a Expression of GPR180 in WAT of normal weight men and individuals with obesity and normal glucose tolerance (NGT), obesity with prediabetes and obesity with diabetes (n = 57; p = 0.0021 for individuals with obesity and NGT, p = 0.0003 for individuals with obesity and prediabetes and p = 0.0013 for patients with obesity and diabetes). b Expression of GPR180 in paired samples of SAT and isolated adipocytes (n = 21; p = 0.0077). Correlation of adipocyte GPR180 level with c adipocyte size (n = 54), d suppression of fatty acid release during EHC (n = 55) and e resting energy expenditure (n = 31). f Incidence of circulating CTHRC1 in normal weight individuals, and patients affected by obesitybut NGT, patients having obesity and prediabetes and/or type 2 diabetes (n = 85; p = 0.02533) and its association with g basal energy expenditure and h energy expenditure measured during the steady state of EHC (n = 20). i Schematic illustration of the signalling mechanism identified in this study. Data are shown as mean ± SEM. Statistical analysis was performed by one-way ANOVA with Dunett post-hoc test (a), paired Student´s t-test (b) or Fisher´s exact test (f). For association of GPR180 expression in WAT or circulating CTHRC1 with metabolic parameters Pearson’s correlation coefficient was calculated (c–e, g, h). Significant differences are indicated as *p < 0.05, **p < 0.01 and ***p < 0.001. CTHRC1 Collagen triple helix repeat containing 1, EHC euglycaemic hyperinsulinaemic clamp, FFA free fatty acids, GPR180 G protein-coupled receptor 180, REE resting energy expenditure, SAT subcutaneous adipose tissue, SMAD3 Mothers against decapentaplegic homolog 3, TGFβ1 Transforming growth factor β1, TGFβR1 Transforming growth factor β receptor type 1, TGFβR2 Transforming growth factor β receptor type 2, UCP1 Uncoupling protein 1.