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Updated: Jun 2, 2026

Isolation and Culture of Human Mature Adipocytes Using Membrane Mature Adipocyte Aggregate Cultures (MAAC)
Published on: February 13, 2020
An inflammatory micro-environment promotes human adipocyte apoptosis
Michaela Keuper1, Matthias Blüher, Michael R Schön
1Division of Pediatric Endocrinology, Diabetes and Obesity Unit, Department of Pediatrics and Adolescent Medicine, Ulm University, Eythstr. 24, 89075 Ulm, Germany.
Abstract:
Obesity-associated macrophage infiltration into adipose tissue is responsible for both local and systemic inflammation. Recent findings suggest fat cell apoptosis as an initiator of macrophage recruitment. Here, we investigated the effects of an inflammatory micro-environment on fat cells using human THP-1 macrophages and SGBS adipocytes. Macrophage-secreted factors induced insulin resistance, inhibited insulin-stimulated Akt phosphorylation, and induced apoptosis of adipocytes. The apoptosis-inducing effect was even more pronounced in direct co-cultures of adipocytes and macrophages. Our data suggest a link between insulin resistance and apoptosis sensitivity. Accordingly, pharmacological and genetic inhibition of insulin signaling at the level of Akt2 sensitized adipocytes to apoptosis induction by macrophage-secreted factors. In conclusion, we describe here a novel interaction of macrophages and fat cells, i.e. induction of apoptosis. Our data suggest a feed-forward cycle in which macrophages further drive the inflammatory process by inducing insulin resistance and concomitant apoptosis of adipocytes.
Insights
Macrophages in obesity worsen inflammation by inducing insulin resistance and fat cell (adipocyte) apoptosis. This creates a harmful cycle, increasing local and systemic inflammation.
Area of Science:
- Cell Biology
- Immunology
- Metabolic Disease
Background:
- Obesity involves macrophage infiltration into adipose tissue, driving inflammation.
- Fat cell apoptosis is implicated in initiating macrophage recruitment.
- Understanding the inflammatory micro-environment's impact on fat cells is crucial.
Purpose of the Study:
- To investigate the interaction between macrophages and adipocytes in an inflammatory context.
- To determine how macrophage-secreted factors affect adipocyte insulin signaling and survival.
- To explore the link between insulin resistance and adipocyte apoptosis.
Main Methods:
- Co-culture of human THP-1 macrophages and SGBS adipocytes.
- Analysis of insulin signaling pathways, including Akt phosphorylation.
- Assessment of adipocyte apoptosis induction.
Main Results:
- Macrophage factors induced insulin resistance and inhibited insulin-stimulated Akt phosphorylation in adipocytes.
- Adipocyte apoptosis was induced by macrophage-secreted factors, especially in direct co-culture.
- Inhibition of Akt2 sensitized adipocytes to macrophage-induced apoptosis, linking insulin resistance and apoptosis sensitivity.
Conclusions:
- Macrophages induce adipocyte apoptosis, representing a novel interaction.
- A feed-forward cycle exists where macrophages exacerbate inflammation by promoting insulin resistance and adipocyte death.
- This interaction highlights a mechanism contributing to obesity-associated inflammation.
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