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Formes monogéniques de lipomatose de Launois-Bensaude : étude clinique et moléculaire, et modélisation cellulaire

Abstract : This work, initiated in cooperation with the rare diseases reference center ‘Pathologies de la Résistance à l’Insuline et de l’Insulino-Sensibilité’, focuses on the pathophysiology of rare lipodystrophic syndromes. Among them, Launois-Bensaude lipomatosis, also called multiple symmetric lipomatosis (MSL), is characterized by upper-body lipomatous masses and frequent metabolic alterations. We have investigated the largest reported series of patients with MSL due to the MFN2 p.Arg707Trp variant. MFN2 encodes mitofusin 2, a protein involved in mitochondrial fusion. Additionally, a patient with clinical symptoms consistent with MSL, harboring a new p. Glu943Glyfs*22 variant of LIPE, encoding hormone-sensitive lipase, a key enzyme in the lipolysis pathway, has also been studied. The clinical, biological and adipose tissue characteristics of patients carrying MFN2 and LIPE variants, allow for a better definition of MSL within the lipodystrophic syndromes. We have isolated adipose-derived stem cells (ASC) from lipomas and used this cellular model to assess the impact of variants on adipocyte differentiation and functions. Morphological (optic and electronic microscopy) and functional studies (immunohistochemistry, gene and protein expression, lipolysis, and mitochondrial respiration) on pseudo-lipomas and/or on ASC show numerous adipose dysfunctions and highlight the thermogenic phenotype of adipocytes from MFN2-MSL patients. This MFN2-related lipodystrophy could result from a misbalance of white and beige adipocyte differentiation.
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Émilie Capel. Formes monogéniques de lipomatose de Launois-Bensaude : étude clinique et moléculaire, et modélisation cellulaire. Endocrinologie et métabolisme. Sorbonne Université, 2019. Français. ⟨NNT : 2019SORUS501⟩. ⟨tel-02937880⟩

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