Uncoupling protein (UCP) is essential to the thermogenic function of b
rown adipose tissue (BAT). The thermogenic role of this protein is due
to its capacity to uncouple oxidative phosphorylation in a regulated
manner. The thermogenic potential of BAT is determined by its content
of UCP. The gene encoding this protein is under complex regulation. Ca
techolamines, via cAMP thyroid hormone and retinoic acid, directly sti
mulate the gene acting upon an upstream (-2.28/-2.49 kb) enhancer sequ
ence, but cAMP may act upon other sequences of the gene as well. CCAAT
enhancer binding proteins and peroxisome proliferation activator rece
ptor (PPAR)gamma 2 have also been implicated in the regulation of the
gene acting on discrete sequences. While the thyroid hormone response
and retinoic acid response elements (TRE and RARE) have been well defi
ned, the cAMP response elements (CRE) remain elusive. The two TREs are
27 bp apart between -2.33 kb and -2.39 kb. The synergism between cAMP
and thyroid hormone seems to reside in a 39 bp sequence downstream (-
2.28/-2.32 kb). The most important CRE, the RARE, a cell-specific enha
ncer and a putative PPAR element are all concentrated in a 90 bp regul
atory element of great complexity (-2.40/-2.49 kb). Other hormones, su
ch as insulin and glucocorticoids, and IGF-I also modulate the express
ion of the gene but their effects seem to be largely indirect. Underst
anding the regulation of the UCP gene expression may facilitate the de
velopment of interventions in obesity and related disorders.