Obesity results from a chronic imbalance between energy intake and energy expenditure. As obesity develops, white adipocytes undergo a massive expansion in cell size that results in hypoxia in the microenvironment, cell death, inflammation, and insulin resistance1. Dysfunctional, hypertrophied adipocytes cannot properly store excess lipids, which accumulate instead in other tissues where they dampen insulin action2,3. Agents that improve adipocyte function and restore normal lipid partitioning amongst tissues are predicted to be beneficial for the treatment of obesity-associated conditions characterized by insulin resistance such as type 2 diabetes. Phenotypic screens in adipocytes using immortalized cell lines, such as 3T3-L1, F442A, and 10T ½, have proven useful to identify genetic factors that regulate adipogenesis and to isolate pro-adipogenic molecules with anti-diabetic properties4,5,6,7. These cell lines, however, do not fully reflect the heterogeneity of cell types present in adipose depots, which includes white, brown, beige, and other adipocyte subtypes with unique characteristics, all of which contribute to systemic homeostasis8,9,10. Further, cultured cell lines often show a diminished response to external stimuli.
In contrast, cultures of primary adipocytes recapitulate more accurately the complexity of in vivo adipogenesis, and primary adipocytes show robust functional responses. Primary preadipocytes are typically isolated from the stromal vascular fraction of adipose depots of adult mice11,12,13,14. However, because the adipose depots of adult animals consist primarily of fully mature adipocytes that have a very slow turnover rate15,16,17, this approach yields a limited quantity of preadipocytes with a low proliferation rate. Therefore, isolation of preadipocytes from newborn mice is preferable to obtain large quantities of rapidly growing cells that can be differentiated in vitro. Here, a protocol has been described, inspired by the initial work with primary brown adipocytes of Kahn et al.18 to efficiently isolate both white and brown preadipocytes that can be expanded and differentiated in vitro into fully functional primary adipocytes (Figure 1A). The advantage of isolating primary cells from newborn, as opposed to adult mice, is that the adipose depots are rapidly growing and are thus a rich source of actively proliferating preadipocytes17. Cells isolated using this protocol have high proliferative capacity, enabling rapid scale-up of cultures. In addition, preadipocytes from newborn pups display higher differentiation potential than adult progenitors, which reduces well-to-well variability in the extent of differentiation and thus increases reproducibility.