key: cord-0012911-28u2i6ld authors: Tu, Wan-zhi; Fu, Yan-bin; Xie, Xin title: RepSox, a small molecule inhibitor of the TGFβ receptor, induces brown adipogenesis and browning of white adipocytes date: 2019-06-24 journal: Acta Pharmacol Sin DOI: 10.1038/s41401-019-0264-2 sha: b49a6f3b2684ed7cdff27beefa28c8b480aa7600 doc_id: 12911 cord_uid: 28u2i6ld Unlike white adipose tissue (WAT), brown adipose tissue (BAT) is mainly responsible for energy expenditure via thermogenesis by uncoupling the respiratory chain. Promoting the differentiation of brown fat precursor cells and the browning of white fat have become a research hotspot for the treatment of obesity and associated metabolic diseases. Several secreted factors and a number of small molecules have been found to promote brown adipogenesis. Here we report that a single small-molecule compound, RepSox, is sufficient to induce adipogenesis from mouse embryonic fibroblasts (MEFs) in fibroblast culture medium. RepSox is an inhibitor of the transforming growth factor-beta receptor I (TGF-β-RI), other inhibitors of TGF-β pathway such as SB431542, LY2157299, A83-01, and Tranilast are also effective in inducing adipogenesis from MEFs. These adipocytes express brown adipocyte-specific transcription factors and thermogenesis genes, and contain a large number of mitochondria and have a high level of mitochondrial respiratory activity. More interestingly, RepSox has also been found to promote the differentiation of the brown fat precursor cells and induce browning of the white fat precursor cells. These findings suggest that inhibitors of TGF-β signaling pathway might be developed as new therapeutics for obesity and type 2 diabetes. Obesity has become a worldwide epidemic and may lead to many other diseases, such as type 2 diabetes, cardiovascular diseases, and several types of cancers, which diminish life quality and life expectancy [1] . There are two types of adipose tissues in mammals: white adipose tissue (WAT) and brown adipose tissue (BAT) [2] . WAT is responsible for energy storage and is the primary adipose tissue in the mammalian body. Obesity is typically caused by more energy intake than expenditure and excessive accumulation of WAT. In contrast, BAT is mainly responsible for the consumption of energy and nonshivering thermogenesis in response to cold exposure. Brown adipocytes contain abundant mitochondria and mitochondrial membrane uncoupling protein 1 (UCP1), which mediates heat generation by uncoupling the respiratory chain, allowing for fast glucose and fatty acid oxidation with a low efficiency of ATP production [3, 4] . Although newborn mammals have considerable BAT in their bodies, adults have much less BAT. Previous studies have shown that after long-term cold stimulation or adrenaline treatment, WAT contains scattered brown-like adipocytes (beige adipocytes) [5] [6] [7] [8] , indicating a conversion between white and brown adipocytes. Because of the energy consumption characteristics of brown adipocytes, promoting the differentiation of brown fat precursor cells and the browning of white adipocytes have become potential treatment strategies to battle obesity and type 2 diabetes [8] . Several secreted factors, including irisin, apelin, bone morphogenetic protein 7 (BMP7), and a number of small molecules, such as rosiglitazone (a peroxisome proliferatoractivated receptor gamma (PPARγ) agonist), tofacitinib (a Janus kinase (JAK) inhibitor), and R406 (a spleen tyrosine kinase (SYK) inhibitor), have been found to promote brown adipogenesis [9] [10] [11] [12] [13] . Here, we report that RepSox, a small-molecule inhibitor of transforming growth factor-beta receptor I (TGF-β-RI) [14, 15] , induces brown adipogenesis in primary mouse fibroblasts and fat precursor cells. Cell culture and differentiation Mouse embryonic fibroblasts (MEFs) were isolated from embryonic day 13.5 (E13.5) C57BL/6 mouse embryos. The head, limbs, and internal organs were removed from the embryos. The remaining carcasses were rinsed with phosphate-buffered saline (PBS) and cut into small pieces. The minced carcasses were trypsinized into single-cell suspensions. MEFs were cultured in growth medium consisting of Dulbecco's modified Eagle's medium (DMEM) (Gibco, USA), 10% fetal bovine serum (FBS) (Gibco, USA), 2 mM Glutamax (Gibco, USA), 100 units/mL