Published online Apr 26, 2022. doi: 10.4252/wjsc.v14.i4.314
Peer-review started: December 12, 2021
First decision: January 12, 2022
Revised: January 21, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: April 26, 2022
Processing time: 135 Days and 1.9 Hours
The original study by Alessio et al reported that skinny people (SP) serum can promote the formation of brown adipocytes, but not the differentiation of white adipocytes. This finding may explain why SP do not often become obese, despite consuming more calories than the body needs. More importantly, they demonstrated that circulating factors in SP serum can promote the expression of UCP-1 protein, thereby reducing fat accumulation. In this study, only male serum samples were evaluated to avoid the interference of sex hormones in experiments, but adult males also synthesize estrogen, which is produced by the cells of the testes. At the same time, adult females secrete androgens, and females synthesize androgens that are mainly produced by the adrenal cortex. We believe that the approach of excluding sex hormone interference by sex selection alone may be flawed, so we comment on the article and debate the statistical analysis of the article.
Core Tip: Both men and women secrete estrogens and androgens. In females, androgens are mainly derived from the sites of the zona fasciculata and the zona reticularis in the adrenal cortex. In males, estrogens are produced by surrounding tissues, such as the skin, through the conversion of testosterone. Sex hormones in the serum can affect the differentiation and the stereotype of multipotent stem cells.
