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. 2022 Oct 28;13:1038122. doi: 10.3389/fpsyt.2022.1038122

Table 1B.

Summary of preclinical studies investigating palmitoylethanolamide and its correlations to neurocognitive disorders (NCDs).

References (Country) Aim of study PEA type of study Population N Outcome measure (test name or description) Summary results
Scuderi et al. (29) (Italy) To assess PEA effects on Aβ-exposed rat astrocytes In vitro exposure in animals 1. CTRL;
2. Aβ;
3. Aβ+PEA;
4. Aβ+PEA+MK;
4. Aβ+PEA+GW9662
X 1. Astrocytes activation (Western blot, Immunofluorescence, RT-PCR, densitometric analysis, ELISA);
2. Neuroinflammation (Western blot, Immunofluorescence, spectrophotometric assay based on the Griess reaction, ELISA);
3. Anti-inflammatory effects (Western blot, EMSA analysis);
4. Effects on eCB system (Western blot analysis and densitometric analysis)
1. PEA application reduces Aβ-induced neuroinflammation and astrocytes' activation;
2. PEA effects on atrocytes are counteracted by MK886 administration;
3. PEA application increases PPAR-α, CB1 and CB2 expression after Aβ exposure in astrocytes
Benito et al. (30) (Italy) To assess PEA effects on Aβ-exposed FAAH-KO mice astrocytes In vitro exposure in animals 1. FAAH-WT group: (a) CTRL-WT; (b) Aβ-WT; (c) PEA; (d) Aβ+PEA; (e) Aβ+PEA+AEA+OEA; (f) OEA; (g) AEA; (h) Aβ+OEA; (i) Aβ+AEA; (j) URB; (k) Aβ+URB; (l) URB+SR1; (m) Aβ+URB+SR1; (n) URB+SR2; (o) Aβ+URB+SR2;
2. FAAH-KO group: (a) CTRL-KO; (b) Aβ-KO; (c) SR1; (d) Aβ+SR1; (e) SR2; (f) Aβ+SR2; (g) WY; (h) Aβ+WY; (i) TG; (j) Aβ+TG; (k) CPZ; (l) Aβ+CPZ
X 1. Anti-inflammatory effects (ELISA, Western blot, qRT-PCR);
2. Cell death (LDH dosage)
PEA alone or combined with other eCBs/AEs decreases Aβ-induced inflammatory effects in astrocytes
D'Agostino et al. (31) (Italy) To assess PEA effects on cognitive function and neuroprotection in AD mice In vivo exposure in animals 1. First set of mice (WT, PPARα-/-): (a) ScAb+VHI; (b) Ab+VHI; (c) Ab+PEA3; (d) Ab+PEA10; (e) Ab+PEA30; (f) Ab+GW7647;
2. Second,
3. Third sets of mice (WT): (a) ScAb+VHI; (b) Ab+VHI; (c) Ab+PEA30
8–10 per group 1. Memory and cognition (YMT, MWM, WMT, NORT, Rotarod test);
2. Effects on brain function (Western blot, Lipid Peroxidation Measures)
PEA administration restores learning and memory impairment and exerts a neuroprotective action at high dose in AD mice
Scuderi et al. (32) (Italy) To assess PEA effects on Aβ-exposed rat neurons and astrocytes 1. Ex vivo exposure in animals;
2. In vitro exposure in animals
1. CTRL;
2. Aβ;
3. Aβ+PEA;
4. Aβ+PEA+MK;
5. Aβ+PEA+GW6471
X Astrocyte proliferation and neuronal loss (Nissl staining, Immunofluorescence) PEA application blunts Aβ-induced astrocyte activation and exerts a protective effect on neurons in rats
Scuderi and Steardo (33) (Italy) To assess PEA effects on Aβ-exposed hippocampal tissue and neurons in rats 1. Ex vivo exposure in animals;
2. In vitro exposure in animals
1. Hippocampal slice cultures,
2. Cultures of primary neurons: (a) CTRL; (b) Aβ; (c) Aβ+PEA; (d) Aβ+PEA+GW6471
X 1. Hippocampal tissue functioning,
2. Neuroinflammation (Nissl staining, Immunofluorescence, Western blot, ELISA);
3. Neuronal viability (Neutral red assay)
PEA application blunts Aβ-induced astrocyte activation and exerts a protective effect on neurons in rats
Paterniti et al. (22) (Italy) To assess PEA effects on Aβ-exposed mouse brain tissue Ex vivo exposure in animals 1. CTRL;
2. Aβ;
3. Aβ+PEA(0.27 + 0.027 μM);
4. Aβ+PEA(2.7 + 0.27 μM);
5. Aβ+PEA(27 + 2.7 μM)
X 1. Effects on neuronal viability (Vital staining);