penicillin, and 100 mg/mL streptomycin at 37°C in a 5% CO 2 incubator. For differentiation, sufficiently confluent cells were maintained in differentiation induction medium containing various compounds for 8-10 days before further analysis. The medium was changed every 2 days. To isolate primary preadipocytes, interscapular BAT and subcutaneous WAT were obtained from 5-to 6-week-old C57BL/ 6 mice. The tissues were minced with scissors and digested in dispase solution (1 U/mL in DMEM/F-12; STEMCELL, Canada) containing collagenase type IV (10 mg/mL; Gibco, USA) and CaCl 2 (10 mM) at 37°C in a water bath shaker. After 45 min, the contents were filtered through 70 μm nylon strainers (BD Falcon, USA) to remove undigested parts, followed by centrifugation (500 × g for 10 min). Thereafter, the infranatants were resuspended and filtered through 40 μm nylon strainers (BD Falcon, USA) and centrifuged at 500 × g for 5 min. Finally, the cells were plated and cultured in growth medium consisting of DMEM/F-12 (Gibco, USA), 10% FBS, 100 units/mL penicillin, and 100 μg/mL streptomycin at 37°C in a 5% CO 2 incubator. Differentiation was induced by treating confluent cells with differentiation induction medium containing 0.5 mM isobutylmethylxanthine (IBMX), 1 μM dexamethasone, and 1 μg/mL insulin (plus 4 μg/mL insulin, 125 nM indomethacin, and 1 nM 3,5,3′-triiodothyronine (T3) for brown adipocyte differentiation) in growth medium during days 0-2. At day 2, the cells were moved to maintenance medium containing 1 μg/mL insulin (plus 4 μg/mL insulin and 1 nM T3 for brown adipocyte differentiation) in growth medium for another 2 days. On days 4-8, the cells were maintained in growth medium. Test compounds, including RepSox, other TGFβ inhibitors, and rosiglitazone, were present throughout the whole differentiation process (days 0-8). The medium was changed every 2 days. Oil red O staining Differentiated cells were washed in PBS and then fixed in 4% paraformaldehyde for 20 min at room temperature. A mixture of oil red O solution (0.5% oil red O dye in isopropanol) and water at a 3:2 ratio was layered onto the cells for 10 min. After staining, excess oil red O was washed with 60% isopropanol, followed by washing with deionized water, and images were captured under a microscope. Triglyceride quantification assay The triglyceride concentration in adipocytes was measured using a triglyceride quantification assay kit (Abcam, USA) according to the manufacturer's protocol. The cells were digested with 0.25% trypsin and washed with cold PBS. The samples were resuspended in 1% Triton X-100 and heated to 80-100°C for 2-5 min to solubilize triglycerides. Triglycerides were converted to glycerol and fatty acids by lipase. Glycerol was then oxidized to generate a product that reacts with a probe to generate color (spectrophotometry at λ = 570 nm). The triglyceride concentrations in the samples were calculated by a standard curve. Western blot analysis Differentiated cells were washed with PBS, lysed, and boiled at 95-100°C for 5 min in sample buffer (50 mM Tris-HCl, 2% w/v sodium dodecyl sulfate (SDS), 10% glycerol, 1% β-mercaptoethanol, 0.01% bromophenyl blue (pH 6.8)). The protein lysates were separated through SDS-PAGE before being transferred to PVDF membranes. The membranes were first blocked in TBST (TBS with 0.1% Tween 20) containing 5% nonfat milk for 1 h at room temperature and then incubated overnight at 4°C in TBST buffer containing mouse anti-β-tubulin (1:6000; Abmart, China) or rabbit anti-UCP1 (1:500; Alpha Diagnostic International, USA). The membranes were washed three times with TBST and incubated with anti-rabbit IgG HRP (1:8000; Cell Signaling, USA) or anti-mouse IgG HRP (1:8000; Abmart, China) for 1 h at room temperature. After washing three times with TBST, immunostaining was visualized using Western blotting detection reagents (GE Healthcare, USA). Immunofluorescence and MitoTracker staining To reveal the mitochondrial membrane potential and morphology, adipocytes were incubated with growth medium containing 150 nM MitoTracker Deep Red FM (Invitrogen, USA) at 37°C in a 5% CO 2 incubator for 30 min. Nuclei were counterstained with Hoechst 33342. Images were captured and analyzed with an Operetta High Content Imaging System. For immunofluorescence staining, the cells were fixed in 4% PFA