In mice, nutritional supplementation with the trans-10,cis-12 isomer of linoleic acid (t10,c12-CLA) promotes lipoatrophy, hyperinsulinemia, and macrophage infiltration in white adipose tissue (WAT). We explored the dynamics of these interrelated responses over 2 consecutive 7 d periods of t10,c12-CLA administration and withdrawal. t10,c12-CLA down-regulated lipogenic and lipolytic gene expression and increased collagen deposition, but with no evidence of cross-linking. An abundant CD45 + cell infiltrate, comprising prominently CD206 + CD11c 2 macrophages, was found in WAT in association with an anti-inflammatory gene signature. Infiltration of natural killer (NK) and dendritic cells contributed to WAT's innate immune response to t10,c12-CLA. Less abundant adaptive immune cells colonized WAT, including B, NK T, gd T, and ab T cells. By contrast, T-regulatory cell abundance was not affected. Interruption of treatment allowed recovery of WAT mass and normalization of insulinemia, coincident with regain of WAT homeostasis owing to a coordinated reversion of genic, structural, and immune deregulations. These data revealed a striking resilience of WAT after a short-term metabolic injury induced by t10,c12-CLA, which relies on alternatively activated M2 macrophage engagement. In addition, the temporal links between variations in WAT alterations and insulinemia upon t10,c12-CLA manipulation strengthen the view that WAT dysfunctional status is critically involved in altered glucose homeostasis.-Pini, M., Touch, S., Poirier, H., Dalmas, E., Niot, I., Rouault, C., Druart, C., Delzenne, N., Clément, K., André, S., Guerre-Millo, M. Adipose tissue adaptive response to trans-10,cis-12-conjugated linoleic acid engages alternatively activated M2 macrophages. It is broadly agreed that accumulation of proinflammatory macrophages is a key component of white adipose tissue (WAT) response to nutrient overload in obesity. Through the release of an array of proinflammatory chemokines and cytokines, macrophages are thought to perpetuate and propagate inflammation in WAT, leading eventually to a chronic pathologic state. Although opposite in terms of excess vs. deficiency of fat mass, obesity and lipodystrophy share common WAT alterations, including inflammation and macrophage infiltration, as shown in several lipodystrophic mouse models (1-3) and in patients with HIV-associated lipodystrophy (4-6). Enhanced extracellular matrix (ECM) deposition and fibrosis are additional signatures of WAT pathology in both conditions (4,7,8). These local alterations are accompanied by systemic inflammation and insulin resistance, the most prevalent outcomes of WAT dysfunction common to obesity and lipodystrophy (9).The time frame necessary for WAT macrophage accumulation and insulin resistance to occur is usually long, ranging from months in mice fed a high-fat diet to years in obese humans. Conversely, caloric restriction attenuates WAT inflammation and improves glycemic status in obese humans and mice after prolonged periods of weight reducti...