2. Effects on brain function (Measurement fo nitrite concentration, Western blot, Comet analysis)
1. PEA administration increases neuronal viability in Aβ exposed mouse hippocampus;
2. PEA administration restores BDNF and GDNF levels in Aβ exposed mouse hippocampus;
3. PEA administration reduces GFAP activation in Aβ exposed mouse hippocampus;
4. PEA administration decreases nitrite production in Aβ exposed mouse hippocampus;
5. PEA administration rescues programmed cellular death in Aβ exposed mouse hippocampus; 6. PEA administration reduces DNA damage in Aβ exposed mouse hippocampus
Scuderi et al. (34) (Italy) To assess PEA anti-inflammatory and neuro-protective effects in Aβ-exposed rats In vivo exposure in animals 1. VHI;
2. VHI+Aβ;
3. PEA+VHI;
4. PEA+Aβ;
5. PEA+GW6471+VHI;
6. PEA+GW6471+Aβ
9–12 per group 1. Glia activation,
2. Neuroinflammation (RT-PCR, Immunofluorescence, Western blot, ELISA);
3. Effect on the amyloidogenic and Wnt pathway (Western blot);
4. Neuronal viability (Immunofluorescence);
5. Memory and cognition (MWM)
1. PEA administration counteracts Aβ-induced reactive gliosis and amyloidogenesis in rats;
2. PEA administration improves neuronal integrity after Aβ-exposure in rats;
3. PEA administration prevents Aβ-induced memory impairment in rats;
4. PEA exerts neuroprotective and anti-inflammatory effects through PPAR-α activation
Cipriano et al. (25) (Italy) To assess PEA anti-inflammatory and anti-angiogenic effects on Aβ-exposed rat glioma cells In vitro exposure in animals 1. CTRL;
2. Aβ;
3. Aβ+PEA10−6;
4. Aβ+PEA10−7;
5. Aβ+PEA10−8;
6. Aβ+PEA10−6+GW6471(2.5);
7. Aβ+PEA10−6+GW6471(5);
8. Aβ+PEA10−6+GW6471(10)
X 1. Glia activation (Cell Vitality assay, Griess reaction, Western blot);
2. Effect on pro-angiogenic factors production and release (Western blot, ELISA)
PEA concentration-dependently reduces the expression of
1. pro-inflammatory and
2. pro-angiogenic markers in Aβ treated cells.
Tomasini et al. (35) (Italy) To assess PEA effects on Aβ exposed AD mouse neurons and astrocytes In vitro exposure in animals 1. Primary cerebral cortex neurons (3xTg-AD, Non-Tg): (a) CTRL; (b) PEA; (c) Aβ; (d) PEA+Aβ;
2. Primary cerebral cortex astrocytes (3xTg-AD, Non-Tg): (a) CTRL; (b) PEA; (c) Aβ; (d) PEA+Aβ
X 1. Cell viability (Neutral red assay);
2. Endogenous extracellular glutamate levels (High-performance liquid chromatography/fluorimetric detection system);
3. Cell morphology (Immunocytochemistry)
PEA administration exerts protective properties in Non-Tg but not in 3xTg-AD Aβ-exposed mouse neuronal cultured cells
Caltagirone et al. (24) (Italy) To assess PEA neuro-protective and behavioral effects in MCAo rats In vivo exposure in animals 1. MCAo+VHI;
2. MCAo+PEA;
3. sham+VHI;
4. sham+PEA
1. First set of experiment: 20 per group;
2. Second set of experiment: 10 per group
1. First set of experiment: (a) Motor behavior (Mean rotation number/h, Neurological scoring); (b) Brain tissue damage (Histological evaluation);
2. Second set of experiment: (a) Astrocyte activation (Immunohistochemistry, Western blot); (b) BDNF, GDNF expression (Western blot); (c) Mast cells infiltration, (d) Enzymatic expression (Immunohistochemistry); (e) Programmed cell death (Western blot)
PEA administration improves neurobehavioural function, reduces neuroinflammation and counteracts histological damage in ischemic rats
Siracusa et al. (36) (Italy) To assess PEA anti-inflammatory and neuroprotective effects in VaD mice 1. In vivo exposure in animals;
2. Quantitative brain assessment
1. Healthy rats: only used to test PEA pharmacokinetics;