at room temperature for 20 min and washed twice with PBS. After permeabilizing with 0.3% Triton X-100 and blocking with 5% bovine serum albumin for 20 min, the cells were incubated with a primary rabbit anti-UCP1 antibody (1:200; Alpha Diagnostic International, USA) at 4°C overnight. After washing thoroughly, the cells were incubated with a secondary antibody conjugated to Alexa Fluor 488 (Molecular Probes, USA) for 1 h at room temperature, followed by washing three times with PBS. Nuclei were counterstained with Hoechst 33342 (Sigma, USA). Images were captured and analyzed with an Operetta High Content Imaging System. Oxygen consumption rate assay The oxygen consumption rates of differentiated cells were measured in a Seahorse XF96 Analyzer (Seahorse Bioscience Inc., USA) according to the manufacturer's protocol. Oxygen consumption rates were measured under basal conditions and after the addition of oligomycin (1 μM), FCCP (1 μM) and rotenone/antimycin A (1 μM). Quantitative real-time PCR analysis Total mRNA was isolated using TRIzol (Invitrogen, USA), and 2 μg of RNA was used to synthesize cDNA using the PrimeScript TM RT Master Mix reagent kit (Takara, Japan) according to the manufacturer's protocol. Real-time PCR was performed using 2 × SYBR Green qPCR Master Mix (Biotool, USA) and a Stratagene Mx 3000P thermal cycler. Real-time PCR primer sequences are listed in Table 1 . All data are presented as the mean ± SEM, and the between-group differences were calculated with Student's t-test. All comparisons were two-tailed, and P < 0.05 was considered statistically significant. All graphs were plotted with GraphPad Prism software. In a previous study, we reported that cardiomyocytes could be induced from MEFs by the chemical cocktail CRFVPT (C, CHIR99021; R, RepSox, 616452; F, Forskolin; V, VPA; P, Parnate and T, TTNPB) [16] . We intended to minimize this chemical cocktail, so various combinations of these compounds were tested to determine whether fewer compounds could be used to induce cardiomyocytes from MEFs. Unexpectedly, in the wells in which only CRF were used, a large number of adipocyte-like cells emerged (Fig. 1a) . Next, we sought to determine which of these compounds was critical in inducing adipogenesis in MEFs by using only one compound from the CRF set. Many adipocyte-like cells emerged in MEFs treated with RepSox, and oil red O staining for lipid droplets confirmed adipocyte differentiation (Fig. 1b) . Forskolin treatment also induced weak adipocyte differentiation, while treatment with CHIR99021 or DMSO had no effect (Fig. 1b) . It seems that one small-molecule compound, RepSox, is sufficient for the induction of adipocytes from MEFs. RepSox is a selective inhibitor of the TGF-β-RI/ALK5. Therefore, we investigated whether other inhibitors of the TGF-β signaling pathway could also induce adipogenesis. MEFs were treated with SB431542, LY2157299, or A83-01, all TGF-β-RI/ALK5 inhibitors, or Tranilast, a compound that inhibits TGF-β secretion [17] [18] [19] [20] , and all these compounds were found to induce adipogenesis in MEFs, as confirmed by oil red O staining (Fig. 1c) . These results indicate that blocking TGF-β signaling is critical for inducing adipogenesis. RepSox-induced adipogenesis in MEFs was further investigated. The dose-response of RepSox was tested, and 3 μM was found to be the most effective concentration (Fig. 2a) . Therefore, 3 μM RepSox was applied in the following experiments. Rosiglitazone, a PPARγ agonist, has been reported to promote adipogenesis and browning of white adipocytes [11] . We found that rosiglitazone (1 μM) could enhance the adipogenesis efficiency of RepSox (3 μM); however, rosiglitazone itself could not induce any adipocytes from MEFs at the tested concentration. Triglycerides within the cells were also quantified (Fig. 2b) , and the results confirmed the findings obtained with oil red O staining. RepSox treatment induced the activation of a network of genes controlling adipogenesis, energy expenditure, and the thermogenic program in MEFs (Fig. 2c) . The expression levels of Pparγ and CCAAT/enhancer-binding protein alpha (C/ebpα), which are the major transcription factors that control adipocyte differentiation [21] , and adipocyte protein 2 (Ap2), a carrier protein for fatty acids in adipocytes, were strongly induced by