The Kazak lab studies host energy metabolism in physiology and disease. We combine biochemical and genetic tools with mouse genetics to define key pathways that contribute to energy balance, metabolic syndrome and chronic disorders associated with metabolic dysfunction. These include obesity, diabetes and cancer.
Defining molecular mechanisms that regulate energy balance and obesity-accelerated diseases by adipose tissue
Thermogenic adipocytes are a specialized type of fat cell that release macronutrient energy as heat, in a process called thermogenesis. A complete understanding of the molecular mechanisms that promote adipocyte thermogenesis is critical to uncover if adipose tissue thermogenesis can be leveraged to improve cardiometabolic health. For many years the conventional view has been that the effector protein and the upstream signaling pathway that triggers thermogenesis is known. However, recent work from Dr. Kazak’s group and others has shown that thermogenesis is more complex. Adipocytes can use multiple thermogenic pathways among distinct cells within a tissue and even in parallel within the same cell. The Kazak lab has discovered key proteins that regulate adipocyte energy expenditure. Current efforts in his lab are aimed at using biochemical and structural approaches to define the molecular underpinnings that control their activity. These reductionist approaches are always integrated with mouse genetics to define the physiological relevance of the identified molecular regulatory mechanisms.
More than 60% of adults and 30% of children in Canada are overweight or obese, which imposes a considerable economic burden due to a constellation of obesity-related complications such as type 2 diabetes, cardiovascular disease and cancer. Although weight loss reduces obesity-related risk factors, increasing energy expenditure (e.g. through physical activity) improves metabolic health, despite little, if any, weight loss. Fat cells can enhance energy expenditure by dissipating energy as heat in a process called thermogenesis. Stimulating adipocyte thermogenesis has yet to yield a pharmacotherapy that is both safe and efficacious. However, initial prospective clinical studies have shown that increasing the metabolic activity of thermogenic fat is associated with improved insulin sensitivity and cardiometabolic health, even without weight loss. Therefore, a deeper understanding of heat-producing macronutrient pathways could finally unlock the optimal therapeutic strategy. Our lab’s approach to exploit adipose tissue thermogenesis for therapeutic gain is to define the contributions of all energy-dissipating pathways.
Brown adipocytes are packed with mitochondria, which are the major sites of cellular respiration. Importantly, macronutrient oxidation is coupled to the synthesis of a fixed number of ATP molecules. This constraint can be bypassed for thermogenesis by uncoupling macronutrient oxidation from ATP synthesis or by increasing ATP turnover. During the former, UCP1, promotes proton leak from the mitochondrial intermembrane space to the matrix. Accordingly, Ucp1-/- mice have been the primary tool for studying thermogenesis. Their severe thermogenic impairment has led to the conventional view that UCP1 is the sole effector protein of non-shivering thermogenesis. However, thermogenesis can also be promoted by coupling macronutrient oxidation to ATP synthesis, supporting futile cycles that accelerate ATP turnover. One such pathway is the futile creatine cycle, wherein the current working model posits that creatine undergoes a phosphorylation/de-phosphorylation cycle. We have identified two key effector proteins localized to mitochondria in thermogenic adipocytes that are required for thermogenesis via the futile creatine cycle: creatine kinase B (CKB) and tissue non-specific alkaline phosphatase (TNAP).
3655 Promenade Sir William Osler
Montreal, Quebec H3G 1Y6
Office: 708
Lab: Room 713
T. 514 398-5605
T. 514 398-5656
F.