Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, U.S.A.
Clin Sci (Lond). 2020 Mar 13;134(5):473-512. doi: 10.1042/CS20190579.
With the ever-increasing burden of obesity and Type 2 diabetes, it is generally acknowledged that there remains a need for developing new therapeutics. One potential mechanism to combat obesity is to raise energy expenditure via increasing the amount of uncoupled respiration from the mitochondria-rich brown and beige adipocytes. With the recent appreciation of thermogenic adipocytes in humans, much effort is being made to elucidate the signaling pathways that regulate the browning of adipose tissue. In this review, we focus on the ligand-receptor signaling pathways that influence the cyclic nucleotides, cAMP and cGMP, in adipocytes. We chose to focus on G-protein-coupled receptor (GPCR), guanylyl cyclase and phosphodiesterase regulation of adipocytes because they are the targets of a large proportion of all currently available therapeutics. Furthermore, there is a large overlap in their signaling pathways, as signaling events that raise cAMP or cGMP generally increase adipocyte lipolysis and cause changes that are commonly referred to as browning: increasing mitochondrial biogenesis, uncoupling protein 1 (UCP1) expression and respiration.
随着肥胖症和 2 型糖尿病负担的不断增加,人们普遍认识到仍需要开发新的治疗方法。一种潜在的对抗肥胖的机制是通过增加富含线粒体的棕色和米色脂肪细胞的解偶联呼吸来提高能量消耗。由于最近人们对人类产热脂肪细胞的认识,人们正在努力阐明调节脂肪组织褐变的信号通路。在这篇综述中,我们重点介绍影响脂肪细胞中环核苷酸 cAMP 和 cGMP 的配体-受体信号通路。我们选择专注于 G 蛋白偶联受体 (GPCR)、鸟苷酸环化酶和磷酸二酯酶对脂肪细胞的调节,因为它们是目前所有可用治疗药物的大部分靶点。此外,它们的信号通路有很大的重叠,因为提高 cAMP 或 cGMP 的信号事件通常会增加脂肪细胞的脂解作用,并导致通常被称为褐变的变化:增加线粒体生物发生、解偶联蛋白 1 (UCP1) 的表达和呼吸。