# Dietary fat effect on brain immune response and inflammation

> **NIH VA I01** · MINNEAPOLIS VA  MEDICAL CENTER · 2021 · —

## Abstract

Veterans exhibit higher incidence of obesity than does the general US population. Dietary fats influence risk of
developing peripheral metabolic diseases and cognitive disorders such as Alzheimer’s disease (AD).
Inflammation of the brain (neuroinflammation), a state associated with progressive neuronal loss, is known to be
heightened in cognitive decline and obesity. While neuroinflammation normally increases with age, risk is greatly
exacerbated by chronic consumption of diets high in saturated fatty acids, such palmitic acid. Microglia, the
resident immune cells of the brain, play an integral role in neuroinflammation in the brain and represent a
common link between diet and neuroinflammatory diseases. Microglia are highly reactive to environmental
signals such as those caused by diet. Microglia react to changes in brain milieu by transitioning between multiple
states, including neurotoxic pro-inflammatory and neuroprotective anti-inflammatory microglial phenotypes.
 Palmitic acid directly affects immune cells through stimulation of microglial toll like receptor- 4 (TLR-4)-
dependent pathways, thereby activating pro-inflammatory phenotypes and increasing the release of pro-
inflammatory cytokines. The linkage of inflammation and lipid metabolism suggests a key unexplored role for
fatty acid binding protein-4 (FABP4). We demonstrate for the first time that FABP4 is expressed in microglial
cells, and that the loss of FABP4 leads to activation of mitochondrial uncoupling protein 2 (UCP2). Specifically,
loss of FABP4 leads to an increase in cellular monounsaturated fatty acids (predominately C16:1) that upregulate
the expression of UCP2. Moreover, increased expression of UCP2 leads to reduced expression of inflammatory
cytokines in microglia. In peripheral macrophages, loss of UCP2 increases oxidative stress, potentiates the NFκB
pathway, and increases secretion of inflammatory cytokines. However, these pathways have not been fully
explored in microglia. Importantly for this application, molecular, genetic, or pharmacologic loss of FABP4 results
in an anti-inflammatory phenotype and a shift to anti-inflammatory microglial phenotypes, even in the presence
of a high saturated fat diet.
 Inflammation in macrophages requires metabolic state changes in the tricarboxylic cycle (TCA). The
transition to pro-inflammatory microglial phenotypes is accompanied by a major shift from glycolysis to oxidative
phosphorylation for energy production. Indeed, the molecular basis for this phenotypic switch is due in part to
the UCP2-dependent change in redox environment and subsequent changes in intracellular metabolic pathways.
Our preliminary data support that the FABP4-UCP2 axis drives shifts in TCA utilization via changes in key
mitochondrial enzymes such as immune responsive gene-1 (Irg-1). While this shift in metabolic adaptation can
regulate immune response in the development of metabolic syndrome, this mechanism is undefined in microglia.
Diet-induced neuroinfl...

## Key facts

- **NIH application ID:** 10049958
- **Project number:** 5I01BX004146-03
- **Recipient organization:** MINNEAPOLIS VA  MEDICAL CENTER
- **Principal Investigator:** Tammy Angaline Butterick
- **Activity code:** I01 (R01, R21, SBIR, etc.)
- **Funding institute:** VA
- **Fiscal year:** 2021
- **Award amount:** —
- **Award type:** 5
- **Project period:** 2018-10-01 → 2022-09-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10049958

## Citation

> US National Institutes of Health, RePORTER application 10049958, Dietary fat effect on brain immune response and inflammation (5I01BX004146-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10049958. Licensed CC0.

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