Clinical trial NCT03359824: Brown Adipose Tissue Activation: Effect of Exercise Training and Irisin
Official title: Brown Adipose Tissue Activation: Effect of Exercise Training and Irisin
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Activity
Keywords: exercise, brown adipose tissue
Lead sponsor: Turku University Hospital
Sponsor class: OTHER_GOV
First posted: 2017-12-02
Enrollment: 11
Sex: MALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: BASIC_SCIENCE

Brief summary: This study investigates the brown adipose tissue (BAT) activation and metabolism using positron emission tomography (PET) imaging before and after exercise training intervention at fasting state under normal room temperature and during cold stimulation.The investigators hypothesize that BAT glucose uptake is increased after exercise and BAT becomes metabolically more active.

Understanding the mechanisms of BAT activation and the role of exercise in humans is crucial to combat epidemic of obesity and diabetes.

Detailed description: Exercise training has been suggested to activate and recruit human BAT through the activation of sympathetic nervous system and contracting skeletal muscles by the release of myokines such as lactate and irisin that signal WAT to induce expression of beige adipocytes. It has been also suggested that exercise training could enhance the metabolism of already existed functional BAT by increasing uncoupling protein-1 (UCP-1) gene transcription, mitochondrial biogenesis and hyperplasia. This is of clinical relevance because brown fat activation has been found to improve metabolic factors linked to obesity and diabetes.

In this study the investigators use a PET radiotracer 2-\[18F\] flouro-2-deoxy-D-glucose (FDG) to quantify the glucose uptake in BAT, whie adipose tissue and the muscle.The participants are scanned thrice at fast in this study once at room temperature, second at cold exposure and third after six weeks of exercise at cold exposure. This study will provide an insight about the role of exercise in activation of BAT metabolism.

Eligibility criteria: Inclusion Criteria:

* Healthy sedentary volunteer

  1. BMI 20-25 kg/m2
  2. Age: 18-45 years
  3. No chronic diseases

Exclusion Criteria:

1. BMI \< 20 kg/m2 or BMI \> 25 kg/m2
2. Mental disorder or poor compliance
3. Eating disorder or excessive use of alcohol or tobacco smoking
4. Any chronic disease
5. Past dose of radiation
6. Presence of any ferromagnetic objects that would make MR imaging contraindicated
7. Physically disability which rule out the physical fitness tests or participation in the exercise training intervention
8. Any other condition that in the opinion of the investigator could create a hazard to the subject safety, endanger the study procedures or interfere with the interpretation of study results

Primary outcomes:
measure: Cold-induced glucose uptake in BAT after exercise
timeFrame: Within one study day
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Turku UH
name: Pirjo Nuutila, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: