Lerea Jaclyn S, Ring Laurence E, Hassouna Rim, Chong Angie C N, Szigeti-Buck Klara, Horvath Tamas L, Zeltser Lori M
Institute of Human Nutrition (J.S.L., A.C.N.N.), Columbia University, New York, New York 10032; Department of Anesthesiology (L.E.R.), Columbia University, New York, New York 10032; Naomi Berrie Diabetes Center (R.H., L.M.Z.), Columbia University, New York, New York 10032; Department of Obstetrics, Gynecology, and Reproductive Sciences (K.S.-B., T.L.H.), Yale University School of Medicine, New Haven, Connecticut 06510; Department of Neurobiology (T.L.H.), Yale University School of Medicine, New Haven, Connecticut 06510; and Department of Pathology and Cell Biology (L.M.Z.), Columbia University, New York, New York 10032.
Endocrinology. 2016 Feb;157(2):666-78. doi: 10.1210/en.2015-1753. Epub 2015 Nov 20.
Although most adults can lose weight by dieting, a well-characterized compensatory decrease in energy expenditure promotes weight regain more than 90% of the time. Using mice with impaired hypothalamic leptin signaling as a model of early-onset hyperphagia and obesity, we explored whether this unfavorable response to weight loss could be circumvented by early intervention. Early-onset obesity was associated with impairments in the structure and function of brown adipose tissue mitochondria, which were ameliorated by weight loss at any age. Although decreased sympathetic tone in weight-reduced adults resulted in net reductions in brown adipose tissue thermogenesis and energy expenditure that promoted rapid weight regain, this was not the case when dietary interventions were initiated at weaning. Enhanced energy expenditure persisted even after mice were allowed to resume overeating, leading to lasting reductions in adiposity. These findings reveal a time window when dietary interventions can produce metabolic improvements that are stably maintained.
虽然大多数成年人可以通过节食减肥,但一种特征明确的能量消耗代偿性降低在90%以上的情况下会促使体重反弹。我们将下丘脑瘦素信号受损的小鼠作为早发性食欲亢进和肥胖的模型,探讨了这种对体重减轻的不利反应是否可以通过早期干预来规避。早发性肥胖与棕色脂肪组织线粒体的结构和功能受损有关,而任何年龄的体重减轻都能改善这种情况。虽然体重减轻的成年人交感神经张力降低导致棕色脂肪组织产热和能量消耗净减少,从而促进体重迅速反弹,但在断奶时开始进行饮食干预则并非如此。即使小鼠恢复暴饮暴食后,能量消耗仍会增加,导致肥胖持续减少。这些发现揭示了一个时间窗口,在此期间进行饮食干预可以产生稳定维持的代谢改善。