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SHORT syndrome with partial lipodystrophy due to impaired phosphatidylinositol 3 kinase signaling.

American journal of human genetics | 2013

The phosphatidylinositol 3 kinase (PI3K) pathway regulates fundamental cellular processes such as metabolism, proliferation, and survival. A central component in this pathway is the p85α regulatory subunit, encoded by PIK3R1. Using whole-exome sequencing, we identified a heterozygous PIK3R1 mutation (c.1945C>T [p.Arg649Trp]) in two unrelated families affected by partial lipodystrophy, low body mass index, short stature, progeroid face, and Rieger anomaly (SHORT syndrome). This mutation led to impaired interaction between p85α and IRS-1 and reduced AKT-mediated insulin signaling in fibroblasts from affected subjects and in reconstituted Pik3r1-knockout preadipocytes. Normal PI3K activity is critical for adipose differentiation and insulin signaling; the mutated PIK3R1 therefore provides a unique link among lipodystrophy, growth, and insulin signaling.

Pubmed ID: 23810379 RIS Download

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Associated grants

  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK036836
  • Agency: NIDDK NIH HHS, United States
    Id: R01 DK055545
  • Agency: NIDDK NIH HHS, United States
    Id: DK55545

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