Abstract
Inherited lipodystrophies are rare disorders characterized by selective loss of body fat and predisposition to diabetes, hypertriglyceridemia, hepatic steatosis and atherosclerotic vascular disease. The autosomal-recessive congenital generalized lipodystrophy is due to mutations in AGPAT2, BSCL2, CAV1, or CAVIN1 and autosomal-dominant familial partial lipodystrophy is due to mutations in LMNA, PPARG, ADRA2A, AKT2, or PLIN1. Other extremely rare types are due to mutations in CIDEC, LIPE, LMNA, ZMPSTE24, PIK3R1, POLR3A, FBN1, CAV1, PSMB8, POLD1, or unknown genes. The clinical management is challenging and includes cosmetic surgery and treatment of metabolic complications with diet, exercise, hypoglycemic and lipid-lowering agents, and metreleptin.
Original language | English (US) |
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Title of host publication | Emery and Rimoin’s Principles and Practice of Medical Genetics and Genomics |
Subtitle of host publication | Metabolic Disorders |
Publisher | Elsevier |
Pages | 25-48 |
Number of pages | 24 |
ISBN (Electronic) | 9780128125359 |
DOIs | |
State | Published - Jan 1 2020 |
Externally published | Yes |
Keywords
- Adipose tissue
- ADRA2A
- AGPAT2
- AKT2
- Autoinflammatory syndromes
- BSCL2
- CAV1
- CAVIN1
- CIDEC
- Congenital generalized lipodystrophy
- Familial partial lipodystrophy
- Lamin A/C
- LIPE
- Lipodystrophy
- Mandibuloacral dysplasia
- MFN2
- PIK3R1
- PLIN1
- POL3RA
- POLD1
- PPARG
- Progeroid syndrome
- PSMB8
- PTRF
ASJC Scopus subject areas
- General Medicine
- General Biochemistry, Genetics and Molecular Biology