Obesity is strongly correlated with type 2 diabetes mellitus, a common diso
rder of glucose and lipid metabolism. Although adipocytes are critical in o
besity, their role in diabetes has only recently been appreciated. We condu
cted studies by using DNA microarrays to identify differences in gene expre
ssion in adipose tissue from lean, obese, and obese-diabetic mice. The expr
ession level of over 11,000 transcripts was analyzed, and 214 transcripts s
howed significant differences between lean and obese mice. Surprisingly, th
e expression of genes normally associated with adipocyte differentiation we
re down-regulated in obesity. Not all obese individuals will become diabeti
c; many remain normoglycemic despite profound obesity. Understanding the tr
ansition to obesity with concomitant diabetes will provide important clues
to the pathogenesis of type 2 diabetes. Therefore, we examined the levels o
f gene expression in adipose tissue from five groups of obese mice with var
ying degrees of hyperglycemia. and we identified 88 genes whose expression
strongly correlated with diabetes severity. This group included many genes
that are known to be involved in signal transduction and energy metabolism
as well as genes not previously examined in the context of diabetes. Our da
ta show that a decrease in expression of genes normally involved in adipoge
nesis is associated with obesity, and we further identify genes important f
or subsequent development of type 2 diabetes mellitus.