Obesity

Sex‐Specific Subcutaneous Adipose Tissue Transcriptome in Obesity: Insights From Monozygotic Twin Pairs Discordant for BMI

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

Biological sex influences the AT transcriptome and its response to obesity, highlighting distinct molecular mechanisms that may contribute to sex-specific metabolic health.

Study context

Population
BMI-discordant monozygotic twin pairs (ΔBMI > 2.5 kg/m²)twin pairs
Participants
21 vs 16
Comparison
Females vs males; heavier vs leaner co-twins
  • Female pairsn = 21
  • Male pairsn = 16
Outcome
Subcutaneous AT transcriptome
Methodological detailsBMI-discordant monozygotic twin pairs, adipose tissue (AT) RNA sequencing, linear mixed modeling, pathway enrichment
  • BMI-discordant monozygotic twin pairs
  • AT RNA sequencing
  • Linear mixed modeling
  • Pathway enrichment

Main finding

As reported in the abstract

  • AT transcriptional profiles differed between sexes, associated with insulin sensitivity
  • Within-pair obesity effects stronger in females: upregulated inflammation, downregulated mitochondrial oxidative phosphorylation
  • Males: increased inflammation and decreased histone modification with obesity
  • Lower expression of unsaturated fatty acid metabolism genes in obesity in females only
  • Negative association between unsaturated fatty acid metabolism and insulin sensitivity in males only

Original publication

Sex‐Specific Subcutaneous Adipose Tissue Transcriptome in Obesity: Insights From Monozygotic Twin Pairs Discordant for BMI. Obesity (Silver Spring). Published 23 November 2025. doi:10.1002/oby.70078

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