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Mapping of human brown adipose tissue in lean and obese young men
Open accessAbstract
F-labeled fluorodeoxyglucose positron emission tomography/computerized tomography (PET/CT). Obese men had less activated BAT than lean men (mean, 130 vs. 334 mL) but more fat in BAT-containing depots (mean, 1,646 vs. 855 mL) with a wide range (0.1-71%) in the ratio of activated BAT to inactive fat between individuals. Six anatomic regions had activated BAT-cervical, supraclavicular, axillary, mediastinal, paraspinal, and abdominal-with 67 ± 20% of all activated BAT concentrated in a continuous fascial layer comprising the first three depots in the upper torso. These nonsubcutaneous fat depots amounted to 1.5% of total body mass (4.3% of total fat mass), and up to 90% of each depot could be activated BAT. The amount and activity of BAT was significantly influenced by region of interest selection methods, PET threshold criteria, and PET resolutions. The present study suggests that active BAT can be found in specific adipose depots in adult humans, but less than one-half of the fat in these depots is stimulated by acute cold exposure, demonstrating a previously underappreciated thermogenic potential.
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“The role of BAT in adult humans is controversial since its detection is dependent upon the approach employed (Leitner et al., 2017; Porter et al., 2016; van Marken Lichtenbelt et al., 2009).”
From Origin and function of stress-induced IL-6 in murine models (2020) · cites this paper as Leitner et al., 2017
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“BAT is also found in adult humans, but it is mainly characterized as inducible beige fat described in rodents (12, 13).”
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“Recently, it has been shown that in obese adults, lower amounts of activated BAT exist than in lean individuals, but they possess more “brownable” fat [7].”
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“Similarly, BAT has the capability to elevate energy expenditure, reduce lipid accumulation, and enhance glucose homeostasis in adult humans (11, 12).”
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“3% of total adult fat and is mainly distributed in the interscapular and supraclavicular areas.(14,20) WAT is further divided into subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), and discrete tissue-associated adipose depots according to its anatomical location.”
BackgroundAdipose tissue thermogenesis by calcium futile cycling
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“The improvement of PET/CT analysis also shows the metabolic capacity in human BAT is substantially higher than usually reported (12).”
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Yildiz, R., Ganbold, K., Sparman, N. Z. R., & Rajbhandari, P. (2025) · Comprehensive physiology · doi:10.1002/cph4.70001 · Cited by 17
“Additional human BAT depots are identified in supraclavicular, axillary, cervical, mediastinal, paraspinal, and abdominal regions (Leitner et al. 2017).”
The multifaceted progenitor fates in healthy or unhealthy adipose tissue during obesity
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Human thermogenic adipose tissue
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“However, during ontogeny their numbers in interscapular area gradually regress; and in adulthood, brown adipose tissue (BAT) is present mostly in neck and supraclavicular regions (20).”
Gyurina, K., Yarmak, M., Sasi-Szabó, L., Molnár, S., Méhes, G., & Rőszer, T. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242316706 · Cited by 15
“Obesity reduces the thermogenic potential of the adipose tissue [35,52,57,58,60], polymorphic UCP1 increases the risk of liver disease in obese patients [61], and the premature loss of thermogenic potential is thought to favor storage fat development and potentially lead to childhood obesity…”
BackgroundBrown Adipose Tissue Response to Cold Stimulation Is Reduced in Girls With Autoimmune Hypothyroidism
Law, J., Morris, D. E., Astle, V., Finn, E., Muros, J. J., Robinson, L., Randell, T. L., Denvir, L. A., Symonds, M. E., & Budge, H. (2019) · Journal of the Endocrine Society · doi:10.1210/js.2019-00342 · Cited by 15
Vilela, V. R., Samson, N., Nachbar, R. T., Perazza, L. R., Lachance, G., Rokatoarivelo, V., Centeno-Baez, C., Zancan, P., Sola‐Penna, M., Bellmann, K., et al. (2022) · Molecular Metabolism · doi:10.1016/j.molmet.2022.101437 · Cited by 17
“More importantly, up to 90% of human adult BAT could be activated BAT [22].”
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“Although this could partially be due to the large range in BAT metabolic volume in the present cohort, recent evidence indicates a broad range for BAT metabolic volume is reflective of the norm for healthy mild-cold exposed humans [1,53].”
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“While in humans, metabolic disease is mainly associated with white adipocytes, thermogenic adipocytes in brown adipose tissue (BAT) are associated with metabolic health (van Marken Lich-tenbelt et al , 2009; Chondronikola et al , 2014; Leitner et al , 2017; U Din et al , 2018).”
