RT Journal Article T1 The Role of Autophagy in White Adipose Tissue Function: Implications for Metabolic Health. A1 Clemente-Postigo, Mercedes A1 Tinahones, Alberto A1 El Bekay, Rajaa A1 Malagón, María M A1 Tinahones, Francisco J K1 adipocyte K1 adipose tissue K1 autophagy K1 diabetes K1 metabolism K1 obesity AB White adipose tissue (WAT) is a highly adaptive endocrine organ that continuously remodels in response to nutritional cues. WAT expands to store excess energy by increasing adipocyte number and/or size. Failure in WAT expansion has serious consequences on metabolic health resulting in altered lipid, glucose, and inflammatory profiles. Besides an impaired adipogenesis, fibrosis and low-grade inflammation also characterize dysfunctional WAT. Nevertheless, the precise mechanisms leading to impaired WAT expansibility are yet unresolved. Autophagy is a conserved and essential process for cellular homeostasis, which constitutively allows the recycling of damaged or long-lived proteins and organelles, but is also highly induced under stress conditions to provide nutrients and remove pathogens. By modulating protein and organelle content, autophagy is also essential for cell remodeling, maintenance, and survival. In this line, autophagy has been involved in many processes affected during WAT maladaptation, including adipogenesis, adipocyte, and macrophage function, inflammatory response, and fibrosis. WAT autophagy dysregulation is related to obesity and diabetes. However, it remains unclear whether WAT autophagy alteration in obese and diabetic patients are the cause or the consequence of WAT malfunction. In this review, current data regarding these issues are discussed, focusing on evidence from human studies. SN 2218-1989 YR 2020 FD 2020-04-30 LK https://hdl.handle.net/10668/25246 UL https://hdl.handle.net/10668/25246 LA en DS RISalud RD Apr 17, 2025