University of Cambridge Metabolic Research Laboratories, Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, UK.
Trends Mol Med. 2011 Aug;17(8):405-11. doi: 10.1016/j.molmed.2011.04.001. Epub 2011 May 24.
Current therapeutic strategies are proving inadequate to deal with growing obesity rates because of the inherent resistance of the human body to weight loss. The activation of human brown adipose tissue (BAT) represents an opportunity to increase energy expenditure and weight loss alongside improved lipid and glucose homeostasis. Research into the regulation of BAT has made increasing the thermogenic capacity of an individual to treat metabolic disease a plausible strategy, despite thermogenesis being under tight central nervous system control. Previous therapies targeted at the sympathetic nervous system have had deleterious effects because of a lack of organ specificity, but advances in our understanding of central BAT regulatory systems might open up better strategies to specifically stimulate BAT in obese individuals to aid weight reduction.
目前的治疗策略由于人体对减肥的固有抵抗力,证明不足以应对不断增长的肥胖率。激活人体棕色脂肪组织 (BAT) 代表着一种增加能量消耗和减肥的机会,同时改善脂质和葡萄糖的体内平衡。尽管产热受中枢神经系统的严格控制,但对 BAT 调节的研究使得增加个体的产热能力以治疗代谢疾病成为一种可行的策略。以前针对交感神经系统的治疗方法由于缺乏器官特异性而产生了有害影响,但我们对中枢 BAT 调节系统的理解的进步可能会开辟出更好的策略,以专门刺激肥胖个体的 BAT 来帮助减轻体重。