Mitochondrial dysfunction in adipocyte differentiation: implications for obesity and metabolic syndrome intervention

Mitochondrial dysfunction critically disrupts adipocyte remodeling by impairing the thermogenic browning process essential for combating obesity through the upregulation of uncoupling protein 1 (UCP1) and mitochondrial biogenesis. Deficiencies in mitochondrial metabolism, dynamics (including fusion/fission), and autophagy suppress adipocyte plasticity, directly inhibiting UCP1 expression and destabilizing the PPAR-γ/PGC-1α and adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK)/mammalian target of rapamycin (mTOR) signaling pathways. These disruptions reduce energy expenditure, exacerbate insulin resistance, and promote metabolic syndrome. Moreover, mitochondrial inactivation intersects with neurodegenerative disorders via oxidative stress induced by β-amyloid and α-synuclein aggregation, amplifying systemic metabolic dysregulation. Structural mitochondrial anomalies further impede lipid utilization and adipose tissue adaptation, but unresolved crosstalk between mtDNA and nuclear DNA complicates therapeutic targeting. Future research must prioritize spatiotemporal mapping of mitochondrial dynamics in adipocyte differentiation via single-cell omics to identify key regulatory nodes. Addressing these mechanisms could unlock precision therapies, such as gene editing, to restore mitochondrial function, enhance adipocyte browning, and mitigate obesity, related pathologies alongside neurodegenerative and age-associated diseases.