From Scarcity to Solutions: Therapeutic Strategies to Restore Adipose Tissue Functionality in Rare Disorders of Lipodystrophy

Mansi Tiwari, George D. Mcilroy* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Aims
Lipodystrophy is a rare disorder characterised by abnormal or deficient adipose tissue formation and distribution. It poses significant challenges to affected individuals, including development of severe metabolic complications like diabetes and fatty liver disease. These conditions are often chronic, debilitating, and life-threatening, with limited treatment options and a lack of specialised expertise. This review aims to raise awareness of lipodystrophy disorders and highlight therapeutic strategies to restore adipose tissue functionality.

Methods
Extensive research has been conducted, including both historical and recent advances. We have examined and summarised the literature to provide an overview of potential strategies to restore adipose tissue functionality and treat/reverse metabolic complications in lipodystrophy disorders.

Results
A wealth of basic and clinical research has investigated various therapeutic approaches for lipodystrophy. These include ground-breaking methods such as adipose tissue transplantation, innovative leptin replacement therapy, targeted inhibition of lipolysis, and cutting-edge gene and cell therapies. Each approach shows great potential in addressing the complex challenges posed by lipodystrophy.

Conclusions
Lipodystrophy disorders require urgent attention and innovative treatments. Through rigorous basic and clinical research, several promising therapeutic strategies have emerged that could restore adipose tissue functionality and reverse the severe metabolic complications associated with this condition. However, further research and collaboration between researchers, clinicians, patient advocacy groups, and pharmaceutical companies, will be crucial in transforming these scientific breakthroughs into effective and viable treatment options for individuals and families affected by lipodystrophy. Fostering such interdisciplinary partnerships could pave the way for a brighter future for those battling this debilitating disorder.
Original languageEnglish
Article numbere15214
Number of pages11
JournalDiabetic Medicine
Volume40
Issue number12
Early online date3 Sept 2023
DOIs
Publication statusPublished - Dec 2023

Bibliographical note

Acknowledgements
The authors would like to acknowledge funding provided by Diabetes UK (RD Lawrence Fellowship, 21/0006280) to G.D.M and the University of Aberdeen Doctoral Training Grant to M.T. The manuscript figure was created with BioRender.com.

Keywords

  • Lipodystrophy
  • Rare disorders
  • Adipose transplantation
  • Leptin replacement therapy
  • Lipolysis
  • Gene therapy
  • Cell therapy

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