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Cellular mechanisms enhancing white fat metabolism and their impact on obesity
Stockholm University, Faculty of Science, Department of Molecular Biosciences, The Wenner-Gren Institute.
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The rate of obesity among adults and children is rising, which underlines the need for effective anti-obesity strategies. Multiple promising pharmacotherapies have recently been developed and approved for human use. These focus primarily on reducing energy intake by interfering with satiety and nutrient uptake. Strategies to simultaneously decrease energy intake and increase energy expenditure are an interesting focus for future research. 

Since the (re)discovery of brown adipose tissue (BAT) in adult humans, activation of its unique uncoupling protein 1 (UCP1) has been suggested to enhance energy dissipation to increase energy expenditure. However, the UCP1 knockout (KO) mouse model paradoxically remains lean on a high-fat diet (HFD) in mild cold. This suggests the presence of alternative thermogenic mechanisms, which are of high translational value, as obese individuals typically have little to no BAT and UCP1. It was previously suggested that fibroblast growth factor 21 (FGF21) plays a crucial role in the lean phenotype of UCP1 KO mice by remodeling and transforming the inguinal white adipose tissue (iWAT) towards a more beige phenotype. While BAT is studied intensively, the influence of beige fat on obesity remains unclear, particularly in the context of UCP1. Moreover, the underlying molecular mechanisms by which FGF21 regulates body weight are not yet fully understood.

In Chapter I, we investigate the ability of the over-the-counter drug Ibuprofen to activate UCP1 in UCP1-expressing human embryonic kidney 293 cells and isolated brown fat mitochondria. We show that Ibuprofen is a viable activator, but different variants are needed for improved delivery to activate brown adipocytes in vivo. In Chapter II, we show that overexpression of one key enzyme of the futile lipid cycle, glycerol kinase, did not induce major changes in adipocyte lipid metabolism. However, beta-adrenergic stimulation of these adipocytes may induce increased lipid cycling. Chapter III shows that FGF21 treatment results in immediate weight loss in UCP1 KO mice on HFD, whereas wildtype (WT) mice have a delayed response. We find that the iWAT has increased levels of FGF21-responsive genes only in UCP1 KO mice, which suggests that FGF21 sensitivity in iWAT underlies the body weight loss. In Chapter IV, we show that male UCP1 KO mice are susceptible to diet-induced obesity resistance, whereas female UCP1 KO mice have a similar weight to female WT mice, with a higher food intake. Interestingly, the levels of FGF21 and iWAT browning are similar between sexes. Overall, our results suggest that hyperphagia may counterbalance the beneficial effects of FGF21 on metabolism in female mice. 

Collectively, our results highlight new ways to activate the metabolic capacity of beige adipocytes within iWAT. Furthermore, we demonstrate the importance of iWAT in sustained FGF21 sensitivity and show sex-specific differences in response to high endogenous FGF21 levels.

 

Place, publisher, year, edition, pages
Stockholm: Department of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University , 2025. , p. 50
Keywords [en]
Obesity, Adipose tissue, Energy metabolism, Uncoupling protein 1, Fibroblast growth factor 21, Glycerol kinase
National Category
Molecular Biology
Research subject
Molecular Bioscience
Identifiers
URN: urn:nbn:se:su:diva-245168ISBN: 978-91-8107-334-8 (print)ISBN: 978-91-8107-335-5 (electronic)OAI: oai:DiVA.org:su-245168DiVA, id: diva2:1986499
Public defence
2025-09-22, E306, Arrheniuslaboratorierna, hus E, Vån 3, Svante Arrhenius väg 20C, Stockholm, 13:00 (English)
Opponent
Supervisors
Available from: 2025-08-28 Created: 2025-07-31 Last updated: 2025-08-20Bibliographically approved
List of papers
1. Activating ligands of Uncoupling protein 1 identified by rapid membrane protein thermostability shift analysis
Open this publication in new window or tab >>Activating ligands of Uncoupling protein 1 identified by rapid membrane protein thermostability shift analysis
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2022 (English)In: Molecular Metabolism, ISSN 2212-8778, Vol. 62, article id 101526Article in journal (Refereed) Published
Abstract [en]

Objective: Uncoupling protein 1 (UCP1) catalyses mitochondrial proton leak in brown adipose tissue to facilitate nutrient oxidation for heat production, and may combat metabolic disease if activated in humans. During the adrenergic stimulation of brown adipocytes, free fatty acids generated from lipolysis activate UCP1 via an unclear interaction. Here, we set out to characterise activator binding to purified UCP1 to clarify the activation process, discern novel activators and the potential to target UCP1.

