Oxygenation of adipose tissue in insulin resistance

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Oxygenation of adipose tissue in insulin resistance

Insulin resistance is associated with obesity, and increases the risk of type 2 diabetes mellitus and cardiovascular disease. However, the severity of insulin resistance is variable, even in cohorts with similar body weights. Previous work in rodent models suggested that differences in adipose tissue oxygenation could underlie this variability in insulin resistance. A new study has investigated this association in people.

The study included three groups of participants: 11 people classified as ‘metabolically healthy lean’ (MHL); 15 people classified as ‘metabolically healthy obese’ (MHO); and 20 people classified as ‘metabolically unhealthy obese’ (MUO). The researchers assessed subcutaneous abdominal adipose tissue interstitial partial pressure of oxygen (pO2), insulin sensitivity, the expression of genes in adipose tissue associated with oxygenation and plasma concentrations of factors thought to be involved in insulin action.

The researchers found that adipose tissue pO2 was highest in the MHL group, followed by the MHO and then MUO groups. Adipose tissue pO2 was also found to be positively associated with hepatic and whole-body insulin sensitivity. Furthermore, adipose tissue pO2 was positively associated with the expression of genes associated with branched chain amino acid (BCAA) catabolism and negatively associated with the expression of genes associated with fibrosis and inflammation. An inverse association was found between adipose tissue pO2 and plasma concentrations of BCAAs and PAI1.

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