Key result
Acute cold exposure increases BAT tracer uptake ~71% in mice, but diabetes inhibits this effect.
Why the study?
Glucose metabolism is only part of brown adipose tissue activity, and 18F-FDG PET often fails to visualize it under insulin-resistant conditions associated with aging and weight gain.
A novel triglyceride-based tracer successfully visualizes brown adipose tissue metabolic activity in diabetic and obese preclinical models where standard FDG-PET often fails.
Background In vivo imaging of glucose analogue 2-deoxy-2-[18F]fluoro-d-glucose ([18F]FDG) via positron emission tomography (PET) is the current gold standard to visualize and assess brown adipose tissue (BAT) activity. However, glucose metabolism is only a part of the metabolic activity of BAT. [18F]FDG-PET has been shown in clinical trials to often fail to visualize BAT under insulin-resistant conditions associated with aging and weight gain. We employed a novel developed triglyceride-based tracer to visualize BATs metabolic activity under different temperature conditions as well as under diabetic and obese conditions in preclinical models. Results [18F]BDP-TG-chylomicron-like particles visualized BAT in control, streptozocin-induced diabetes and obese mice. Increased BAT tracer uptake was found in control mice acutely exposed to cold but not in cold-acclimated animals. Diabetes did not remove BAT tracer uptake, but did limit BAT tracer uptake to levels of control mice housed at 21 °C. In obese animals, BAT tracer uptake was significantly reduced, although the stimulating effect of cold exposure could still be noted. Conclusion BAT was visualized in control, diabetic and obese conditions. Streptozocin-induced diabetes, but not obesity, inhibited the stimulatory effect of cold exposure.
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Paulus et al. (2020) studied Diabetes and obesity (n=48). Acute cold exposure vs. Room temperature (21 °C) was evaluated on Brown adipose tissue (BAT) tracer uptake (SUVmean) at 30 min post-injection in control mice (p=<0.01). Acute cold exposure significantly increased brown adipose tissue tracer uptake in control and obese mice, but this stimulatory effect was inhibited in streptozocin-induced diabetic mice.
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