Turning White Fat into Good FatNot all fat is bad for you. Unlike white fat,… +7 More
July 20, 2015
Health Sciences Interviewer: Turning unwanted white fat into good fat. We'll talk about that research next on The Scope. Announcer: Examining the latest research and telling you about the latest breakthroughs. The Science and Research Show is on The Scope. Interviewer: I'm talking with Dr. Claudio Villanueva. He's assistant professor in the Department of Biochemistry and an investigator in the Center for Diabetes and Metabolism at the University of Utah. He was just awarded a grant from the National Institutes of Health to investigate fat biology with an eye towards developing innovative approaches to the obesity problem. Dr. Villanueva, your work is looking at differences between white fat and brown fat. I think a lot of people may not really know what brown fat is. Can you talk about that? Dr. Villanueva: Sure. There are two different types of fat cells that are known as white and brown fat and the white fat is probably most known to people because the white fat cells can store lots of energy. When you consume excess calories that extra energy goes to your white fat cells and is stored at lipids. And over time these white fat cells increase in size and they also increase in number. They are the ones that you would sort of point to when you look at someone who is obese or overweight, they have lots of white fat. Brown fat on the other hand, its function is to generate heat to use that lipid and turn that chemical energy into heat. This process consumes a lot of energy. Interviewer: So brown fat, is that something that you and I have normally? Dr. Villanueva: Yes, adults have brown adipose tissue, some more than others. There is this correlation that obese individuals have less brown adipose tissue and individuals that are lean tend to have more. There's this correlation with obesity and diabetes as well where individuals that are protected against diabetes tend to have more brown fat. Interviewer: So brown fat is kind of a good fat in a way. Dr. Villanueva: That's right Interviewer: Part of your project is to investigate how to convert white fat into brown fat, right? First of all why would you want to do that? Dr. Villanueva: If we can turn on mechanisms that switches the balance from energy storage to energy expenditure this could be a therapeutic target to combat obesity. And there are these other types of fats cells called beige fat cells. They behave just like brown fat cells, they're thermogenic, they consume lots of energy, but typically they appear in the white adipose tissue or the white fat cells after prolonged cold exposure, so several days of cold exposure. Interviewer: If your goal is to turn white fat cells into beige fat cells, I imagine first you need to do is understand what goes on within the cell in order to make that happen. What do we know about that, have you found out? Dr. Villanueva: We've been interested in understanding how different types of fat cells are programmed and we found an auxiliary factor that works with a central transcription factor that makes all fat cells. And this auxiliary factor programs cells to become white fat cells. And it turns out that this auxiliary factor, if you inhibit it, if you knock it out in mice, or if you delete it in mice I should say, this results in a switch from storing energy to burning energy and this results in the appearance of more beige adipocytes. So the way we're thinking about this is if we can find ways to inhibit this molecule, it's called TLA3, we might be able to shift the balance towards energy expenditure and have more beige adipocytes. Interviewer: So where are you taking this research now? Dr. Villanueva: We're trying to understand the molecular action between this auxiliary factor TLA3 and another factor called PRDM16. PRDM16 is important in making brown fat cells and we have some evidence that TLA3 is able to inhibit the activity of PRDM16. These auxiliary factors are talking to one other in a sense. Understanding how this crosstalk is occurring, we may be able to identify ways of inhibiting that negative interaction between TLA3 AND PRDM16. And to do that we really need to understand how this molecular interaction occurs. We've also identified a new player that may be able to disrupt this interaction in cells and this factor is called AES and it's induced with prolonged cold exposure in rodents during the time when these beige adipocytes appear. What we think might be happening is that AES is turned on to prevent interaction between these two auxiliary factors and allow the activation of the beige program. Interviewer: So what have you seen in mice so far? What kind of manipulations have you done and which ones sort of makes the biggest impact? Dr. Villanueva: One of the impacts that we've seen so far is that in mice that lack TLA3 and adipose tissue, we see pockets of these beige adipocytes. And so now what we're doing is studying the physiological consequence of that. We know that beige adipocytes consume glucose and lipids and so if they consume glucose, we might be able to see effects on glucose metabolism which has implications for diabetes. One of the findings that we've had is that these knockout mice have improvements in glucose when we challenge them with prolonged cold exposure. Interviewer: The ultimate goal is to get I would imagine, the best conversion from white fat to beige fat. Dr. Villanueva: As far as developing therapeutics, the way that we're thinking about it is that it's oftentimes easier to make a drug that will be able to inhibit a pathway rather than activate it. So since we know that TLA3 is able to inhibit this beige program, the idea would be to inhibit the actions of TLA3. We're starting to develop assays to be able to do that and to search for drugs to disrupt this interaction. So I think there are going to be two ways to do this effectively and one way is to reprogram the cells and the other way is to stimulate these cells. They need to be activated and so typically they're activated with cold or they can be activated with drugs that activate the Beta 3 adrenergic receptor. One way to do this is if you could find sort of common [inaudible 00:07:18] therapies that would reprogram cells and then also activate these cells then you would have highly active beige fat cells that are metabolizing glucose and metabolizing lipids. The average American puts on about a pound of fat, which is around 3500 calories. Interviewer: A pound of fat per...? Dr. Villanueva: Per year. Interviewer: Per year. Dr. Villanueva: A pound of fat doesn't sound like a lot in a year. And if you break down those 3500 calories over days it's about 10 calories a day that you're consuming in excess of what you're burning. And so if you can have small effects on energy expenditure which would consume those calories you might be able to prevent the average weight gain that most Americans have. Announcer: Interesting, informative, and all in the name of better heath. This is the Scope Health Sciences Radio. |