2. Mice: (a) sham+VHI; (b) sham+PEA; (c) VaD+VHI; (d) VaD+PEA
40 (10 per group) 1. PEA brain levels (LC-APCI-MS);
2. Memory and cognition (NORT);
3. Social behavior (Social Interaction test);
4. Locomotor activity (OFT);
5. Effects on brain function (Immunohistochemistry, Immunofluorescence, Western blot)
1. PEA oral administration results in low-medium PEA brain concentrations shortly after in healthy rats;
2. PEA administration rescues injured hippocampal CA1 and CA3 neurons in VaD mice;
3. PEA administration rescues impaired memory, social behavior and locomotor activity in VaD mice;
4. PEA administration exerts anti-inflammatory and neuroprotective effects in VaD mice
Beggiato et al. (37) (Italy) To assess PEA effects on Aβ exposed mouse neurons and astrocytes In vitro exposure in animals 1. CTRL; 2. Aβ; 3. Aβ+PEA; 4. PEA X 1. Cell viability (Neutral red assay);
2. Cell morphology (Immunofluorescence);
3. Programmed cell death (% of neurons' apoptotic nuclei, DNA staining)
PEA administration improves neuronal survival and morphology, by blunting Aβ-induced mouse astrocyte activation
Bronzuoli et al. (38) (Italy) To assess PEA anti-inflammatory and neuro-protective effects in AD mice 1. In vivo exposure in animals;
2. In vitro exposure in animals
1. In vivo (n = 18 3xTg-AD, n = 18 Non-Tg): (a) CTRL; (b) PEA(0.01); (c) PEA(0.1); (d) PEA(1);
2. In vitro (n = 36 3xTg-AD, n = 12 Non-Tg): (a) CTRL; (b) PEA
84 1. Primary astrocytes activation (Immunofluorescence, Western blot);
2. Astrocytes and neuronal viability (Neutral red assay);
3. Reactive astrogliosis,
4. Neuronal support and survival (RNA isolation, RT-PCR, Western blot, Immunofluorescence)
PEA in vitro application and in vivo administration supports neuronal viability and reduces gliosis in AD mice
Crupi et al. (39) (Italy) To assess PEA anti-inflammatory and neuroprotective effects in PD mice In vivo exposure in animals 1. sham+VHI;
2. sham+PEA;
3. MPTP+VHI;
4. MPTP+PEA
40 (10 per group) Effects on brain function (Immunofluorescence) PEA administration prevents the decrease in adult hippocampal cell proliferation and β3-tubulin aggregation in PD mice
Scuderi et al. (20) (Italy) 1. To assess chronic PEA effects on cognitive function in AD mice;
2. To assess chronic PEA effects on brain function in AD mice
In vivo exposure in animals 1. First set of mice (3 months): (a) PEA (3 × Tg-AD/Non-Tg); (b) placebo (3 × Tg-AD/Non-Tg);
2. Second set of mice (9 months): (a) PEA (3 × Tg-AD/Non-Tg); (b) placebo (3 × Tg-AD/Non-Tg)
1. First set of mice (3 months): 9–11 per group;
2. Second set of mice (9 months): 7–9 per group
1. Memory and cognition (NORT, IA, MWM);
2. Depressive-/Anhedonia-like behavior (TST, FST, SPT);
3. Effects on brain function (RT-PCR, Western blot, Immunohistochemistry, Cytokine array, HPLC, MRI/MRS)
1. PEA administration rescues early learning and memory deficits in 6-mo AD mice;
2. PEA administration improves short-term memory in 12-mo AD mice, with no significant effects on long-term memory;
3. PEA administration reverses the depressive-like phenotype in 6-mo AD mice, with no significant effects in 12-mo AD mice;
4. PEA administration attenuates the anhedonia-like phenotype in 6- and 12-mo AD mice;
5. PEA administration reduces hippocampal Aβ expression in 12-mo AD mice, with no significant effects in 6-mo AD mice;
6. PEA administration reduces abnormal hippocampal tau phosphorylation in 6- and 12-mo AD mice;
7. PEA administration promotes MAP2 expression in the CA1 subregion of hippocampus of AD mice;