RepSox treatment. CCAAT/enhancer-binding protein delta (C/ebpδ) also participate in the transcriptional cascade of adipogenesis. A previous study showed that the upregulation of C/ebpδ reached a maximal level during the first two days of differentiation and declined sharply to nearly undetectable levels during the final days of differentiation, with levels even lower than those of the starting adipoblasts [22] . We also found that at day 8 of differentiation, RepSox-treated cells had significantly lower levels of C/ebpδ. RepSox also significantly induced the expression of brown adipocyte-specific genes, including Ucp1, Prdm16 (PR domain containing 16), Pgc1α (PPARγ coactivator 1 alpha), Coxiv (cytochrome c oxidase subunit 4), and C/ebpβ (CCAAT/enhancer-binding protein beta). The expression of genes controlling fatty acid oxidation (FAO), such as Mcad (medium-chain acyl-CoA dehydrogenase), Lcad (long-chain acyl-CoA dehydrogenase), and Cpt2 (carnitine palmitoyltransferase 2), was enhanced by RepSox. Western blot analysis also confirmed the upregulation of UCP1 protein levels by RepSox treatment (Fig. 2d) . These data suggest that RepSox alone is sufficient to induce brown adipocyte characteristics in MEFs, although the effect can be enhanced when combined with rosiglitazone. Beige and brown adipocytes typically have an elevated number of mitochondria, which is essential for the thermogenic activity of BAT. MitoTracker Deep Red staining showed that RepSox treatment increased the number of mitochondria in MEF-derived adipocytes (Fig. 2e) . The fluorescence intensity of the MitoTracker in the RepSox group was 1.5-fold higher than that of the control group, and combination with rosiglitazone further enhanced this effect (Fig. 2f) . The expression of the mitochondria uncoupling protein UCP1 was further confirmed by immunocytochemical staining. The DMSO-and rosiglitazone-treated groups expressed very low levels of UCP1, but RepSox treatment alone or in combination with rosiglitazone significantly increased UCP1 levels (Fig. 2e, g) . The oxygen consumption rate (OCR) of the MEFderived adipocytes was also measured. The basal, uncoupled and maximal respiration levels in the RepSox-treated cells were significantly increased compared with those in the DMSO control cells (Fig. 2h) . These results suggest that RepSox might be a more powerful adipogenesis and browning inducer than rosiglitazone. RepSox enhances brown preadipocyte differentiation Brown preadipocytes were isolated by digesting the stromal vascular fraction (SVF) from the interscapular BAT [23] . The brown preadipocytes were induced to differentiate in MDIIT3 medium (DMEM/F-12 containing 10% FBS, IBMX, dexamethasone, insulin, indomethacin, and T3, a medium typically used to induce brown adipogenesis) supplemented with RepSox, rosiglitazone, or their combination. Oil red O staining (Fig. 3a) and a triglyceride quantification assay (Fig. 3b) showed that both RepSox and rosiglitazone enhanced the differentiation of brown preadipocytes, and their combination had an even better effect. The mRNA levels of adipogenesis, brown adipogenesis, and FAO markers were significantly upregulated in cells treated with RepSox, rosiglitazone, or their combination (Fig. 3c) . Western blot analysis also confirmed the increased UCP1 protein level in cells treated with RepSox or the combination of RepSox and rosiglitazone (Fig. 3d) . MitoTracker Deep Red and UCP1 staining also demonstrated that RepSox significantly increased the number of mitochondria and the protein levels of UCP1, hence increasing the differentiation of brown preadipocytes (Fig. 3e-g) . The OCR of the cells differentiated from brown preadipocytes was also significantly increased after RepSox treatment (Fig. 3h) . The data show that RepSox can promote the differentiation of brown preadipocytes. RepSox promotes browning of white preadipocytes Although RepSox could enhance brown characteristics when inducing adipogenesis from MEFs and promote the differentiation of brown preadipocytes, we wondered whether it could also promote the browning of primary white preadipocytes. White preadipocytes were isolated from subcutaneous WAT and induced to differentiate in MDI medium, which is typically used to induce white adipogenesis (DMEM/F-12 containing 10% FBS, IBMX, dexamethasone, and