Abstract
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Brown Fat Paucity Due to Impaired BMP Signaling Induces Compensatory Browning of White Fat
Summary
Maintenance of body temperature is essential for survival of homeotherms. Brown adipose tissue (BAT) is a specialized fat tissue that is dedicated to thermoregulation1. Due to its remarkable capacity to dissipate stored energy and its demonstrated presence in adult humans2-5, BAT holds great promise for the treatment of obesity and metabolic syndrome1. Rodent data suggest the existence of two types of brown fat cells: the constitutive BAT (cBAT), which is of embryonic origin and anatomically located in the interscapular region of mice, and the recruitable BAT (rBAT) that resides within white adipose tissue (WAT)6 and skeletal muscle7, that has alternatively been called beige8, brite9, or inducible BAT10. Bone morphogenetic proteins (BMPs) regulate the formation and thermogenic activity of BAT10-12. We here provide evidence for a systemically active regulatory mechanism that serves to control whole body BAT-activity for thermoregulation and energy homeostasis. Genetic ablation of type 1A BMP-receptor (Bmpr1A) in brown adipogenic progenitor cells leads to a severe paucity of cBAT. This in turn increases sympathetic input to WAT, thereby promoting the formation of rBAT within white fat depots. This previously unknown compensatory mechanism, aimed at restoring total brown fat-mediated thermogenic capacity in the body, is sufficient to maintain normal temperature homeostasis and resistance to diet-induced obesity. These data suggest an important physiological cross-talk between the constitutive and recruitable brown fat cells. This sophisticated regulatory mechanism of body temperature may participate in the control of energy balance and metabolic disease.
It has recently become clear that cBAT shares a common developmental ancestry with skeletal muscle13,14, whereas rBAT, localized within white fat or skeletal muscle, derives from a non-myogenic lineage10,13. Lineage-tracing experiments have also revealed that cBAT arises from progenitors located in the embryonic dermomyotome15 that express myogenic markers Pax7 and Myf513,16. We thus generated a mouse model lacking BMPR1A in all cells descending from the Myf5pos lineage (Myf5-BMPR1A-KO). No apparent changes in morphology, proliferation, or apoptosis were observed during early embryonic stages (Supplementary Fig. 1 and 2). Histological evidence of reduced cBAT-formation in Myf5-BMPR1A-KO mice was first observed at embryonic day 16.5 (E16.5) and persisted until after birth (P1, Fig. 1a-c). cBAT arises from highly proliferative fibroblasts during late gestational stages17. At E16.5, developing cBAT stains strongly for the proliferation marker Ki67, which was markedly decreased in Myf5-BMPR1A-KO embryos (Fig. 1d, Supplementary Fig. 2b and 2d). Apoptosis-levels were found unchanged throughout embryogenesis Supplementary Fig. 2c), suggesting that reduced proliferation occurring prior to or around E16.5 is responsible for defective formation of cBAT in KO animals.
Myf5-BMPR1A-KO mice were born runted and stayed smaller throughout life (Fig. 1e and 1f). Importantly, the reduction of cBAT mass remained highly significant in adult mice (Fig. 1g and 1h). Despite this, gene expression pattern of the residual cBAT appeared normal, apart from a moderate reduction of Bmpr1A gene expression (Supplementary Fig.3). The sizes of interscapular WAT (iWAT) and retroperitoneal WAT (rWAT), two white fat depots that contain subpopulations of cells from the Myf5pos lineage18, were also reduced in the KO-mice (Supplementary Fig. 4a). Gene expression in iWAT showed a trend towards reduced expression of BAT-genes, but no changes in general white adipogenic genes (Supplementary Fig. 4b). Subcutaneous WAT (sWAT) and epididymal WAT (eWAT), both mostly originating from a Myf5neg lineage18, were not decreased in size and expressed normal levels of all type-I BMP receptors (Fig. 1g-h, Supplementary Fig. 3a-c). Expression of Bmpr1A in skeletal muscle, on the other hand, was reduced by >95% (Supplementary Fig. 3a). Upon normalization to body weight, we found limb skeletal muscle size unchanged, while the function of myogenic progenitors was altered (Huang and Gussoni, unpublished data). Thus, loss of BMP-signaling in Myf5-expressing cells specifically targets the formation of cBAT. During embryogenesis, MyoDpos progenitors emerge after the Myf5pos progenitors19. MyoD-CRE driven Bmpr1A-KO mice showed completely normal development of cBAT and WAT depots (Supplementary Fig. 5), suggesting that the developmental divergence between myogenic and brown adipogenic progenitors takes place prior to emergence of MyoDpos progenitors, or that BMPR1A is not required for cBAT-formation during this particular developmental stage.
