Obesity doubles the risk of dying from a cardiovascular-related event and affects about 1 in 3 people in the Western world. Despite recent progress in developing anti-obesity drugs, these medications present side-effects and are not equally efficient nor easily accessible for all. Increasing the spectrum of drugs for personalized treatment strategies is therefore warranted.
The central nervous system (CNS) plays a major role in obesity by regulating appetite based on feedback systems from peripheral organs, including adipose tissue. The neuronal connections between adipose tissue and the CNS include sympathetic motor neurons as well as sensory neurons in the adipose tissue and a bidirectional interconnection between white and brown adipose tissue. White adipose tissue also communicates its energetic state to the CNS via adipokines e.g. Leptin, while mutations in this gene result in severe obesity, which can be cured by supplying recombinant Leptin protein. Less is known about endocrine feedback mechanism arising from brown adipose tissue (BAT), whereas the concept of so-called batokines is increasingly recognized. BAT is a heat-producing, energy-consuming subtype of adipose tissue. Importantly, people with a retained ability to activate their BAT are less prone to develop diabetes and other cardiometabolic diseases even when living with obesity. Exploring the BAT-brain axis therefore holds great promise in identifying novel drug candidates for counteracting the development of cardiometabolic diseases, which would be a valuable health gain for society world-wide.
In conclusion, we investigate the endocrine BAT-brain axis to delineate BAT’s role in the neuroendocrine regulation of feeding behavior. Our overall hypothesis is that the energetic state of BAT is communicated to the CNS, via batokines, to mediate appetite control (Figure 1). The overall objective is to discover novel appetite-regulating circuits controlled by batokines via the crosstalk between BAT and CNS. We are interested in signaling molecules from BAT that act in an endocrine fashion, or act in a paracrine fashion on nerve ends, in turn affecting dorsla root ganglia and modulating the innervation of BAT. Among batokines candidate molecules, we primarily focus on peptides and small proteins. Peptides have previously proven to be powerful in mediating endocrine crosstalk and our strategy allows for the discovery of unknown molecules.