8. PEA administration stabilizes astrocyte function and restrains neuroinflammation in AD mice;
9. PEA administration increases Glx levels as a response to disrupted glutamatergic functionin 6-mo AD mice
Boccella et al. (40) (Italy) To assess PEA effects on cognitive function and their mGluR-mediated modulation in SNI mice In vivo exposure in animals 1. sham: (a) VHI; (b) PEA; (c) MPEP; (d) MPEP+PEA; (e) MDCPG; (f) MDCPG+PEA;
2. SNI: (a) VHI; (b) PEA; (c) MPEP; (d) MPEP+PEA; (e) MDCPG; (f) MDCPG+PEA
96 Memory and cognition (NORT) 1. PEA administration rescues discriminative memory in SNI mice;
2. PEA beneficial effects on discriminative memory are prevented by the mGluR5 blockade, but not the mGluR8 blockade in SNI mice
Boccella et al. (41) (Italy) To assess PEA effects on cognitive function in SNI mice 1. In vivo exposure in animals;
2. Quantitative brain assessment
1. sham+VHI;
2. sham+PEA;
3. SNI+VHI;
4. SNI+PEA
10 per group 1. Memory and cognition (NORT, MWM);
2. Effects eCBs/AEs system (LC-APCI-MS)
1. PEA administration rescues discriminative and spatial memory deficits in SNI mice, by restoring LTP and synaptic maladaptative changes in the LEC-DG pathway;
2. PEA administration affects 2-AG, but not PEA nor AEA LEC levels in sham and SNI mice
Impellizzeri et al. (42) (Italy) To assess PEA anti-inflammatory and neuroprotective effects in VaD mice 1. In vivo exposure in animals;
2. Quantitative brain assessment
1. sham+VHI;
2. sham+PEA;
3. VaD+VHI;
4. VaD+PEA
40 (10 per group) 1. Memory and cognition (NORT, MWM);
2. Effects on brain function and
3. eCBs/AEs system (Light microscospy, Immunohistochemistry, Immunofluorescence, TUNEL staining, LP-APCI-MS, Western blot)
1. Endogenous PEA levels decrease after VaD induction;
2. PEA administration increases PEA endogenous levels in VaD mice;
3. PEA administration rescues injured hippocampal CA1 and CA3 neurons in VaD mice;
4. PEA administration exerts anti-inflammatory and neuroprotective effects in VaD mice;
5. PEA administration rescues learning and memory deficits in VaD mice
Piscitelli et al. (43) (Italy) To assess PEA and other eCBs/AEs brain and plasma levels in AD-like Tg mice Quantitative tissue assessment 1. WT;
2. Tg
10 1. Brain tissue eCBs/AEs levels (LP-APCI-MS);
2. Plasma levels
1. PEA and other eCBs/AEs levels are not altered in AD-like Tg mouse model compared to WT mice;
2. PEA and other eCBs/AEs levels show no overt alterations from presymptomatic, mild symptomatic to symptomatic disease stages in AD-like Tg mouse model
Zimmermann et al. (44) (Germany) To assess PEA/AEA signaling alterations and related effects on cognitive function in AAV-Glu-FAAH mice Quantitative brain assessment 1. AAV-Glu-FAAH;
2. AAV-Glu-empty;
3. AAV-WT
3–16 per group 1. Memory and cognition (spatial object recognition test);
2. PEA and other AEs brain levels (LC-MS/MS)
Impaired PEA signaling in hippocampal glutamatergic neurons alters synaptic plasticity, learning, and emotional responses
Beggiato et al. (45) (Italy) To assess PEA neuroprotective effects in AD mice In vitro exposure in animals Mature cerebral cortex astrocytes:
1. Non-Tg: (a) CTRL; (b) Aβ; (c) Aβ+PEA;
2. 3xTg-AD: (a) CTRL; (b) Aβ; (c) Aβ+PEA
4–5 animals per condition 1. Effects on neuronal viability (Neutral red assay);
2. Effects on neuronal morphology (Immunohistochemistry);
3. Effects on apoptotic neuronal death (Immunofluorescence)
PEA application prevents Aβ-induced astrogliosis, thus improving neuronal survival in AD mice
Beggiato et al. (46) (Italy) 1. To assess PEA effects on cognitive function in AD mice;
2. To assess PEA anti-inflammatory and neuroprotective effects in AD mice;