A very similar phenotype was observed in a second mouse model with conditional deletion of Bmpr1A in all types of adipocytes (aP2-BMPR1A-KO). Loss of Bmpr1A led to a specific paucity of cBAT as well as WAT-resident rBAT (Supplementary Fig. 6). Since the aP2-CRE driver is active at later adipogenic stages compared to Myf5-CRE, we conclude that signaling through BMPR1A is essential also for later stages of brown adipogenesis.
Next, we isolated progenitors from either Myf5neg sWAT or Myf5pos cBAT to test their cell-autonomous ability to produce brown adipocytes10. Cells derived from sWAT differentiated normally (Supplementary Fig. 7). In contrast, the frequency and ability of cBAT-derived Myf5pos/Sca1pos/CD31neg progenitors to differentiate into mature brown adipocytes was significantly reduced (Fig. 2a and 2b). We therefore generated brown pre-adipocytes from cBAT completely lacking BMPR1A (Supplementary Fig. 8a and 8b). Loss of Bmpr1A resulted in a marked inhibition of differentiation (Fig. 2c) and ability to respond to BMP7-induced phosphorylation of downstream targets of BMP-signaling, Smad and p38-mitogen activated protein kinase (p38MAPK)20 (Fig. 2d). This led to a concomitant decrease of the expression of key adipogenic transcription factors Zfp42321, Cebpα, and Pparγ22 in undifferentiated pre-adipocytes (Fig. 2e). Following adipogenic differentiation, BMPR1A-KO cells displayed severely reduced expression of BAT-markers Ucp1, Prdm1613, and Pparγ (Fig. 2f), even in the presence of BMP7. Aside from BMPR1A, BMPR1B and Activin A receptor, type 1 (ACVR1) are the other two major type 1 BMP-receptors20. While cBAT developed normally in whole body BMPR1B-KO-mice (Supplementary Fig. 9a and 9b), deletion of Acvr1 in the Myf5pos lineage resulted in a severe reduction of cBAT mass (Supplementary Fig. 9c and 9d), indicating that both ACVR1 and BMPR1A are essential for development of cBAT. Accordingly, pre-adipocytes lacking Acvr1 displayed a somewhat milder phenotype compared to BMPR1A-deficient cells, while in double knock-out cells, brown adipogenesis was completely abolished (Supplementary Fig. 8c-g).
