Lipodystrophic diabetes mellitus: a lesson for other forms of diabetes?

Abstract:

:Lipodystrophies are a genetically heterogeneous group of disorders characterized by loss of subcutaneous adipose tissue and metabolic dysfunction, including insulin resistance, increased levels of free fatty acids, abnormal adipocytokine secretion, and ectopic fat deposition, which are also observed in patients with visceral obesity and/or type 2 diabetes mellitus. Pathophysiological, biochemical, and genetic studies suggest that impairment in multiple adipose tissue functions, including adipocyte maturation, lipid storage, formation and/or maintenance of the lipid droplet, membrane composition, DNA repair efficiency, and insulin signaling, results in severe metabolic and endocrine consequences, ultimately leading to specific lipodystrophic phenotypes. In this review, recent evidences on the causes and metabolic processes of lipodystrophies will be presented, proposing a disease model that could be potentially informative for better understanding of common metabolic diseases in humans, including obesity, metabolic syndrome, and type 2 diabetes.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Ficarella R,Laviola L,Giorgino F

doi

10.1007/s11892-015-0578-5

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

12

issue

3

eissn

1534-4827

issn

1539-0829

journal_volume

15

pub_type

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