3. To assess PEA effects on glutamate levels in AD mice
1. In vivo exposure in animals;
2. Quantitative tissue assessment
1.3 × Tg-AD+VHI;
2. 3 × Tg-AD+PEA;
3. Non-Tg+VHI;
4. Non-Tg+PEA
4–11 per group 1. Memory and cognition (NORT);
2. Effects on neuroinflammation,
3. Effects on neuroprotective factors expression (Immunofluorescence);
4. Hippocampal glutamate levels (HPLC coupled to fluorescence detection)
1. PEA administration improves learning and memory in 5-mo AD mice;
2. PEA administration partially restrains neuroinflammation in 5-mo AD mice;
3. PEA administration reduces oxidative stress in 5-mo AD mice;
4. PEA administration does not affect Synaptophysin hippocampal levels in 5-mo AD mice;
5. PEA administration partially rescues increased glutamate levels in the hippocampus of 5-mo AD mice
Facchinetti et al. (47) (Italy) To assess PEA anti-inflammatory and neuroprotective effects in prodromal AD rats In vivo exposure in animals 1. VHI;
2. VHI(Aβ);
3. PEA(VHI);
4. PEA(Aβ)
4–5 per group Effects on brain function (Immunofluorescence, qRT-PCR) 1. Early PEA administration prevents Aβ-induced astrogliosis and microgliosis in AD rats;
2. Early PEA administration prevents the increased gene expression of pro-inflammatory cytokines and enzymes in AD rats;
3. Early PEA administration improves hippocampal neuronal survival in AD rats
Lama et al. (48) (Italy) To assess PEA effects on cognitive function in HFD mice In vivo exposure in animals 1. STD;
2. HFD;
3. HFD+PEA
≥ 15 per group Memory and cognition (NORT) PEA administration restores recognition memory in HFD mice
Boccella et al. (49) (Italy) To assess PEA effects on cognitive function in SNI mice In vivo exposure in animals 1. sham+VHI;
2. sham+PEA;
3. SNI+VHI;
4. SNI+PEA
120 Memory and cognition (MWM, Y-maze) PEA administration rescues spatial memory and working-memory in SNI mice
Campolo et al. (28) (Italy) 1. To assess PEA anti-inflammatory and neuroprotective effects in TBI mice;
2. To assess PEA effects on cognitive function in TBI mice
In vivo exposure in animals 1. sham;
2. sham+PEA;
3. TBI;
4. TBI+PEA
40 (10 per group) 1. Memory and cognition (MWM);
2. Effects on brain function (Histological analysis, Immunohistochemistry, Immunofluorescence, FluoroJade, Western blot)
1. PEA administration rescues learning and memory deficits in TBI mice;
2. PEA administration modulates neurogenesis processes in TBI mice;
3. PEA administration accelerates NSCs proliferation in TBI mice
D'Antongiovanni et al. (50) (Italy) To assess PEA effects on enteric inflammation and bowel motor dysfunctions in AD mice 1. In vivo exposure in animals;
2. In vitro exposure in animals
1. In vivo/In vitro exposure: (a) SAMR1; (b) SAMP8; (c) SAMP8+PEA;
2. In vitro exposure: (a) CTRL; (b) LPS+Aβ; (c) LPS+Aβ+PEA
X 1. Effects on colonic contractile activity (ES, chemical stimulation);
2. Effects on misfolded proteins (ELISA assay);
3. Effects on enzymatic activity (Enzymatic assay);
4. Effects on colonic inflammation (ELISA, Western blot)
1. PEA administration/application prevents the enteric glial hyperactivation in AD mice;
2. PEA administration/application reduces misfolded protein accumulation and counteracts colonic inflammatory condition in AD mice;
3. PEA administration/application relieves intestinal motor dysfunctions in AD mice;
4. PEA administration/application improves the intestinal epithelial barrier integrity in AD mice
Gaspar et al. (51) (Ireland) 1. To assess PEA effects on inflammatory pain-related cognitive impairment in CFA-treated rats;
