Subclinical ketosis in postpartum dairy cows alters the adipose tissue immunological profile in a depot-specific manner

Subclinical ketosis affected AT transcriptional profiles in a depot-specific manner. In SAT, transcriptional changes related to SCK reflected homeostatic AT remodeling and immune cell infiltration indicative of inflammatory responses, fibroplasia, and the negative regulation of adaptive immunity responses. In VAT, SCK-related transcriptional changes reflected increased pro-inflammatory responses linked to impaired lipid metabolism and dysregulation of focal adhesion and endocytosis. Tissue expression of proteins coded by genes differentially expressed between SCK and NK revealed a depot-dependent response on AT, indicating a higher infiltration of macrophages and B cells in SCK cows. Overall, our study provides new insights into molecular mechanisms underlying ketosis pathogenesis, highlighting the dysregulation of inflammatory responses, lipid metabolism, and insulin signaling in both SAT and VAT of postpartum dairy cows.