Brown fat may warm us up at dawn

"Marked day-to-day glucose variations have been proposed to be a precursor of diabetes," says lead author Paul Lee, a clinician scientist and endocrinologist at the Garvan Institute of Medical Research in Australia. "For modern humans who do not rely on it for cold protection, the energy-consuming brown fat rhythm may act as a glucose buffer, smoothing glucose fluctuations and lessening the stress on the pancreas."

In the survival hierarchy, the maintenance of the body's core temperature trumps the need for food and water. In response to cold temperatures, brown fat consumes a large quantity of glucose and lipids as a fuel source for generating heat and keeping the body warm. By the same token, cold-induced activation of brown fat burns calories and lowers glucose levels, thereby protecting animals against obesity and diabetes. But it has not been clear whether brown fat regulates glucose levels in the absence of cold exposure.

While investigating this question, Lee and his team discovered that human brown fat cells show circadian fluctuations in glucose consumption. In brown fat tissue samples from surgical patients, genes involved in glucose uptake showed rhythmic fluctuations in their activity levels, with rises occurring during the pre-waking period. The findings provide new insight into the role of brown fat in regulating metabolic activity, above and beyond its chief role in heat production.

The researchers also discovered, in a sample of 15 healthy that individuals with a high abundance of brown fat showed less variability in their glucose levels over a 12-hour period than did individuals with relatively little brown fat. A major hallmark of diabetes is large fluctuations in glucose levels, which increase the risk of complications such as visual impairments, cardiovascular disease, kidney disease, and neurological problems.

The authors urge caution about the clinical implications of these findings. "While interesting and promising, brown fat is not the solution to finding a cure for diabetes, at least not now," Lee says. "A balanced diet and regular exercise are the cornerstones of healthy metabolism and should not be forgotten."

In future studies, the researchers plan to examine whether the brown fat rhythm exists in people with diabetes or related metabolic disorders. They will also investigate in greater detail how the brown fat rhythm communicates with the rest of the body to control metabolism. "Pinpointing what switches on this brown fat rhythm may identify new targets in drug design," he says. "This will open new avenues to harness this glucose-response brown fat rhythm for potential therapeutic purposes."