Abstract
Obesity is, by definition, an increase in the amount of adipose tissue. Clearly, the additional mass of fat in obesity must be stored in adipose tissue consisting of either large adipocytes or more adipocytes, or in tissue with some mixture of cellular hyperplasia and hypertrophy. This obvious fact was brought to the attention of clinicians and investigators over two decades ago by the work of Reh (1953) and Bjmulf (1959). Yet, the meaningfulness of the cellular morphology of adipose tissue in either the pathogenesis or perpetuation of obesity remains uncertain. On the one hand, the cellular disposition of triglyceride in the unilocular adipocyte of white adipose tissue may be a totally passive event with no consequences for metabolism or energy regulation. At the other extreme, it could be that adipocyte size and number are controlling elements in a caloric- intake-storage-energy-output system and thus are of central concern to our understanding of obesity. The latter possibility, which might be called the “adipocyte theory of obesity,” deserves thorough investigation, since there has been amassed a wealth of data to suggest that the adipocyte is metabolically highly active and very sensitive to hormones. It is the purpose of this review to consider recent findings on adipose cellularity, chiefly from work with animals, but also with human subjects, in order to evaluate the “adipocyte theory of obesity.”
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ashwell, M., and Garrow, J. S., 1973, Full and empty fat cells, Lancet 2: 1036–1037.
Bagdade, J. D., and Hirsch, J., 1966, Gestational and dietary influences on the lipid content of the infant buccal fat pad, Proc. Soc. Exp. Biol. Med. 122: 616–619.
Bjorntorp, P., and Sjostrom, L., 1972, The composition and metabolism in vitro of adipose tissue fat cells of different sizes, Eur. J. Clin. Invest. 2: 78–84.
Bjorntorp, P., Carlgren, G., Isaksson, B., Krotkiewski, M., Larsson, B., and Sjostrom, L., 1975, The effect of an energy reducing dietary regime in relation to adipose tissue cellularity in obese women, Am. J. Clin. Nutr. 28: 445–452.
Bjorntorp, P., Karlsson, M., Pertoft, H., Pettersson, P., Sjostrom, L., and Smith, U., 1978, Isolation and characterization of cells from rat adipose tissue developing into adipocytes, J. Lipid Res. 19: 316–324.
Bjurulf, P., 1959, Atherosclerosis and body-build with special reference to size and number of subcutaneous fat cells. Acta Med. Scand. Suppl. 166: 349.
Boulton, T. J. C., Dunlop, M., and Court, J. M., 1974, Adipocyte growth in the first two years of life, Aust. Paediatr.J. 10: 301–305.
Brook, C. G. D., Lloyd, J. K., and Wolf, O. H., 1972, Relation between age of onset of obesity and size and number of adipose cells, Brit. Med. J. 2: 25–27.
Dauncey, M. J., and Gairdner, D., 1975, Size of adipose cells in infancy. Arch. Dis. Child. 50: 286–290.
DiGirolamo, M., Mendlinger, S., and Fertig, J. W., 1971, A simple method to determine fat cell size and number in four mammalian species, Am. J. Physiol. 221: 850–858.
Dixon-Shanies, D., Rudick, J., and Knittle, J. F., 1975, Observations on the growth and metabolic functions of cultured cells derived from human adipose tissue, Proc. Soc. Exp. Biol. Med. 149: 541–545.
Faust, I. M., Johnson, P. R., and Hirsch, J., 1976, Noncompensation of adipose tissue mass in partially lipectomized mice and rats, Am. J. Physiol. 231: 539–544.
Faust, I. M., Johnson, P. R., and Hirsch, J., 1977a, Adipose tissue regeneration following lipectomy, Science 197: 391–393.
Faust, I. M., Johnson, P. R., and Hirsch, J., 1977b, Surgical removal of adipose tissue alters feeding behavior and the development of obesity in the rat, Science 197: 393–396.
Faust, I. M., Johnson, P. R., and Hirsch, J., 1978, Diet-induced adipocyte number increase in adult rats: A new model of obesity. Am. J. Physiol. 4:E279 -E286.
Goldrick, R. B., 1967, Morphological changes in the adipocyte during fat deposition and mobilization. Am. J. Physiol. 212: 777–782.
Greenwood, M. R. C., and Hirsch, J., 1974, Postnatal development of adipocyte cellularity in the normal rat, J. Lipid Res. 15: 474–483.
