4.3 Article

A subtype of laminopathies: Generalized lipodystrophy-associated progeroid syndrome caused by LMNA gene c.29C>T mutation

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WILEY
DOI: 10.1111/jdi.14055

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Congenital Generalized; Diabetes Mellitus; Laminopathies; Lipoatrophic; Lipodystrophy; Progeria Syndrome

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Laminopathies are congenital diseases caused by mutations in genes such as LMNA, LMNB, and ZMPSTE24, resulting in accelerated degeneration of human tissues. This paper presents the first case of generalized lipodystrophy-associated progeroid syndrome (GLPS) in China and compares its clinical features with existing literature. The case may provide a diagnostic and therapeutic basis for potential patients.
The term laminopathies refers to a group of congenital diseases characterized by accelerated degeneration of human tissues. Mutations in LMNA, LMNB, ZMPSTE24, and other genes lead to structural and functional abnormalities associated with lamins. One subtype of laminopathy is the generalized lipodystrophy-associated progeroid syndrome (GLPS), which occurs in patients with heterozygous mutations of the LMNA gene c.29C>T(p.T10I). This paper reports the first case of GLPS in China and compares the clinical features of other GLPS patients with literature reports. A 16-year-old male patient was treated for diabetic ketoacidosis, presenting with premature aging appearance, systemic lipodystrophy, severe fatty liver, and decreased bone density. After peripheral blood DNA extraction and second-generation sequencing, a heterozygous mutation of exon 1 of the LMNA gene c.29C>T(p.T10I) was detected. This case of GLPS may provide a diagnostic and therapeutic basis for potential patients.

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