Cholecalciferol (vitamin D 3) improves cognitive dysfunction and
reduces inflammation in a rat fatty liver model of metabolic syndrome
Oytun Erbaş
a
, Volkan Solmaz
b,
⁎, Dürdane Aksoy
b
, Altuğ Yavaşoğlu
c
, Mustafa Sağcan
d
, Dilek Taşkıran
e
a
Gaziosmanpasa University Faculty of Medicine, Department of Physiology, Tokat, Turkey
b
Gaziosmanpasa University Faculty of Medicine, Department of Neurology, Tokat, Turkey
c
Ege University School of Medicine, Department of Histology and Embryology, Izmir, Turkey
d
Kilis State Hospital, Department of Internal Medicine, Kilis, Turkey
e
Ege University School of Medicine, Department of Physiology, Izmir, Turkey
abstract article info
Article history:
Received 27 July 2013
Accepted 29 March 2014
Available online xxxx
Keywords:
Fatty liver
Memory functions
Inflammation
Cholecalciferol
Aim: The aim of this study was to examine the effects of cholecalciferol on systemic inflammation and memory in
the setting of fatty liver disease in rats.
Materials and methods: To induce the development of fatty liver disease, the rats were fed a 35% fructose solution
over 8 weeks. Group I (n = 6) was designated as the control group and fed with standard rat chow. Group II (n = 6)
was provided with, standard rat chow, and 0.3 μg/kg/day of oral cholecalciferol over a duration of 2 weeks. In
addition to standard rat chow, group III (n = 6) and group IV (n = 6) were given 4 mL of the 35% fructose
solution per day via oral gavage for 8 weeks. However, group IV was also given 0.3 μg/kg/day of oral cholecalciferol
over 2 weeks. After the treatment period, passive avoidance tasks were performed by all groups. The liver and
brain were harvested for subsequent biochemical and histopathologic analyses.
Key findings: The development of fatty liver extends the memory latency period of passively avoiding tasks after 1
trial. Moreover, there were increases in brain TNF-α and plasma MDA levels according to two-way analysis of
variance. Cholecalciferol supplementation decreased the latency period of passively avoiding tasks in rats with
hepatosteatosis, and also significantly reduced brain TNF-α and plasma MDA levels.
Significance: Fatty liver may contribute to the development of systemic inflammation, which affects cognition and
causes deficits in memory; however, the anti-inflammatory and antioxidant properties of vitamin D may improve
the cognitive function of rats with hepatosteatosis.
© 2014 Elsevier Inc. All rights reserved.
Introduction
Metabolic syndrome is a physiological state characterized by an
increase in abdominal obesity, insulin resistance, atherogenic dyslipid-
emia (a decrease in HDL with a concomitant increase in triglycerides),
hypertension, and inflammation (Grundy et al., 2004). Increased
adiposity and the development of fatty liver in addition to insulin
resistance or type 2 diabetes mellitus are some of the most serious
health outcomes in metabolic syndrome. Much research has been
dedicated to understand and explain the processes contributing to
metabolic syndrome. In recent years, inflammation has been found to
be a causative factor of metabolic syndrome (Monteiro and Azevedo,
2010). Specifically, it has been reported that there is increased
inflammation in metabolic syndrome that facilitates the development
of hepatosteatosis (Sell and Eckel, 2010; Purkayastha and Cai, 2013).
Cognitive dysfunction generally refers to deficits in memory and
executive function, and many diseases may result in cognitive dysfunc-
tion. Besides metabolic disorders, cognitive dysfunction is most
often associated with advanced age such as Alzheimer's disease
(Mucke, 2009). The pathogenesis of Alzheimer's disease is not yet
fully understood, but a complex mechanism has been recently proposed
that involves insulin resistance and an increase in inflammation.
According to this theory, increased peripheral insulin resistance causes
increases in serum insulin levels that trigger both peripheral and central
nervous system inflammation, which induces neurotoxicity as reactive
oxygen species are produced in the brain (Fishel et al., 2005). Several
other studies have examined the relationship between metabolic
syndrome and cognitive dysfunction (Viscogliosi et al., 2012; Roberts
et al., 2010; van den Berg et al., 2007). In these studies a cause and effect
relationship has not yet been fully elucidated, but inflammation has
been found to be an underlying contributor to both cognitive dysfunc-
tion and metabolic syndrome (Reger and Craft, 2006; Sell and Eckel,
Life Sciences xxx (2014) xxx–xxx
⁎ Corresponding author. Tel.: +90 5069043459; fax: +90 3562133179.
E-mail addresses: oytun.erbas@gop.edu.tr (O. Erbaş), solmaz.volkan@yahoo.com
(V. Solmaz), dbekar@yahoo.com (D. Aksoy), altug.yavasoglu@ege.edu.tr (A. Yavaşoğlu),
Mustafa.sagcan@mynet.com (M. Sağcan), dilek.taskiran@ege.edu.tr (D. Taşkıran).
LFS-13987; No of Pages 5
http://dx.doi.org/10.1016/j.lfs.2014.03.035
0024-3205/© 2014 Elsevier Inc. All rights reserved.
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journal homepage: www.elsevier.com/locate/lifescie
Please cite this article as: Erbaş O, et al, Cholecalciferol (vitamin D 3) improves cognitive dysfunction and reduces inflammation in a rat fatty liver
model of metabolic synd..., Life Sci (2014), http://dx.doi.org/10.1016/j.lfs.2014.03.035