Since BAT plays a key role in thermoregulation, one would anticipate that the Myf5-BMPR1A-KO mice would display reduced body temperature as a consequence of impairment in cBAT-development. Indeed, newborn Myf5-BMPR1A-KO mice, with their unfavorable surface-to-volume ratio, showed a significant reduction in body temperature (Fig. 3a and 3b). This reduction in body temperature was surprisingly no longer present in adult Myf5-BMPR1A-KO (Fig. 3c, 22°C), suggesting a compensatory mechanism aimed at restoring thermogenic capacity. Non-shivering thermogenesis is a critical response to prolonged cold exposure in order to maintain body temperature23. When exposed to acute and chronic cold challenges, control mice were able to quickly resume normal body temperature after 48 h of cold, suggesting rapid activation of non-shivering thermogenesis via cBAT and possibly other short-term measures such as muscle shivering, which are less pronounced in newborn mice. By contrast, Myf5-BMPR1A-KO mice displayed a reduction in body temperature after 2 and 48 h of cold exposure, presumably due to the paucity of cBAT (Fig. 3c, 5°C-2h and -48h), as we did not observe any abnormal behavior, such as increased shivering, under cold exposure. Despite this, body temperature in Myf5-BMPR1A-KO mice returned to normal after prolonged cold exposure (i.e. 11 days), strongly suggesting an adaptive recruitment of rBAT to cope with lower ambient temperatures (Fig. 3c, 5°C-11d). Accordingly, KO-animals displayed a marked increase of UCP1-protein expression in sWAT (Fig. 3d, Supplementary Fig. 10). This browning-effect could be further enhanced in sWAT, and induced in eWAT, by administration of the β3-adrenergic receptor agonist CL316,243, as signified by significantly increased expression of BAT-markers Ucp1 and Cidea in Myf5-BMPR1A-KO mice (Fig. 3e-h), as well as increased emergence of multilocular UCP1pos adipocytes in WAT (Fig. 3i and 3j).
Recruitable BAT is sensitive to inductive factors, such as BMP710,11, BMP8b12, fibroblast growth factor (FGF)2124, and the myokine irisin25, among others. However, gene expression analysis revealed no changes in any of these (Supplementary Fig. 11), suggesting that the compensatory browning is not mediated by these factors. Since thermogenesis is rigorously controlled by the sympathetic nervous system (SNS)26,27, we quantified sympathetic input to white fat in Myf5-BMPR1A-KO mice. Staining for tyrosine hydroxylase was significantly increased in sWAT of KO-mice (Fig 3k and 3l). Moreover, circulating levels of norepinephrine (NE) were also significantly elevated in KO-mice, suggesting that increased sympathetic input may contribute to the browning of WAT in Myf5-BMPR1A-KO mice (Fig. 3m). Additionally, cold-exposed Myf5-BMPR1A-KO mice displayed normal NE-induced thermogenic capacity (Fig. 3n, Supplementary Fig. 12), and thus possess a sufficient ability to compensate for loss of cBAT. These findings suggest that both types of brown fat may possess similar capacities for thermoregulation if maximally stimulated. Whereas cBAT is essential during acute cold challenges, compensatory rBAT in the KO-mice with severe paucity of cBAT plays a critical role in maintaining normal body temperature, especially during long-term cold exposure. In accordance with these findings, Myf5-BMPR1A-KO animals were resistant to diet-induced obesity, even under obesity-promoting thermoneutrality conditions, where mice no longer require thermogenesis to maintain body temperature28 (Supplementary Fig. 13).
To determine whether the effect of compensatory browning is also present in other models of cBAT-atrophy and independent of genetic intervention that could also affect skeletal muscle, we surgically interrupted innervation of cBAT in wild-type mice. Denervation of cBAT resulted in a significant decrease of cBAT size and a 68% reduction of Ucp1 expression in cBAT (p=0.0029; Fig. 4a and 4b). As in Myf5-BMPR1A-KO mice, atrophy of cBAT resulted in increased recruitment of brown adipocytes in WAT (Fig. 4c-e), thus reinforcing the notion of a systemic mechanism that regulates total BAT-mediated thermogenic capacity.
It has been documented before that surgical removal of cBAT causes an activation of the remaining depots of cBAT29. Here we utilize both genetic and surgically-generated models of cBAT paucity to demonstrate the existence of a physiological mechanism to ensure thermoregulation by compensatory browning of WAT. This type of BAT may be more closely related to that found in adult humans8. The system inducing formation of rBAT appears to involve cBAT-brain and brain-WAT communication that is mediated, at least in part, by the SNS. Interestingly, obesity-resistance in mice appears to be mostly related to browning of white fat, rather than adaptive thermogenesis of cBAT30, altogether suggesting that rBAT is a key contributor to metabolic health. The findings presented here suggest that any therapeutic approach involving rBAT must take into account the tight regulation of total BAT-mediated thermogenic capacity and systemic energy metabolism at both peripheral and possibly also central levels. Targeting these mechanisms, for instance by modifying BMP-signaling to regulate BAT mass and activity, could constitute a compelling approach to develop obesity therapies.
