Pain receptors linked to the generation of energy-burning brown fat cells

Vascular smooth muscle-derived Trpv1+ progenitors have found to be a source of cold-induced “brown fat”

File:Brown fat cell.jpg - Wikimedia Commons

A new source of energy expending brown fat cells has been uncovered by researchers at the Joslin Diabetes Center, which they say points towards potential new therapeutic options for obesity. According to the new report, published today by Nature Metabolism, the key lies in the expression of a receptor called Trpv1 (temperature-sensitive ion channel transient receptor potential cation subfamily V member 1) — a protein known to sense noxious stimuli, including pain and temperature.

Specifically, the authors point to smooth muscle cells expressing the Trpv1 receptor and identify them as a novel source of energy-burning brown fat cells (adipocytes). This should translate into increased overall energy expenditure – and ultimately, researchers hope, reduced weight.

Brown fat or brown adipose tissue is a distinct type of fat that is activated in response to cold temperatures. Its primary role is to produce heat to help maintain body temperature and it achieves that by burning calories. This has raised the prospect that such calorie burning can be translated into weight loss, particularly in the context of obesity.

“The capacity of brown and beige fat cells to burn fuel and produce heat, especially upon exposure to cold temperatures, have long made them an attractive target for treating obesity and other metabolic disorders,” said senior author Yu-Hua Tseng . “And yet, the precise origins of cold-induced brown adipocytes and mechanisms of action have remained a bit of a mystery.”

The source of these energy-burning fat cells was previously considered to be exclusively related to a population of cells that express the receptor Pdgfrα (platelet derived growth factor receptor alpha). However, wider evidence suggests other sources may exist. Identifying these other sources would then open up potential new targets for therapy that would get around the somewhat uncomfortable use of cold temperatures to try to treat obesity.

The team initially investigated the general cellular makeup of brown adipose tissue from mice housed at different temperatures and lengths of time. Notably, they employed modern single cell RNA sequencing approaches to try to identify all types of cells present. This avoided issues of potential bias towards one particular cell type – a weakness of previous studies, according to the authors.

“Single cell sequencing coupled with advanced data analysis techniques has allowed us to make predictions in silico about the development of brown fat,” said co-author Matthew D. Lynes. “By validating these predictions, we hope to open up new cellular targets for metabolic research.”

As well as identifying the previously known Pdgfrα-source of energy burning brown fat cells, their analysis of the single cell RNA sequencing data suggested another distinct population of cells doing the same job – cells derived from smooth muscle expressing Trpv1*. The receptor has previously been identified in a range of cell types and is involved in pain and heat sensation.

Further investigations with mouse models confirmed that the Trpv1-positive smooth muscle cells gave rise to the brown energy-burning version of fat cells especially when exposed to cold temperatures. Additional experiments also showed that the Trpv1-positive cells were a source for beige fat cells that appear in response to cold in white fat, further expanding the potential influence of Trpv1-expressing precursor cells.

“These findings show the plasticity of vascular smooth muscle lineage and expand the repertoire of cellular sources that can be targeted to enhance brown fat function and promote metabolic health,” added lead author.

Brown adipose tissue is the major thermogenic organ in the body and increasing brown fat thermogenesis and general energy expenditure is seen as one potential approach to treating obesity, added Shamsi.

“The identification of Trpv1-expessing cells as a new source of cold-induced brown or beige adipocytes suggests it might be possible to refine the use of cold temperatures to treat obesity by developing drugs that recapitulate the effects of cold exposure at the cellular level,” said Tseng.

The authors note that Trpv1 has a role in detecting multiple noxious stimuli, including capsaicin (the pungent component in chili peppers) and that previous studies suggest administration in both humans and animals results in reduced food intake and increased energy expenditure.

Tseng added: “Further studies are now planned to address the role of the Trpv1 channel and its ligands and whether it is possible to target these cells t

How Depression and Pain Are Connected

How Depression and Pain Are Connected - YouTube


There’s a very close relationship between pain and depression. You can think of it as Bi-directional meaning that each entity influences the other. Pain worsens or can even cause depression and depression worsens your pain tolerance.

This worsening of your pain is not just your perception because you feel down. Depression increases your sensitivity to pain. So it’s as though you feel pain more intensely when you’re depressed then you would if you were not depressed. This is related to what we call the somatization of depression or the tendency to feel depression in your body. Depression can affect you physically.

Even if you don’t have a pain problem, when you get depressed you can be more sensitive to body sensations and experience them in a negative way. So some depressed people can complain of joint pain, headaches or dizziness. You may feel bloated or constipated. It’s not because depression makes you constipated but when you’re depressed you can get neglect your fluid intake, then have slower moving bowels. Then your mental state magnifies the intensity of the experience.

The second relationship between pain and depression is chronic pain that goes unresolved for months can cause depression. Usually chronic pain is pain that lasts more than three months. What can be done about this? When you have a combination of pain and depression, you have to use different approaches to treat both.


As for non-medication options there is cognitive behavioral therapy that is targeted for pain and depression. The focus is usually on helping you reframe your thoughts around your pain and develop better coping skills to manage the pain. Then there is relaxation training using things like progressive muscle relaxation, mindfulness and yoga. Hypnotherapy is a specialized therapy where therapist gets you into a trancelike state and then speaks positive suggestions about your pain that you internalize and act on. Hypnosis is something you can learn to do yourself.

As for medications, there are 3 types of medications that have been studied to treat both depression, anxiety and pain. These are the serotonin-norepinephrine reuptake inhibitors like duloxetine and venalafaxine; the tricyclic antidepressants like amitryptline and some anticonvulsant mood stabilizers like lamotrigine.

Physical Therapy Treatments : How to Relieve Rheumatoid Arthritis Pain

Physical Therapy Treatments : How to Relieve Rheumatoid Arthritis Pain -  YouTube


When treating rheumatoid arthritis pain, use a paraffin bath and saran wrap to get heat to joints. Use a paraffin bath for relief from rheumatoid arthritis pain with help from a physical therapist in this free video on physical therapy treatments.


Ultimate guide to managing fibromyalgia: How I halved my pain and fatigue levels

Ultimate guide to managing fibromyalgia: How I halved my pain and fatigue  levels - YouTube

This guide to managing fibromyalgia is for you. You who have just been diagnosed with fibromyalgia. You who are struggling with symptoms and finding little relief. As a fibromyalgia veteran, someone who has been diagnosed for over a decade, I find myself giving the same advice over and over.

GIFTS FOR THE CHRONICALLY ILL 2020 | Holiday Presents to Help those Suffering from Chronic Illness

Hey there friends! Today I’d like to share my gift ideas for your friends and family who suffer from a chronic illness. If your loved one suffers from lupus, lymes disease, hashimotos, POTS, fibromyalgia, MS, or any other chronic illness causing pain and fatigue, then this is the video for you! I have a bunch of ideas for holiday/Christmas presents for your loved ones!