Human biallelic MFN2 mutations induce mitochondrial dysfunction, upper body adipose hyperplasia, and suppression of leptin expression
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Human biallelic MFN2 mutations induce mitochondrial dysfunction, upper body adipose hyperplasia, and suppression of leptin expression. / Rocha, Nuno; Bulger, David A; Frontini, Andrea; Titheradge, Hannah; Gribsholt, Sigrid Bjerge; Knox, Rachel; Page, Matthew; Harris, Julie; Payne, Felicity; Adams, Claire; Sleigh, Alison; Crawford, John; Gjesing, Anette Prior; Bork-Jensen, Jette; Pedersen, Oluf; Barroso, Inês; Hansen, Torben; Cox, Helen; Reilly, Mary; Rossor, Alex; Brown, Rebecca J; Taylor, Simeon I; McHale, Duncan; Armstrong, Martin; Oral, Elif A; Saudek, Vladimir; O'Rahilly, Stephen; Maher, Eamonn R; Richelsen, Bjørn; Savage, David B; Semple, Robert K.
In: eLife, Vol. 6, e23813, 19.04.2017.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Human biallelic MFN2 mutations induce mitochondrial dysfunction, upper body adipose hyperplasia, and suppression of leptin expression
AU - Rocha, Nuno
AU - Bulger, David A
AU - Frontini, Andrea
AU - Titheradge, Hannah
AU - Gribsholt, Sigrid Bjerge
AU - Knox, Rachel
AU - Page, Matthew
AU - Harris, Julie
AU - Payne, Felicity
AU - Adams, Claire
AU - Sleigh, Alison
AU - Crawford, John
AU - Gjesing, Anette Prior
AU - Bork-Jensen, Jette
AU - Pedersen, Oluf
AU - Barroso, Inês
AU - Hansen, Torben
AU - Cox, Helen
AU - Reilly, Mary
AU - Rossor, Alex
AU - Brown, Rebecca J
AU - Taylor, Simeon I
AU - McHale, Duncan
AU - Armstrong, Martin
AU - Oral, Elif A
AU - Saudek, Vladimir
AU - O'Rahilly, Stephen
AU - Maher, Eamonn R
AU - Richelsen, Bjørn
AU - Savage, David B
AU - Semple, Robert K
PY - 2017/4/19
Y1 - 2017/4/19
N2 - 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.
AB - 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.
KW - Journal Article
U2 - 10.7554/eLife.23813
DO - 10.7554/eLife.23813
M3 - Journal article
C2 - 28414270
VL - 6
JO - eLife
JF - eLife
SN - 2050-084X
M1 - e23813
ER -
ID: 183004855