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brown adipose tissue
Anatomy:
- thermogenic adipose tissue found in interscapular regions, the mediastinum & other regions
- in human adults, the largest depot of brown fat is stored above the clavicles [3]
Physiology:
- it is most abundant in hibernating animals but also occurs in humans, especially newborns.
- the thermogenic properties & brown color may be due to mitochondria in which electron transport is uncoupled from production of stored energy in the form of ATP.
- brown fat protects against glucose intolerance & vascular disease [2]
- humans with brown fat have
- lower blood glucose & serum triglyceride levels & higher HDL cholesterol levels
- lower rates of type 2 diabetes, dyslipidemia, coronary artery disease, atrial fibrillation/flutter, cerebrovascular disease, congestive heart failure, & hypertension
- benefits of having brown fat are most pronounced in overweight or obese persons [2]
- sympathetic innervation of browm fat occurs via the Edinger-Westfall nucleus & oculomotor nerve (cranial nerve-3) & maybe the trochlear nerve (cranial nerve 4) [3]
- KLF15 maintains white adipocytes selectively within white adipose tissue
- deletion of KLF15 is sufficient to induce beige adipocytes (brown fat) [4]
- direct regulation of ADRB1 is a molecular mechanism for this
Clinical significance:
- brown fat deposits in human adults are highly metabolically active but small in size, thus likely contribute little to whole body energy metabolism [3]
Related
mitochondrial brown fat uncoupling protein 1; UCP 1; thermogenin (UCP1, SLC25A7)
General
adipose tissue
References
- Stedman's Medical Dictionary 27th ed, Williams & Wilkins,
Baltimore, 1999.
- Becher T et al.
Brown adipose tissue is associated with cardiometabolic health.
Nat Med 2021 Jan; 27:58.
PMID: 33398160
https://www.nature.com/articles/s41591-020-1126-7
- Southwick C
Scientists Find the 'On' Switch for Energy-Burning Brown Fat.
Medscape. Oct 17, 2023
https://www.medscape.com/s/viewarticle/997453
- Mori S, Beyer RS, Bernardes de Souza B et al
Sympathetic innervation of the supraclavicular brown adipose tissue:
A detailed anatomical study.
PLOS One. 2023. Oct 4
PMID: 37792692 PMCID: PMC10550181 Free PMC article
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0290455
- Stewart J
Scientists May Finally Know How to Turn White Fat Into Brown.
Medscape. July 10, 2024
https://www.medscape.com/viewarticle/scientists-may-finally-know-how-turn-white-fat-brown-2024a1000co9
- Li L, Feldman BJ
White adipocytes in subcutaneous fat depots require KLF15 for maintenance
in preclinical models.
J Clin Invest. 2024 Jul 1;134(13):e172360
PMID: 38949025 PMCID: PMC11213504 Free PMC article.