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“3,34 Therefore, the effects of obesity on BAT activity may have been confounded by age.”
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“Brown adipose tissue functions to maintain body temperature and dissipate excess energy to affect body metabolism and regulate insulin sensitivity in mammals and human [55, 56].”
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“Importantly, cold-evoked activation of BAT thermogenesis is impaired in obese humans (van Marken Lichtenbelt et al., 2009; Leitner et al., 2017) and rats (Sakaguchi et al.”
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Whole Body and Regional Quantification of Active Human Brown Adipose Tissue Using 18F-FDG PET/CT
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“For confirmatory analyses, the BAT SUVmean and SUVpeak with respect to lean body mass (SUVLBM) [50] were calculated.”
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“Several reasons may underlie this discrepancy, including the underestimation of BAT volume using (18)FFDG-PET/CT imaging [2], inability to assess thermogenic adipocytes in WAT using the current imaging methods, possible indirect effects of BAT on other peripheral tissues (as suggested from previous studies in rodents)…”
BackgroundPrevalence and Associated Factor of Brown Adipose Tissue: Systematic Review and Meta‐Analysis
Worku, M. G., Seretew, W. S., Angaw, D. A., & Tesema, G. A. (2020) · BioMed Research International · doi:10.1155/2020/9106976 · Cited by 15
“Several studies had indicated BAT is occasionally present and active in adult humans [12, 19, 21], and other studies indicated BAT is related to the body mass index [3, 5, 11, 22].”
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“It was shown that even though lean people have more BAT content than obese individuals, it was found that obese people have more browning capacity in their white depots [2].”
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Lékó, A. H., Gregory‐Flores, A., Marchette, R. C. N., Gomez, J. L., Vendruscolo, J. C. M., Repunte‐Canonigo, V., Chuong, V., Deschaine, S. L., Whiting, K. E., Jackson, S. N., et al. (2024) · Communications Biology · doi:10.1038/s42003-024-06303-5 · Cited by 13
“However, BAT may have a limited role in energy expenditure in humans, especially in obese individuals, where the ratio of BAT activated by cold exposure is signi fi cantly lower 54 .”
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Giglio, F., Scieuzo, C., Ouazri, S., Pucciarelli, V., Ianniciello, D., Letcher, S. M., Salvia, R., Laginestra, A., Kaplan, D. L., & Falabella, P. (2024) · Small Science · doi:10.1002/smsc.202400122 · Cited by 13
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“This last variable is critical as recent evidence suggests that there may be significantly more ‘recruitable’ energy-dissipating adipose depots [23] than what has been previously proposed.”
BackgroundThermogenic responses to different clamped skin temperatures in cold-exposed men and women
Dumont, L., Lessard, R., Semeniuk, K., Chahrour, H., McCormick, J. J., Acosta, F. M., Blondin, D. P., & Haman, F. (2022) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00268.2021 · Cited by 13
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“Finally, for confirmatory analyses, the BAT SUVmean and SUVpeak and the all-muscles and descending aorta SUVpeak with respect to lean body mass (SUVLBM; Leitner et al., 2017) were calculated.”
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Leow, M. K., Anantharaj, R., Narasimhan, K., Verma, S. K., Yaligar, J., Le, G. T. T., Sun, L., Goh, H. J., Govindharajulu, P., Sadananthan, S. A., et al. (2022) · Bioscience Reports · doi:10.1042/bsr20212543 · Cited by 12
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The Impact of Obesity on Tumor Glucose Uptake in Breast and Lung Cancer
Leitner, B. P., & Perry, R. J. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkaa007 · Cited by 12
Role of Dietary Polyphenols in Adipose Tissue Browning: A Narrative Review
Salazar, J. J., Cano, C., Pérez, J. L., Castro, A., Diaz, M. P., Garrido, B., Carrasquero, R., Chacín, M., Velasco, M., D’Marco, L., et al. (2020) · Current Pharmaceutical Design · doi:10.2174/1381612826666200701211422 · Cited by 12
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“Furthermore, the mean fat percentage in athletes in the present study showed an optimal range according to the accepted norms [46,47].”
ResultMaliszewska, K., Adamska-Patruno, E., Miniewska, K., Bauer, W., Mojsak, M. N., & Kretowski, A. J. (2022) · Scientific Reports · doi:10.1038/s41598-022-08125-z · Cited by 15
Pinto, Y. O., Festuccia, W. T., & Magdalon, J. (2022) · HORMONES · doi:10.1007/s42000-022-00361-2 · Cited by 12
“BAT can be found in specific adipose depots in adult humans, such as cervical, abdominal, axillary, paravertebral, mediastinal, and especially supraclavicular regions [2].”