Methods: We assessed ligand binding to purified UCP1 by protein thermostability shift analysis, which unlike many conventional approaches can inform on the binding of hydrophobic ligands to membrane proteins. A detailed activator interaction analysis and screening approach was carried out, supported by investigations of UCP1 activity in liposomes, isolated brown fat mitochondria and UCP1 expression-controlled cell lines.

Results: We reveal that fatty acids and other activators influence UCP1 through a specific destabilising interaction, behaving as transport substrates that shift the protein to a less stable conformation of a transport cycle. Through the detection of specific stability shifts in screens, we identify novel activators, including the over-the-counter drug ibuprofen, where ligand analysis indicates that UCP1 has a relatively wide structural specificity for interacting molecules. Ibuprofen successfully induced UCP1 activity in liposomes, isolated brown fat mitochondria and UCP1-expressing HEK293 cells but not in cultured brown adipocytes, suggesting drug delivery differs in each cell type.

Conclusions: These findings clarify the nature of the activator-UCP1 interaction and demonstrate that the targeting of UCP1 in cells by approved drugs is in principle achievable as a therapeutic avenue, but requires variants with more effective delivery in brown adipocytes.

Keywords
Ligand binding, Thermal stability assay, Differential scanning fluorimetry, Brown adipose tissue, Proton transport, Energy expenditure, Mitochondrial carrier
National Category
Cell and Molecular Biology
Identifiers
urn:nbn:se:su:diva-210301 (URN)10.1016/j.molmet.2022.101526 (DOI)000861054600004 ()35691529 (PubMedID)2-s2.0-85132531588 (Scopus ID)
Available from: 2022-10-11 Created: 2022-10-11 Last updated: 2025-07-31Bibliographically approved
2. Minor metabolic effects of Glycerol Kinase overexpression in murine adipocytes
Open this publication in new window or tab >>Minor metabolic effects of Glycerol Kinase overexpression in murine adipocytes
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(English)Manuscript (preprint) (Other academic)
Abstract [en]

Objective: Strategies to prevent and treat obesity primarily focus on reducing energy intake, but simultaneously increasing energy expenditure could lead to improved efficiency. Activation of brown adipose tissue (BAT) via its energy-wasting uncoupling protein 1 (UCP1) has been widely investigated for this purpose. However, BAT as well as UCP1 are not or barely present in obese subjects. Interestingly, mice lacking UCP1 exhibit resistance to diet-induced obesity (DIO) during cold exposure, characterized by the emergence of beige adipocytes as a hallmark feature. Upregulation of genes related to lipolysis, lipogenesis, and glyceroneogenesis suggests the presence of a futile lipid cycle with glycerol kinase (GYK) as the linking factor. Here, we aim to elucidate further the metabolic role of GYK in murine immortalized adipocytes. 

Methods: GYK was overexpressed in immortalized white murine adipocytes by lentiviral transduction. After differentiation into white or beige mature adipocytes, we investigated gene and protein expression, basal and stimulated lipolysis, and cellular respiration.

Results: We show that merely an increased GYK expression in white and beige adipocytes did not affect differentiation or gene expression related to browning and lipid metabolism. However, after beta-adrenergic stimulation, both white and beige adipocytes with increased GYK levels decreased the browning markers. Moreover, it led to lower NEFA release and increased ATP demand in white adipocytes.

Conclusion: Our results demonstrate that the upregulation of GYK in white and beige adipocytes has no effects on lipid metabolism in unstimulated conditions. However, after beta-adrenergic stimulation, small differences in lipolysis and respiration can be observed. Surprisingly, the overexpression of GYK suppresses the browning capacity of the adipocyte. In summary, GYK is a key player in futile lipid cycling; however, simple overexpression does not significantly affect adipocyte metabolism.

