Obesity and type 2 diabetes are associated with disturbances in insulin-regulated glucose and lipid fluxes and severe comorbidities including cardiovascular disease and steatohepatitis. Whole body metabolism is regulated by lipid-storing white adipocytes as well as "brown" and "brite/beige" adipocytes that express thermogenic uncoupling protein 1 (UCP1) and secrete factors favorable to metabolic health. Implantation of brown fat into obese mice improves glucose tolerance, but translation to humans has been stymied by low abundance of primary human beige adipocytes. Here we apply methods to greatly expand human adipocyte progenitors from small samples of human subcutaneous adipose tissue and then disrupt the thermogenic suppressor gene NRIP1 by CRISPR. Ribonucleoprotein consisting of Cas9 and sgRNA delivered ex vivo are fully degraded by the human cells following high efficiency NRIP1 depletion without detectable off-target editing. Implantation of such CRISPR-enhanced human or mouse brown-like adipocytes into high fat diet fed mice decreases adiposity and liver triglycerides while enhancing glucose tolerance compared to implantation with unmodified adipocytes. These findings advance a therapeutic strategy to improve metabolic homeostasis through CRISPR-based genetic enhancement of human adipocytes without exposing the recipient to immunogenic Cas9 or delivery vectors.

• MeSH
• bílé tukové buňky metabolismus   MeSH
• buněčná diferenciace MeSH
• buněčné kultury metody   MeSH
• CRISPR-Cas systémy genetika   MeSH
• dieta s vysokým obsahem tuků škodlivé účinky   MeSH
• dospělé kmenové buňky fyziologie   MeSH
• editace genu metody   MeSH
• guide RNA, Kinetoplastida genetika   MeSH
• hnědé tukové buňky metabolismus   transplantace   MeSH
• lidé MeSH
• metabolismus lipidů genetika   MeSH
• modely nemocí na zvířatech MeSH
• myši MeSH
• nuclear receptor interacting protein 1 genetika   metabolismus   MeSH
• obezita komplikace   metabolismus   terapie   MeSH
• podkožní tuk cytologie   MeSH
• porucha glukózové tolerance etiologie   metabolismus   terapie   MeSH
• termogeneze genetika   MeSH
• ztučnělá játra etiologie   metabolismus   prevence a kontrola   MeSH
• zvířata MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• myši MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, N.I.H., Extramural MeSH
• Research Support, U.S. Gov't, Non-P.H.S. MeSH