Brown fat as a therapy for obesity and diabetes
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PURPOSE OF REVIEW: Human fat consists of white and brown adipose tissue (WAT and BAT). Though most fat is energy-storing WAT, the thermogenic capacity of even small amounts of BAT makes it an attractive therapeutic target for inducing weight loss through energy expenditure. This review evaluates the recent discoveries regarding the identification of functional BAT in adult humans and its potential as a therapy for obesity and diabetes. RECENT FINDINGS: Over the past year, several independent research teams used a combination of positron-emission tomography and computed tomography (PET/CT) imaging, immunohistochemistry, and gene and protein expression assays to prove conclusively that adult humans have functional BAT. This has occurred against a backdrop of basic studies defining the origins of BAT, new components of its transcriptional regulation, and the role of hormones in stimulation of BAT growth and differentiation. SUMMARY: Adult humans have functional BAT, a new target for antiobesity and antidiabetes therapies focusing on increasing energy expenditure. Future studies will refine the methodologies used to measure BAT mass and activity, expand our knowledge of critical-control points in BAT regulation, and focus on testing pharmacological agents that increase BAT thermogenesis and help achieve long-lasting weight loss and an improved metabolic profile.
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BAT is especially abundant in hibernating mammals, but can also be found in adult humans.
“BAT is especially abundant in hibernating mammals 74 , but can also be found in adult humans 75.”
From Inter‐organ communication: a gatekeeper for metabolic health (2019) · cites this paper as [75]
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- Authors
- Cypess, A. M., & Kahn, C. R.
- Affiliations
- Joslin Diabetes Center (US)
- Corresponding author
- Kahn, C Ronald
- Venue
- Current Opinion in Endocrinology, Diabetes & Obesity
- Published
- 2010-04
- Volume
- 17
- Issue
- 2
- Pages
- 143-149
- ISSN
- 1752-296X (ISSN-L)
- PMC
- PMC3593105
- OpenAlex
- W2061096962
- Cited by
- 376
- References
- 75
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 11 · 2023: 28 · 2022: 25 · 2021: 36 · 2020: 34 · 2019: 37 · 2018: 28 · 2017: 29 · 2016: 18 · 2015: 17 · 2014: 21 · 2013: 15 · 2012: 27
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Endocrinology Diabetes and Obesity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (RC1DK087317, DK-082659, K23DK081604, P30DK046200, DK046200, DK087317, DK081604, P30DK036836, R01DK082659)
- National Center for Research Resources (KL2RR025757, RR025757)
- Topics
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Keywords
- brown adipose tissue, obesity, type 2 diabetes, thermogenesis, energy expenditure, weight loss, bat origin
- MeSH terms
- Animals, Adipose Tissue, Brown, Diabetes Mellitus, Humans, Models, Biological, Obesity, Anti-Obesity Agents, Thermogenesis, Body Fat Distribution, Cell Transdifferentiation, Cell- and Tissue-Based Therapy
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