“…While 3T3-L1 cells were grown to confluence, cells were stimulated by differentiation medium consisting of 10% FBS, 0.5 mM 3-isobutyl-1-methylxanthine (IBMX), and 1 μM dexamethasone (DEX) and incubation for 8 days and then insulin (10 μg/mL) was added at the last 2 days, at which time infiltration of macrophages in adipose tissue, releasing numerous pro-inflammatory cytokines, such as tumor necrosis factor alpha (TNF-α), and interleukins, which consequently contributed to progressive exacerbation of insulin resistance and eventually, metabolic syndrome [12,13].…”