group showed that the LE-sucrose group had a slower acquisition rate during pre-training stages and a lower cognitive performance during the first ten VD sessions. However, sucrose exposure did not impact the final cognitive performance and neither impacted motivation levels. Sucrose exposure did result in enhanced blood glucose, total cholesterol and triglycerides levels and lower levels of NeuN and IBA-1 positive cells in the PFC, compared to LE-grain rats.
The cognitive superiority of the ZDF obese rats was unexpected, because previous studies reported either no changes in learning [
35] or spatial memory deficits [
14,
15,
36]. Since the enhanced performance in both the visual discrimination task and most of the pre-training acquisition phases, it is hard to interpret whether the ZDF obese rats have an enhanced cognition or a different learning capacity. A time response study using a diet-induced obesity model revealed that insulin resistance appeared from the 7th week of fructose feeding, whereas the cognitive dysfunction (memory function in Morris Water Maze) appears only after the 20th week of fructose exposure [
15]. Comparable results were found using Zucker rats, in that cognitive alterations in the passive avoidance test (lower capacity to learn and to keep away from unpleasant electric shock) were observed in 20-week-old obese Zucker rats, with no differences in 12 and 16 week-old, compared to lean rats [
37]. Moreover, rat strains with a genetic predisposition to obesity did not differ in their ability to experience reward (in a condition place preference task) [
38]. It would have been worthwhile to investigate in the current used touchscreen higher-order cognitive task whether older adult ZDF obese rats show cognitive dysfunction. However, this might challenge ethical decisions since we clearly observed that when obese ZDF rats age, the diabetic disease complications started to emerge. In line with literature, at some animals we observed progressive nephropathy, increasing proteinuria resulting in chronic renal insufficiency and impaired wound healing in early adulthood [
39,
40].
As expected, ZDF obese rats developed obesity as measured by an increased body weight, liver weight and perigonadal- and mesenteric white adipose tissue weights. Given the hyperphagic nature of leptin resistance in genetic animal models, we assessed whether the enhanced cognitive performance could be explained by an increased motivation to obtain reward. We observed no group differences between ZDF obese and lean rats at early adulthood in PR sessions, nor toward a new type of reward pellets. Zucker rats of a comparable age, also showed no differences with lean rats during PR sessions where a relatively high effort was required [
38], but when lower effort was required during PR and FR lever press training, a higher motivated behaviour was observed [
38,
41]. However, a higher acquisition rate, as our ZDF obese rats showed during pre-training sessions for VD and during FR training, is not a true measure of motivation. Therefore, arguing that motivation for receiving reward pellets is the foundation for enhanced cognitive performances of the ZDF obese rats is just speculative. What we did clearly observed in our locomotor activity data, but also based on video recording during operant testing, is that ZDF lean rats, mainly females, were hyperactive. Comparable findings of enhanced locomotor activity have been observed previously in Obese Resistant (OR) rats [
38]. This hyperactive behavior of ZDF lean rats was not the case for LE rats. Since ZDF obese rats outperformed both lean and LE rats in the visual discrimination task - and ZDF lean rats did not differ from LE rats in this task - it is not likely that the observed hyperactivity in ZDF lean rats was responsible for the significant difference in cognitive performances between obese and lean rats.
It could also be that the hyper-insulinemic condition of ZDF obese rats influenced cognitive performance. In support, we found a negative correlation between the number of sessions in the visual discrimination task and insulin concentration in the blood (r=-0.4801, p<0.0035), indicating a faster learning acquisition when insulin levels are high. Since insulin can cross the blood-brain-barrier, it is possible that hyperinsulinemia could stimulate cognitive performance via neurogenesis pathways and/or play an adaptative protective role in adolescent ZDF obese rats by directly suppressing pro-inflammatory cytokines and preventing neuronal impairment [
18,
42]. However, we did not investigate the causal relationship between insulin and cognitive performance. This requires future investigations employing local brain infusions of insulin or a systemic injection with insulin to assess the direct brain effects. We did however measure the brain insulin levels in the hippocampus but have not observed a difference between ZDF obese versus lean rats, when measured at 14-16 of age. Growing evidence supports the role for SIRT1 in the regulation of insulin sensitivity [
43] and neuroinflammatory responses [
44]. Additionally, decrement of SIRT1 in the brain is associated with cognitive impairment [
45]. Remarkably, SIRT1 induced cognitive enhancement even in healthy non-transgenic mice and increased neuronal plasticity proteins such as PSD-95 [
46]. Our results do not depict significant differences in the expression of SIRT1 and PDS-95 in the brain of ZDF obese rats compared to lean rats. Furthermore, no significant differences were observed in the number of neurons and microglia or the morphology of the microglia soma sizes, which is in line with a previous study which reported no alteration in the morphology of astrocytes and microglia in ZDF obese versus ZDF lean rats [
47]. Therefore, it is unlikely that SIRT1, PDS-95 or the number of neurons and microglia can explain the enhancement of cognitive performances in ZDF obese rats. Previous time response studies showed indeed that a decrease of neurons, morphological changes of microglia with an increase of the area of soma, started to appear in 20-week-old obese Zucker rats (and not at 12 and 16 week old) [
37] and 30-week-old ZDF rats (and not at 12 and 20 week old) [
48]. A reduction in brain cholinergic (VAChT and α7nAChR) and synaptic markers (synaptophysin and synaptic vesicle glycoprotein 2B) have been observed in the frontal cortex and hippocampus in obese Zucker rats, but these reductions only started to emerge at 20 weeks of age, and were not present at 12 and 16 weeks of age [
49]. Since we performed our brain histology and mRNA expression experiments at rats which were 14-16 weeks of age, this supports our idea that negative effects due to the obesity phenotype have not yet occurred within the prefrontal cortex.
Although the genetic ZDF model is a very different disease model compared to diet-induced obesity, the fact that exactly the same experiments were performed in both the LE and ZDF groups allows the valuable possibility to gain insight into the consequences of both models on the same higher-order cognitive performance during development. We observed that in LE rats, food restriction in association with grain pellet reward significantly speeds up the acquisition of a complex cognitive task, relative to ad libitum feeding and sucrose pellet as reward. It has previously been suggested that ad libitum feeding by itself leads to metabolic morbidity, with negative effects on various bodily functions, including cognition [
50]. Furthermore, it has been demonstrated that adolescent sucrose exposure in animals reduces cognitive functioning [
51]. Blood glucose cholesterol and triglyceride levels were enhanced in LE-sucrose rats compared to LE-grain rats, as was the infiltration of inflammatory cells in the liver. The number of microglia and neurons in the prefrontal cortex were decreased in LE-sucrose rats, which typically has been associated with reduced cognitive performance [
52].
Author Contributions
MS: GG, RK, JAD and JRH contributed to the study design. MS, YB, VvK, LdG, MB, NK and EK, performed the data collection. MS, YB, and MCM performed the data analyses. MS, YB, MCM, GG, RK, JAD and JRH contributed to the interpretation of the data. MS, YB and JRH drafted the manuscript. All authors were involved in critical revisions of the manuscript. All authors read and approved the final manuscript. All authors have read and agreed to the published version of the manuscript.