Potential links between brown adipose tissue, circadian dysregulation, and suicide risk

Circadian desynchronizations are associated with psychiatric disorders as well as with higher suicidal risk. Brown adipose tissue (BAT) is important in the regulation of body temperature and contributes to the homeostasis of the metabolic, cardiovascular, skeletal muscle or central nervous system. B...

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Main Authors: Jan Sarlon, Timo Partonen, Undine E. Lang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1196029/full
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author Jan Sarlon
Timo Partonen
Undine E. Lang
author_facet Jan Sarlon
Timo Partonen
Undine E. Lang
author_sort Jan Sarlon
collection DOAJ
description Circadian desynchronizations are associated with psychiatric disorders as well as with higher suicidal risk. Brown adipose tissue (BAT) is important in the regulation of body temperature and contributes to the homeostasis of the metabolic, cardiovascular, skeletal muscle or central nervous system. BAT is under neuronal, hormonal and immune control and secrets batokines: i.e., autocrine, paracrine and endocrine active substances. Moreover, BAT is involved in circadian system. Light, ambient temperature as well as exogen substances interact with BAT. Thus, a dysregulation of BAT can indirectly worsen psychiatric conditions and the risk of suicide, as one of previously suggested explanations for the seasonality of suicide rate. Furthermore, overactivation of BAT is associated with lower body weight and lower level of blood lipids. Reduced body mass index (BMI) or decrease in BMI respectively, as well as lower triglyceride concentrations were found to correlate with higher risk of suicide, however the findings are inconclusive. Hyperactivation or dysregulation of BAT in relation to the circadian system as a possible common factor is discussed. Interestingly, substances with proven efficacy in reducing suicidal risk, like clozapine or lithium, interact with BAT. The effects of clozapine on fat tissue are stronger and might differ qualitatively from other antipsychotics; however, the significance remains unclear. We suggest that BAT is involved in the brain/environment homeostasis and deserves attention from a psychiatric point of view. Better understanding of circadian disruptions and its mechanisms can contribute to personalized diagnostic and therapy as well as better assessment of suicide risk.
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spelling doaj.art-9133998eed4f4a56bf6d7668c0fb1fe92023-06-09T04:37:00ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-06-011710.3389/fnins.2023.11960291196029Potential links between brown adipose tissue, circadian dysregulation, and suicide riskJan Sarlon0Timo Partonen1Undine E. Lang2University Psychiatric Clinics (UPK), University of Basel, Basel, SwitzerlandDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, FinlandUniversity Psychiatric Clinics (UPK), University of Basel, Basel, SwitzerlandCircadian desynchronizations are associated with psychiatric disorders as well as with higher suicidal risk. Brown adipose tissue (BAT) is important in the regulation of body temperature and contributes to the homeostasis of the metabolic, cardiovascular, skeletal muscle or central nervous system. BAT is under neuronal, hormonal and immune control and secrets batokines: i.e., autocrine, paracrine and endocrine active substances. Moreover, BAT is involved in circadian system. Light, ambient temperature as well as exogen substances interact with BAT. Thus, a dysregulation of BAT can indirectly worsen psychiatric conditions and the risk of suicide, as one of previously suggested explanations for the seasonality of suicide rate. Furthermore, overactivation of BAT is associated with lower body weight and lower level of blood lipids. Reduced body mass index (BMI) or decrease in BMI respectively, as well as lower triglyceride concentrations were found to correlate with higher risk of suicide, however the findings are inconclusive. Hyperactivation or dysregulation of BAT in relation to the circadian system as a possible common factor is discussed. Interestingly, substances with proven efficacy in reducing suicidal risk, like clozapine or lithium, interact with BAT. The effects of clozapine on fat tissue are stronger and might differ qualitatively from other antipsychotics; however, the significance remains unclear. We suggest that BAT is involved in the brain/environment homeostasis and deserves attention from a psychiatric point of view. Better understanding of circadian disruptions and its mechanisms can contribute to personalized diagnostic and therapy as well as better assessment of suicide risk.https://www.frontiersin.org/articles/10.3389/fnins.2023.1196029/fullbrown adipose fat tissuesuicide riskcircadian disruptionclozapinebody mass index
spellingShingle Jan Sarlon
Timo Partonen
Undine E. Lang
Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
Frontiers in Neuroscience
brown adipose fat tissue
suicide risk
circadian disruption
clozapine
body mass index
title Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
title_full Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
title_fullStr Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
title_full_unstemmed Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
title_short Potential links between brown adipose tissue, circadian dysregulation, and suicide risk
title_sort potential links between brown adipose tissue circadian dysregulation and suicide risk
topic brown adipose fat tissue
suicide risk
circadian disruption
clozapine
body mass index
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1196029/full
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