Key result
Brown adipose tissue regulates metabolism but its localization, BATokines, and cancer cachexia role remain unclear.
Why the study?
Although evidence shows the importance of brown adipose tissue in metabolism regulation, a number of unanswered questions remain regarding its precise localization, secretory factors, and roles in disease.
This review outlines the remaining unanswered questions regarding brown adipose tissue localization, secreted factors, and its complex role in both health promotion and disease states.
Brown adipose tissue (BAT), which is a thermogenic fat tissue originally discovered in small hibernating mammals, is believed to exert anti-obesity effects in humans. Although evidence has been accumulating to show the importance of BAT in metabolism regulation, there are a number of unanswered questions. In this review, we show the remaining mysteries about BATs. The distribution of BAT can be visualized by nuclear medicine examinations; however, the precise localization of human BAT is not yet completely understood. For example, studies of 18F-fluorodeoxyglucose PET/CT scans have shown that interscapular BAT (iBAT), the largest BAT in mice, exists only in the neonatal period or in early infancy in humans. However, an old anatomical study illustrated the presence of iBAT in adult humans, suggesting that there is a discrepancy between anatomical findings and imaging data. It is also known that BAT secretes various metabolism-improving factors, which are collectively called as BATokines. With small exceptions, however, their main producers are not BAT per se, raising the possibility that there are still more BATokines to be discovered. Although BAT is conceived as a favorable tissue from the standpoint of obesity prevention, it is also involved in the development of unhealthy conditions such as cancer cachexia. In addition, a correlation between browning of mammary gland and progression of breast cancers was shown in a xenotransplantation model. Therefore, the optimal condition should be carefully determined when BAT is considered as a measure the prevention of obesity and improvement of metabolism. Solving BAT mysteries will open a new door for health promotion via advanced understanding of metabolism regulation system.
No takes yet. Share an insight, caveat, or question.
Nishio et al. (2020) conducted a review in Obesity and metabolism regulation. Brown adipose tissue was evaluated. Brown adipose tissue is involved in metabolism regulation and obesity prevention, but its precise localization, secreted BATokines, and role in cancer cachexia remain incompletely understood.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: