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Human Molecular Genetics, 2000, Vol. 9, No. 1 109-112
© 2000 Oxford University Press

Nuclear lamin A/C R482Q mutation in Canadian kindreds with Dunnigan-type familial partial lipodystrophy

Henian Cao and Robert A. Hegele+

Blackburn Cardiovascular Genetics Laboratory, Robarts Research Institute, 406-100 Perth Drive, London, Ontario, Canada N6A 5K8

Patients with Dunnigan-type familial partial lipodystrophy (FPLD) are born with normal fat distribution, but after puberty experience regional and progressive adipocyte degeneration, often associated with profound insulin resistance and diabetes. Recently, the FPLD gene was mapped to chromosome 1q21–22, which harbours the LMNA gene encoding nuclear lamins A and C. Mutations in LMNA were shown to underlie autosomal dominant EmeryDreifuss muscular dystrophy (EDMD-AD), which is characterized by regional and progressive skeletal muscle wasting and cardiac effects. We hypothesized that the analogy between the regional muscle wasting in EDMD-AD and the regional adipocyte degeneration in FPLD, in addition to its chromosomal localization, made LMNA a good candidate gene for FPLD. DNA sequencing of LMNA in five Canadian FPLD probands indicated that each had a novel missense mutation, R482Q, which co-segregated with the FPLD phenotype and was absent from 2000 normal alleles (P = 1.1 x 10–13). This is the first report of a mutation underlying a degenerative disorder of adipose tissue and suggests that LMNA mutations could underlie other diseases characterized by tissue type- and anatomical site-specific cellular degeneration.

+ To whom correspondence should be addressed. Tel: +1 519 663 3461; Fax: +1 519 663 3789; Email: robert.hegele@rri.on.ca