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Pancreas 101You may know the pancreas as the organ that… +7 More
January 28, 2014
Family Health and Wellness Interviewer: This is Pancreas 101. What does it do? What can go wrong, and what can you do about it? That's coming up next on the Scope. Announcer: Medical news and research from the University of Utah, physicians and specialists that you can use for a happier and healthier life. You're listening to the Scope. Interviewer: All right. Time to learn your pancreas basics with Dr. Jeffrey Campsen from the University of Utah, First of all, let's start out with what is the pancreas? Dr. Jeffrey Campsen: The pancreas is an endocrine exocrine organ, and what that basically means is it sits in the middle of your abdomen, and it secretes hormones and different substances into the bloodstream but also into the intestines. People know it mostly as the organ that secretes insulin which then controls your glucose or your sugar. And if you don't have that, you become a diabetic. But it does a lot of other functions that helps with digestion of food and regulation of the body's means to produce energy through the breakdown of sugar. Interviewer: So a pretty important organ. Dr. Jeffrey Campsen: It's a very important organ in the sense that you could live without it, but it's very difficult to live without it, and you can't live without it without supplementation of the products that it produces. Interviewer: And what problems can arise with the pancreas, and are they just naturally occurring or is it lifestyle oriented? Dr. Jeffrey Campsen: It's both. First, some people are born with deficiencies in their pancreas. They're most known as Type 1 Diabetics where early on as a child it's found that the pancreas actually doesn't work particularly right. Many people believe that it's an autoimmune disorder where the body is actually attacking the pancreas. It works maybe at birth, but sometime in the next ten years the body actually attacks it and it fails. And then they become a diabetic from that. There's also you can damage your pancreas by treating your body poorly through alcohol, drug use, different substances that you put into your body can actually destroy your pancreas. Then ultimately you become a diabetic, or a pancreas cripple from that standpoint. And then other types of infection can actually ruin the pancreas. It's attached to your liver through a series of ducts, and if you have liver disease or gallbladder disease, that can actually damage your pancreas and cause pancreatitis which then pancreatitis then heals from that, scars, and slowly becomes fibrotic and also stops working. Interviewer: Let's get back to the lifestyle. So how do you really have to abuse your pancreas before it's going to stop working? Dr, Jeffrey Campsen: I don't think very much actually. I think to get to the point where it's completely burnt out, that's probably years worth of abuse to the pancreas. But everybody's built differently, and some people are much more susceptible to alcohol or different type substances and can damage their pancreas. Whereas other people are built in a way that they can tolerate it more. So you don't know until it's too late whether or not those substances have hurt you to the point where you can't recover from that. Interviewer: And what are some of the symptoms then of a pancreas not functioning? What would I experience? Dr. Jeffrey Campsen: I think acutely, meaning immediately, if there's a problem you would have intense abdominal pain, nausea probably, vomiting. Over the long-term, it sneaks up upon you insidiously with feeling very lethargic, tired, off. And that's basically showing an imbalance of your ability to regulate your sugar. So what you're actually having is very high sugar levels in your blood creating a feeling of basically feeling sick. Then, a lot of these patients go to the doctor. They find out that their sugar which should be maybe at a level of 100 is actually at a level of 600 which actually ultimately can be life threatening. Some people are actually found in a coma before they realize what has happened. And at that point you may not actually come out of that coma. Interviewer: What type of life do you have if your pancreas fails you? Dr. Jeffrey Campsen: It's a very difficult life. If your pancreas fails you, you become what they call a "brittle diabetic." Not only can you control your sugars going into high, but then if you add insulin they can actually go very low. And your pancreas keeps your sugars from going too low. If your sugars go too low, the cells in your body can't work, including the cells in your brain that allow you to breathe and your heart to beat. And so it can become fatal. Interviewer: And what about other lifestyle considerations, like are you going to have to carry a piece of equipment around with you? Dr. Jeffrey Campsen: Many patients are able to regulate their sugar with something called an insulin pump. And this pump basically then reads your sugar levels and then doses insulin in. Some patients are able to do it with just pills. I think it depends on the type of diabetes that you ultimately have, meaning there's Type 1 where you don't really produce any insulin and then Type 2 where you actually produce insulin but you're resistant to it. To get back to what you were saying as far as lifestyle, the Type 2 diabetics that actually produce insulin but are resistant to it are the patients that you want to counsel to lose weight. Obesity is one of the major health issues in the world today, and the people that are overweight ultimately are hurting their pancreases. Their pancreases can't handle the weight, and then they become a Type 2 diabetic. Interviewer: And finally, what's your final thought for somebody listening to this when it comes to the pancreas? Dr. Jeffrey Campsen: I think basically the healthier your body is the better the organs that you house are going to do. And so if you want to live a long time, you have to treat your body well, which is an old concept but it still holds true. Announcer: We're your daily dose of science, conversation, medicine. This is the Scope, University of Utah Health Sciences Radio. |
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