BackgroundPani, S., Dey, S., Pati, B., Senapati, U., & Bal, N. C. (2022) · Journal of the Endocrine Society · doi:10.1210/jendso/bvac151 · Cited by 12
Arianti, R., Vinnai, B. Á., Győry, F., Guba, A., Csősz, É., Kristóf, E., & Fésüs, L. (2023) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2023.109385 · Cited by 12
From Beats to Metabolism: the Heart at the Core of Interorgan Metabolic Cross Talk
Romero-Becerra, R., Santamans, A. M., Arcones, A. C., & Sabio, G. (2023) · Physiology · doi:10.1152/physiol.00018.2023 · Cited by 12
Martínez‐Téllez, B., Sánchez‐Delgado, G., Alcántara, J. M. A., Acosta, F. M., Amaro‐Gahete, F. J., Osuna‐Prieto, F. J., Pérez‐Bey, A., Jiménez‐Pavón, D., Elvira, J. M. L., Gil, Á., et al. (2018) · Experimental Physiology · doi:10.1113/ep087428 · Cited by 12
Levata, L., Dore, R., Jöhren, O., Schwaninger, M., Schulz, C., & Lehnert, H. (2019) · Hormone and Metabolic Research · doi:10.1055/a-0985-4272 · Cited by 12
“Moreover, very recent human studies demonstrated a reduced activation of BAT in obese as compared with lean subjects following 5 h of cold exposure [37] and an association between higher BAT activity and better metabolic health, while lower BAT activity gives rise to adiposity and insulin resistance [38].”
BackgroundEffects of stem cells from inducible brown adipose tissue on diet-induced obesity in mice
Calvo, E., Keiran, N., Núñez‐Roa, C., Maymó‐Masip, E., Ejarque, M., Sabadell‐Basallote, J., Rodríguez-Peña, M. D. M., Ceperuelo‐Mallafré, V., Seco, J., Benaiges, E., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-93224-6 · Cited by 11
Polyamine metabolism in macrophage–adipose tissue function and homeostasis
Pisani, D. F., Lettieri‐Barbato, D., & Ivanov, S. (2024) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2024.05.008 · Cited by 14
Ramirez, L., Quezada, J. U. C., Duarte-Silva, L., Concha, F., Escobillana, L., Rincón‐Cervera, M. Á., Pérez‐Bravo, F., Elorza, Á. A., Bravo, R., & García‐Díaz, D. F. (2021) · Food Bioscience · doi:10.1016/j.fbio.2021.100988 · Cited by 11
Begaye, B., Piaggi, P., Thearle, M. S., Haskie, K., Walter, M. F., Schlögl, M., Bonfiglio, S. M., Krakoff, J. A., & Vinales, K. L. (2018) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2018-00387 · Cited by 12
Klinedinst, B., Meier, N. F., Larsen, B. A., Wang, Y.-Y., Yu, S., Mochel, J., Le, S. T., Wolf, T., Pollpeter, A., Pappas, C., et al. (2020) · Obesity · doi:10.1002/oby.22852 · Cited by 9
“(50), who showed that men with lean weight had greater brown adipose tissue than men who had obesity and that regions of visceral fat housed, on average, 70% of total brown adipose tissue.”
BackgroundLaw, J., Morris, D. E., Robinson, L., Randell, T. L., Denvir, L., Symonds, M. E., & Budge, H. (2020) · Pediatric Diabetes · doi:10.1111/pedi.13163 · Cited by 12
Ortiz-Alvarez, L., Acosta, F. M., Xu, H., Sánchez‐Delgado, G., Vilchez‐Vargas, R., Link, A., Plaza‐Díaz, J., Elvira, J. M. L., Gil, Á., Labayen, I., et al. (2022) · Journal of Endocrinological Investigation · doi:10.1007/s40618-022-01936-x · Cited by 12
“All SUV values were expressed relative to lean body mass [36].”
