Lipoatrophy revisited

被引:155
作者
Reitman, ML [1 ]
Arioglu, E [1 ]
Gavrilova, O [1 ]
Taylor, SI [1 ]
机构
[1] NIDDKD, Diabet Branch, NIH, Bethesda, MD 20892 USA
关键词
D O I
10.1016/S1043-2760(00)00309-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The lipoatrophy syndromes are a heterogeneous group of syndromes characterized by a paucity of adipose tissue. Severe lipoatrophy is associated with insulin-resistant diabetes mellitus (DM). The loss of adipose tissue can have a genetic, immune, or infectious/drug-associated etiology. Causative mutations have been identified in patients for one form of partial lipoatrophy - Dunnigan-type familial partial lipodystrophy. Experiments using lipoatrophic mice demonstrate that the diabetes results from the lack of fat and that leptin deficiency is a contributing factor Thiazolidinedione therapy improves metabolic control in lipoatrophic patients; the efficacy of leptin treatment is currently being investigated.
引用
收藏
页码:410 / 416
页数:7
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