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Brown fat activation reduces hypercholesterolaemia and protects from atherosclerosis development

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  • Jimmy F. P. Berbée

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Mariëtte R Boon

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • P. Padmini S. J. Khedoe

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Alexander Bartelt

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52
    Harvard School of Public Health, Boston, Massachusetts 02115, USA)

  • Christian Schlein

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Anna Worthmann

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Sander Kooijman

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Geerte Hoeke

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Isabel M. Mol

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Clara John

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Caroline Jung

    (Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Nadia Vazirpanah

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Linda P.J. Brouwers

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Philip L.S.M. Gordts

    (University of California–San Diego, La Jolla, California 92093, USA)

  • Jeffrey D. Esko

    (University of California–San Diego, La Jolla, California 92093, USA)

  • Pieter S. Hiemstra

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

  • Louis M. Havekes

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Leiden University Medical Center, Albinusdreef 2
    Netherlands Organization for Applied Scientific Research—Metabolic Health Research, Gaubius Laboratory, Zernikedreef 9)

  • Ludger Scheja

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Joerg Heeren

    (University Medical Center Hamburg-Eppendorf, Martinistraße 52)

  • Patrick C.N. Rensen

    (Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands
    Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, The Netherlands)

Abstract

Brown adipose tissue (BAT) combusts high amounts of fatty acids, thereby lowering plasma triglyceride levels and reducing obesity. However, the precise role of BAT in plasma cholesterol metabolism and atherosclerosis development remains unclear. Here we show that BAT activation by β3-adrenergic receptor stimulation protects from atherosclerosis in hyperlipidemic APOE*3-Leiden.CETP mice, a well-established model for human-like lipoprotein metabolism that unlike hyperlipidemic Apoe−/− and Ldlr−/− mice expresses functional apoE and LDLR. BAT activation increases energy expenditure and decreases plasma triglyceride and cholesterol levels. Mechanistically, we demonstrate that BAT activation enhances the selective uptake of fatty acids from triglyceride-rich lipoproteins into BAT, subsequently accelerating the hepatic clearance of the cholesterol-enriched remnants. These effects depend on a functional hepatic apoE-LDLR clearance pathway as BAT activation in Apoe−/− and Ldlr−/− mice does not attenuate hypercholesterolaemia and atherosclerosis. We conclude that activation of BAT is a powerful therapeutic avenue to ameliorate hyperlipidaemia and protect from atherosclerosis.

Suggested Citation

  • Jimmy F. P. Berbée & Mariëtte R Boon & P. Padmini S. J. Khedoe & Alexander Bartelt & Christian Schlein & Anna Worthmann & Sander Kooijman & Geerte Hoeke & Isabel M. Mol & Clara John & Caroline Jung & , 2015. "Brown fat activation reduces hypercholesterolaemia and protects from atherosclerosis development," Nature Communications, Nature, vol. 6(1), pages 1-11, May.
  • Handle: RePEc:nat:natcom:v:6:y:2015:i:1:d:10.1038_ncomms7356
    DOI: 10.1038/ncomms7356
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