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Adipose Tissue

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

Specialized connective tissue composed of fat cells (adipocytes).

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (600 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Specialized connective tissue composed of fat cells (adipocytes). It is the site of stored FATS, usually in the form of triglycerides. In mammals, there are two types of adipose tissue, the white fat and the brown fat. Their relative distributions vary in different species with most adipose tissue being white.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Tissue, Adipose; Fatty Tissue; Tissue, Fatty; Fat Pad; Fat Pads; Pad, Fat; Pads, Fat; Body Fat.

Where it fits in the MeSH classification

Broader topics
Connective Tissue
Narrower topics
Adipose Tissue, Beige; Adipose Tissue, Brown; Adipose Tissue, White; Epicardial Adipose Tissue
See also
Skinfold Thickness; Lipectomy

Related concepts

  • Adipocytes
  • Triglycerides
  • White Fat
  • Brown Fat

Research landscape

PubMed indexes 123,122 records tagged with the MeSH heading “Adipose Tissue” (counts retrieved 2026-10-31). 25,371 of them (20.6%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 41,453 records.

Reviews account for 13,413 records (10.9%) and meta-analyses for 527. Randomized controlled trials number 2,939 (2.4%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 34,929 records; 2000-2009: 21,369 records; 2010-2019: 41,453 records; 2020 onward: 25,371 records34,929through 199921,3692000-200941,4532010-201925,3712020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199934,929
2000-200921,369
2010-201941,453
2020 onward25,371
Share of records by publication typeReviews: 10.9 percent; Meta-analyses: 0.4 percent; Randomized controlled trials: 2.4 percentReviews10.9% (13,413)Meta-analyses0.4% (527)Randomized controlled trials2.4% (2,939)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 123,122 PubMed records
TypeRecordsShare
Reviews13,41310.9%
Meta-analyses5270.4%
Randomized controlled trials2,9392.4%

Method: PubMed query "Adipose Tissue"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Adipose Tissue Plasticity and Adipogenesis: From Cellular Mechanisms to Therapeutic Targets in Obesity
Rocha S, Proença C, Carvalho F, Fernandes E
2026Review article
Design not recorded in structured metadata
5cc by
PMID 42340603 · DOI · PMC13294325
Adipocyte OX40L promotes adipose T cell activation and insulin resistance in obesity
Song J, Zeng Q, Jiao Y, Sun X, Xie L, Qiu J, et al.
2026Research article
Design not recorded in structured metadata
1cc by
PMID 42409961 · DOI · PMC13434776
Adipose tissue distribution in metabolic disease: depot-specific biology, clinical assessment, and therapeutic remodeling
LiuLi A, Zhang T, Feng Z
2026Review article
Design not recorded in structured metadata
1cc by
PMID 42422426 · DOI · PMC13341497

Adipose Tissue Plasticity and Adipogenesis: From Cellular Mechanisms to Therapeutic Targets in Obesity [1]

Review article Rocha S, Proença C, Carvalho F, Fernandes E · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Purpose of reviewThis review provides an overview of adipose tissue plasticity and adipogenesis as central processes regulating adipose tissue expansion, remodeling, and metabolic function in health and obesity, highlighting their relevance as potential therapeutic targets.
Closing excerpt
Targeting adipogenesis and promoting healthy adipose tissue remodeling represent promising strategies for restoring metabolic homeostasis and mitigating obesity-associated diseases.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

Purpose of reviewThis review provides an overview of adipose tissue plasticity and adipogenesis as central processes regulating adipose tissue expansion, remodeling, and metabolic function in health and obesity, highlighting their relevance as potential therapeutic targets.Recent findingsAdipogenesis is a tightly regulated process involving the differentiation of adipose progenitor cells into mature adipocytes through coordinated transcriptional cascades, primarily driven by peroxisome proliferator-activated receptor (PPAR)γ and CCAAT/enhancer-binding protein (C/EBP) family members. This process is further modulated by multiple signaling pathways, including wingless-related integration site (Wnt), bone morphogenetic proteins (BMPs), and insulin signaling, which collectively regulate adipocyte differentiation and metabolic function. Under physiological conditions, the adipose tissue exhibits remarkable plasticity, with adipogenesis supporting lipid buffering capacity and tissue renewal. In obesity, however, chronic nutrient excess and hormonal dysregulation impair this process, favoring adipocyte hypertrophy, hypoxia, and chronic inflammation. These alterations disrupt adipokine secretion and promote ectopic lipid deposition, thereby contributing to metabolic disorders, including insulin resistance and cardiometabolic disease. Adipose tissue plasticity and adipogenesis are critical determinants of metabolic health. Dysregulation of these processes underlies adipose tissue dysfunction and contributes to the development of obesity-related comorbidities. Targeting adipogenesis and promoting healthy adipose tissue remodeling represent promising strategies for restoring metabolic homeostasis and mitigating obesity-associated diseases.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42340603 · DOI · PMC13294325

