Brown fat is a type of fat, found in both children and adults, which can produce heat and regulate the body's metabolism and energy use. White fat is the more common type of fat which is used to store extra calories. Understanding more about differences between brown and white fat may allow us to develop new approaches to improve the body's metabolism.
The overarching goal of this study, is to map fat (adipose) tissue differences in humans. The investigators will probe multiple aspects of fat cell (adipocyte) identity by integrating quantitative chemical imaging, single-cell and single-nucleus RNA sequencing (sc and snRNAseq), and site-specific collection of adipocytes and adipocyte precursors. Deidentified data from these studies will be submitted to the Human Cell Atlas. The investigators anticipate that these studies will ultimately increase understanding of mechanisms by which fat (adipose) tissue regulates systemic metabolism (energy transformation in the body), and promotes risk for metabolic disease. Knowledge gained from this research may be used to set the stage for disease-specific analyses, and aid in the development of personalized medicine for metabolic diseases such as type 2 diabetes.
Study Type
OBSERVATIONAL
Enrollment
40
The fat biopsy is performed during a scheduled procedure at the Beth Israel Deaconess Medical Center (BIDMC). Routine preoperative procedures will be followed, including local anesthesia (numbing a particular region of the body) or general anesthesia (being put to sleep). Adipose tissue will be sampled from different depots depending on the procedure. For example, the surgeon will collect adipose tissue from the neck and supraclavicular depots from cervical spine, thyroid, and parathyroid procedures; perinephric fat from adrenalectomies, omental fat from abdominal procedures, and paraspinal fat from lumbar spine procedures. Up to 5 pieces of fat tissue weighing about three to six grams will be removed. All other aspects of the surgical procedure will proceed as planned. Samples will be prepared for subsequent laboratory analysis.
A blood sample will be collected in the fasting state either during preoperative testing or in the preoperative area on the day of planned procedure for measurement of adipose functional markers (leptin, adiponectin) and insulin resistance (insulin, C-peptide), and measures of glycemia (glucose, hemoglobin A1c).
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
RECRUITINGCollect human brown and white adipose tissue to prepare progenitor and differentiated cells for single nucleus RNA analysis.
Adipose tissue biopsy samples will be processed for single-nucleus RNA analysis of gene expression.
Time frame: March 2022
Collect human brown and white adipose tissue to prepare progenitor and differentiated cells for Raman spectroscopy.
Adipose tissue biopsy samples will be processed for Raman spectroscopy analysis.
Time frame: March 2022
Collect human brown and white adipose tissue to prepare cells for ex vivo differentiation
Adipose tissue biopsy samples will be processed for ex vivo differentiation.
Time frame: March 2022
Insulin resistance
Insulin resistance of participants, assessed by homeostatic model of insulin resistance (HOMA-IR), will be analyzed and summarized.
Time frame: March 2022
Hemoglobin A1c
Hemoglobin A1c levels for participants will be analyzed and summarized.
Time frame: March 2022
Fasting glucose levels
Fasting glucose levels for participants will be analyzed and summarized.
Time frame: March 2022
Body mass index (BMI)
Weight and height will be combined to report BMI in kg/m\^2. BMI of participants will be analyzed and summarized.
Time frame: March 2022
Demographic characteristics
Demographic characteristics of participants will be analyzed and summarized.
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Targeted resequencing of DNA to identify variants associated with adipose phenotypes will be performed.
Time frame: March 2022
DNA analysis
DNA will be isolated and stored from blood samples. If specific genes are differentially regulated as a function of metabolic state or anatomical location of biopsy, locus-specific or genome-wide genotyping may be performed to assess potential regulatory single-nucleotide polymorphisms (SNP).
Time frame: March 2022