This question originally appeared on Quora. Ask a question, get a great answer. Learn from experts and access insider knowledge. You can follow Quora on Twitter, Facebook, and Google+.
Answer by Tirumalai Kamala, Immunologist, Ph.D., Mycobacteriology:
From 3 Recent mouse model research (4) even added a third fat flavor, beige/‘brite’, which is induced ‘brown in white’ fat.How ambient temperature, fat and energy expenditure intersect How are energy expenditure and fat type related? Simply put, WAT stores energy, BAT spends it. How does BAT do this? BAT adipocytes (fat cells) express a unique gene, SLC25A7, which encodes the mitochondrial uncoupling protein 1 (UCP1) (5). ‘Embedded in the inner mitochondrial membrane, UCP1 acts as a proton conduit from the inter-membrane space to the mitochondrial matrix. Activation of UCP1 leads to the energy generated by the electron transport chain and stored in the pH and electrochemical gradient across the inner mitochondrial membrane to be dissipated as heat, rather than used to fuel ATP generation by ATP-synthase’ (6). Thus, BAT converts lipid-derived chemical energy into heat (thermal energy).
More from Quora: What are the top running technique suggestions? | Can anyone learn to enjoy running? Till recently, we thought that BAT depots were only physiologically relevant in small mammals and human infants (7, 8), even though we knew for decades that adult humans also have BAT (7). That is, until a 2009 study (9). This study showed that
BAT activity was present in 23 of 24 healthy adult men. But only when they were exposed to cold temperature. Even overweight and obese men have BAT, though significantly lower in activity compared to lean men.
Adult humans have metabolically active BAT. Obese and older people have less metabolically active BAT. BAT activity negatively correlates with BMI (Body Mass Index), i. e. higher BAT activity, lower BMI.
It’s highly innervated and vascularized (19). Its metabolic activity is partly controlled by norepinephrine secretion by the sympathetic nervous system (SNS) (20). Actually, adult human BAT is likely more accurately beige/brite (21, 22). A genetic association study found a UCP1 promoter polymorphism that reduces its expression and is associated with a higher BMI and abdominal obesity (23).
Thus, BAT could be a target for obesity treatment.Summary of human BAT studies* * Caveat to human active BAT studies: Only 18F-fluorodeoxyglucose PET-CT (positron emission tomography with computed tomography) (FDG PET-CT) unequivocally identifies human adult active BAT. Most commonly used routinely in cancer diagnostics for cancer staging, such scans use ionizing radiation, and are not possible to use in large numbers of healthy human adults. Thus, most data on active human BAT is from cancer staging studies.
van Marken Lichtenbelt, Wouter, et al. “Cold exposure–an approach to increasing energy expenditure in humans. " Trends in Endocrinology & Metabolism 25. 4 (2014): 165-167. Page on researchgate. net Awada, Rana, Avinash Parimisetty, and Christian Lefebvre d’Hellencourt. “Influence of Obesity on Neurodegenerative Diseases. " (2013). Page on intechopen. com Betz, Matthias J. , and Sven Enerbäck. “Therapeutic prospects of metabolically active brown adipose tissue in humans. " Frontiers in endocrinology 2 (2011). Therapeutic Prospects of Metabolically Active Brown Adipose Tissue in Humans Harms, Matthew, and Patrick Seale. “Brown and beige fat: development, function and therapeutic potential. " Nature medicine 19. 10 (2013): 1252-1263. Page on researchgate. net Palmieri, Ferdinando. “The mitochondrial transporter family (SLC25): physiological and pathological implications. " Pflügers Archiv 447. 5 (2004): 689-709. Sammons, Matthew F. , and David A. Price. “Modulation of adipose tissue thermogenesis as a method for increasing energy expenditure. " Bioorganic & medicinal chemistry letters 24. 2 (2014): 425-429. Modulation of adipose tissue thermogenesis as a method for increasing energy expenditure Heaton, JULIET M. “The distribution of brown adipose tissue in the human. " Journal of anatomy Page on 112. pt 1 (1972): 35-39. The distribution of brown adipose tissue in the human. Lidell, Martin E. , et al. “Evidence for two types of brown adipose tissue in humans. " Nature medicine 19. 5 (2013): 631-634. Page on diva-portal. org van Marken Lichtenbelt, Wouter D. , et al. “Cold-activated brown adipose tissue in healthy men. " New England Journal of Medicine 360. 