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Published: March 31, 2026
Video Description
Dr. Mikhail Kolonin reveals how GLP-1 drugs trigger IL-6 signaling in fat tissue, activating a thermogenic program that converts white fat to brown fat and in some patients, upregulates telomerase (TERT), a protein linked to mitochondrial health and longevity.
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Fat tissue has a bad reputation but Dr. Mikhail Kolonin argues we've been thinking about it all wrong. In this episode he explains how fat is an essential endocrine organ, why visceral fat accumulation drives aging and metabolic disease, and what GLP-1 drugs are doing to fat at a cellular level that goes far beyond simple fat loss. His lab discovered that GLP-1 drugs trigger a transient spike in IL-6, normally considered an inflammatory villain, which acts as a messenger that converts white fat cells into metabolically active brown fat cells. More surprisingly, in a clinical study of Dulaglutide-treated patients, those who upregulated IL-6 also showed elevated TERT expression, the catalytic subunit of telomerase. Dr. Kolonin explains what TERT is doing in non-dividing fat cells, its role in mitochondrial biogenesis and oxidative metabolism, and what this could mean for healthy aging.
📚 Chapters
0:00 Does GLP-1 burn fat or just reduce appetite?
2:14 Why fat tissue is essential and how it changes with age
6:26 IL-6: from inflammatory villain to metabolic messenger
10:27 The clinical finding IL-6, UCP1 and thermogenic fat activation
17:09 TERT in fat cells what telomerase is doing beyond telomeres
22:29 TERT, mitochondrial biogenesis and the hallmarks of aging
🌐Links in this video
Dr Kolonin's page https://gsbs.uth.edu/directory/profile?id=b816c8de-c9b0-40f0-873c-42fa69db82e9
#glp1 #Longevity #Telomerase