, 2005). The macrophage marker F4/80 has also been evaluated in extra-hypothalamic regions including cortex and thalamus and is unaffected anywhere assessed other than the hypothalamus (Milanski et al., 2009). Similarly, microglial accumulation and activation occurs in the ARC but not in other regions of the hypothalamus and not in extra-hypothalamic regions such as the cortex or hippocampus after two weeks high fat diet or less (Thaler et al., 2012). Although these studies

have found no inflammation outside the hypothalamus, tantalizing evidence does suggest central inflammation can extend beyond the hypothalamus in obesity with longer high fat feeding regimes. The hippocampus, an important region in cognitive processing, learning PD-1 inhibitor and memory, may be particularly

vulnerable to inflammation in obesity, with elevated TNFα and ionized calcium-binding adaptor molecule 1 (Iba1; microglial marker) levels in this region seen after 20 weeks http://www.selleckchem.com/products/VX-770.html high fat feeding (Jeon et al., 2012). The astrocyte marker, glial fibrillary acidic protein (GFAP), and APP, an indicator of AD-like pathology, are also increased in the hippocampus after long-term (22 weeks) high fat feeding (Puig et al., 2012). These differences in timing of appearance of central inflammation in difference in brain regions (albeit in different studies) lead us to speculate hypothalamic inflammation may Sulfite dehydrogenase precede that of other brain regions. Other brain regions than the hippocampus may also be subject to inflammation-associated cognitive deficits with obesity. Thus, markers of astrocytes (GFAP) and microglia (Iba1) are elevated in the frontal cortex of mice fed a high fat diet for 14 weeks compared with controls (Pepping et al., 2013). Cortical tissue has shown increased cyclooxygenase 2 and prostaglandin E2 levels as well as increases in phosphorylated IκB and NFκB after five months high fat diet (Zhang et al., 2005).

Isolated cortical microglia from mice fed a high fat diet for 22 weeks also release more TNFα than those of control mice (Puig et al., 2012). In humans, levels of fibrinogen (a marker of inflammation) in the amygdala are significantly correlated with overweight and obesity (Cazettes et al., 2011). Furthermore, animals made overweight due to a high fat diet in utero and during the suckling period have elevated expression of the pro-inflammatory genes NFκB and IL-6 in the amygdala compared with controls. They also have changes in expression of anti-inflammatory IκBα, mitogen-activated protein kinase phosphatase-1 (MKP-1), and interleukin receptor antagonist (IL-1Ra) in the amygdala and hippocampus ( Sasaki et al., 2013).