During our study of the reversal of seasonal obesity in Siberian hamsters, we found an interaction between receptors for the pineal hormone melatonin and the sympathetic nervous system (SNS) outflow from brain to white adipose tissue (WAT). This ultimately led us and others to conclude that the SNS innervation of WAT is the primary initiator of lipid mobilization in these as well as other animals, including humans. There is strong neurochemical (norepinephrine turnover), neuroanatomical (viral tract tracing), and functional (sympathetic denervation-induced blockade of lipolysis) evidence for the role of the SNS in lipid mobilization. Recent findings suggest the presence of WAT sensory innervation based on strong neuroanatomical (viral tract tracing, immunohistochemical markers of sensory nerves) and suggestive functional (capsaicin sensory denervation-induced WAT growth) evidence, the latter implying a role in conveying adiposity information to the brain. By contrast, parasympathetic nervous system innervation of WAT is characterized by largely negative neuroanatomical evidence (viral tract tracing, immunohistochemical and biochemical markers of parasympathetic nerves). Functional evidence (intraneural stimulation and in situ microdialysis) for the role of the SNS innervation in lipid mobilization in human WAT is convincing, with some controversy regarding the level of sympathetic nerve activity in human obesity.-Bartness, T. J., and C. K. Song. Sympathetic and sensory innervation of white adipose tissue. J. Lipid Res. 2007. 48: 1655-1672.
Supplementary key words obesityObesity is a disease of literally and figuratively enormous proportions (1, 2) and is an independent risk factor for type II diabetes, cardiovascular disease, stroke, and some cancers (3-5). Estimates of the mortality rate of overweight/obese individuals range from ?325,000 deaths per year (6) to as low as ?26,000 (7), making overweight/ obesity either the number two or number seven cause of death in adults in the United States, respectively. Considerable research effort has focused on determining the factors involved in the development of obesity in nonhuman animals; consequently, our understanding of these is substantial, but still far from complete. Somewhat surprisingly, less effort has focused on determining the factors involved in the reversal of obesity in nonhuman animals. We have contributed to these latter efforts by studying the reversal of a naturally occurring seasonal obesity in Siberian hamsters (Phodopus sungorus). In the process of conducting this work, we discovered the importance of the sympathetic nervous system (SNS) in lipid mobilization from white adipose tissue (WAT) as well as more recently realizing the possible importance of the sensory innervation of WAT. Several overviews of the role of the SNS in lipid mobilization were published recently (8-11). To give a better understanding of how we came to the realization that lipid mobilization occurs primarily through the sympathetic innervation of WAT, we will descri...