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Imaging Metabolically Active Fat: A Literature Review and Mechanistic Insights
Journal article   Open access   Peer reviewed

Imaging Metabolically Active Fat: A Literature Review and Mechanistic Insights

Joseph Frankl, Amber Sherwood, Deborah J. Clegg, Philipp E. Scherer and Orhan K. Oz
International journal of molecular sciences, v 20(21), p5509
01 Nov 2019
PMID: 31694216
url
https://www.mdpi.com/1422-0067/20/21/5509/pdf?version=1572944297View
Published, Version of Record (VoR) Open
url
https://doi.org/10.3390/ijms20215509View
Published, Version of Record (VoR) Open

Abstract

Biochemistry & Molecular Biology Chemistry Chemistry, Multidisciplinary Life Sciences & Biomedicine Physical Sciences Science & Technology
Currently, obesity is one of the leading causes death in the world. Shortly before 2000, researchers began describing metabolically active adipose tissue on cancer-surveillance F-18-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) in adult humans. This tissue generates heat through mitochondrial uncoupling and functions similar to classical brown and beige adipose tissue in mice. Despite extensive research, human brown/beige fat's role in resistance to obesity in humans has not yet been fully delineated. FDG uptake is the de facto gold standard imaging technique when studying brown adipose tissue, although it has not been rigorously compared to other techniques. We, therefore, present a concise review of established and emerging methods to image brown adipose tissue activity in humans. Reviewed modalities include anatomic imaging with CT and magnetic resonance imaging (MRI); molecular imaging with FDG, fatty acids, and acetate; and emerging techniques. FDG-PET/CT is the most commonly used modality because of its widespread use in cancer imaging, but there are mechanistic reasons to believe other radiotracers may be more sensitive and accurate at detecting brown adipose tissue activity. Radiation-free modalities may help the longitudinal study of brown adipose tissue activity in the future.

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14 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Biochemistry & Molecular Biology
Chemistry, Multidisciplinary
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