Adipose tissue lipolysis, i.e., the catabolic process leading to the breakd
own of triglycerides into fatty acids and glycerol, is often considered as
a simple and well-understood metabolic pathway. However, progress on the ho
rmonal regulation and molecular mechanism of fat-cell lipolysis is opening
new avenues and points to a number of unanswered questions. Recent studies
on the lipolytic beta- and antilipolytic alpha (2)-adrenergic control of li
polysis has allowed a better understanding of the relative contribution of
the two types of receptors and provide strong evidence for the in vivo impl
ication of alpha (2)-adrenoceptors in the physiological control of subcutan
eous adipose-tissue lipolysis. A novel lipolytic system has been characteri
zed in human fat cells. Natriuretic peptides stimulate lipolysis through a
cGMP-dependent pathway. The molecular details of the lipolytic reaction are
not fully understood. Translocation of hormone-sensitive lipase, the rate-
limiting enzyme of lipolysis, to the lipid droplet seems to be an important
step during lipolytic activation. Reorganization of the lipid droplet coat
ing by perilipins may also facilitate the access of the enzyme. Unexpectedl
y, hormone-sensitive lipase-deficient mice are not obese and show residual
adipose-tissue lipolysis, which suggests the existence of another triglycer
ide lipase. Whether the expression of this uncharacterized neutral lipase i
s compensatory for the lack of hormone-sensitive lipase is an important que
stion yet to be resolved. In humans, alterations of hormone-sensitive lipas
e expression are associated with changes in lipolysis in various physiologi
cal and pathological states. Genetic studies show that beta (2)-adrenocepto
r and hormone-sensitive lipase genes may participate in the polygenic backg
round of obesity.