Clinical trial
The Physiology of Human Brown Adipose Tissue
Recruiting now · Not applicable · 1 countries · Registry ID NCT04352244
What this study is about
Brown fat is a type of fat, found in both children and adults, which can produce heat and regulate the body's metabolism and energy use. White fat is the more common type of fat which is used to store extra calories. Understanding more about differences between brown and white fat may allow us to develop new approaches to improve the body's metabolism.
Basic eligibility
Full registry criteria
Treatments and study arms
Fat biopsy
The fat biopsy is performed during a scheduled procedure at the Beth Israel Deaconess Medical Center (BIDMC). Routine preoperative procedures will be followed, including local anesthesia (numbing a particular region of the body) or general anesthesia (being put to sleep). Adipose tissue will be sampled from different depots depending on the procedure. For example, the surgeon will collect adipose tissue from the neck and supraclavicular depots from cervical spine, thyroid, and parathyroid procedures; perinephric fat from adrenalectomies, omental fat from abdominal procedures, and paraspinal fat from lumbar spine procedures. Up to 5 pieces of fat tissue weighing about three to six grams will be removed. All other aspects of the surgical procedure will proceed as planned. Samples will be prepared for subsequent laboratory analysis.
Blood sampling
A blood sample will be collected in the fasting state either during preoperative testing or in the preoperative area on the day of planned procedure for measurement of adipose functional markers (leptin, adiponectin) and insulin resistance (insulin, C-peptide), and measures of glycemia (glucose, hemoglobin A1c).
Blood sample for DNA analysis
Targeted resequencing of DNA to identify variants associated with adipose phenotypes will be performed.
Primary outcomes
Adipose tissue biopsy samples will be processed for single-nucleus RNA analysis of gene expression.
Adipose tissue biopsy samples will be processed for Raman spectroscopy analysis.
Adipose tissue biopsy samples will be processed for ex vivo differentiation.
Insulin resistance of participants, assessed by homeostatic model of insulin resistance (HOMA-IR), will be analyzed and summarized.
Hemoglobin A1c levels for participants will be analyzed and summarized.
Fasting glucose levels for participants will be analyzed and summarized.
Weight and height will be combined to report BMI in kg/m\^2. BMI of participants will be analyzed and summarized.
Demographic characteristics of participants will be analyzed and summarized.
Study locations
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