Full Methods
Animals
All animal procedures were approved by the Institutional Animal Use and Care Committee at Joslin Diabetes Center. Transgenic mice carrying floxed alleles for Alk2/Acvr131, or Alk3/Bmpr1A32 were used to generate conditional gene deletion mouse models by intercrossing with either Myf5-33 or aP2/FABP2-driven34 CRE-expression as indicated. For studies involving Alk6/Bmpr1B-deletion, animals with whole body gene deletion of this receptor were used35. Myf5-CRE expressing animals were also crossed to Rosa26-YFP reporter mice (The Jackson Laboratory, Bar Harbor, ME) in addition to the Bmpr1A-flox alleles for Myf5-lineage-tracing and GFP-labeling of Bmpr1A-deficient cells as described before10. For genotyping, DNA was isolated from tail tip biopsies by boiling in 0.5 ml 50 mM NaOH for 15 min, followed by neutralization by addition of 50 μl 1M Tris-base (pH 6.8) and thorough vortexing. PCR-genotyping was performed using primers as listed in Supplementary Table S1. Expected band sizes for Bmpr1A during gel analysis were 180 bp for the wild type allele and 230 bp for the floxed allele. For recombination analysis of Bmpr1A-mRNA, expected band sizes were: 396 and 233 bp for the intact and recombined alleles, respectively, and 178 bp for the control PCR of exons 6 to 7. For Alk2-genotyping, the PCR product was subsequently digested using the restriction enzyme Bgl-I (New England Biolabs, Ipswich, MA) at 37°C overnight, yielding a band at 250 bp for wild type mice, and a double band at 90 bp and 160 bp for floxed alleles (all three bands in heterozygotes). Expected band sizes for Bmpr1B were 350 bp for the wild type, and 300 bp for the null allele. Expected band sizes for the Rosa26-YFP reporter mice were 600 bp for the wild type allele and 320 bp for the mutant allele. For Myf5-CRE genotyping, bands at 600 and 400 bp for wild type and mutant alleles, respectively, were expected. For a general CRE-PCR, a single band at approximately 350 bp indicated presence of CRE-cDNA in the genome. For loading control, IRS-1 primers were added for co-amplification in the same reaction (band at approximately 500 bp) to ensure proper loading with template DNA. To stimulate the browning of white adipose depots, mice were treated with daily i.p. injections of 1 mg/kg bodyweight CL316,243 (Sigma-Aldrich, St. Louis, MO) dissolved in PBS (also used for control injections) for up to ten days. For experiments involving high fat diet feeding, 4- to 6-week-old animals were placed on a diet containing 45 or 60 kcal% fat (Research Diets, New Brunswick, NJ). For cold exposure and thermoneutral conditions, animals were housed at 5°C or 30°C, respectively, for the indicated times in a controlled environmental chamber (Caron Products & Services Inc., Marietta, OH) with free access to food and water. Body core temperature was determined by rectal probe measurements.
Haematoxylin & Eosin staining
Sections were prepared, processed, and stained as described11.
