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. 2023 Sep 1;55(9):1955–1973. doi: 10.1038/s12276-023-01071-4

Table 2.

Summary of adipose tissue lipidomics studies in humans.

Category Subjects studied Experimental interventions or conditions (sample size) Sample type Lipidomic findings Refs.
Exercise n = 36, male subjects

Exercise (4 months of endurance training and then gradually changed to interval training, 7 months)

Exercise (n = 15) vs. Sedentary (n = 21)

SAT Fatty acid 18:0 in exercised subjects 42
Fatty acid 16:1 in exercised subjects
n = 46, NAFLD patients

Exercise (high-intensity interval training based on the ergospirometry test, 12 weeks)

Exercise (n = 21) vs. Sedentary (n = 25)

SAT LPE (16:0, 18:0) in exercised NAFLD patients 49
n = 72, male/female overweight elderly subjects

Exercise (daily physical activity level of at least 30 min of moderate intensity and included both aerobic and strength training, 6 months)

Exercise (n = 43) vs. Sedentary (n = 30)

SAT Fatty acid 18:2, omega-6 PUFAs in exercised overweight elderly subjects 39
n = 27, female subjects aged 65–80

Exercise (combined aerobic and resistance training, 1 h, 3 times a week, 4 months)

After Exercise+Placebo vs. Before Exercise+Placebo

SAT Total PAHSA, 5-PAHSA, 9-PAHSA, 10-PAHSA, 11-PAHSA in exercised elderly women 53
Anti-diabetic drugs n = 7, male/female T2D patients

Pioglitazone (45 mg/day, 6 months)

Pioglitazone (n = 7) vs. Veh (n = 0)

SAT SFA-containing phospholipids in pioglitazone-treated patients 72
Free AA, cardiolipin, AA-containing PE P-, and AA-containing phospholipids in pioglitazone-treated patients
Obesity n = 86, male/female subjects

Lean (BMI 21.6–24.6 kg/m2; age = 68 ± 10.9 years; male/female = 3/2)

Obesity (BMI 43.9–46.3 kg/m2; age = 45 ± 2.2 years; male/female = 26/55)

Obesity (n = 81) vs. Lean (n = 5)

SAT PUFA (20:4, 20:5, 22:5, 22:6)-containing TG, PUFA (20:4, 20:5, 22:6)-containing PC P-, and sphingadiene Cer (SPB 18:2;O2) in obesity 2
MUFA-containing TG and SFA-containing TG in obesity
VAT PUFA (20:4, 20:5, 22:5, 22:6)-containing TG, C18 acyl chain-containing PE P-, and sphingadiene Cer (SPB 18:2;O2) in obesity
MUFA-containing TG and SFA-containing TG in obesity
n = 53, male/female subjects

Lean (BMI 24.4–26.22 kg/m2)

Obesity (BMI 41.59–44.73 kg/m2)

Pathogenic obesity (BMI 46.87–50.31 kg/m2)

Pathogenic obesity (n = 18) vs. Obesity (n = 18) vs. Lean (n = 17)

VAT

PE P- (16:0/20:4) and LPE P- (16:0, 18:0, 18:1) in pathogenic obesity compared to obesity or lean

PC P- (16:0/16:0, 16:0/20:4) and PE P- (18:0/20:4) in pathogenic obesity compared to obesity

95
LPE P-18:0 in obesity compared to lean
n = 13 pairs of monozygotic twins n = 8 pathogenic obese subjects

Low BMI (BMI < 25 kg/m2)

High BMI (BMI ≥ 25 kg/m2)

Pathogenic obesity (BMI 47.0–60.4 kg/m2)

BMI discordant twin pairs (n = 13; 15.2 kg (20%, 5.3 kg/m2) heavier than the nonobese twin)

Pathogenic obesity (n = 8)

SAT AA-containing PE P- in obesity compared to lean 86
PE P- (16:0/20:4, 18:1/20:4) in pathogenic obesity compared to obesity or lean
VAT PE P- (16:0/20:4, 18:1/20:4) in pathogenic obesity compared to obesity or lean
n = 20 subjects

Lean (BMI < 25 kg/m2)

Obesity (BMI > 30 kg/m2)

Obesity (n = 10) vs. Lean (n = 10)

VAT Cer (14:0, 16:0, 16:1, 18:0, 18:1, 22:1) in obesity 101
n = 71, male/female subjects

Nonobesity (BMI 18.5–26.9 kg/m2)

Morbid obesity (BMI > 40 kg/m2)

Low IR or IS state (FG < 100 mg/dL and HOMA-IR < 2.5)

High IR state (FG levels 100–125 mg/dL or HOMA-IR > 3.4)

Obesity with low IR (n = 11) vs. Obesity with high IR (n = 25)

VAT C18 acyl chain-containing phospholipid and, LPE 18:2 in IS obesity compared to IR obesity 93
n = 48, male/female subjects BMI 17.96–27.03 kg/m2 SAT PUFA-containing PC P- and PUFA-containing PE P- *positive correlation with BMI 94
LPE P- 18:0 *negative correlation with BMI

Elevated levels of lipid species corresponding to distinct physiological conditions are denoted by an upward arrow (↑), whereas reduced levels of lipid species are represented by a downward arrow (↓).

AA arachidonic acid, BMI body mass index, Cer ceramide, FG fasting plasma glucose, IR insulin resistance, IS insulin sensitive, LPE lysophosphatidylethanolamine, LPE P- plasmenyl LPE, MUFA monounsaturated fatty acid, NAFLD nonalcoholic fatty liver disease, PAHSA palmitic acid esters of hydroxystearic acid, PC P- plasmenyl PC, PE P- plasmenyl PE, PUFA polyunsaturated fatty acid, SAT subcutaneous adipose tissue, SFA saturated fatty acid, TG triglyceride/triacylglycerol, T2D type 2 diabetes, VAT visceral adipose tissue, Veh vehicle.