Mice with a fat-specific insulin receptor knock-out (FIRKO) have reduced adipose tissue mass, are protected against obesity, and have an extended life span. White adipose tissue of FIRKO mice is also characterized by a polarization into two major populations of adipocytes, one small (<50 m) and one large (>100 m), which differ with regard to basal triglyceride synthesis and lipolysis, as well as in the expression of fatty acid synthase, sterol regulatory element-binding protein 1c, and CCAAT/enhancer-binding protein ␣ (C/EBP-␣). Gene expression analysis using RNA isolated from large and small adipocytes of FIRKO and control (IR lox/lox) mice was performed on oligonucleotide microarrays. Of the 12,488 genes/expressed sequence tags represented, 111 genes were expressed differentially in the four populations of adipocytes at the p < 0.001 level. These alterations exhibited 10 defined patterns and occurred in response to two distinct regulatory effects. 63 genes were identified as changed in expression depending primarily upon adipocyte size, including C/EBP-␣, C/EBP-␦, superoxide dismutase 3, and the platelet-derived growth factor receptor. 48 genes were regulated primarily by impairment of insulin signaling, including transforming growth factor , interferon ␥, insulin-like growth factor I receptor, activating transcription factor 3, aldehyde dehydrogenase 2, and protein kinase C␦. These data suggest an intrinsic heterogeneity of adipocytes with differences in gene expression related to adipocyte size and insulin signaling.Adipocytes play a central role in energy balance, both as a reservoir, storing and releasing fuel, and as endocrine cells, secreting factors that regulate whole body energy metabolism (1). The loss of insulin action selectively in adipose tissue in mice with a fat-specific insulin receptor knock-out (FIRKO) 1 leads to profound changes in cellular function, including changes in glucose metabolism, lipid storage, and protein expression (2). We reported previously that FIRKO mice have markedly reduced fat mass and whole body triglyceride stores and are protected from gold thioglucose-induced and age-related obesity, as well as the associated glucose intolerance (2). These changes are associated with increased longevity of these mice (3). FIRKO mice also exhibit a heterogeneity in fat cell size with polarization into small (diameter Ͻ50 m) and large (diameter Ͼ100 m) subclasses of adipocytes (2). This polarization by cell size of adipose tissue is not unique to the FIRKO model. Targeted disruption of the hormone-sensitive lipase also causes reduced body fat mass and heterogeneity of adipocytes in white adipose tissue (WAT) with a population of larger adipocytes, which is sensitive to lipid accumulation, and a population of small adipocytes, which is not (4, 5). These results suggest that adipocytes, even within a single depot of WAT, may not be of a single lineage or type (6).Using a candidate gene/protein approach we found that the heterogeneity of WAT in FIRKO mice is accompanied by changes in the...