摘要: Abstract Adipose tissue represents a critical component in healthy energy homeostasis. It fulfills important roles whole‐body lipid handling, serves as the body9s major storage compartment and insulation barrier, secretes numerous endocrine mediators such adipokines or lipokines. As consequence, dysfunction of these processes adipose compartments is tightly linked to severe metabolic disorders, including obesity, syndrome, lipodystrophy, cachexia. While studies have addressed causes consequences obesity‐related hypertrophy hyperplasia for health, pathways mechanisms (involuntary) loss well its systemic are far less understood. In this review, we discuss current understanding conditions wasting review microenvironmental determinants adipocyte (dys)function related pathophysiologies.