Level D· Scientific groundwork from lab and animal studiesLaboratory StudyEurope PMCOpen access

Aerobic glycolysis drives differentiation of unilocular adipocytes

Maestri A., Cai M., Schipper R., Backman J., Vannay A., Olsson A.

Laboratory Study, published in J Lipid Res (2026) — summary generated from the PubMed abstract.

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Level D· Scientific groundwork from lab and animal studiesEvidence level of this study

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

  • Level A · Stronger Clinical Evidence
  • Level B · Emerging clinical evidence with positive signals
  • Level C · Early human research exploring benefits
  • Level D · Scientific groundwork from lab and animal studies
  • Emerging · Emerging topic under active research
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This page is generated from the PubMed record. The Thai description is an automated summary of bibliographic fields and the abstract, not a full translation, and is not medical advice.

Study type
Laboratory Study
Journal
J Lipid Res (2026)
Reported sample size
—
Source database
Europe PMC
PMID
41850682
PMCID
PMC13091052
DOI
10.1016/j.jlr.2026.101023
Citations
1

Abstract (original English)

The hallmark of white adipocytes is a single, large lipid droplet, yet this unilocular morphology has remained challenging to reproduce in vitro due to limited understanding of its molecular drivers. Here, we identify metabolic reprogramming as the key determinant of adipocyte unilocularity in human 3D cultures. Transcriptomic and metabolomic profiling revealed unilocularity to be primarily characterized by enhanced aerobic glycolysis and reduced mitochondrial content. Importantly, this mirrored the metabolic pattern of freshly isolated human white adipocytes but contrasted with that of preadipocytes and 2D cultures. We demonstrate that aerobic glycolysis in adipocytes activates AMP-activated protein kinase (AMPK), which then enhances CD36-mediated fatty acid uptake. Pharmacological inhibition of aerobic glycolysis reduced fatty acid uptake and led to a more multilocular phenotype, which could be rescued by reactivating AMPK. Importantly, limiting mitochondrial activity or activating AMPK in multilocular 3D cultures was enough to promote their unilocularity. These findings establish aerobic glycolysis as a key driver of white adipocyte lipid droplet morphology and size. They also underscore the influence of cellular microenvironment on shaping adipocyte metabolism and function. Taken together, the study provides important insights of adipocyte lipid droplet biology that can be

What this study does not prove

  • • This study does not prove SVF is an approved treatment or a replacement for standard care.
  • • This is preclinical work; animal or laboratory results cannot be applied to humans.

Evidence level

Evidence from laboratory and animal studies provides groundwork for understanding mechanisms and potential before human studies continue.

How we grade evidence
Cells, CulturedMitochondriaAdipocytesHumansFatty AcidsCell DifferentiationGlycolysisAdipocytes, WhiteAMP-Activated Protein Kinases

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