Hager, A., 1977, Adipose cell size and number in relation to obesity. Postgrad. Med. J. 53: 101–110.
Hirsch, J., and Gallian, E., 1968, Methods for the determination of adipose cell size in man and animals, J. Lipid Res. 9: 110–119.
Hirsch, J., and Han, P. W., 1969, Cellularity of rat adipose tissue: Effects of growth, starvation and obesity, J. Lipid Res. 10: 77–82.
Hirsch, J., and Knittle, J., 1970, Cellularity of obese and nonobese adipose tissue. Fed. Proc. Fed Am. Soc. Exp. Biol. 29: 1516–1521.
Hollenberg, C. H., and Vost, A., 1968, Regulation of DNA synthesis in fat cells and stromal elements from rat adipose tissue, J. Clin. Invest. 47: 2485–2498.
Johnson, P. R., and Hirsch, J., 1972, Cellularity of adipose depots in six strains of genetically obese mice, J. Lipid Res. 13: 2–11.
Johnson, P. R., Zucker, L. M., Cruce, J. A. F., and Hirsch, J., 1971, Cellularity of adipose depots in the genetically obese Zucker rat (fafa), J. Lipid Res. 12: 706–714.
Johnson, P. R., Roth, J., Dresner, D., and Lumb, E. S., 1978, Evidence for precursor adipocytes in regenerating tissue following lipectomy in the rat. Fed. Proc. Fed. Am. Soc. Exp. Biol. 37: 615.
Johnson, P. R., Stern, J. S., Greenwood, M. R. C., and Hirsch, J., 1979, Adipose tissue hyperplasia and hyperinsulinemia in Zucker obese female rats: A developmental study. Metabolism (in press).
Knittie, J. L., 1976, General discussion, in: Nutrient Requirements in Adolescence ( J. I. McKigney and H. N. Munro), pp. 71–103, M.I.T. Press, Cambridge, Massachusetts.
Knittle, J. L., and Hirsch, J., 1968, Effect of early nutrition on the development of rat epididymal fat pads: Cellularity and metabolism, J. Clin. Invest. 47: 2091–2098.
Lemonnier, D., 1972, Effect of age, sex and site on the cellularity of the adipose tissue in mice and rats rendered obese by a high fat diet, /. Clin. Invest. 51: 2907–2915.
Poznanski, W. J., Waheed, L, and Van, R., 1973, Human fat cell precursors: Morphologic and metabolic differentiation in culture. Lab. Invest. 29: 570–576.
Reh, M., 1953, Fettzellgrosse beim Menschen und ihre Abhängigkeit vom Ernäh-rungszustand, Virchows Arch. Pathol. Anat. Physiol. 324: 234–242.
Salans, L. B., Cushman, S. W., and Weismann, R. E., 1973, Studies of human adipose tissue: Adipose cell size and number in nonobese and obese patients, J. Clin. Invest. 52: 929–941.
Sjostrom, L., Bjorntorp, P., and Vrana, J., 1971, Microscopic fat cell size measurements on frozen-cut adipose tissue in comparison with automatic determinations of osmium-fixed fat cells, y. Lipid Res. 12: 521–530.
Smith, U., Sjostrom, L., and Bjorntorp, P., 1972, Comparison of two methods for determining human adipose cell size, J. Lipid Res. 13: 822–824.
Stiles, J. W., Francendese, A. A., and Masoro, J., 1976, Influence of age on the size and number of fat cells in the epididymal depot. Am. J. Physiol. 229: 1561–1568.
Van, R. L. R., and Roncari, D. A. K., 1977, Isolation of fat cell precursors from adult rat adipose tissue. Cell Tissue Res. 181: 197–203.
Van, R. L. R., Bayliss, C. E., and Roncari, D. A. K., 1976, Cytological and enzymological characterization of adult human adipocyte precursors in culture, J. Clin. Invest. 58: 699–704.
Widdowson, E. M., and Shaw, W. T., 1973, Full and empty fat cells. Lancet 2: 906.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1979 Plenum Publishing Corporation
About this chapter
Cite this chapter
Hirsch, J., Faust, I.M., Johnson, P.R. (1979). What’s New in Obesity: Current Understanding of Adipose Tissue Morphology. In: Freinkel, N. (eds) Contemporary Metabolism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-3447-7_10
Download citation
DOI: https://doi.org/10.1007/978-1-4684-3447-7_10
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-3449-1
Online ISBN: 978-1-4684-3447-7
eBook Packages: Springer Book Archive