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Enhanced intra-abdominal visceral fat accumulation in patients with Werner's syndrome

Abstract

OBJECTIVE: Studies were made on the abnormality of glucose and lipid metabolism and its cause in four patients with Werner's syndrome to infer the reason for accelerated atherogenesis in this syndrome.

RESULTS: Of these four patients, hypercholesterolemia was found in three, hypertriglyceridemia in four, hypoalphalipoproteinemia in two and hypertension in two. All the patients had insulin-resistant diabetes mellitus and three of them had apparent hyperinsulinemia. Abdominal computed tomography revealed that all of them had visceral fat obesity, namely augumented intra-abdominal adipose tissue.

CONCLUSION: The clinical features of these patients resemble those recently designated as insulin resistant syndrome (syndrome X) or visceral fat syndrome. The metabolic abnormality may be one of important factors in the accelerated atherogenesis in this syndrome.

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References

  1. Epstein CJ, Martin GM, Schultz AL, Motulsky AG . Werner's syndrome: a review of its symptomatology, natural history, pathologic features, genetics and relationship to the natural aging process Medicine 1966 45: 177–221.

    Article  CAS  Google Scholar 

  2. Salk D . Werner's syndrome: a review of recent research with a review of connective tissue metabolism, growth control of cultured cells and chromosomal aberrations Hum Genet 1982 62: 1–15.

    Article  CAS  Google Scholar 

  3. Yu C-E, Oshima J, Fu Y-H, Wijsman EM, Hisama F, Alisch R, Matthews S, Nakura J, Miki T, Ouais S, Martin GM, Mulligan J, Schellenberg GD . Positional cloning of the Werner's syndrome gene Science 1996 272: 258–262.

    Article  CAS  Google Scholar 

  4. Kaplan NM . Insulin resistance syndrome: two too many Am J Cardiol 1992 69: 1643–1644.

    Article  CAS  Google Scholar 

  5. Haffner SM, Valdez RA, Hazuda HP, Mitchell BD, Morales PA, Stern MP . Prospective analysis of the insulin-resistance syndrome (syndrome X) Diabetes 1992 41: 715–722.

    Article  CAS  Google Scholar 

  6. Yamashita S, Nakamura T, Shimomura I, Nishida M, Yoshida S, Kotani K, Kameda-Takemura K, Tokunaga K, Matsuzawa Y . Insulin resistance and body fat distribution Diabetes Care 1996 19: 287–291.

    Article  CAS  Google Scholar 

  7. Matsumoto T, Imamura O, Yamabe Y, Kuromitsu J, Tokutake Y, Shimamoto A, Suzuki N, Satoh M, Kitao S, Ichikawa K, Kataoka H, Sugawara K, Thomas W, Mason B, Tsuchihashi Z, Drayna D, Sugawara M, Sugimoto M, Euruichi Y, Goto M . Mutation and haplotype analyses of the Werner's syndrome gene based on its genomic structure: genetic epidemiology in the Japanese population Hum Genet 1997 100: 123–130.

    Article  CAS  Google Scholar 

  8. Goto M, Imamura O, Kuromitsu J, Matsumoto T, Yamabe Y, Tokutake Y, Suzuki N, Mason B, Drayna D, Sugawara M, Sugimoto M, Furuichi Y . Analysis of helicase gene mutations in Japanese Werner's syndrome patients Hum Genet 1997 99: 191–193.

    Article  CAS  Google Scholar 

  9. Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S . A novel technique for the determination of body fat by computed tomography Int J Obes 1983 7: 437–445.

    CAS  Google Scholar 

  10. Blohme G, Smith U . Metabolic studies in a case of Werner's syndrome Diabetes Metab 1979 5: 119–124.

    CAS  Google Scholar 

  11. Smith U, Digirolamo M, Blohme G, Kral JG, Tisell LE . Possible systemic metabolic effects of regional adiposity in a patient with Werner's syndrome Int J Obes 1980 4: 153–163.

    CAS  PubMed  Google Scholar 

  12. Vannini P, Ciavarella A, Forlani G, Mustacchio A, Patrono D, Capelli M . Investigation of insulin resistance associated with Werner's syndrome Diabetes Metab 1987 13: 81–85.

    CAS  Google Scholar 

  13. Gavrilova O, Marcus-Samuels B, Graham D, Kim JK, Shulman GI, Castle AL, Vinson C, Eckhaus M, Reitman ML . Surgical implantation of adipose tissue reverses diabetes in lipoatrophic mice J Clin Invest 2000 105: 271–278.

    Article  CAS  Google Scholar 

  14. Kim JK, Gavrilova O, Chen Y, Reitman ML, Shulman GI . Mechanism of insulin resistance in A-ZIP/F-1 fatless mice J Biol Chem 2000 275: 8456–8460.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by grants from the Ministry of Education, Science, Sports and Culture of Japan (nos 11144206 and 11838002) and from the Sumitomo Foundation for Medicine and Welfare.

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Correspondence to S Mori.

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Mori, S., Murano, S., Yokote, K. et al. Enhanced intra-abdominal visceral fat accumulation in patients with Werner's syndrome. Int J Obes 25, 292–295 (2001). https://doi.org/10.1038/sj.ijo.0801529

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