Clinical Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria
J Endocrinol. 2019 May 10;241(3):R97-R109. doi: 10.1530/JOE-18-0598. Print 2019 Jun 1.
In the midst of an obesity epidemic, the promotion of brown adipose tissue (BAT) function and the browning of white adipose tissue (WAT) have emerged as promising therapeutic targets to increase energy expenditure and counteract weight gain. Despite the fact that the thermogenic potential of bone fide BAT in rodents is several orders of magnitudes higher than white fat containing brite/beige adipocytes, WAT browning represents a particularly intriguing concept in humans given the extreme amount of excess WAT in obese individuals. In addition, the clear distinction between classic brown and beige fat that has been proposed in mice does not exist in humans. In fact, studies of human BAT biopsies found controversial results suggesting both classic brown and beige characteristics. Irrespective of the true ‘color’, accumulating evidence suggests the induction of thermogenic adipocytes in human WAT depots in response to specific stimuli, highlighting that WAT browning may occur in both, mice and humans. These observations also emphasize the great plasticity of human fat depots and raise important questions about the metabolic properties of thermogenically active adipose tissue in humans and the potential therapeutic implications. We will first review the cellular and molecular aspects of selected adipose tissue browning concepts that have been identified in mouse models with emphasis on neuronal factors, the microbiome, immune cells and several hormones. We will also summarize the evidence for adipose tissue browning in humans including some experimental pharmacologic approaches.
在肥胖症流行的情况下,促进棕色脂肪组织 (BAT) 功能和白色脂肪组织 (WAT) 的褐变已成为增加能量消耗和对抗体重增加的有前途的治疗靶点。尽管啮齿动物中真正的 BAT 的产热潜力比含有 brite/beige 脂肪细胞的白色脂肪高出几个数量级,但鉴于肥胖个体中存在大量多余的 WAT,WAT 褐变在人类中是一个特别有趣的概念。此外,在小鼠中提出的经典棕色和米色脂肪之间的明确区别在人类中并不存在。事实上,对人类 BAT 活检的研究发现了有争议的结果,表明存在经典的棕色和米色特征。无论真正的“颜色”如何,越来越多的证据表明,人类 WAT 脂肪组织在特定刺激下会诱导产热脂肪细胞,这突出表明 WAT 褐变可能发生在小鼠和人类中。这些观察结果还强调了人类脂肪组织的巨大可塑性,并提出了关于人类脂肪组织中产热脂肪组织的代谢特性和潜在治疗意义的重要问题。我们将首先回顾在小鼠模型中确定的一些脂肪组织褐变概念的细胞和分子方面,重点介绍神经元因素、微生物组、免疫细胞和几种激素。我们还将总结人类脂肪组织褐变的证据,包括一些实验药理学方法。