[PDF][PDF] Stimulation of the beta-2-adrenergic receptor with salbutamol activates human brown adipose tissue

ME Straat, CA Hoekx, FHP van Velden… - Cell Reports …, 2023 - cell.com
ME Straat, CA Hoekx, FHP van Velden, LMP Arias-Bouda, L Dumont, DP Blondin, MR Boon…
Cell Reports Medicine, 2023cell.com
While brown adipose tissue (BAT) is activated by the beta-3-adrenergic receptor (ADRB3) in
rodents, in human brown adipocytes, the ADRB2 is dominantly present and responsible for
noradrenergic activation. Therefore, we performed a randomized double-blinded crossover
trial in young lean men to compare the effects of single intravenous bolus of the ADRB2
agonist salbutamol without and with the ADRB1/2 antagonist propranolol on glucose uptake
by BAT, assessed by dynamic 2-[18 F] fluoro-2-deoxy-D-glucose positron emission …
Summary
While brown adipose tissue (BAT) is activated by the beta-3-adrenergic receptor (ADRB3) in rodents, in human brown adipocytes, the ADRB2 is dominantly present and responsible for noradrenergic activation. Therefore, we performed a randomized double-blinded crossover trial in young lean men to compare the effects of single intravenous bolus of the ADRB2 agonist salbutamol without and with the ADRB1/2 antagonist propranolol on glucose uptake by BAT, assessed by dynamic 2-[18F]fluoro-2-deoxy-D-glucose positron emission tomography-computed tomography scan (i.e., primary outcome). Salbutamol, compared with salbutamol with propranolol, increases glucose uptake by BAT, without affecting the glucose uptake by skeletal muscle and white adipose tissue. The salbutamol-induced glucose uptake by BAT positively associates with the increase in energy expenditure. Notably, participants with high salbutamol-induced glucose uptake by BAT have lower body fat mass, waist-hip ratio, and serum LDL-cholesterol concentration. In conclusion, specific ADRB2 agonism activates human BAT, which warrants investigation of ADRB2 activation in long-term studies (EudraCT: 2020-004059-34).
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