Keywords
Glycerol Kinase, Adipocytes, Lipid metabolism, Futile lipid cycling
National Category
Molecular Biology
Research subject
Molecular Bioscience
Identifiers
urn:nbn:se:su:diva-245164 (URN)
Available from: 2025-07-31 Created: 2025-07-31 Last updated: 2025-07-31
3. Obesity-resistance of UCP1-deficient mice associates with sustained FGF21 sensitivity in inguinal adipose tissue
Open this publication in new window or tab >>Obesity-resistance of UCP1-deficient mice associates with sustained FGF21 sensitivity in inguinal adipose tissue
2022 (English)In: Frontiers in Endocrinology, E-ISSN 1664-2392, Vol. 13, article id 909621Article in journal (Refereed) Published
Abstract [en]

Metabolic diseases represent the major health burden of our modern society. With the need of novel therapeutic approaches, fibroblast growth factor 21 (FGF21) is a promising target, based on metabolic improvements upon FGF21 administration in mice and humans. Endogenous FGF21 serum levels, however, are increased during obesity-related diseases, suggesting the development of FGF21 resistance during obesity and thereby lowering FGF21 efficacy. In uncoupling protein 1 knockout (UCP1 KO) mice, however, elevated endogenous FGF21 levels mediate resistance against diet-induced obesity. Here, we show that after long-term high fat diet feeding (HFD), circulating FGF21 levels become similarly high in obese wildtype and obesity-resistant UCP1 KO mice, suggesting improved FGF21 sensitivity in UCP1 KO mice. To test this hypothesis, we injected FGF21 after long-term HFD and assessed the metabolic and molecular effects. The UCP1 KO mice lost weight directly upon FGF21 administration, whereas body weights of WT mice resisted weight loss in the initial phase of the treatment. The FGF21 treatment induced expression of liver Pck1, a typical FGF21-responsive gene, in both genotypes. In iWAT, FGF21-responsive genes were selectively induced in UCP1 KO mice, strongly associating FGF21-sensitivity in iWAT with healthy body weights. Thus, these data support the concept that FGF21-sensitivity in adipose tissue is key for metabolic improvements during obesogenic diets.

Keywords
FGF21 resistance, beige fat, diet induced obesity, beta klotho, browning, FGF21 sensitivity
National Category
Endocrinology and Diabetes
Identifiers
urn:nbn:se:su:diva-209432 (URN)10.3389/fendo.2022.909621 (DOI)000844074800001 ()36034414 (PubMedID)2-s2.0-85136541127 (Scopus ID)
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2025-07-31Bibliographically approved
4. Hyperphagia of female UCP1-deficient mice blunts anti-obesity effects of FGF21
Open this publication in new window or tab >>Hyperphagia of female UCP1-deficient mice blunts anti-obesity effects of FGF21
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2023 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 13, no 1, article id 10288Article in journal (Refereed) Published
Abstract [en]

Increasing energy expenditure through uncoupling protein 1 (UCP1) activity in thermogenic adipose tissue is widely investigated to correct diet-induced obesity (DIO). Paradoxically, UCP1-deficient male mice are resistant to DIO at room temperature. Recently, we uncovered a key role for fibroblast growth factor 21 (FGF21), a promising drug target for treatment of metabolic disease, in this phenomenon. As the metabolic action of FGF21 is so far understudied in females, we aim to investigate potential sexual dimorphisms. Here, we confirm that male UCP1 KO mice display resistance to DIO in mild cold, without significant changes in metabolic parameters. Surprisingly, females gained the same amount of body fat as WT controls. Molecular regulation was similar between UCP1 KO males and females, with an upregulation of serum FGF21, coinciding with beiging of inguinal white adipose tissue and induced lipid metabolism. While energy expenditure did not display significant differences, UCP1 KO females significantly increased their food intake. Altogether, our results indicate that hyperphagia is likely counteracting the beneficial effects of FGF21 in female mice. This underlines the importance of sex-specific studies in (pre)clinical research for personalized drug development.

National Category
Biochemistry Molecular Biology
Identifiers
urn:nbn:se:su:diva-221146 (URN)10.1038/s41598-023-37264-0 (DOI)001018464000031 ()37355753 (PubMedID)2-s2.0-85162810710 (Scopus ID)
Available from: 2023-09-15 Created: 2023-09-15 Last updated: 2025-07-31Bibliographically approved

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