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Diabetes Metab J.  2016 Feb;40(1):12-21. 10.4093/dmj.2016.40.1.12.

Brown Fat and Browning for the Treatment of Obesity and Related Metabolic Disorders

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
  • 2Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. jplutzky@rics.bwh.harvard.edu

Abstract

Brown fat is a specialized fat depot that can increase energy expenditure and produce heat. After the recent discovery of the presence of active brown fat in human adults and novel transcription factors controlling brown adipocyte differentiation, the field of the study of brown fat has gained great interest and is rapidly growing. Brown fat expansion and/or activation results in increased energy expenditure and a negative energy balance in mice and limits weight gain. Brown fat is also able to utilize blood glucose and lipid and results in improved glucose metabolism and blood lipid independent of weight loss. Prolonged cold exposure and beta adrenergic agonists can induce browning of white adipose tissue. The inducible brown adipocyte, beige adipocyte evolving by thermogenic activation of white adipose tissue have different origin and molecular signature from classical brown adipocytes but share the characteristics of high mitochondria content, UCP1 expression and thermogenic capacity when activated. Increasing browning may also be an efficient way to increase whole brown fat activity. Recent human studies have shown possibilities that findings in mice can be reproduced in human, making brown fat a good candidate organ to treat obesity and its related disorders.

Keyword

Adipocytes, brown; Adipose tissue, brown; Beige adipocyte; Obesity

MeSH Terms

Adipocytes
Adipocytes, Brown
Adipose Tissue, Brown*
Adipose Tissue, White
Adrenergic beta-Agonists
Adult
Animals
Blood Glucose
Energy Metabolism
Glucose
Hot Temperature
Humans
Metabolism
Mice
Mitochondria
Obesity*
Transcription Factors
Weight Gain
Weight Loss
Adrenergic beta-Agonists
Blood Glucose
Glucose
Transcription Factors
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