Adipose differentiation is a multistep process with the following sequ
ence: adipoblasts --> preadipocytes --> adipocytes. Adipogenic agents
are only involved in the terminal differentiation of preadipocytes to
adipocytes by means of circulating hormones (growth hormone, glucocort
icoids, or triiodothyronine) and locally produced hormones (prostacycl
in). Fatty acids also behave as hormones and act as transcriptional re
gulators of lipid-related genes. Once differentiated, adipocytes becom
e secretory cells able to synthetize and release an impressive number
of peptide and nonpeptide compounds, suggesting a potential link betwe
en excess of adipose tissue mass and various physiopathphysiologic con
sequences.