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Adipose tissue hyperplasia and hypertrophy in common and syndromic obesity-the case of BBS obesity
Open accessAbstract
Obesity is a metabolic state generated by the expansion of adipose tissue. Adipose tissue expansion depends on the interplay between hyperplasia and hypertrophy, and is mainly regulated by a complex interaction between genetics and excess energy intake. However, the genetic regulation of adipose tissue expansion is yet to be fully understood. Obesity can be divided into common multifactorial/polygenic obesity and monogenic obesity, non-syndromic and syndromic. Several genes related to obesity were found through studies of monogenic non-syndromic obesity models. However, syndromic obesity, characterized by additional features other than obesity, suggesting a more global role of the mutant genes related to the syndrome and, thus, an additional peripheral influence on the development of obesity, were hardly studied to date in this regard. This review summarizes present knowledge regarding the hyperplasia and hypertrophy of adipocytes in common obesity. Additionally, we highlight the scarce research on syndromic obesity as a model for studying adipocyte hyperplasia and hypertrophy, focusing on Bardet–Biedl syndrome (BBS). BBS obesity involves central and peripheral mechanisms, with molecular and mechanistic alternation in adipocyte hyperplasia and hypertrophy. Thus, we argue that using syndromic obesity models, such as BBS, can further advance our knowledge regarding peripheral adipocyte regulation in obesity.
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“Hyperplasia and hypertrophy can occur in a depot-specific manner, as intra-abdominal fat depots primarily expand through hypertrophy, while subcutaneous WAT has been seen to expand through both methods (54).”
From Metabolic impact of endogenously produced estrogens by adipose tissue in females and males across the lifespan (2025) · cites this paper as [54]
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“The proliferation of other stromal cells parallels this process to ensure a sufficient blood flow to supply oxygen and nutrients to the growing tissue [72,73].”
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“Studies of rodents suggest that female mice present more adipose progenitor cells (APCs) in inguinal and gonadal depots compared to males, which respond to diet-induced obesity by elevating APCs’ hyperplasia (probably mediated by estrogen), while visceral fat expands with hypertrophy [8,28,38].”
BackgroundRegional differences in adipose tissue metabolism in obese men
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Adipogenesis Regulation and Endocrine Disruptors: Emerging Insights in Obesity
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Rare genetic forms of obesity: From gene to therapy
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Flagged first, then by citations
Research works printed but not linked: 1
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Cited by
Sorted by citations
Impact of Adipose Tissue and Lipids on Skeletal Muscle in Sarcopenia
Jang, S. Y., & Choi, K. M. (2025) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.70000 · Cited by 81
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“Adipocyte hypertrophy, with cell diameters expanding up to 150-200 m m (94), leads to reduced oxygen availability and tissue hypoxia (95).”
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“This difference in insulin sensitivity plays a significant role in the systemic effects of obesity, particularly the development of insulin resistance [43].”
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“This percentage rises to 45–60% in experimentally obese mice [20, 21].”
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Metadata
- Authors
- Horwitz, A., & Birk, R.
- Affiliations
- Ariel University (IL)
- Corresponding author
- Birk, Ruth
- ORCID
- Birk, Ruth
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2023-08-04
- Volume
- 15
- Issue
- 15
- Pages
- 3445
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC10421039
- OpenAlex
- W4385577907
- Cited by
- 143
- References
- 264
- Citations by year
- 2026: 50 · 2025: 52 · 2024: 37 · 2023: 4
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- adipose tissue hyperplasia, adipocyte hypertrophy, syndromic obesity, Bardet-Biedl syndrome, monogenic obesity, polygenic obesity
- MeSH terms
- Adipose Tissue, Animals, Humans, Hyperplasia, Hypertrophy, Obesity, Syndrome, Adipocytes, Bardet-Biedl Syndrome
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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