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Reversible physiological transdifferentiation in the adipose organ

2009/08/24 by Saverio Cinti · 89 citations
Medicine · Neuroscience · #Adipocyte #Adipokines, Inflammation, and Metabolic Diseases #Adipose Tissue and Metabolism #Adipose tissue #Biology #Brown adipose tissue #Cell biology #Endocrinology #Genetics #Internal medicine #Lactation #Mammary gland #Medicine #Pregnancy #Regulation of Appetite and Obesity #Stem cell #Transdifferentiation #White adipose tissue

paper · pdf · doi:10.1017/s0029665109990140

published in Proceedings of The Nutrition Society 68(4), 340-349 (Cambridge University Press)

openalex publication_date 2009/08/24 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

All mammals are provided with two distinct adipose cells, white and brown adipocytes. White adipocytes store lipids to provide fuel to the organism, allowing intervals between meals. Brown adipocytes use lipids to produce heat. Previous descriptions have implied their localization in distinct sites of the body; however, it has been demonstrated that they are present together in many depots, which has led to the new concept of the adipose organ. In order to explain their coexistence the hypothesis of reversible physiological transdifferentiation has been developed, i.e. they are contained together because they are able to convert, one into the other. In effect, if needed the brown component of the organ could increase at the expense of the white component and vice versa. This plasticity is important because the brown phenotype of the organ is associated with resistance to obesity and its related disorders. A new example of reversible physiological transdifferentiation of adipocytes is offered by the mammary gland during pregnancy, lactation and post-lactation stages. The gravidic hormonal stimulus seems to trigger a transdifferentiation of adipocytes into milk-producing and secreting epithelial glands. In the post-lactation period some of the epithelial cells of the mammary gland seem to transdifferentiate into adipocytes. Recent unpublished results suggest that explanted adipose tissue, as well as explanted isolated mature adipocytes, is able to transdifferentiate into glands with epithelial markers of milk-secreting mammary glands. These findings, if confirmed, seem to suggest new windows into the cell biology frontiers of adipocytes.

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