Immunofluorescence
Sections were deparaffinized and prepared as described before11. Primary antibodies were incubated overnight at 4°C: Ki67 (1:200, rabbit polyclonal; Abcam, Cambridge, MA); UCP1 (1:50, rabbit polyclonal; AnaSpec, Fremont, CA), Tyrosine hydroxylase (1:50, rabbit polyclonal, Millipore, Billerica, MA), GFP (1:200, goat polyclonal; Novus USA, Littleton, CO). After primary antibody incubation, the sections were washed and incubated with appropriate secondary antibody (AlexaFlour-488 (green) or -594 (red); Invitrogen, Carlsbad, CA) at a 1:200 dilution for 10 min in the dark. After secondary antibody incubation, sections were washed with distilled water for DAPI-staining (0.1 μg/ml in water for 5-10 minutes in the dark), and mounted. Sections were kept in the dark after mounting and analyzed by confocal microscopy on a Zeiss LSM-410 Invert Laser Scan Microscope (Carl Zeiss MicroImaging, Thornwood, NY), or using a florescence microscope (Olympus BX60F-3; Olympus Corporation, Center Valley, PA). Quantification of tyrosine hydroxylase was performed by using the ImageJ software (ImageJ, NIH, Bethesda, MD). Identical conditions and settings were used for picture acquisition and analysis. A threshold was set for each image to eliminate background and to create a binary mode image. A minimum particle size of 20 pixels was used as exclusion criteria to eliminate unspecific background and for quantification of areas that stained positive for tyrosine hydroxylase. For quantification of Ki67-staining, Ki67pos nuclei were counted in areas identified as BAT by microscopic inspection of morphology and comparison to published sources36, and normalized to the total number of DAPIpos nuclei in the same area. For each section and animal, images from three representative areas were analyzed.
TUNEL staining
For detection of DNA fragmentation, sections were deparaffinized and blocked for autofluorescence as described10. Sections were blocked in 1% BSA/ 0.5%-1% TX-100 in PBS for 1 h followed by washes in PBS. Terminal strand labeling was performed for 1.5 h at 37° C in TdT-buffer (30 mM Tris-HCL, 140 mM Na-Cacodylate, 1 mM Cobalt(II) chloride, pH 7.2) in the presence of dATP, biotinylated dUTP, and terminal deoxynucleotidyl transferase (all from Roche Applied Science, Indianapolis, IN). The reaction was stopped by immersion in 2× SSC buffer and subsequent incubation with Cy3-labeled streptavidin (1:200; Jackson ImmunoResearch Laboratories, West Grove, PA) for 1 h in the dark. Sections were then stained with DAPI, mounted, and analyzed as described above.
RNA and protein quantification
RNA extraction, cDNA synthesis, and quantitative real-time PCR (qPCR) were performed as described before11. For qPCR analysis, ct-values <30 were used for gene expression analysis. Protein detection by western blotting was performed as described before11. Primary antibodies were incubated overnight at 4°C: phospho-Smad-1/5/8 (1:1000, rabbit polyclonal), Smad1 (1:1000, rabbit polyclonal), phospho-p38 MAPK (1:1000, rabbit polyclonal), p38-MAPK (1:1000, rabbit polyclonal) (all from Cell Signaling Technologies, Danvers, MA), UCP1 (1:500, goat polyclonal; Santa Cruz Biotechnology Inc., Santa Cruz, CA) and β-Tubulin (1:8000, mouse polyclonal; Sigma-Aldrich). HRP-coupled secondary antibodies (Cell Signaling Technologies) were used at 1:2000 dilutions at room temperature for 2 h followed by detection using ECL-system.
Cell Sorting
Sca1pos adipocyte progenitor cells were isolated from constitutive brown adipose tissue (cBAT) and subcutaneous white adipose tissue (sWAT) of Myf5-BMPR1A-KO mice and control littermates, and differentiated as described before10.
Immortalized pre-adipocytes
Immortalized cell lines were generated as earlier described37. In brief, cBAT from individual newborn pups (postnatal day 1 or 2) of homozygous floxed parents for the respective BMP-receptor was collected and pre-adipocytes were isolated by enzymatic digestion. Pre-adipocytes were immortalized by infection with SV40-expressing lentivirus and subsequent selection with puromycin. Stable cell lines were then infected with adenovirus expressing either GFP (control) or a CRE::GFP fusion construct for in vitro recombination (Gene Transfer Vector Core, University of Iowa, Iowa City, IA). 48 h post-infection, GFPpos cells were collected by flow cytometry and expanded for subsequent use in experiments. DNA was isolated for PCR-analysis to determine full recombination of the respective receptor gene using the primers as detailed above.
