In this pioneer application, we will build on the results from the PHRT project entitled: “Targeting the brown fat – Personalized strategies for treatment of metabolism”. We will increase the resolution of the genetic data by performing genome sequencing on patients with extreme metabolic phenotypes with matched transcriptomic and proteomics data. In addition, to generate an unprecedented picture of adipose tissue heterogeneity, we will generate single cell data to deconvolute the adipose tissue complexity in the same patients. These experiments will address several important clinical questions such as whether, extreme metabolic phenotypes can be linked to rare genetic variants and whether there is a link between adipose tissue composition, especially with regards to energy burning adipocytes and metabolic health in the obese state.