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The metabolic and functional roles of sensory nerves in adipose tissues

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NATURE METABOLISM
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NATURE PORTFOLIO
DOI: 10.1038/s42255-023-00868

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The homeostatic regulation of adipose tissue is crucial for maintaining energy balance and overall metabolism. While most research has focused on sympathetic nerves and norepinephrine, recent studies have shed light on the contributions of sensory nerves and neuropeptides to adipose tissue functions. This article provides an overview of the regulation, function, and plasticity of adipose tissue sensory nerves, highlighting their roles in important metabolic processes such as lipolysis and vascular control.
Homeostatic regulation of adipose tissue is critical for the maintenance of energy balance and whole-body metabolism. The peripheral nervous system provides bidirectional neural communication between the brain and adipose tissue, thereby providing homeostatic control. Most research on adipose innervation and nerve functions has been limited to the sympathetic nerves and their neurotransmitter norepinephrine. In recent years, more work has focused on adipose sensory nerves, but the contributions of subsets of sensory nerves to metabolism and the specific roles contributed by sensory neuropeptides are still understudied. Advances in imaging of adipose innervation and newer tissue denervation techniques have confirmed that sensory nerves contribute to the regulation of adipose functions, including lipolysis and browning. Here, we summarize the historical and latest findings on the regulation, function and plasticity of adipose tissue sensory nerves that contribute to metabolically important processes such as lipolysis, vascular control and sympathetic axis cross-talk. Mishra and Townsend present an overview of the regulation, function and plasticity of adipose tissue sensory nerves that are relevant for metabolic processes in health and disease.

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