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D. Chen, A. Misra, and A. Garg
Lipodystrophy in Human Immunodeficiency Virus-Infected Patients
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D. Fatkin and R. M. Graham
Molecular Mechanisms of Inherited Cardiomyopathies
Physiol Rev, October 1, 2002; 82(4): 945 - 980.
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L Van Maldergem, J Magre, T E Khallouf, T Gedde-Dahl Jr, M Delepine, O Trygstad, E Seemanova, T Stephenson, C S Albott, F Bonnici, et al.
Genotype-phenotype relationships in Berardinelli-Seip congenital lipodystrophy
J. Med. Genet., October 1, 2002; 39(10): 722 - 733.
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A. J. van der Kooi, G. Bonne, B. Eymard, D. Duboc, B. Talim, M. Van der Valk, P. Reiss, P. Richard, L. Demay, L. Merlini, et al.
Lamin A/C mutations with lipodystrophy, cardiac abnormalities, and muscular dystrophy
Neurology, August 27, 2002; 59(4): 620 - 623.
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A. Garg and A. Misra
Hepatic Steatosis, Insulin Resistance, and Adipose Tissue Disorders
J. Clin. Endocrinol. Metab., July 1, 2002; 87(7): 3019 - 3022.
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E. A. Oral, E. Ruiz, A. Andewelt, N. Sebring, A. J. Wagner, A. M. Depaoli, and P. Gorden
Effect of Leptin Replacement on Pituitary Hormone Regulation in Patients with Severe Lipodystrophy
J. Clin. Endocrinol. Metab., July 1, 2002; 87(7): 3110 - 3117.
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S. Dhe-Paganon, E. D. Werner, Y.-I. Chi, and S. E. Shoelson
Structure of the Globular Tail of Nuclear Lamin
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D. J. Lloyd, R. C. Trembath, and S. Shackleton
A novel interaction between lamin A and SREBP1: implications for partial lipodystrophy and other laminopathies
Hum. Mol. Genet., April 1, 2002; 11(7): 769 - 777.
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E. Arbustini, A. Pilotto, A. Repetto, M. Grasso, A. Negri, M. Diegoli, C. Campana, L. Scelsi, E. Baldini, A. Gavazzi, et al.
Autosomal dominant dilated cardiomyopathy with atrioventricular block: a lamin A/C defect-related disease
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C. Ostlund, G. Bonne, K. Schwartz, and H. J. Worman
Properties of lamin A mutants found in Emery-Dreifuss muscular dystrophy, cardiomyopathy and Dunnigan-type partial lipodystrophy
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W. H. Raharjo, P. Enarson, T. Sullivan, C. L. Stewart, and B. Burke
Nuclear envelope defects associated with LMNA mutations cause dilated cardiomyopathy and Emery-Dreifuss muscular dystrophy
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C. Vigouroux, M. Auclair, E. Dubosclard, M. Pouchelet, J. Capeau, J.-C. Courvalin, and B. Buendia
Nuclear envelope disorganization in fibroblasts from lipodystrophic patients with heterozygous R482Q/W mutations in the lamin A/C gene
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Q. Zhang, J. N. Skepper, F. Yang, J. D. Davies, L. Hegyi, R. G. Roberts, P. L. Weissberg, J. A. Ellis, and C. M. Shanahan
Nesprins: a novel family of spectrin-repeat-containing proteins that localize to the nuclear membrane in multiple tissues
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T. Haraguchi, T. Koujin, M. Segura-Totten, K. K. Lee, Y. Matsuoka, Y. Yoneda, K. L. Wilson, and Y. Hiraoka
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Bh. Muralikrishna, J. Dhawan, N. Rangaraj, and V. K. Parnaik
Distinct changes in intranuclear lamin A/C organization during myoblast differentiation
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E. Nili, G. S. Cojocaru, Y. Kalma, D. Ginsberg, N. G. Copeland, D. J. Gilbert, N. A. Jenkins, R. Berger, S. Shaklai, N. Amariglio, et al.
Nuclear membrane protein LAP2{beta} mediates transcriptional repression alone and together with its binding partner GCL (germ-cell-less)
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O. A. Vaughan, M. Alvarez-Reyes, J. M. Bridger, J. L. V. Broers, F. C. S. Ramaekers, M. Wehnert, G. E. Morris, W. G. F. Whitfield, and C. J. Hutchison
Both emerin and lamin C depend on lamin A for localization at the nuclear envelope
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R. D. Goldman, Y. Gruenbaum, R. D. Moir, D. K. Shumaker, and T. P. Spann
Nuclear lamins: building blocks of nuclear architecture
Genes & Dev., March 1, 2002; 16(5): 533 - 547.
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NEJMHome page
E. A. Oral, V. Simha, E. Ruiz, A. Andewelt, A. Premkumar, P. Snell, A. J. Wagner, A. M. DePaoli, M. L. Reitman, S. I. Taylor, et al.