Background“Humanizing” mouse environments: Humidity, diurnal cycles and thermoneutrality
Kasza, I., Cuncannan, C., Michaud, J., Nelson, D., Yen, C. E., Jain, R., Simcox, J., MacDougald, O. A., Parks, B. W., & Alexander, C. M. (2022) · Biochimie · doi:10.1016/j.biochi.2022.10.015 · Cited by 11
NOTUM promotes thermogenic capacity and protects against diet-induced obesity in male mice
Guo, F., Seldin, M. M., Péterfy, M., Charugundla, S., Zhou, Z., Lee, S. D., Mouton, A., Rajbhandari, P., Zhang, W., Pellegrini, M. A., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-95720-1 · Cited by 10
Compromised browning in white adipose tissue of ageing people
Gu, P., Ding, K., Lu, L., Zhang, Y., Wang, W. J., Guo, Q., Liao, Y., Yang, B., Wang, T., Zhou, C., et al. (2023) · European Journal of Endocrinology · doi:10.1093/ejendo/lvad014 · Cited by 10
Promoting metabolic inefficiency for metabolic disease
Kazak, L. (2023) · iScience · doi:10.1016/j.isci.2023.107843 · Cited by 10
Sympathetic innervation of the supraclavicular brown adipose tissue: A detailed anatomical study
Mori, S., Beyer, R. S., Bernardes‐Souza, B., Sorg, J. M., Hoover, D. B., Sacks, H. S., Fishbein, M. C., Chang, G., Peacock, W. J., John, M. A. S., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0290455 · Cited by 10
“Supraclavicular fat is the metabolically important and one dominant depot of human brown adipose tissue (BAT) [1, 2].”
The role of brown adipose tissue in branched-chain amino acid clearance in people
Abdelhafez, Y. G., Wang, G., Li, S., Pellegrinelli, V., Chaudhari, A. J., Ramirez, A., Şen, F., Vidal‐Puig, A., Sidossis, L. S., Klein, S., et al. (2024) · iScience · doi:10.1016/j.isci.2024.110559 · Cited by 10
“We hypothesized that supraclavicular adipose tissue (the primary location of human BAT 15 ) would demonstrate a higher BCAA uptake rate and a higher expression of genes involved in BCAA catabolism compared to subcutaneous abdominal and/or upper chest white adipose tissue.”
Endothelin 3/EDNRB signaling induces thermogenic differentiation of white adipose tissue
Wang, C., Tsuji, T., Wu, L.-H., Yang, C., Huang, T. L., Sato, M. M., Shamsi, F., & Tseng, Y. (2024) · Nature Communications · doi:10.1038/s41467-024-51579-0 · Cited by 11
Abobeleira, J. P., Neto, A. C., Mauersberger, J., Salazar, M., Botelho, M. F., Fernandes, A. S., Martinho, M. S. L., Serrão, P., Rodrigues, A. R., Almeida, H., et al. (2024) · Archives of Medical Research · doi:10.1016/j.arcmed.2024.103064 · Cited by 10
Wang, T., Tang, C., Xiao, M., He, M., Li, Y., & Li, X. (2025) · Food Chemistry · doi:10.1016/j.foodchem.2025.143812 · Cited by 11
Assessment of CircRNA Expression Profiles and Potential Functions in Brown Adipogenesis
Zhang, P., Sheng, M.-X., Du, C., Chao, Z., Xu, H., Cheng, X., Li, C., & Xu, Y. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2021.769690 · Cited by 10
“It had been considered that BAT only exists in infants, however recent reports detected functional BAT in adult humans (Leitner et al., 2017).”
BackgroundMonfort‐Pires, M., Regeni-Silva, G., Dadson, P., Nogueira, G. A. S., U-Din, M., Ferreira, S. R. G., Sapienza, M. T., Virtanen, K. A., & Velloso, L. A. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.919588 · Cited by 10
Chen, N., Yuan, M., Zhang, N., Chen, M., Liu, R., Wang, J., & Lu, P. (2023) · iScience · doi:10.1016/j.isci.2023.106552 · Cited by 10
Sánchez‐Delgado, G., Alcántara, J. M. A., Acosta, F. M., Martínez‐Téllez, B., Amaro‐Gahete, F. J., Ortiz-Alvarez, L., Löf, M., Labayen, I., & Ruiz, J. R. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2018.09.009 · Cited by 10
“In humans, BAT is much more scarce than in murine [8] and there is an open debate on whether BAT activity can significantly influence human energy expenditure [9,10].”
