RT Journal Article T1 Variable Expressivity and Allelic Heterogeneity in Type 2 Familial Partial Lipodystrophy: The p.(Thr528Met) LMNA Variant A1 Araujo-Vilar, David A1 Fernández Pombo, Antía A1 Victoria Martínez, Berta A1 Mosquera Orgueira, Adrián A1 Cobelo Gómez, Silvia A1 Castro Pais, Ana A1 Hermida Ameijeiras, Álvaro A1 Loidi, Lourdes A1 Sánchez Iglesias, Sofía K1 Type 2 familial partial lipodystrophy K1 FPLD2 K1 LMNA K1 T528M AB Type 2 familial partial lipodystrophy, or Dunnigan disease, is a metabolic disorder characterized by abnormal subcutaneous adipose tissue distribution. This rare condition results from variants principally affecting exons 8 and 11 of the LMNA gene. In this study, five FPLD2-diagnosed patients carrying the c.1583C>T, p.(Thr528Met) variant in exon 9 of the LMNA gene and with obvious clinical heterogeneity were evaluated. Specific polymorphisms in LMNA and in PPARG were also detected. Exhaustive clinical course, physical examination, biochemical features and family history were recorded, along with the assessment of anthropometric features and body composition by dual-energy X-ray absorptiometry. Preadipocytes obtained from a T528M patient were treated with the classic adipose differentiation medium with pioglitazone. Various adipogenes were evaluated by real-time PCR, and immunofluorescence was used to study intracellular localization of emerin, lamin A and its precursors. As demonstrated with Oil red O staining, the preadipocytes of the T528M patient failed to differentiate, the expression of various adipogenic genes was reduced in the lipodystrophic patient and immunofluorescence studies showed an accumulation of farnesylated prelamin A in T528M cells. We conclude that the T528M variant in LMNA could lead to FPLD2, as the adipogenic machinery is compromised PB MDPI YR 2021 FD 2021 LK http://hdl.handle.net/10347/25264 UL http://hdl.handle.net/10347/25264 LA eng NO J. Clin. Med. 2021, 10(7), 1497; https://doi.org/10.3390/jcm10071497 NO This research was funded by the Instituto de Salud Carlos III and the European Regional Development Fund, FEDER (grant number PI081449), and an intramural grant from the Xunta de Galicia (grant number ED431B 2020/37). S.S.I. was awarded a Research Fellowship by the Asociación Española de Familiares y Afectados de Lipodistrofias (AELIP) DS Minerva RD 23 abr 2026