PMID- 33403891 OWN - NLM STAT- MEDLINE DCOM- 20211005 LR - 20211005 IS - 2162-397X (Electronic) IS - 2162-3945 (Print) IS - 2162-3945 (Linking) VI - 10 IP - 1 DP - 2021 Dec TI - Brown and beige adipose tissue: a novel therapeutic strategy for obesity and type 2 diabetes mellitus. PG - 48-65 LID - 10.1080/21623945.2020.1870060 [doi] AB - Mammalian adipose tissue can be divided into two major types, namely, white adipose tissue (WAT) and brown adipose tissue (BAT). According to classical view, the main function of WAT is to store excess energy in the form of triglycerides, while BAT is a thermogenic tissue that acts a pivotal part in maintaining the core body temperature. White adipocytes display high plasticity and can transdifferentiate into beige adipocytes which have many similar morphological and functional properties with brown adipocytes under the stimulations of exercise, cold exposure and other factors. This phenomenon is also known as 'browning of WAT'. In addition to transdifferentiation, beige adipocytes can also come from de novo differentiation from tissue-resident progenitors. Activating BAT and inducing browning of WAT can accelerate the intake of glycolipids and reduce the insulin secretion requirement, which may be a new strategy to improve glycolipids metabolism and insulin resistance of obese and type 2 diabetes mellitus (T2DM) patients. This review mainly discusses the significance of brown and beige adipose tissues in the treatment of obesity and T2DM, and focuses on the effect of the browning agent on obesity and T2DM, which provides a brand-new theoretical reference for the prevention and treatment of obesity and T2DM. FAU - Cheng, Long AU - Cheng L AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Wang, Jingkang AU - Wang J AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Dai, Hongyu AU - Dai H AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Duan, Yuhui AU - Duan Y AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - An, Yongcheng AU - An Y AD - College of Life Sciences, Beijing University of Chinese Medicine , Beijing, China. FAU - Shi, Lu AU - Shi L AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Lv, Yinglan AU - Lv Y AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Li, Huimin AU - Li H AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Wang, Chen AU - Wang C AD - College of Life Sciences, Beijing University of Chinese Medicine , Beijing, China. FAU - Ma, Quantao AU - Ma Q AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Li, Yaqi AU - Li Y AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Li, Pengfei AU - Li P AD - Department of Pharmacology, School of Chinese Materia Medica, Beijing University of Chinese Medicine , Beijing China. FAU - Du, Haifeng AU - Du H AD - The Third Municipal Hospital of Chengde , Chengde, China. FAU - Zhao, Baosheng AU - Zhao B AD - Beijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine , Beijing China. LA - eng PT - Journal Article PT - Review PL - United States TA - Adipocyte JT - Adipocyte JID - 101567863 SB - IM MH - Adipocytes, Beige/metabolism MH - Adipocytes, Brown/metabolism MH - Adipocytes, White/metabolism MH - Adipose Tissue/*metabolism MH - Adipose Tissue, Beige/metabolism MH - Adipose Tissue, Brown/metabolism MH - Adipose Tissue, White/metabolism MH - Cell Transdifferentiation MH - Diabetes Mellitus, Type 2/metabolism/*therapy MH - Energy Metabolism MH - Humans MH - Insulin Resistance MH - Obesity/metabolism/*therapy MH - Thermogenesis PMC - PMC7801117 OTO - NOTNLM OT - Brown adipose tissue OT - beige adipose tissue OT - browning of white adipose tissue OT - obesity OT - type 2 diabetes mellitus OT - white adipose tissue COIS- The authors declare that they have no competing interest. EDAT- 2021/01/07 06:00 MHDA- 2021/10/06 06:00 PMCR- 2021/01/06 CRDT- 2021/01/06 08:40 PHST- 2021/01/06 08:40 [entrez] PHST- 2021/01/07 06:00 [pubmed] PHST- 2021/10/06 06:00 [medline] PHST- 2021/01/06 00:00 [pmc-release] AID - 1870060 [pii] AID - 10.1080/21623945.2020.1870060 [doi] PST - ppublish SO - Adipocyte. 2021 Dec;10(1):48-65. doi: 10.1080/21623945.2020.1870060.