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Different end-stage diseases and various cancers are associated with cachexia, a complex condition of adipose and skeletal muscle tissue wasting. One of the factors that contributes to energy wasting in cachexia is browning of white adipose tissue (WAT), a phenomenon in which pools of brown adipocytes are generated within WAT. Brown adipocytes consume glucose and fatty acids and dissipate energy as heat by uncoupled respiration. Zinc-α2-glycoprotein (ZAG) is a soluble protein and its levels are elevated in the serum of various cancer patients. To understand the consequence of elevated circulating levels of ZAG, we generated and implanted ZAG-overexpressing cells in mice, and investigated its effect on adipose tissue metabolism. In this study, we demonstrated that ZAG induces WAT browning in mice. ZAG activated PPARγ/Ebf2/Prdm16 signaling pathway which determines brown cell fate. Therefore, inhibition of ZAG might be a promising strategy to block WAT browning-associated energy wasting in cachexia.

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This page is a summary of: The tumor secretory factor ZAG promotes white adipose tissue browning and energy wasting, The FASEB Journal, March 2018, Wiley,
DOI: 10.1096/fj.201701465rr.
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