Adipose tissue dysfunction and visceral fat are associated to hepatic insulin resistance and severity of NASH even in lean individuals 1,$ * Chiara Saponaro, 1 Silvia Sabatini, 1 Melania Gaggini, 1 Fabrizia Carli, 2 Chiara Rosso, 4 Vincenzo Positano, 2 Angelo Armandi, 2 Gian Paolo Caviglia, 2 Riccardo Faletti, 2 Elisabetta Bugianesi, 1,* Amalia Gastaldelli. 1 Cardiometabolic Risk Unit, Institute of Clinical Physiology, CNR, Pisa, Italy. 2 Division of Gastroenterology and Hepatology and Lab. of Diabetology, Dept. of Medical Sciences, University of Turin, Turin, Italy. 3 Fondazione Toscana Gabriele Monasterio, Pisa, Italy. $ Current affiliation: Univ. Lille, CHU Lille, Inserm U1190, EGID, Lille, France. *Correspondence to: Amalia Gastaldelli, PhD, Head of Cardiometabolic Risk Unit Institute of Clinical Physiology, CNR via Moruzzi 1 56100 Pisa Italy tel: +39 050 3152679/80 fax: +39 050 3152166 email: [email protected] Chiara Saponaro, PhD University of Lille, CHU Lille, Inserm U1190, EGID Faculté de Médecine de Lille, Pôle Recherche 1, Place de Verdun 59045 - Lille, France email: [email protected] Number of words: 4051 Number of Tables: 1 Number of Figures: 4 Number of Supplementary Tables: 0 preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. The copyright holder for this this version posted January 21, 2022. ; https://doi.org/10.1101/2022.01.19.476711 doi: bioRxiv preprint