Document Detail


Lipodystrophy: metabolic insights from a rare disorder.
MedLine Citation:
PMID:  20870709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obesity, insulin resistance and their attendant complications are among the leading causes of morbidity and premature mortality today, yet we are only in the early stages of understanding the molecular pathogenesis of these aberrant phenotypes. A powerful approach has been the study of rare patients with monogenic syndromes that manifest as extreme phenotypes. For example, there are striking similarities between the biochemical and clinical profiles of individuals with excess fat (obesity) and those with an abnormal paucity of fat (lipodystrophy), including severe insulin resistance, dyslipidaemia, hepatic steatosis and features of hyperandrogenism. Rare lipodystrophy patients therefore provide a tractable genetically defined model for the study of a prevalent human disease phenotype. Indeed, as we review herein, detailed study of these syndromes is beginning to yield valuable insights into the molecular genetics underlying different forms of lipodystrophy, the essential components of normal adipose tissue development and the mechanisms by which disturbances in adipose tissue function can lead to almost all the features of the metabolic syndrome.
Authors:
Isabel Huang-Doran; Alison Sleigh; Justin J Rochford; Stephen O'Rahilly; David B Savage
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2010-09-24
Journal Detail:
Title:  The Journal of endocrinology     Volume:  207     ISSN:  1479-6805     ISO Abbreviation:  J. Endocrinol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-15     Completed Date:  2010-12-13     Revised Date:  2012-03-27    
Medline Journal Info:
Nlm Unique ID:  0375363     Medline TA:  J Endocrinol     Country:  England    
Other Details:
Languages:  eng     Pagination:  245-55     Citation Subset:  IM    
Affiliation:
Metabolic Research Laboratories, Institute of Metabolic Science, Addenbrooke's Hospital, University of Cambridge, Hills Road, Cambridge CB2 0QQ, UK.
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / metabolism
Animals
Dyslipidemias / genetics,  metabolism*
Fatty Liver / genetics,  metabolism
Female
Gene Expression / genetics,  physiology
Humans
Hyperandrogenism / genetics,  metabolism
Insulin Resistance / genetics,  physiology
Lipodystrophy / genetics,  metabolism*,  pathology
Male
Metabolic Syndrome X / genetics,  metabolism,  pathology
Mice
Obesity / genetics,  metabolism*
Grant Support
ID/Acronym/Agency:
078986/Z/06/Z//Wellcome Trust; 091551//Wellcome Trust; //Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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