- Rahbani, Janane F;
- Scholtes, Charlotte;
- Lagarde, Damien M;
- Hussain, Mohammed F;
- Roesler, Anna;
- Dykstra, Christien B;
- Bunk, Jakub;
- Samborska, Bozena;
- O’Brien, Shannon L;
- Tripp, Emma;
- Pacis, Alain;
- Angueira, Anthony R;
- Johansen, Olivia S;
- Cinkornpumin, Jessica;
- Hossain, Ishtiaque;
- Lynes, Matthew D;
- Zhang, Yang;
- White, Andrew P;
- Pastor, William A;
- Chondronikola, Maria;
- Sidossis, Labros;
- Klein, Samuel;
- Kralli, Anastasia;
- Cypess, Aaron M;
- Pedersen, Steen B;
- Jessen, Niels;
- Tseng, Yu-Hua;
- Gerhart-Hines, Zachary;
- Seale, Patrick;
- Calebiro, Davide;
- Giguère, Vincent;
- Kazak, Lawrence
Noradrenaline (NA) regulates cold-stimulated adipocyte thermogenesis1. Aside from cAMP signalling downstream of β-adrenergic receptor activation, how NA promotes thermogenic output is still not fully understood. Here, we show that coordinated α1-adrenergic receptor (AR) and β3-AR signalling induces the expression of thermogenic genes of the futile creatine cycle2,3, and that early B cell factors, oestrogen-related receptors and PGC1α are required for this response in vivo. NA triggers physical and functional coupling between the α1-AR subtype (ADRA1A) and Gαq to promote adipocyte thermogenesis in a manner that is dependent on the effector proteins of the futile creatine cycle, creatine kinase B and tissue-non-specific alkaline phosphatase. Combined Gαq and Gαs signalling selectively in adipocytes promotes a continual rise in whole-body energy expenditure, and creatine kinase B is required for this effect. Thus, the ADRA1A-Gαq-futile creatine cycle axis is a key regulator of facultative and adaptive thermogenesis.