Leptin-Replacement Therapy for Lipodystrophy
N. Engl. J. Med., February 21, 2002; 346(8): 570 - 578.
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C. J. Lelliott, L. Logie, C. P. Sewter, D. Berger, P. Jani, F. Blows, S. O'Rahilly, and A. Vidal-Puig
Lamin Expression in Human Adipose Cells in Relation to Anatomical Site and Differentiation State
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CirculationHome page
H. H.-J. Schmidt and R. A. Hegele
Consider Cardiomyopathy in Subjects With Familial Partial Lipodystrophy Response
Circulation, January 15, 2002; 105 (2): e7 - e7.
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W. Wu, F. Lin, and H. J. Worman
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J. M. K. Mislow, M. S. Kim, D. B. Davis, and E. M. McNally
Myne-1, a spectrin repeat transmembrane protein of the myocyte inner nuclear membrane, interacts with lamin A/C
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R. A. Hegele, M. W. Huff, and T. K. Young
Common Genomic Variation in LMNA Modulates Indexes of Obesity in Inuit
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DiabetesHome page
K. Ebihara, Y. Ogawa, H. Masuzaki, M. Shintani, F. Miyanaga, M. Aizawa-Abe, T. Hayashi, K. Hosoda, G. Inoue, Y. Yoshimasa, et al.
Transgenic Overexpression of Leptin Rescues Insulin Resistance and Diabetes in a Mouse Model of Lipoatrophic Diabetes
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N.-O. Ku, R. Gish, T. L. Wright, and M. B. Omary
Keratin 8 Mutations in Patients with Cryptogenic Liver Disease
N. Engl. J. Med., May 24, 2001; 344(21): 1580 - 1587.
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Premature Atherosclerosis Associated With Monogenic Insulin Resistance
Circulation, May 8, 2001; 103(18): 2225 - 2229.
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H. H.-J. Schmidt, J. Genschel, P. Baier, M. Schmidt, J. Ockenga, U. J. F. Tietge, M. Pröpsting, C. Büttner, M. P. Manns, H. Lochs, et al.
Dyslipemia in Familial Partial Lipodystrophy Caused by an R482W Mutation in the LMNA Gene
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E. C. Schirmer, T. Guan, and L. Gerace
Involvement of the Lamin Rod Domain in Heterotypic Lamin Interactions Important for Nuclear Organization
J. Cell Biol., April 30, 2001; 153(3): 479 - 490.
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H. H.-J. Schmidt, H. Lochs, G. L. Brodsky, L. Mestroni, F. Muntoni, C. Sewry, S. Miocic, and G. Sinagra
Lamin A/C Gene Mutation Associated With Dilated Cardiomyopathy With Variable Skeletal Muscle Involvement Response
Circulation, January 30, 2001; 103 (4): e20 - e20.
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A. Garg, M. Vinaitheerthan, P. T. Weatherall, and A. M. Bowcock
Phenotypic Heterogeneity in Patients with Familial Partial Lipodystrophy (Dunnigan Variety) Related to the Site of Missense Mutations in Lamin A/C Gene
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C. Hutchison, M Alvarez-Reyes, and O. Vaughan
Lamins in disease: why do ubiquitously expressed nuclear envelope proteins give rise to tissue-specific disease phenotypes?
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J. Liu, T. R. Ben-Shahar, D. Riemer, M. Treinin, P. Spann, K. Weber, A. Fire, and Y. Gruenbaum
Essential Roles for Caenorhabditis elegans Lamin Gene in Nuclear Organization, Cell Cycle Progression, and Spatial Organization of Nuclear Pore Complexes
Mol. Biol. Cell, November 1, 2000; 11(11): 3937 - 3947.
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R. L. Steen, S. B. Martins, K. Tasken, and P. Collas
Recruitment of Protein Phosphatase 1 to the Nuclear Envelope by a-Kinase Anchoring Protein Akap149 Is a Prerequisite for Nuclear Lamina Assembly
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R. A. Hegele, H. Cao, C. M. Anderson, and I. M. Hramiak
Heterogeneity of Nuclear Lamin A Mutations in Dunnigan-Type Familial Partial Lipodystrophy
J. Clin. Endocrinol. Metab., September 1, 2000; 85(9): 3431 - 3435.
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K. K. Lee, Y. Gruenbaum, P. Spann, J. Liu, and K. L. Wilson
C. elegans Nuclear Envelope Proteins Emerin, MAN1, Lamin, and Nucleoporins Reveal Unique Timing of Nuclear Envelope Breakdown during Mitosis
Mol. Biol. Cell, September 1, 2000; 11(9): 3089 - 3099.
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E. Arioglu, J. Duncan-Morin, N. Sebring, K. I. Rother, N. Gottlieb, J. Lieberman, D. Herion, D. E. Kleiner, J. Reynolds, A. Premkumar, et al.
Efficacy and Safety of Troglitazone in the Treatment of Lipodystrophy Syndromes
Ann Intern Med, August 15, 2000; 133(4): 263 - 274.
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