Adipose tissue and age‑dependent insulin resistance: New insights into WAT browning (Review)

Int J Mol Med. 2021 May;47(5):71. doi: 10.3892/ijmm.2021.4904. Epub 2021 Mar 11.

Abstract

Insulin resistance (IR) is defined as impaired insulin function, reduced glucose uptake and increased glucose production, which can result in type II diabetes, metabolic syndrome and even bone metabolic disorders. A possible reason for the increasing incidence of IR is population aging. Adipose tissue (AT) is an important endocrine organ that serves a crucial role in whole‑body energy homeostasis. AT can be divided into white AT (WAT), beige AT and brown AT (BAT). Several mechanisms have been previously associated with age‑dependent IR in WAT. However, BAT, a metabolically active tissue, controls the levels of plasma glucose and triglyceride metabolism. Therefore, the present review aimed to summarize the mechanisms of age‑dependent IR induced by AT and to determine the role of WAT browning in achieving positive therapeutic outcomes in age‑dependent IR.

Keywords: insulin resistance; aging; white adipose tissue; brown adipose tissue; type II diabetes.

Publication types

  • Review

MeSH terms

  • Adipose Tissue, Brown / metabolism*
  • Adipose Tissue, White
  • Aging / metabolism*
  • Animals
  • Energy Metabolism*
  • Humans
  • Insulin Resistance*

Grants and funding

The present study was supported by grants from the National Natural Science Foundation of China (grant no. 81802169) and Shanghai Sailing Program (grant no. 18YF1413900).