Type 2 & other diabetes

Adipose Tissue‐Derived Small Extracellular Vesicles in Plasma Reveal Molecular Circuitries Underlying Glucose Intolerance

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

Distinct molecular signatures in sEVAT offer a unique insight into AT dysfunction during IGT and offer novel diagnostic and therapeutic targets.

Study context

Population
Individuals with normal GT (NGT) or impaired GT (IGT); plasma adipose tissue (AT)-derived small extracellular vesicles (sEVAT) isolated at fasting (0 h) and 1 h after oral glucose tolerance test (OGTT) glucose challenge
Participants
5 vs 5
Comparison
IGT vs NGT
  • IGTn = 5
  • NGTn = 5reference
Outcome
Biophysical and molecular profiles of sEVAT
Methodological detailsC2C12 myotubes treated with sEVAT for 48 h; 84 insulin signaling-related genes quantified
  • C2C12 myotubes treated with sEVAT for 48 h; 84 insulin signaling-related genes quantified

Main finding

As reported in the abstract

  • Size and concentration of sEVAT did not differ between groups
  • INSRα expression on sEVAT comparable at fasting; opposite directional changes between groups at 1-h OGTT
  • LC-MS/MS identified significant proteomic differences between NGT and IGT sEVAT
  • miR-27a-5p and miR-145a-5p levels in sEVAT differed significantly by glucose tolerance (GT) status
  • sEVAT (IGT-0 h) significantly downregulated insulin signaling-related genes in C2C12 myotubes

Original publication

Adipose Tissue‐Derived Small Extracellular Vesicles in Plasma Reveal Molecular Circuitries Underlying Glucose Intolerance. Obesity (Silver Spring). Published 22 February 2026. doi:10.1002/oby.70157

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