Lipectomy reverses and fat transplantation produces neurocognitive impairment. A, Experimental design. Trans, transplant recipient. B, Analysis of spatial recognition memory in the Y-maze reveals that surgical removal of epididymal fat reverses impairment in db/db mice, whereas transplantation of fat into WT mice evokes deficits. C, Similar trends were observed in the object-recognition memory paradigm, with reinstatement of recognition memory after lipectomy in db/db mice and induction of memory impairment after fat transplantation in WT mice. D, Dentate gyrus LTP is impaired by fat transplantation in WT mice and restored by lipectomy in db/db mice. The right graph shows the percentage increase in the slope of the fEPSP during the last 10 min of the recording. E, Quantification of dendritic spine density on dentate granule neurons revealed parallel alterations in spines. F, Low-power micrograph depicts DiI-labeled dentate gyrus granule cells, whereas higher-power images at the right show representative segments from each condition. Arrows indicate dendritic spines. Scale bar, 5 μm. G, Analysis of PSD95 expression in whole-hippocampal homogenates revealed opposite effects of lipectomy and fat transplantation. H, Similar trends were observed for spinophilin expression, with impairment elicited by fat transplantation in WT mice, and restoration of this synaptic marker after lipectomy in db/db mice. I, Representative Western blot images for the indicated markers. J, Graph depicts synaptophysin expression for the indicated groups, demonstrating opposite effects of lipectomy and fat transplantation on presynaptic marker expression. For all graphs, *p < 0.05 relative to sham-operated mice from the respective genotype after 2 × 2 ANOVA or 2 × 2 repeated-measures ANOVA when appropriate, with Bonferroni's-corrected post hoc t tests. Error bars represent the SEM.