“…However, this may be related more to the nature rather than the quantity of marrow adipose. For example, during puberty and with fracture repair processes, marrow fat exhibits a brown adipocyte-like phenotype characterized by the expression of brown adipocyte transcription factors (e.g., PR domain containing 16 (Prdm16) and Forkhead Box C2 (FoxC2)) and marker genes (e.g., PGC1 α , deiodinase 2 (Dio2), beta-3-adrenergic receptor (β3AR), and uncoupling protein 1 (UCP1)) [1, 4, 63, 64]. It is generally believed that marrow adipocytes exhibiting brown adipocyte-like phenotype contribute to a microenvironment favorable for osteogenesis by providing the necessary energy balance, adaptive thermogenesis, and/or by releasing pro-osteogenic factors such as insulin-like growth factor 1 (IGF1) and leptin [1, 4, 64, 65].…”