Brown Fat Flashcards
Description of brown fat
- Brown fat is a distinct type of fat
- Brown adipocytes are filled with iron-containing mitochondria
- Its biological role is to produce heat to help maintain body temperature (it is a metabolic tissue of high activity!)
- It was known to be present in newborns (and hibernating mammals) but initially thought to be absent in adults (know this is incorrect now)
- The hitherto-unexpected discovery that BAT was present in adults launched a new field of research i.e. therapeutic targeting of BAT for the treatment of obesity
Characteristics of WAT vs BAT
What is brite adipose tissue?
brite/ beige
* mix of brown/white
* white adipocytes that adapt brown phenotype (start burning energy)
What happens in the ETC with brown fat?
uncoupling of oxidative phosphorylation
* The uncoupling proteins bypass the protein pump that uses H+ to produce ATP and instead the UCPs bring the protons back which creates heat
What are the types of UCPs?
- UCP1: brown adipose tissue; good for producing heat and burning fat
- UCP2: beta cells; bad because when they are burnt out they express UCP2 which inhibits insulin secretion so just produces heat from the glucose
Brown fat is highly ??
inervated
* UCP1 means more uncoupling
* Pcg-1𝝰 regulated making of mito
What is used for BAT imaging in newborns?
Using FDG-PET (flourodeoxyglucose)
* can add image on to a CT scan
Brown/white fat imaging in adults
What is important from this?
Women express more BAT than men
What are some determinants of BAT?
BAT prevalence, mass, and activity is determined by
* less BAT in hotter temperature
* lose BAT with aging
* less BAT with higher BMI
* less BAT with higher glucose
what happens with BAT in colder temperatures?
BAT becomes more active, taking up more glucose
* further increased BAT activity after cold acclimation
Gene expression profiling of BAT vs. WAT
Seems to be 5 major brown fat genes expressed
* UCP1
* DIO2
* PGC1𝝰 (creates more mito)
* PRDM16
* ADRB3
How does BAT correlation with BMI?
BAT inversely correlates with BMI
* higher BMI = less BAT
* More fat = less BAT
* less BAT in diabetes (cause or a consequence?)
Mechanisms of aging-related
impairment of BAT function
Combination of
* mito dysfunction
* SNS
* endocrine balance
Results from retrospective study at MSKCC looking at BAT and metabolic health
- Assessed W vs M; Women express more BAT+
- BAT more prevalent when younger
- less BAT activity in the summer
- less BAT with increased BMI
- BAT most prevalent in supraclavicular (followed by cervical)
- Less BAT in T2D, dyslipidemia, atrial fibrialliation, CAD, CVD, CHF, hypertension
- more BAT with more HDL
- less BAT with more glucose
- LDL and total cholesterol has no effect