2. To assess PEA and other AEs brain levels in CFA-treated rats
1. In vivo exposure in animals;
2. Quantitative brain assessment
1. noCFA,
2. CFA: (a) VHI; (b) GW6471; (c) GSK; (d) GW9662; (e) PEA
80 1. Memory and cognition (NORT);
2. PEA and other AEs brain levels (LC-MS/MS)
1. PPARα antagonist impairs spatial memory in CFA-treated rats;
2. PEA levels are not modified in the Dorsal Hippocampus nor in the Entorhinal Cortex of CFA-Injected rats
Gatta et al. (52) (Italy) To assess PEA anti-inflammatory and neuroprotective effects in AD-like mouse microglial cells 1. In vitro exposure in animals;
2. Ex vivo exposure in animals
1. BV2 microglial cell model: (a) CTRL; (b) LPS; (c) LPS+PEA; (d) Aβ; (e) Aβ+PEA;
2. Mature cerebral cortex microglial cells: (a) CTRL; (b) LPS; (c) LPS+PEA
4–6 animals per condition Effects on brain function (Western blot, semi-quantitative qRT-PCR) PEA reduces LPS- or Aβ-induced neuroinflammation and TG2 overexpression in mouse microglial cells

PEA, palmitoylethanolamide; Aβ, β-amyloid precursor protein; CTRL, control; MK, MK886 (PPARα antagonist); GW9662, PPARγ antagonist; RT-PCR, Reverse transcriptase-PCR analysis; ELISA, Enzyme-linked immunosorbent assay; EMSA, Electrophoretic mobility shift assay; eCB, endocannabinoid; FAAH, Fatty acid amide hydrolase; KO, Knock-out; WT, Wild-type; AEA, anandamide; OEA, oleoylethanolamide; URB, URB597; SR1, SR141716A; SR2, SR144528; WY, WY14643; TG, troglitazone; CPZ, capsazepine; qRT-PCR, RT quantitative-PCR; LDH, Lactate dehydrogenase; AE, acylethanolamine; AD, Alzheimer's disease; PPARα, Peroxisome proliferator-activated receptor alpha; ScAb, Scrambled Ab25-35 peptide; VHI, vehicle; Ab, Ab25-35 peptide; PEA(3, 10, 30), PEA (3, 10, 30 mg/Kg); GW7647, PPARα agonist; YMT, Y-Maze test; MWM, Morris Water Maze test; WMT, Working-memory test; NORT, Novel Object Recognition test; GW6471, PPARα antagonist; μM, micromolar; BDNF, Brain-Derived Neurotrophic Factor; GDNF, Glial cell line-derived neurotrophic factor; GFAP, Glial fibrillary acidic protein; DNA, Deoxyribonucleic acid; 3xTg-AD, triple-transgenic mouse model of AD; non-Tg, non-transgenic mouse model; MCAo, middle cerebral artery occlusion; VaD, vascular dementia; LC-APCI-MS, Liquid chromatography-atmospheric pressure chemical ionization-mass spectrometry; OFT, Open-field test; RNA, Ribonucleic acid; PD, Parkinson's disease; MPTP, 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine; IA, Inhibitory passive avoidance; TST, Tail suspension test; FST, Forced swim test; SPT, Sucrose preference test; HPLC, High-performance liquid chromatography; MRI, Magnetic resonance imaging; MRS, Magnetic resonance spectroscopy; -mo, month-old; MAP2, Microtubule-associated protein 2; Glx, Glutamine/glutamate; mGluR, Metabotropic glutamate receptor; SNI, spare nerve injury; MPEP, 2-Methyl-6-(phenylethynyl) pyridine; MDCPG, (RS)-4-(1-amino-1-carboxyethyl)phthalic acid; LTP, long-term potentiation; LEC, lateral entorhinal cortex; DG, dentate gyrus; 2-AG, 2-arachidonoylglycerol; eCBs, endocannabinoids; AEs, acylethanolamines; Tg, transgenic; AAV, adeno-associated virus; Glu, glutamatergic neurons; AAV-Glu-FAAH, Animals overexpressing FAAH in glutamatergic neurons; LC-MS/MS, liquid chromatography–mass spectrometry; HFD, high-fat diet; TBI, traumatic brain injury; NSCs, neuronal stem cells; SAMR1, Senescence-Accelerated Mouse-Resistant 1; SAMP8, Senescence Accelerated Mouse-prone 8; LPS, lipopolysaccharide; ES, electrical stimulation; CFA, Complete Freund's Adjuvant; GSK, GSK0660 (PPARβ/δ antagonist); TG2, Tissue type 2 transglutaminase.