Spatial Transcriptomic Analysis of Human Visceral Adipose Tissue in Different Metabolic Status: Methodological
Jisu Jung1, Qingzhi Huang1, Sumin Lee2
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Diabetes & Metabolism Journal
|April 21, 2026
Summary
Spatially-resolved laser-activated cell sorting (SLACS) profiled human visceral adipose tissue (VAT). Distinct transcriptional patterns were found in perivascular and adipocyte-rich areas, revealing insights into adipose tissue dysfunction.
Area of Science:
- Transcriptomics
- Spatial Biology
- Adipose Tissue Biology
Background:
- Adipose tissue's lipid-rich adipocytes challenge spatial transcriptomic analysis.
- Spatially-resolved laser-activated cell sorting (SLACS) offers precise tissue section isolation for transcriptomics.
Purpose of the Study:
- To investigate spatial transcriptomic differences in human visceral adipose tissue (VAT).
- To analyze cellular composition and post-transcriptional regulation in distinct VAT areas.
- To explore potential contributors to adipose tissue dysfunction in obesity and type 2 diabetes mellitus (Ob-DM).
Main Methods:
- Human VAT samples from lean and Ob-DM individuals were analyzed.
- SLACS was employed to isolate perivascular (PV) and adipocyte-rich (AD) areas.
- Full-length RNA sequencing was performed on isolated areas.
Main Results:
- PV and AD areas showed distinct transcriptional profiles.
- PV areas were enriched in fibro-inflammatory and vascular remodeling pathways.
- AD areas were enriched in lipid metabolism and antioxidant pathways.
- Cellular deconvolution revealed area- and disease-specific cell compositions.
- Ob-DM exhibited post-transcriptional modifications, including RNA editing and isoform switching in metabolic genes.
Conclusions:
- SLACS is technically feasible for spatial transcriptomic profiling of human VAT.
- Exploratory findings highlight distinct molecular signatures in VAT areas.
- Further validation in larger cohorts is warranted to confirm biological insights into adipose dysfunction.


