Rationale-Genome-wide association studies (GWAS) have identified genetic loci associated with insulin resistance (IR) but pinpointing the causal genes of a risk locus has been challenging. Objective-To identify candidate causal genes for IR, we screened regional and biologically plausible genes (16 in total) near the top ten IR-loci in risk-relevant cell types, namely preadipocytes and adipocytes. Methods and Results-We generated 16 human Simpson-Golabi-Behmel syndrome preadipocyte knockout lines (SGBS-KO) each with a single IR-gene knocked out by lentivirusmediated CRISPR/Cas9 system. We evaluated each gene knockout by screening IRrelevant phenotypes in the three insulin-sensitizing mechanisms, including adipogenesis, lipid metabolism and insulin signaling. We performed genetic analyses using data on the GTEx eQTL database and AMP T2D Knowledge Portal to evaluate whether candidate genes prioritized by our in vitro studies were eQTL genes in human subcutaneous adipose tissue (SAT), and whether expression of these genes is associated with risk of IR, type 2 diabetes (T2D) and cardiovascular diseases (CVD). We further validated the functions of three new adipose IR genes by overexpression-based phenotypic rescue in the SGBS-KO cell lines. Twelve genes, PPARG, IRS-1, FST, PEPD,