Cell culture
Pre-adipocyte cell lines were cultured as described before11, except that 2% fetal bovine serum was used during differentiation. BMP7-treatments (3.3 nM) were performed for three days prior to 48 h of adipogenic induction, followed by a differentiation period of 5 days. Oil Red O staining was performed as described before11.
Thermal imaging of skin surface temperature
Measurement of skin temperature was performed using a thermal imaging camera (T300 InfraRed Camera; FLIR Systems, Inc., North Billerica, MA). Skin surface temperature of newborns was analyzed using FLIR Reporter 8.5 software (FLIR Systems, Inc.). Images were acquired by placing newborn mice of the same litter (P4-P6) in 6-well cell culture dishes, and 2-3 images of each mouse from different angles were acquired in order to minimize temperature variations due to different postures of the animal. Software drawing tools were used to draw a region of interest (ROI) around the entire animal, and average body surface temperature was calculated using that ROI. For each animal, an average temperature value of the temperatures from all single images was calculated. These averages were then used for statistical analysis.
Serum parameters
Serum levels of norepinephrine (NE) were determined using a commercially available ELISA-kit and according to the manufacturer's instructions (Norepinephrine (Research) ELISA; IBL-America, Minneapolis, MN). To stabilize norepinephrine, 1 mM EDTA and 4 mM sodium metabisulfite were added to the serum. Serum was prepared by spinning freshly collected blood in a cooled centrifuge at 6.000 g for 20 min. The clear supernatant was collected and stored at −80°C. Samples were analyzed within 12 weeks after collection. To determine circulating irisin levels, a commercially available ELISA assay kit was used according to the manufacturer's specifications (Phoenix Pharmaceuticals, Inc., Burlingame, CA).
Body composition
Relative contents of lean and fat mass were determined using Dual-energy X-ray absorptiometry (DEXA) according to the manufacturer's instructions (GE Lunar PIXImus 2, General Electric Medical Systems, Pewaukee, WI). Animals were anaesthetized with pentobarbital (50 mg/kg, i.p.) and placed in the scanning area to measure body composition. Relative lean and fat mass were calculated by normalizing to body weight.
Norepinephrine-induced thermogenic capacity
Measurement of maximum thermogenic capacity was performed as described before with some modifications12,28. Animals were maintained in the cold as described above for 8 days before the experiment. All measurements were performed at room temperature. Oxygen consumption (OC) by indirect calorimetry was assessed using the Comprehensive Lab Animal Monitoring System (CLAMS, Columbus Instruments, Columbus, OH) and the Oxymax for Windows software (version 4.58) for data analysis. Animals were anaesthetized with pentobarbital (80 mg/kg, i.p.), and indirect calorimetry was performed immediately for 30 min to record basal values of OC. The sampling interval was set to 15 min to allow for stable OC assessment throughout the experiment. After three data points were obtained, animals were briefly removed from the chamber and NE was injected subcutaneously (1 mg norepinephrine bitartrate/kg, Sigma-Aldrich), and OC was recorded for another 90 minutes. To determine maximum NE-induced thermogenic capacity (ΔVO2), the average value for basal OC prior to NE-injection was calculated and subtracted from the average value of highest NE-induced OC (t60 and t75). Areas under the curve (AUC) were calculated for the curves after NE-injection. Data were presented either not normalized, i.e. per animal, or after normalization to total body weight, or total fat mass (from DEXA scan).
