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PreprintCC BYbioRxiv

Higher-Order Organization Links Circulating Metabolites to Glucocorticoid Action in Human Adipose Tissue

  1. 1The University of Manchester

Abstract

Glucocorticoids (GCs) are regulators of metabolism, yet how physiological GC exposure remodels adipose metabolism and its relationship with circulating biomarkers remains poorly understood. In a randomised cross-over study of individuals with primary adrenal insufficiency, near-physiological GC exposure was compared to withdrawal using integrated serum metabolomics, abdominal subcutaneous microdialysis metabolomics, and adipose tissue transcriptomics. GC exposure induced coordinated changes in adipose lipid and amino-acid metabolism. Pathway-level entropy analysis revealed GC-state-dependent transcriptional reorganisation, with concentrated organisation during exposure and diffuse organisation during withdrawal. Integrative hypergraph and topological analyses revealed GC-state-dependent reorganisation of circulating metabolite-adipose tissue relationships, with greater higher-order coordination during exposure. The circulating phenylalanine/kynurenine ratio discriminated GC state, showed the strongest shared connectivity to GC-regulated adipose networks, persisted at midnight and in an independent dose-response study, and exhibited circadian rhythmicity. These findings reveal dynamic GC regulation of adipose metabolism and identify a circulating biomarker with potential to guide personalised GC therapy.

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BibTeX
@misc{bennett2026higherorder,
  title = {{Higher-Order Organization Links Circulating Metabolites to Glucocorticoid Action in Human Adipose Tissue}},
  author = {K. Bennett and D. Chantzichristos and T. Garner and P.-A. Jansson and A. Meyer and E. Doman and J. McQueen and P.-A. Svensson and O. Ragnarsson and G. Johannsson and A. Stevens},
  howpublished = {bioRxiv},
  year = {2026},
  month = oct,
  doi = {10.64898/2026.10.08.757658},
  url = {https://www.biorxiv.org/content/10.64898/2026.10.08.757658v1},
  note = {CC BY},
}
RIS
TY  - UNPB
TI  - Higher-Order Organization Links Circulating Metabolites to Glucocorticoid Action in Human Adipose Tissue
AU  - K. Bennett
AU  - D. Chantzichristos
AU  - T. Garner
AU  - P.-A. Jansson
AU  - A. Meyer
AU  - E. Doman
AU  - J. McQueen
AU  - P.-A. Svensson
AU  - O. Ragnarsson
AU  - G. Johannsson
AU  - A. Stevens
PY  - 2026
DA  - 2026/10/08
PB  - bioRxiv
DO  - 10.64898/2026.10.08.757658
UR  - https://www.biorxiv.org/content/10.64898/2026.10.08.757658v1
AB  - Glucocorticoids (GCs) are regulators of metabolism, yet how physiological GC exposure remodels adipose metabolism and its relationship with circulating biomarkers remains poorly understood. In a randomised cross-over study of individuals with primary adrenal insufficiency, near-physiological GC exposure was compared to withdrawal using integrated serum metabolomics, abdominal subcutaneous microdialysis metabolomics, and adipose tissue transcriptomics. GC exposure induced coordinated changes in adipose lipid and amino-acid metabolism. Pathway-level entropy analysis revealed GC-state-dependent transcriptional reorganisation, with concentrated organisation during exposure and diffuse organisation during withdrawal. Integrative hypergraph and topological analyses revealed GC-state-dependent reorganisation of circulating metabolite-adipose tissue relationships, with greater higher-order coordination during exposure. The circulating phenylalanine/kynurenine ratio discriminated GC state, showed the strongest shared connectivity to GC-regulated adipose networks, persisted at midnight and in an independent dose-response study, and exhibited circadian rhythmicity. These findings reveal dynamic GC regulation of adipose metabolism and identify a circulating biomarker with potential to guide personalised GC therapy.
ER  -