Adipocyte OX40L promotes adipose T cell activation and insulin resistance in obesity [2]

Research article Song J, Zeng Q, Jiao Y, Sun X, Xie L, Qiu J, et al. · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
T cells contribute critically to obesity-induced adipose inflammation and insulin resistance, yet the co-stimulatory signals that govern their activation in adipose tissue remain unclear.
Closing excerpt
Our findings identify adipocyte-derived OX40L as a critical mediator of obesity-associated immune dysfunction and establish it as a targetable checkpoint for tissue-specific immunotherapy in metabolic disease.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (138 words)

T cells contribute critically to obesity-induced adipose inflammation and insulin resistance, yet the co-stimulatory signals that govern their activation in adipose tissue remain unclear. Here, we systematically profile co-stimulatory molecules in adipocytes and adipose tissue macrophages and identify OX40 ligand (OX40L) as the most robustly upregulated in obesity. OX40L is also elevated in adipocytes from obese humans. Although macrophage-specific OX40L deletion has no metabolic impact, global OX40 deficiency or adipocyte-specific OX40L deletion reduces Th1 cell accumulation in visceral adipose tissue, attenuates inflammation and improves insulin sensitivity without affecting adiposity. These benefits are reversed by Th1 cell transfer. Therapeutic blockade of OX40L with a neutralizing antibody mimics the protective effects of genetic deletion. Our findings identify adipocyte-derived OX40L as a critical mediator of obesity-associated immune dysfunction and establish it as a targetable checkpoint for tissue-specific immunotherapy in metabolic disease.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42409961 · DOI · PMC13434776

Adipose tissue distribution in metabolic disease: depot-specific biology, clinical assessment, and therapeutic remodeling [3]

Review article LiuLi A, Zhang T, Feng Z · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Adipose tissue distribution is a key determinant of metabolic health and cannot be fully explained by total fat mass or body mass index alone.
Closing excerpt
This framework highlights the need for standardized depot-specific phenotyping and precision therapies that target metabolically harmful fat distribution rather than total adiposity alone.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (261 words)

Adipose tissue distribution is a key determinant of metabolic health and cannot be fully explained by total fat mass or body mass index alone. Major adipose compartments, including subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), thermogenic brown and beige adipose tissues, and ectopic lipid accumulation in non-adipose organs, differ markedly in cellular composition, developmental origin, endocrine function, inflammatory status, and metabolic activity. Excess visceral and ectopic fat is strongly associated with insulin resistance, type 2 diabetes mellitus (T2DM), cardiovascular disease (CVD), metabolic syndrome (MetS), and organ-specific metabolic injury, whereas lower-body SAT may provide a relatively safe lipid-buffering reservoir. Advances in imaging, body-composition analysis, functional metabolic assessment, single-cell omics, and genetic studies have refined the characterization of adipose tissue distribution and its regulatory basis. Current evidence indicates that regional fat patterning is governed by integrated adipogenic, thermogenic, developmental, endocrine, genetic, and environmental programs, and is further modified by sex, age, ethnicity, diet, physical activity, sleep, and stress. Therapeutic strategies also differ substantially in their effects on adipose distribution. Lifestyle intervention and glucagon-like peptide-1 receptor agonists mainly reduce visceral and ectopic fat alongside overall weight loss, thiazolidinediones (TZDs) more directly reshape lipid partitioning, and thermogenic approaches such as cold exposure and β3-adrenergic stimulation remain biologically attractive but not yet established for routine clinical use. Rather than treating adipose depots as isolated anatomical compartments, this review proposes an integrated framework linking depot-specific biology, lipid-buffering capacity, clinical assessment, and therapeutic remodeling. This framework highlights the need for standardized depot-specific phenotyping and precision therapies that target metabolically harmful fat distribution rather than total adiposity alone.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42422426 · DOI · PMC13341497