BackgroundThe impact of training shifts in dancers’ chronotype and sleep patterns
Coirolo, N., Silva, A., & Tassino, B. (2020) · Sleep Science · doi:10.5935/1984-0063.20200010 · Cited by 10
Chondronikola, M., & Sarkar, S. (2020) · PET Clinics · doi:10.1016/j.cpet.2020.09.001 · Cited by 10
Zhang, X., Zhang, J., Zhang, Y., Zhang, Y., Hou, T., & Wang, S. (2021) · Talanta · doi:10.1016/j.talanta.2021.122995 · Cited by 10
Kong, Y., Hossain, M.-B., McNaboe, R. Q., Posada-Quintero, H. F., Daley, M. S., Diaz, K., Chon, K. H., & Bolkhovsky, J. (2024) · Frontiers in Physiology · doi:10.3389/fphys.2024.1463784 · Cited by 10
Arianti, R., Vinnai, B. Á., Alrifai, R., Karadsheh, G., Al-Khafaji, Y. Q., Póliska, S., Győry, F., Fésüs, L., & Kristóf, E. (2024) · Scientific Reports · doi:10.1038/s41598-024-79634-2 · Cited by 9
“BAT and brownable depots were found dispersed in various areas, including the cervical, supraclavicular, axillary, mediastinal, paraspinal, and abdominal regions [8].”
Jalloul, W., Grierosu, I. C., Jalloul, D., Ștefănescu, C., & Ghizdovăţ, V. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26189045 · Cited by 14
“Adult BAT has been reported to be present in cervical, supraclavicular, mediastinal, paravertebral, axillary, abdominal, and perirenal localisations [29–33].”
Kway, Y. M., Thirumurugan, K., Michael, N., Tan, K. H., Godfrey, K. M., Gluckman, P. D., Chong, Y. S., Venkataraman, K., Khoo, E. Y. H., Khoo, C. M., et al. (2023) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2023.107608 · Cited by 9
Acosta, F. M., Berchem, J., Martínez‐Téllez, B., Sánchez‐Delgado, G., Alcántara, J. M. A., Ortiz-Alvarez, L., Hamaoka, T., & Ruiz, J. R. (2018) · Molecular Imaging and Biology · doi:10.1007/s11307-018-1244-5 · Cited by 9
Characterization of BAT activity in rats using invasive and non-invasive techniques
Paulus, A., van Ewijk, P. A., Nascimento, E. B. M., Saint‐Hubert, M. D., Hendrikx, G., Vogg, A., Pooters, I., Schnijderberg, M. C. A., Vanderlocht, J., Bos, G. M. J., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0215852 · Cited by 9
Role of natriuretic peptides in the cardiovascular-adipose communication: a tale of two organs
Mikusic, N. L. R., Kouyoumdzian, N. M., Puyó, A. M., Fernández, B. E., & Choi, M. R. (2021) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-021-02596-1 · Cited by 10
Takeda, Y., & Dai, P. (2022) · Cells · doi:10.3390/cells11132038 · Cited by 9
“The detailed and careful comparison between young healthy, obese, and lean subjects indicated that obese individuals had less metabolically activated BAT in six anatomically distinct BAT-containing fat depots [14].”
BackgroundGarside, J. C., Kavanagh, K., Block, M. R., Williams, A. G., & Branca, R. T. (2022) · Obesity · doi:10.1002/oby.23519 · Cited by 9
Majeed, S. A., Dunzendorfer, H., Weiner, J., Heiker, J. T., Kieß, W., Körner, A., & Landgraf, K. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24043085 · Cited by 9
“It was long considered that brown adipose tissue (BAT) was only present in small mammals, infants and young children, but recent studies have detected active BAT in adults though mass and activity decrease with age [6,7].”
Background
Metadata
- Authors
- Leitner, B. P., Huang, S., Brychta, R. J., Duckworth, C. J., Baskin, A. S., McGehee, S., Tal, I., Dieckmann, W., Gupta, G., Kolodny, G. M., Pacak, K., Herscovitch, P., Cypess, A. M., & Chen, K. Y.
- Affiliations
- National Institutes of Health (US)
- Beth Israel Deaconess Medical Center (US)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2017-07-24
- Volume
- 114
- Issue
- 32
- Pages
- 8649-8654
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5559032
- OpenAlex
- W2736913806
- Cited by
- 530
- References
- 43
- Citations by year
- 2026: 36 · 2025: 45 · 2024: 51 · 2023: 68 · 2022: 73 · 2021: 82 · 2020: 73 · 2019: 45 · 2018: 46 · 2017: 9
- FWCI
- 34.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (Z01 DK071014, Z01 DK075116)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- brown adipose tissue, obesity, cold exposure, thermogenesis, BAT activation
- MeSH terms
- Adult, Adipose Tissue, Brown, Humans, Male, Obesity, Tomography, X-Ray Computed, Body Mass Index, Glucose-6-Phosphate, Positron-Emission Tomography, Adiposity
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