Cell-Type Heterogeneity in Adipose Tissue Is Associated with Complex Traits and Reveals Disease-Relevant Cell-Specific eQTLs
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Abstract
Adipose tissue is an important endocrine organ with a role in many cardiometabolic diseases. It is comprised of a heterogeneous collection of cell types that can differentially impact disease phenotypes. Cellular heterogeneity can also confound -omic analyses but is rarely taken into account in analysis of solid-tissue transcriptomes. Here, we investigate cell-type heterogeneity in two population-level subcutaneous adipose-tissue RNA-seq datasets (TwinsUK, n = 766 and the Genotype-Tissue Expression project [GTEx], n = 326) by estimating the relative proportions of four distinct cell types (adipocytes, macrophages, CD4+ T cells, and micro-vascular endothelial cells). We find significant cellular heterogeneity within and between the TwinsUK and GTEx adipose datasets. We find that adipose cell-type composition is heritable and confirm the positive association between adipose-resident macrophage proportion and obesity (high BMI), but we find a stronger BMI-independent association with dual-energy X-ray absorptiometry (DXA) derived body-fat distribution traits. We benchmark the impact of adipose-tissue cell composition on a range of standard analyses, including phenotype-gene expression association, co-expression networks, and cis-eQTL discovery. Our results indicate that it is critical to account for cell-type composition when combining adipose transcriptome datasets in co-expression analysis and in differential expression analysis with obesity-related traits. We applied gene expression by cell-type proportion interaction models (G × Cell) to identify 26 cell-type-specific expression quantitative trait loci (eQTLs) in 20 genes, including four autoimmune disease genome-wide association study (GWAS) loci. These results identify cell-specific eQTLs and demonstrate the potential of in silico deconvolution of bulk tissue to identify cell-type-restricted regulatory variants.
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Visceral adipose fat predominantly comprises adipocytes, endothelial cells, and macrophages.
“Visceral adipose fat is known to predominantly comprise adipocytes, endothelial cells, and macrophages.53”
From Cystatin C is glucocorticoid responsive, directs recruitment of Trem2+ macrophages, and predicts failure of cancer immunotherapy (2023) · cites this paper as [53]
The Results (Estimation of Relative Cell-Type Proportions; page unavailable) identify adipocytes, endothelial cells, and macrophages as major estimated cell types, but the analyzed biopsies were subcutaneous. The Methods (GTEx RNA-Seq Dataset; page unavailable) also specifies subcutaneous samples. Visceral fat was measured as a body-fat trait, not sampled to establish its cellular composition, so the claim’s visceral-specific wording is unsupported. (LLM, conf=0.88)
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- Authors
- Glastonbury, C. A., Couto Alves, A., El-Sayed Moustafa, J. S., & Small, K. S.
- Affiliations
- King's College London (GB)
- Corresponding author
- Glastonbury, Craig A.
- Small, Kerrin S.
- Venue
- The American Journal of Human Genetics
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 104
- Issue
- 6
- Pages
- 1013-1024
- ISSN
- 0002-9297 (ISSN-L)
- PMC
- PMC6556877
- OpenAlex
- W2951804967
- Cited by
- 114
- References
- 5
- Citations by year
- 2026: 11 · 2025: 9 · 2024: 12 · 2023: 26 · 2022: 16 · 2021: 15 · 2020: 19 · 2019: 6
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The American Journal of Human Genetics (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- Medical Research Council (MR/L01999X/1, MR/M004422/1, MR/L016311/1)
- Seventh Framework Programme
- Wellcome Trust
- National Institute for Health Research
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Keywords
- adipose tissue, cellular heterogeneity, cell type composition, expression quantitative trait loci, obesity, body fat distribution, adipocytes, CD4+ T cells, microvascular endothelial cells, co-expression network, transcriptome deconvolution
- MeSH terms
- Adipose Tissue, Adult, Aged, Aged, 80 and over, Female, Humans, Inflammation, Male, Middle Aged, Obesity, Phenotype, Genetic Predisposition to Disease, Multifactorial Inheritance, Polymorphism, Single Nucleotide, Gene Expression Profiling, Quantitative Trait Loci, Genome-Wide Association Study, Transcriptome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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