Obesity

The subcutaneous adipose transcriptome identifies a molecular signature of insulin resistance shared with visceral adipose

Obesity (Silver Spring)Published Mechanistic study

Authors' conclusion

SAT is conventionally viewed as a metabolic buffer for lipid deposition during positive energy balance, whereas VAT is viewed as a dominant contributor to and prime mediator of IR and cardiometabolic disease risk. Our results implicate a dynamic transcriptional architecture of IR that resides in both immune and non-immune populations in SAT and is shared with VAT, nuancing the current VAT-centric concept of IR in humans.

Study context

Population
Humans across the spectrum of obesity with metabolic phenotyping
Participants
220 participants
Outcome
Transcriptional landscape of insulin resistance (IR) in subcutaneous adipose tissue (SAT)
Methodological detailsSubcutaneous adipose tissue (SAT) RNA sequencing, metabolic phenotyping
  • SAT RNA sequencing
  • Metabolic phenotyping

Main finding

As reported in the abstract

  • 35-gene signature with high predictive accuracy for HOMA-IR, expressed across a variety of non-immune cell populations
  • Primarily "protective" insulin resistance (IR) associations for adipocyte transcripts and "deleterious" associations for macrophage transcripts
  • High concordance between SAT and visceral adipose tissue (VAT)

Further findings

Dynamic SAT gene expression · 5 years after weight loss surgery

Multiple SAT genes exhibited dynamic expression 5 years after weight loss surgery and with insulin stimulation

Genetic effects (expression quantitative trait loci) of SAT and VAT on T2D and BMI

Similar genetic effect sizes of SAT and VAT on T2D and BMI

Original publication

The subcutaneous adipose transcriptome identifies a molecular signature of insulin resistance shared with visceral adipose. Obesity (Silver Spring). Published 5 July 2024. doi:10.1002/oby.24064

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