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Lastly, SGLT2i can indirectly influence WAT metabolism by increasing the expression of myocardial FGF-21, which promotes angiogenesis and upregulates genes associated with brown adipocyte characteristics, such as UCP1, PGC-1, and PRDM16, shifting white adipose tissue from energy storage to energy dissipation thus confirming the positive metabolic effect of this class of drugs
Our findings, using genetic models and isotope tracing, are consistent with a model in which CrAT produces acetylcarnitine from acetyl-CoA in mitochondria and then following export to the cytosol, it converts acetylcarnitine back to acetyl-CoA as an alternative to ACLY for two carbon transfer from mitochondria (Figure 7A)
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