White-brown adipose tissue interplay in polycystic ovary syndrome: Therapeutic avenues

Biochem Pharmacol. 2024 Feb:220:116012. doi: 10.1016/j.bcp.2023.116012. Epub 2023 Dec 29.

Abstract

This study highlights the therapeutic potential of activating brown adipose tissue (BAT) for managing polycystic ovary syndrome (PCOS), a prevalent endocrine disorder associated with metabolic and reproductive abnormalities. BAT plays a crucial role in regulating energy expenditure and systemic insulin sensitivity, making it an attractive target for the treatment of obesity and metabolic diseases. Recent research suggests that impaired BAT function and mass may contribute to the link between metabolic disturbances and reproductive issues in PCOS. Additionally, abnormal white adipose tissue (WAT) can exacerbate these conditions by releasing adipokines and nonesterified fatty acids. In this review, we explored the impact of WAT changes on BAT function in PCOS and discussed the potential of BAT activation as a therapeutic strategy to improve PCOS symptoms. We propose that BAT activation holds promise for managing PCOS; however, further research is needed to confirm its efficacy and to develop clinically feasible methods for BAT activation.

Keywords: Adipokines; Adipose tissue; Female infertility; Nonesterified fatty acids; Polycystic ovary syndrome.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / metabolism
  • Adipose Tissue, Brown / metabolism
  • Adipose Tissue, White / metabolism
  • Female
  • Humans
  • Insulin Resistance* / physiology
  • Obesity / metabolism
  • Polycystic Ovary Syndrome* / complications
  • Polycystic Ovary Syndrome* / drug therapy
  • Polycystic Ovary Syndrome* / metabolism