15 (2009): 1500-1508. Page on weber. edu Cypess, Aaron M. , et al. “Identification and importance of brown adipose tissue in adult humans. " New England Journal of Medicine 360. 15 (2009): 1509-1517. Page on nih. gov Nedergaard, Jan, Tore Bengtsson, and Barbara Cannon. “Unexpected evidence for active brown adipose tissue in adult humans. " American Journal of Physiology-Endocrinology and Metabolism 293. 2 (2007): E444-E452. Page on physiology. org Saito, Masayuki, et al. “High incidence of metabolically active brown adipose tissue in healthy adult humans effects of cold exposure and adiposity. " Diabetes 58. 7 (2009): 1526-1531. Page on diabetesjournals. org Virtanen, Kirsi A. , et al. “Functional brown adipose tissue in healthy adults. " New England Journal of Medicine 360. 15 (2009): 1518-1525. Page on nejm. org Muzik, Otto, Thomas J. Mangner, and James G. Granneman. “Assessment of oxidative metabolism in brown fat using PET imaging. “quot; Frontiers in endocrinology 3 (2012). Assessment of Oxidative Metabolism in Brown Fat Using PET Imaging Ouellet, Véronique, et al. “Brown adipose tissue oxidative metabolism contributes to energy expenditure during acute cold exposure in humans. " The Journal of clinical investigation 122. 2 (2012): 545. Brown adipose tissue oxidative metabolism contributes to energy expenditure during acute cold exposure in humans Vijgen, Guy HEJ, et al. “Brown adipose tissue in morbidly obese subjects. " PloS one 6. 2 (2011): e17247. Brown Adipose Tissue in Morbidly Obese Subjects Yoneshiro, Takeshi, et al. “Brown adipose tissue, whole‐body energy expenditure, and thermogenesis in healthy adult men. " Obesity 19. 1 (2011): 13-16. Page on wiley. com Pfannenberg, Christina, et al. “Impact of age on the relationships of brown adipose tissue with sex and adiposity in humans. " Diabetes 59. 7 (2010): 1789-1793. Impact of Age on the Relationships of Brown Adipose Tissue With Sex and Adiposity in Humans Zingaretti, Maria Cristina, et al. “The presence of UCP1 demonstrates that metabolically active adipose tissue in the neck of adult humans truly represents brown adipose tissue. " The FASEB Journal 23. 9 (2009): 3113-3120. Page on fasebj. org Sammons, Matthew F. , and David A. Price. “Modulation of adipose tissue thermogenesis as a method for increasing energy expenditure. " Bioorganic & medicinal chemistry letters 24. 2 (2014): 425-429. Modulation of adipose tissue thermogenesis as a method for increasing energy expenditure Wu, Jun, et al. “Beige adipocytes are a distinct type of thermogenic fat cell in mouse and human. " Cell 150. 2 (2012): 366-376. Beige Adipocytes are a Distinct Type of Thermogenic Fat Cell in Mouse and Human Sharp, Louis Z. , et al. “Human BAT possesses molecular signatures that resemble beige/brite cells. " PloS one 7. 11 (2012): e49452. Human BAT Possesses Molecular Signatures That Resemble Beige/Brite Cells Sramkova, D. , et al. “The UCP1 gene polymorphism A-3826G in relation to DM2 and body composition in Czech population. " Experimental and Clinical Endocrinology and Diabetes 115. 5 (2007): 303-307. Page on researchgate. net Jansky, L. (1998) Shivering. In Physiology and Pathophysiology of Temperature Regulation (Blattheis, C. M. , ed. ), World Scientific. Davis, Thomas RA. “Chamber cold acclimatization in man. " Journal of applied physiology 16. 6 (1961): 1011-1015. Page on www. dtic. mil van der Lans, Anouk AJJ, et al. “Cold acclimation recruits human brown fat and increases nonshivering thermogenesis. " The Journal of clinical investigation 123. 123 (8) (2013): 3395-3403. Page on jci. org Yoneshiro, T. et al. (2013) Recruited brown adipose tissue as an antiobesity agent in humans. J. Clin. Invest. 123, 3404–3408. Page on nih. gov Van Ooijen, A. M. J. , et al. “Seasonal changes in metabolic and temperature responses to cold air in humans. " Physiology & behavior 82. 2 (2004): 545-553. Page on 155. 54. 17 De Dear, Richard, and Gail Schiller Brager. “Developing an adaptive model of thermal comfort and preference. " Center for the Built Environment (1998). Developing an adaptive model of thermal comfort and preference Schellen, L. et al. (2010) Differences between young adults and elderly in thermal comfort, productivity, and thermal physiology in response to a moderate temperature drift and a steady-state condition. Indoor air 20, 273–283. Page on www. duurzameprojectontwikkeling2015. nl Vosselman, Maarten J. , et al. “Frequent Extreme Cold Exposure and Brown Fat and Cold-Induced Thermogenesis: A Study in a Monozygotic Twin. " PloS one 9. 7 (2014): e101653. Page on plosone. org