Obesity has reached epidemic proportions in all age groups, and is more pronounced in the elderly. Obesity is the most prominent risk factor for insulin resistance, type 2 diabetes, and cardiovascular disease. Obesity is centered in adipose tissues, which are designated as either energy-storing white adipose tissue (WAT) or energyburning brown adipose tissue (BAT). Emerging evidences show that non-shivering thermogenesis plays a crucial role in regulation of energy homeostasis in both rodents and humans [1][2][3]. Thermogenesis positively correlates with energy expenditure, but negatively correlates with body fat. Dysfunction of thermogenesis decreases energy expenditure, promoting obesity. Aging is associated with severe thermogenic impairment. PET/CT scans show that BAT declines 95% in mass and 75% in activity in old men compared to young men [2]. Beside the classical brown adipocytes present in BAT, brown-adipocyte-like "beige" cells residing in WAT also have thermogenic properties [3]. Aging is associated with programmed loss of "beige" cells [4]. Animal studies reveal that thermogenic activation in brown and beige adipocytes protects against obesity. These discoveries suggest that pharmacologically activating thermogenesis might be a powerful means of combating age-associated obesity. However, currently little is known about thermogenic regulation during aging.WAT and BAT have distinct characteristics and functions. WAT stores energy as triglycerides in large unilocular lipid droplets; WAT supplies energy to the body via lipolysis. In contrast, BAT contains adipocytes with multi-locular lipid droplets and high-density mitochondria; BAT consumes energy to produce heat [1]. Upon cold or diet challenge, nerve endings of the sympathetic nervous system (SNS) release norepinephrine (NE) to activate β3-adrenergic receptors (β3-AR) in brown adipocytes. The β3-AR signaling activates protein kinase A (PKA), which then phosphorylates hormone-sensitive lipase (HSL) to increase lipolysis of lipid droplets; this results in release of glycerol and free fatty acids (FFA). Uncoupling protein 1 (UCP1) is the hallmark regulator of thermogenesis. FFA activates UCP1 in mitochondria to pump protons into the mitochondrial matrix to dissipate heat [1].Ghrelin is the only known circulating orexigenic hormone; it promotes meal initiation, adiposity, and insulin resistance. The dogmatic view is that ghrelin regulates
EditorialFigure 1: Schematic diagram of GHS-R mediated thermogenic regulation in brown adipocytes. GHS-R may regulate thermogenesis in BAT via the following signaling pathways: 1) Ablation of GHS-R stimulates SNS-mediated NE release, which in turn induces β3-AR expression, subsequently activating thermogenic signaling cascades in BAT. This involves activation of thermogenic signaling pathway PKA-CREB-UCP1 and lipolytic pathway PKA-HSL-UCP1. 2) Ablation of GHS-R enhances increases DNA and protein synthesis of mitochondria, thus increasing mitochondrial biogenesis. 3) Ablation of GHS-R augments mitochondrial dynamics, enha...