Evidence map›Paper›PMID 42237874›Full record

ArticleBiology open2026

Fructose impairs brown adipogenesis by promoting thyroid hormone resistance in differentiated brown adipocytes.

Xiangdong Wu, Salaheldeen Elsaid, Lei Zhang, Eric Y Chan, Junkai Hu, Liqing Yu, Sui Seng Tee

Abstract read
In one paragraph

Article in Biology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xiangdong WuDepartment of Diagnostic Radiology & Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.ORCID 0009-0004-8739-9540
Salaheldeen ElsaidDepartment of Diagnostic Radiology & Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Lei ZhangDepartment of Computer & Information Sciences, Towson University, Baltimore, MD 21252, USA.
Eric Y ChanRezyko LLC, Seattle, WA 98109, USA.
Junkai HuDepartment of Diagnostic Radiology & Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Liqing YuDivision of Endocrinology, Diabetes and Nutrition at the Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Sui Seng TeeDepartment of Diagnostic Radiology & Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
UNIVERSITY OF MARYLAND GREENEBAUM CANCER CENTERSUPPORT GRANTP30CA134274 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI FEYRUZ VIRGILIA RASSOOL · 2008 to 2026
$51.0M
University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Longitudinal Metabolic Imaging of the Brain in SynucleinopathyR21AG084142 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI SON, JUNSEOK, TEE, SUI SENG · 2023 to 2025
$1.3M
Fructose Metabolism as a Biomarker for Monitoring Hepatocellular CarcinomaR21CA245492 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI TEE, SUI SENG · 2020 to 2020
$397k
Institute for Clinical and Translational Research, University of Maryland, BaltimoreMaryland Department of Health CH-649-CRFNCATS NIH HHS 1UL1TR003098NCATS NIH HHS UL1 TR003098NCI NIH HHS P30 CA134274NCI NIH HHS P30CA134274NCI NIH HHS R21 CA245492NCI NIH HHS R21CA245492NIA NIH HHS P30 AG028747NIA NIH HHS R21 AG084142NIA NIH HHS R21AG084142University of Maryland, Baltimore
6 · The paper itself

Abstract

Excessive fructose consumption is increasingly linked to obesity, diabetes, non-alcoholic fatty liver disease (NAFLD), and cardiovascular disease, yet its impact on brown adipocytes remains poorly defined. Here, we investigated how fructose alters brown adipogenesis with a focus on thyroid hormone receptor (THR) signaling. Differentiation of mouse brown preadipocytes in fructose-containing medium resulted in markedly reduced lipid droplet size and number, impaired expression of adipogenic markers (PPARγ, FABP4), and a loss of the brown adipocyte identity protein UCP-1. Whereas triiodothyronine (T3) and the THRβ-selective agonist resmetirom dose-dependently enhanced UCP-1 expression in glucose medium, neither T3 nor resmetirom restored UCP-1 in fructose medium, revealing thyroid hormone resistance. Mechanistically, fructose specifically downregulated THR but not its heterodimer partner, retinoid X receptor (RXR), via ubiquitin-mediated degradation. Overexpression of THR rescued UCP-1 in glucose medium and promoted dynamic lipid turnover but failed to restore UCP-1 or lipid remodeling in fructose medium, indicating a defect in THR transcriptional regulation. Our secretome proteomics revealed that both the sugar source and THR overexpression strongly remodel the secreted protein landscape of brown adipocytes. The data indicate that fructose both reconfigures metabolic and signaling networks and blunts oxidative resilience, while excess THR activity in fructose conditions disrupts energy metabolism and increases the risk of protein misfolding. All these could contribute to THR dysfunction and impair adipogenesis. Collectively, these findings identify fructose as a potent inhibitor of brown adipogenesis, suppressing THR-dependent UCP-1 expression by inducing thyroid hormone resistance through a defect in THR-mediated transcriptional regulation. This mechanism links dietary fructose to impaired brown adipocytes and metabolic imbalance.

Indexed as

Adipocytes, BrownAdipogenesisCell DifferentiationFructoseThyroid HormonesAnimalsGene Expression RegulationMiceProteomicsReceptors, Thyroid HormoneSignal TransductionUncoupling Protein 1FructoseReceptors, Thyroid HormoneThyroid HormonesUncoupling Protein 1AdipogenesisBrown adipocytesFructoseThyroid hormone resistance

Identifiers

PMID42237874
PMCPMC13382702

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.