Abstract

Patients with type 2 diabetes mellitus (T2DM) have a higher risk to develop cognitive impairment. Several studies reported the potential roles of vitamin D in prevention of cognitive impairment, but the mechanism remains unclear. The present study aims to investigate the protective effects of vitamin D3 on cognitive impairment in db/db mice and to explore the possible mechanism. Twelve‐week‐old male db/db mice were randomly administrated with low, medium, and high dose of vitamin D3 (LVD, MVD, and HVD groups, respectively) and equivalent volume vitamin D3 solvent (corn oil, DM group) intragastrically. Eight age‐matched db/m mice were given equivalent volume corn oil as normal group. After 16 weeks of vitamin D3 treatment, the concentrations of fasting serum glucose in three vitamin D3 groups (especially the 1,000 IU/kg·bw dose) were significantly decreased compared with DM group. Pathology revealed that the neuron damage was reduced in vitamin D3 groups. MVD intervention significantly shortened the escape latency on day 5 and extended time in the target quadrant. Mice in HVD group had significantly higher exploration time and discrimination index compared with the DM group mice. Moreover, vitamin D3 treatment has increased the phosphorylation of cAMP‐response element‐binding protein and the expression of brain‐derived neurotrophic factor and vitamin D receptor. This treatment, meanwhile, has decreased the expression of tumor necrosis factor‐α, the phosphorylation of inhibitor kappa Bα (IκBα), and nuclear factor‐κB p65 (NF‐κB p65) in the hippocampus of db/db mice. These results suggest that vitamin D3 alleviated cognitive impairment in the hippocampus of db/db mice. Down‐regulation of the NF‐κB signaling pathway‐related proteins IκBα and p65 might be one of the possible mechanisms.

Highlights

  • Type 2 diabetes mellitus (T2DM) is a serious and common clinical chronic disease, which has reached pandemic dimensions all over the world

  • Western immunoassay (Wes) found that vitamin D3 alleviated cognitive impairment in type 2-d­ iabetic mice

  • Vitamin D3 decreased the protein expression of TNF-­α, the p-­NF-­κB p65/NF-­κB p65 ratio and p-­IκBα/IκBα ratio in the hippocampus of mice, suggesting that the protective effect of vitamin D3 on cognitive impairment caused by diabetes might be related to the inhibition of inflammatory response

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Summary

| INTRODUCTION

Type 2 diabetes mellitus (T2DM) is a serious and common clinical chronic disease, which has reached pandemic dimensions all over the world. Primary cortical neuron cultures found that mRNA expression levels of VDR and the enzymes involved in bioactivation of vitamin D were higher in hippocampal neurons than the cortical ones, which indicated a “higher requirement of vitamin D” in hippocampus and the potential consequences of vitamin D deficiency in cognitive decline, neurodegeneration, and Alzheimer's disease (Gezen-­Ak et al, 2013). Cross-­Sectional and Longitudinal studies have found that vitamin D levels are significantly low in individuals with cognitive impairment and Alzheimer's disease compared to healthy adults (Beydoun et al, 2018; Jorde et al, 2015). The aim of the present study is to investigate the potential protective effect of vitamin D3 on cognitive impairment in db/db mice and explore the specific mechanisms of inflammation

| MATERIALS AND METHODS
Findings
| DISCUSSION
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