Recent developments in natural products for white adipose tissue browning

Chin J Nat Med. 2020 Nov;18(11):803-817. doi: 10.1016/S1875-5364(20)60021-8.

Abstract

Excess accumulation of white adipose tissue (WAT) causes obesity which is an imbalance between energy intake and energy expenditure. Obesity is a serious concern because it has been the leading causes of death worldwide, including diabetes, stroke, heart disease and cancer. Therefore, uncovering the mechanism of obesity and discovering anti-obesity drugs are crucial to prevent obesity and its complications. Browning, inducing white adipose tissue to brown or beige (brite) fat which is brown-like fat emerging in WAT, becomes an appealing therapeutic strategy for obesity and metabolic disorders. Due to lack of efficacy or intolerable side-effects, the clinical trials that promote brown adipose tissue (BAT) thermogenesis and browning of WAT have not been successful in humans. Obviously, more specific means still need to be developed to activate browning of white adipose tissue. In this review, we summarized seven kinds of natural products (alkaloids, flavonoids, terpenoids, long chain fatty acids, phenolic acids, else and extract) promoting white adipose tissue browning which can ameliorate the metabolic disorders, including obesity, dislipidemia, insulin resistance and diabetes. Since natural products are important drug sources and the browning property plays a significant role in not only obesity treatment but also in type 2 diabetes (T2DM) improvement, natural products of inducing browning may be an irreplaceable drug discovery orientation for obesity, diabetes and even other metabolic disorders.

Keywords: Brown adipose tissue; Browning; Natural products; Obesity; White adipose tissue.

Publication types

  • Review

MeSH terms

  • Adipose Tissue, Brown / drug effects
  • Adipose Tissue, Brown / physiology*
  • Adipose Tissue, White / drug effects
  • Adipose Tissue, White / physiology*
  • Anti-Obesity Agents / pharmacology
  • Biological Products / pharmacology*
  • Diabetes Mellitus, Type 2 / drug therapy
  • Drug Discovery
  • Energy Metabolism
  • Humans
  • Obesity / drug therapy
  • Phytochemicals / pharmacology
  • Thermogenesis

Substances

  • Anti-Obesity Agents
  • Biological Products
  • Phytochemicals