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Human biallelic MFN2 mutations induce mitochondrial dysfunction, upper body adipose hyperplasia, and suppression of leptin expression.


ABSTRACT: MFN2 encodes mitofusin 2, a membrane-bound mediator of mitochondrial membrane fusion and inter-organelle communication. MFN2 mutations cause axonal neuropathy, with associated lipodystrophy only occasionally noted, however homozygosity for the p.Arg707Trp mutation was recently associated with upper body adipose overgrowth. We describe similar massive adipose overgrowth with suppressed leptin expression in four further patients with biallelic MFN2 mutations and at least one p.Arg707Trp allele. Overgrown tissue was composed of normal-sized, UCP1-negative unilocular adipocytes, with mitochondrial network fragmentation, disorganised cristae, and increased autophagosomes. There was strong transcriptional evidence of mitochondrial stress signalling, increased protein synthesis, and suppression of signatures of cell death in affected tissue, whereas mitochondrial morphology and gene expression were normal in skin fibroblasts. These findings suggest that specific MFN2 mutations cause tissue-selective mitochondrial dysfunction with increased adipocyte proliferation and survival, confirm a novel form of excess adiposity with paradoxical suppression of leptin expression, and suggest potential targeted therapies.

SUBMITTER: Rocha N 

PROVIDER: S-EPMC5422073 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

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Human biallelic MFN2 mutations induce mitochondrial dysfunction, upper body adipose hyperplasia, and suppression of leptin expression.

Rocha Nuno N   Bulger David A DA   Frontini Andrea A   Titheradge Hannah H   Gribsholt Sigrid Bjerge SB   Knox Rachel R   Page Matthew M   Harris Julie J   Payne Felicity F   Adams Claire C   Sleigh Alison A   Crawford John J   Gjesing Anette Prior AP   Bork-Jensen Jette J   Pedersen Oluf O   Barroso Inês I   Hansen Torben T   Cox Helen H   Reilly Mary M   Rossor Alex A   Brown Rebecca J RJ   Taylor Simeon I SI   McHale Duncan D   Armstrong Martin M   Oral Elif A EA   Saudek Vladimir V   O'Rahilly Stephen S   Maher Eamonn R ER   Richelsen Bjørn B   Richelsen Bjørn B   Savage David B DB   Semple Robert K RK  

eLife 20170419


MFN2 encodes mitofusin 2, a membrane-bound mediator of mitochondrial membrane fusion and inter-organelle communication. MFN2 mutations cause axonal neuropathy, with associated lipodystrophy only occasionally noted, however homozygosity for the p.Arg707Trp mutation was recently associated with upper body adipose overgrowth. We describe similar massive adipose overgrowth with suppressed leptin expression in four further patients with biallelic MFN2 mutations and at least one p.Arg707Trp allele. Ov  ...[more]

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