Lipodystrophy, partial, 4

Definition

The PLIN1 gene encodes perilipin-1, a protein that coats the surface of the lipid droplet in adipocytes. Frameshift mutations that produce a truncated, nonfunctional protein leave the lipid droplet abnormally unprotected and increase basal lipolysis, causing FPLD4; limb lipoatrophy, severe insulin resistance, and marked hypertriglyceridemia are seen.

Gene/region examined

PLIN1 - Whole gene

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Hereditary, autosomal dominant.

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