SummaryIn metabolic syndrome (MetS), previous studies have suggested that cognitive decline is worsened. Among the factors associated with cognition, decreased brain-derived neurotrophic factor (BDNF) in the hippocampus causes cognitive decline. We previously reported that exercise training with calorie restriction yielded protection against cognitive decline via BDNF in the hippocampus of hypertensive rats. The aim of the present study was to determine whether or not calorie restriction results in protection against cognitive decline via BDNF and its receptor tropomyosin-related kinase B (TrkB) in the hippocampus of MetS model rats. We divided dietary-induced obesity-prone and hypertensive rats (OP), as metabolic syndrome model rats, into three groups, fed with a high fat diet (HF), treated with calorie restriction (CR) plus vehicle, and treated with CR and ANA-12 (a TrkB antagonist) (CR+A). After treatment for 28 days, body weight, insulin, fasting blood glucose, adiponectin, systolic blood pressure, and oxidative stress in the hippocampus were significantly lower, and BDNF expression in the hippocampus was significantly higher in CR and CR+A than in HF. Cognitive performance determined by the Morris water maze test was significantly higher in CR than in HF, whereas the benefit was attenuated in CR+A. In conclusion, calorie restriction protects against cognitive decline via up-regulation of BDNF/TrkB through an antioxidant effect in the hippocampus of dietary-induced obesity rats. (Int Heart J 2015; 56: 110-115) Key words: Metabolic syndrome, Cognition O ne of the important types of organ damage in metabolic syndrome (MetS) is cognitive decline. 1) MetS-associated factors are linked to volume losses in the hippocampus, and MetS negatively impacts cognition by impaired vascular reactivity, neuro-inflammation, oxidative stress, and abnormal brain lipid metabolism.1) Among the factors associated with cognition, brain-derived neurotrophic factor (BDNF) and its receptor tropomyosin-related kinase B (TrkB) are known to be involved in the protective mechanisms against stress and cell death as an antioxidant.2-6) Systemic oxidative stress and/or antioxidant deficiency cause cognitive decline, 7) and oxidative stress in the hippocampus in particular impairs cognitive function. 8) However, it has not been clarified whether BDNF/TrkB in the hippocampus of metabolic syndrome patients is impaired or not.Not only pharmacological therapy but also exercise training 9-11) and calorie restriction 12,13) have been suggested to protect against cognitive decline. The benefits of calorie restriction on metabolic syndrome have been already established via improvement of insulin-resistance. [13][14][15][16][17][18] However, in a previous clinical study, calorie restriction and/or exercise training did not protect against cognitive decline. 19) We previously demonstrated that exercise training plus calorie restriction causes synergistic protection against cognitive decline via up-regulation of BDNF in the hippocampus of stroke-pron...