RT Journal Article SR Electronic T1 ACE2 Pathway Regulates Thermogenesis and Energy Metabolism JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.08.10.455823 DO 10.1101/2021.08.10.455823 A1 Xi Cao A1 Tingting Shi A1 Chuanhai Zhang A1 Wanzhu Jin A1 Lini Song A1 Yichen Zhang A1 Jingyi Liu A1 Fangyuan Yang A1 Charles N Rotimi A1 Amin Xu A1 Jinkui Yang YR 2021 UL http://biorxiv.org/content/early/2021/08/10/2021.08.10.455823.abstract AB Identification of key regulators of energy homeostasis holds important therapeutic promise for metabolic disorders, such as obesity and diabetes. ACE2 cleaves angiotensin II (Ang II) to generate Ang-(1-7) which acts mainly through the Mas receptor. Here, we identify ACE2 pathway as a critical regulator in the maintenance of thermogenesis and energy expenditure. We found that ACE2 is highly expressed in brown adipose tissue (BAT) and that cold stimulation increases ACE2 and Ang-(1-7) levels in BAT and serum. ACE2 knockout mice (ACE2-/y), Mas knockout mice (Mas-/-), and the mice transplanted with brown adipose tissue from Mas-/- mice displayed impaired thermogenesis. In contrast, impaired thermogenesis of db/db obese diabetic mice and high-fat diet-induced obese mice were ameliorated by overexpression of ACE2 or continuous infusion of Ang-(1-7). Activation of ACE2 pathway was associated with improvement of metabolic parameters, including blood glucose, lipids and energy expenditure in multiple animal models. Consistently, ACE2 pathway remarkably enhanced the browning of white adipose tissue. Mechanistically, we showed that ACE2 pathway activated Akt/FoxO1 and PKA pathway, leading to induction of UCP1 and activation of mitochondrial function. Our data propose that adaptive thermogenesis requires regulation of ACE2 pathway and highlight novel therapeutic targets for the treatment of metabolic disorders.Competing Interest StatementThe authors have declared no competing interest.