insulin), supplemented with RepSox, rosiglitazone, or their combination. Oil red O staining and triglyceride quantification assays showed that both RepSox and rosiglitazone enhanced adipogenesis (Fig. 4a, b) . The adipogenesis-related genes Pparγ, C/ebpa, and Ap2, the brown adipocyte markers Ucp1, Prdm16, Pgc1a, Coxiv, and C/ebpβ, and the FAO-related genes Mcad, Lcad, and Cpt2 were all upregulated by RepSox or rosiglitazone, and the combination of both compounds had the best effect (Fig. 4c) . Western blot analysis also confirmed the increased UCP1 protein levels in all groups (Fig. 4d) . RepSox also increased the number of mitochondria and the protein level of UCP1 ( Fig. 4e-g) and enhanced basal, uncoupled, and maximal respiration in cells that differentiated from white preadipocytes (Fig. 4h) . These results suggest that RepSox could also induce browning of white preadipocytes. In this paper, we present a small-molecule strategy to directly reprogram mouse fibroblasts into adipocytes, and the resulting adipocytes possess brown fat characteristics. Although scientists have been able to induce adipocytes from fibroblasts by the combination of growth factors and small-molecule compounds, typically including insulin, IBMX, and dexamethasone (MDI medium) [24] , and some compounds have been found to facilitate adipogenesis in combination with the MDI medium [9] [10] [11] [12] [13] , our study shows for the first time that RepSox alone in fibroblast growth medium (without MDI) is sufficient to induce adipogenesis in MEFs. The adipocytes induced by RepSox express not only genes related to general adipogenesis but also genes specifically associated with brown adipogenesis. The induced cells have the characteristics of brown adipocytes, contain abundant mitochondria and mitochondrial membrane protein UCP1 and have higher levels of mitochondrial respiratory activity. The PPARγ agonist rosiglitazone has been reported to promote adipogenesis and the browning of white adipocytes in combination with other adipogenesis inducers. However, adding rosiglitazone alone in fibroblast growth medium could not induce adipocytes from MEFs, which suggests that RepSox might be a stronger inducer than rosiglitazone for brown adipogenesis. Brown adipocytes are derived from myogenic factor 5 (Myf5 + ), paired box 7 (Pax7 + ), and engrailed 1 (En1 + ) multipotent progenitor cells. Early B-cell factor 2 (Ebf2) then regulates the brown preadipocyte lineage specification of the progenitor cells. Finally, PRDM16, a transcription factor that is highly and selectively expressed in brown fat, drives brown adipocyte differentiation through interactions with PPARγ, PGC1α, C/EBPs, and other transcription factors [25] . Several signaling pathways have been reported to be involved in regulating the development of BAT. β-Adrenergic receptor (β-AR) signaling is a dominant activating pathway for the development and thermogenesis of brown adipocytes. The activation of β-ARs by norepinephrine released from the sympathetic nerve terminals increases intercellular cAMP levels, leading to the phosphorylation of protein kinase A (PKA) and p38 mitogen-activated protein kinase (MAPK), which in turn triggers the expression of C/EBPs and PGC1α [26] . This process partially explains our finding that forskolin has weak adipogenesisinducing function, since forskolin activates adenylate cyclase and increases intracellular cAMP levels. In contrast, Wnt ligands such as Wnt10b suppress brown adipose differentiation and Data are presented as the mean ± SEM. *P < 0.05; **P < 0.01; ***P < 0.001 4) . h Measurement of mitochondrial respiration levels and statistics for the basal, uncoupled, and maximal respiration rates of induced cells (n = 5). Data are presented as the mean ± SEM. *P < 0.05; **P < 0.01; ***P < 0.001 thermogenesis by repression of PGC1α and UCP1 and can even lead to whitening of mature brown adipocytes. Antagonism of the Wnt pathway activates PPARγ and promotes the differentiation of fat precursor cells into brown adipocytes [27] . The mTOR signaling pathway also plays an important role in the differentiation of adipocytes. The inhibition of mTORC1 is required for the induction of WAT browning under low temperature in vivo [28] . Here, we demonstrate that blocking TGF-β signaling also promotes brown adipogenesis. TGF-β signaling