Denervation of cBAT
Denervation of cBAT was performed as described before38. C57BL/6J mice (The Jackson Laboratory) aged 6 weeks were used for denervations. In brief, mice were anaesthetized and placed on a warm pad to maintain body temperature. Under a stereomicroscope, an incision was made posterior to the interscapular cBAT pad. Surrounding muscle and white fat was carefully moved to the side and the cBAT pad was turned upward to expose the five branches of the intercostal nerve bundles. Denervation was performed by isolating and cutting the nerve bundles and removing a portion of about 1-2 mm from each strand. Care was taken not to damage the adjacent blood vessels. The procedure was performed on left and right lobes of the interscapular brown fat. BAT pads, surrounding white fat, and muscle were placed in the original locations and the incision was closed using tissue adhesive glue (Vetbond, 3M Animal Care Products, St. Paul, MN). The same procedure was performed for sham surgeries, except that nerve bundles were not cut. Animals were housed in single cages and monitored daily during the first week of recovery. After 10 weeks, animals were divided in four groups of (1) sham-operated mice receiving vehicle i.p.-injections (PBS), (2) sham-operated mice receiving injections of CL316,243 as described above, (3) denervated mice receiving vehicle or (4) Cl316,243.
Statistical analysis
All statistical analyses were performed using the programs Excel (Microsoft Corporation, Redmond, WA), Statview (SAS Institute Inc., Cary, NC) and GraphPad Prism (GraphPad Software, Inc, CA). Statistical analyses were performed using two-tailed Student's t-test or ANOVA for comparing the means of two or multiple groups, respectively. Nonparametric testing (U-Mann-Whitney test) was used where appropriate, i.e. when normal distribution of sample sets was not evident. The means of two groups were considered significantly different when the p-value was smaller than 0.05.
Acknowledgments
This work was supported in part by NIH grants R01 DK077097 (Y.-H.T.), and Joslin Diabetes Center's Diabetes Research Center (DRC; P30 DK036836 from the NIDDK), a research grant from the Eli Lilly Research Foundation and by funding from the Harvard Stem Cell Institute (to Y.-H.T.). T.J.S. was supported by the Mary K. Iacocca Foundation and the German Research Foundation (DFG SCHU2445/1-1). P.H. was supported by a Scientist Development Grant from AHA (0730285N). K.L.T. was supported by NIH fellowships (T32 DK007260 and F32 DK091996). R.X. was supported by Project 985III-YFX0302 and NSFC81070680 from the National Natural Science Foundation of China. The authors thank Stryker Regenerative Medicine (Hopkinton, MA) for the gift of recombinant BMP7. We acknowledge V. Kaartinen (University of Michigan, Ann Arbor, MI), B. Kahn (Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA), K. Lyons (University of California, Los Angeles, CA), and P. Soriano (Mount Sinai School of Medicine, New York, NY), for providing floxed Alk2(Acvr1) mice, aP2-CRE mice, Alk6(Bmpr1B) heterozygous mice, and Myf5-CRE mice, respectively. The authors thank C.R. Kahn, L.J. Goodyear (both Joslin Diabetes Center, Boston, MA), E. Kokkotou (Beth Israel Deaconess Medical Center, Boston, MA), and D. Breault (Children's Hospital, Boston, MA) for comments on the manuscript. The authors wish to thank J. LaVecchio, G. Buruzula, A. Wakabayashi, A. Pinkhasov, A. Clermont, M. Mulvey, C. Cahill, and G. Sankaranarayanan for technical assistance and E. Caniano for editorial contributions.
Footnotes
Author Contributions: T.J.S and Y.-H.T planned most of the experiments and wrote the paper. T.J.S performed the majority of the experiments. P.H., T.L.H., L.M., R.X., and K.L.T. performed some of the animal and immunofluorescence experiments and/or provided research assistance. A.M.C. helped with the infrared thermography and provided valuable research materials. Y.M. and E.G. planned some of the experiments and contributed valuable research materials.
Author Information: Reprints and permissions information is available at http://www.nature.com/reprints. The authors declare no competing financial interests.
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NCRR NIH HHS (1)
Grant ID: KL2 RR025757
NIDDK NIH HHS (5)
Grant ID: F32 DK091996
Grant ID: K23 DK081604
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