Coxsackie virus and adenovirus receptor-like membrane protein (CLMP) was identified as the tight junctionassociated transmembrane protein of epithelial cells with homophilic binding activities. CLMP is also recognized as adipocyte adhesion molecule (ACAM), and it is upregulated in mature adipocytes in rodents and humans with obesity. Here, we present that aP2 promoter-driven ACAM transgenic mice are protected from obesity and diabetes with the prominent reduction of adipose tissue mass and smaller size of adipocytes. ACAM is abundantly expressed on plasma membrane of mature adipocytes and associated with formation of phalloidin-positive polymerized form of cortical actin (F-actin). By electron microscopy, the structure of zonula adherens with an intercellular space of ∼10-20 nm was observed with strict parallelism of the adjoining cell membranes over distances of 1-20 mm, where ACAM and g-actin are abundantly expressed. The formation of zonula adherens may increase the mechanical strength, inhibit the adipocyte hypertrophy, and improve the insulin sensitivity.Quite a few adhesion molecules have been identified by molecular genetics as well as gene expression profile studies in adipocytes derived from experimental models and human studies. For instance, only cadherins were reported to be expressed in premature adipocytes. In the cell lines, such as C3H10T1/2 and 3T3-L1 cells, N-cadherin and cadherin-11 are expressed, and they are prominently suppressed by the induction of adipocyte differentiation and downregulated to very low levels after the full differentiation (1). Transgenic (Tg) expression of dominant-negative N-cadherin decreased bone formation, delayed acquisition of peak bone mass, and increased body fat (2). Although the information of adhesion molecules in adipocyte biology is limited, we identified adipocyte adhesion molecule (ACAM) from the visceral adipose tissues of OLETF (Otsuka Long-Evans Tokushima fatty) rats by PCR-based cDNA suppressive subtraction methods (3). Mouse ACAM was independently identified as adipocyte-specific protein 5 (ASP5) from 3T3-L1 cells by using signal sequence trap by a retrovirus-mediated expression screening method (4). Human ACAM had been identified as coxsackie virus and adenovirus receptor-like membrane protein (CLMP) by bioinformatics approaches, and Raschperger et al. (5) demonstrated that CLMP is a component of the tight junction of epithelial cells and colocalized with zonula occludens-1. ACAM/CLMP belongs to CTX (cortical thymocyte marker in Xenopus), and they are characterized by extracellular variable (V-type) and constant (C2-type) immunoglobulin domains, which are involved in the homophilic adhesion and aggregation of the cells. Although we reported the expression of ACAM increased in mature adipocytes in genetically obese db/db and diet-induced obesity mice, and also in adipose tissues