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Updated: Sep 28, 2025

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The Implications of Bone Marrow Adipose Tissue on Inflammaging
Nicole Aaron1,2, Samantha Costa3,4, Clifford J Rosen3,4
1Naomi Berrie Diabetes Center, Columbia University, New York, NY, United States.
Frontiers in Endocrinology
|April 1, 2022
Summary
Bone marrow adipose tissue (BMAT) is an active organ influencing aging. This review explores BMAT
Area of Science:
- Endocrinology
- Metabolism
- Gerontology
Background:
- Bone marrow adipose tissue (BMAT) was once considered inert but is now recognized as a metabolically active organ.
- BMAT is a unique fat depot distinct from peripheral fat, with roles in endocrine function, hematopoiesis, bone homeostasis, and metabolism.
- BMAd accumulation increases with age, influencing the bone marrow microenvironment and contributing to inflammaging.
Purpose of the Study:
- To review the local effects of BMAT on bone homeostasis and the hematopoietic niche.
- To discuss age-related inflammatory changes associated with BMAT accrual and its downstream effects.
- To explore therapeutic strategies for preventing BMAT accumulation and dysfunction during aging.
Main Methods:
- This is a review article, synthesizing existing research on BMAT.
- Literature search and analysis of studies on BMAT function, aging, and inflammation.
- Discussion of adipokine signaling and its role in inflammaging.
Main Results:
- BMAT influences bone homeostasis, the hematopoietic niche, and endocrine function.
- Aging is associated with increased BMAT and chronic low-grade inflammation (inflammaging).
- Adipokines secreted by BMAds contribute to immune system dysregulation.
Conclusions:
- BMAT is a critical factor in the aging process.
- Further research is needed to fully characterize BMAT and its role in aging.
- Therapeutic interventions targeting BMAT may mitigate age-related dysfunction.
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