Division of Adolescent Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Center for Quantitative Cancer Imaging, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Obesity (Silver Spring). 2020 May;28(5):916-923. doi: 10.1002/oby.22767. Epub 2020 Mar 13.
This study aimed to test the hypothesis that young adults with obesity and cold-activated brown adipose tissue (BAT) are less likely to have metabolic dysfunction (dyslipidemia, insulin resistance, and hypertension) than those without cold-activated BAT. Previous studies have noted a potentially protective effect of BAT and higher adiponectin/leptin ratios, but they have acknowledged that the clinical implications of these findings remain uncertain.
Twenty-one females and twenty-three males with obesity (BMI ≥ 30 kg/m ) underwent a 2-hour cooling protocol before F-fluorodeoxyglucose ( F-FDG)-positron emission tomography/x-ray computed tomography scan to determine the prevalence, volume, and F-FDG uptake of cold-activated BAT.
Cold-activated BAT was identified in 43% of participants (11 female, 8 male); females had greater F-FDG uptake. Those with cold-activated BAT had a lesser degree of metabolic dysfunction. Cold-activated BAT volume correlated with triglycerides (inversely) and adiponectin (concordantly). Body-mass-adjusted cold-activated BAT activity correlated with high-density lipoprotein cholesterol (concordantly). Males with cold-activated BAT had lower leptin and higher adiponectin/leptin ratio.
A high prevalence of cold-activated BAT was found in the study participants. BAT could be important in decreasing metabolic dysfunction among young adults with obesity, making it a potential target for treating metabolically unhealthy obesity.
本研究旨在检验以下假设,即患有肥胖症且冷激活棕色脂肪组织(BAT)的年轻人比没有冷激活 BAT 的同龄人更不易出现代谢功能障碍(血脂异常、胰岛素抵抗和高血压)。先前的研究注意到 BAT 和更高的脂联素/瘦素比值可能具有保护作用,但它们承认这些发现的临床意义仍不确定。
21 名女性和 23 名男性肥胖者(BMI≥30kg/m²)接受了 2 小时的冷却方案,然后进行 F-氟脱氧葡萄糖( F-FDG)-正电子发射断层扫描/X 射线计算机断层扫描,以确定冷激活 BAT 的患病率、体积和 F-FDG 摄取。
43%的参与者(11 名女性,8 名男性)存在冷激活 BAT;女性的 F-FDG 摄取量更大。存在冷激活 BAT 的人代谢功能障碍程度较轻。冷激活 BAT 体积与甘油三酯(呈负相关)和脂联素(呈正相关)相关。校正体重后的冷激活 BAT 活性与高密度脂蛋白胆固醇(呈正相关)相关。存在冷激活 BAT 的男性瘦素较低,脂联素/瘦素比值较高。
研究参与者中冷激活 BAT 的患病率较高。BAT 可能在降低肥胖年轻成年人的代谢功能障碍方面发挥重要作用,使其成为治疗代谢不健康性肥胖的潜在靶点。