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article New genetic loci link adipose and insulin biology to body fat distribution [4]
    Shungin D, Winkler TW, Croteau-Chonka DC, Ferreira T, Locke AE, Mägi R, et al. · Nature · 2015 · cited 1,372 times (Europe PMC)
  • Research article Effect of High-Intensity Interval Training on Total, Abdominal and Visceral Fat Mass: A Meta-Analysis [5]
    Maillard F, Pereira B, Boisseau N · Sports Med · 2018 · cited 229 times (Europe PMC)
  • Research article The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis [6]
    Vissers D, Hens W, Taeymans J, Baeyens JP, Poortmans J, Van Gaal L · PLoS One · 2013 · cited 224 times (Europe PMC)
  • Research article A systematic review and meta-analysis of the effect of aerobic vs. resistance exercise training on visceral fat [7]
    Ismail I, Keating SE, Baker MK, Johnson NA · Obes Rev · 2012 · cited 215 times (Europe PMC)
  • Research article An integrated single cell and spatial transcriptomic map of human white adipose tissue [8]
    Massier L, Jalkanen J, Elmastas M, Zhong J, Wang T, Nono Nankam PA, et al. · Nat Commun · 2023 · cited 175 times (Europe PMC)
  • Research article Epicardial adipose tissue volume assessed by computed tomography and coronary artery disease: a systematic review and meta-analysis [9]
    Mancio J, Azevedo D, Saraiva F, Azevedo AI, Pires-Morais G, Leite-Moreira A, et al. · Eur Heart J Cardiovasc Imaging · 2018 · cited 153 times (Europe PMC)

References

  1. Rocha S, Proença C, Carvalho F, Fernandes E. Adipose Tissue Plasticity and Adipogenesis: From Cellular Mechanisms to Therapeutic Targets in Obesity. . 2026. PMID 42340603 · DOI · PMC13294325
  2. Song J, Zeng Q, Jiao Y, Sun X, Xie L, Qiu J, et al.. Adipocyte OX40L promotes adipose T cell activation and insulin resistance in obesity. . 2026. PMID 42409961 · DOI · PMC13434776
  3. LiuLi A, Zhang T, Feng Z. Adipose tissue distribution in metabolic disease: depot-specific biology, clinical assessment, and therapeutic remodeling. . 2026. PMID 42422426 · DOI · PMC13341497
  4. Shungin D, Winkler TW, Croteau-Chonka DC, Ferreira T, Locke AE, Mägi R, et al.. New genetic loci link adipose and insulin biology to body fat distribution. Nature. 2015. PMID 25673412 · DOI · PMC4338562
  5. Maillard F, Pereira B, Boisseau N. Effect of High-Intensity Interval Training on Total, Abdominal and Visceral Fat Mass: A Meta-Analysis. Sports Med. 2018. PMID 29127602 · DOI
  6. Vissers D, Hens W, Taeymans J, Baeyens JP, Poortmans J, Van Gaal L. The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis. PLoS One. 2013. PMID 23409182 · DOI · PMC3568069
  7. Ismail I, Keating SE, Baker MK, Johnson NA. A systematic review and meta-analysis of the effect of aerobic vs. resistance exercise training on visceral fat. Obes Rev. 2012. PMID 21951360 · DOI
  8. Massier L, Jalkanen J, Elmastas M, Zhong J, Wang T, Nono Nankam PA, et al.. An integrated single cell and spatial transcriptomic map of human white adipose tissue. Nat Commun. 2023. PMID 36922516 · DOI · PMC10017705
  9. Mancio J, Azevedo D, Saraiva F, Azevedo AI, Pires-Morais G, Leite-Moreira A, et al.. Epicardial adipose tissue volume assessed by computed tomography and coronary artery disease: a systematic review and meta-analysis. Eur Heart J Cardiovasc Imaging. 2018. PMID 29236951 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Related research topics

  • Epicardial Adipose TissueAnatomy and Physiology
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  • LipogenesisMolecular Biology
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All 542 articles in Anatomy and Physiology →

At a glance

123,122
PubMed records on this heading
21%
published since 2020
13,413
review articles
2,939
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Epicardial Adipose TissueAnatomy and Physiology
  • Abdominal FatAnatomy and Physiology
  • OverweightAnatomy and Physiology
  • Body Mass IndexAnatomy and Physiology
  • LipogenesisMolecular Biology

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