is involved in many cellular processes. The binding of ligands triggers the assembly of type I and type II receptors into heterogeneous complexes. Type II receptors phosphorylate and activate type I receptors. The signals are then transferred from the receptor-regulated Smads (R-Smads) to the common-Smad (co-Smad), Smad4, and finally into the nucleus to modulate the transcription of target genes [29] . The vertebrate TGFβ superfamily contains more than 30 ligands, including TGFβs, BMPs, growth differentiation factors (GDFs), activins, nodal, and others [30] . Each member of the TGF-β family has its own combination of type I and type II receptors and R-Smads. For BMP signaling, the type I receptors ALK1/2/3/6 and the type II receptor BMPRII are involved in the activation of Smad1/5/8 [31] . For TGF-β (including TGF-β1/2/3) signaling, the type I receptor TβRI/ALK5 and the type II receptor TβRII activate Smad2/3 [18] . For activin/ nodal signaling, the type I receptors ALK4/7 also activate Smad2/3 with the type II receptors ActRII and ActRIIB [32] . The functions of TGF-β signaling in adipogenesis are complicated. BMP4 and BMP7 have been reported to induce brown adipogenic regulators in fibroblasts, mesenchymal stem cells, or adipogenic precursor cells [9, 33] . Although BMP8b does not affect the differentiation of brown adipocytes, it positively regulates the thermogenesis of mature brown adipocytes [34] . In contrast, some other TGF-β members, including TGF-β1, activins, and GDF-8 (myostatin), negatively regulate brown fat differentiation and BAT thermogenesis [26] . Genetic deletion of Smad3, a major downstream factor of TGF-β signaling, promotes mitochondrial functions and induces browning of white fat in mice [35] . Treatment with anti-TGF-β neutralization antibody also improves glucose tolerance and energy homeostasis and elevates expression of BATspecific proteins in obese mice [35] . RepSox is a selective TGFβRI/ALK5 inhibitor that inhibits the binding of ATP to ALK5 and subsequent ALK5 phosphorylation, thus inhibiting TGF-β signaling [14, 15] . Our results show that the treatment of RepSox induces brown adipogenesis from primary mouse fibroblasts and fat precursor cells, which is consistent with previous reports that some TGF-β members, especially TGF-β1, negatively regulate brown fat differentiation [26] . In addition to RepSox, we also investigated other inhibitors of the TGF-β signaling pathway in adipogenesis. SB431542 and A83-01 inhibit TGFβRI/ALK5 and the type I receptor ALK4/7 [17, 19] . LY2157299 is an inhibitor of the TGFβRI/ALK5 kinase that specifically downregulates the phosphorylation of Smad2 [18] . On the other hand, Tranilast inhibits the release of TGFβ1 and TGFβ2 [20] . All these compounds have an effect similar to RepSox in inducing adipogenesis in MEFs. In conclusion, this study demonstrates that one small-molecule compound, RepSox, an inhibitor of the TGF-β receptor, is sufficient to induce brown adipogenesis in mouse fibroblasts and fat precursor cells. Combined with previous research, these data suggest that inhibitors of the TGF-β signaling pathway might be developed as new therapeutics for obesity and type 2 diabetes. 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Activation of CREB rescues adipogenesis from the arrest caused by inhibition of prenylation Control of brown and beige fat development A new era in brown adipose tissue biology: molecular control of brown fat development and energy homeostasis Effects of Wnt signaling on brown adipocyte differentiation and metabolism mediated by PGC-1α Grb10 promotes lipolysis and thermogenesis by phosphorylation-dependent feedback inhibition of mTORC1 TGF-β signaling from receptors to Smads TGFβ-SMAD signal transduction: molecular specificity and functional flexibility Recent advances in BMP receptor signaling TGFβ signalling in context BMP4-mediated brown fat-like changes in white adipose tissue alter glucose and energy homeostasis BMP8B increases brown adipose tissue thermogenesis through both central and peripheral actions Protection from obesity and diabetes by blockade of TGF-β/Smad3 signaling WZT, YBF, and XX designed the research; WZT and YBF performed the research; WZT, YBF, and XX analyzed the data and wrote the paper. Competing interests: The authors declare no conflict of interest.