Skip to main content
Erschienen in: Der Nervenarzt 12/2010

01.12.2010 | Übersichten

Lipidspeichermyopathien

Eine klinische und pathobiochemische Herausforderung

verfasst von: T. Skuban, T. Klopstock, B. Schoser

Erschienen in: Der Nervenarzt | Ausgabe 12/2010

Einloggen, um Zugang zu erhalten

Zusammenfassung

Lipidspeichermyopathien sind eine klinisch und genetisch heterogene Gruppe von Muskelerkrankungen, deren gemeinsames Merkmal eine Akkumulation von Lipiden in der Skelettmuskulatur ist. Derzeit unterscheidet man zwischen vier Subtypen von Lipidspeichermyopathien: dem primären Karnitinmangel (PCD), der multiplen Acyl-CoA-Dehydrogenase-Defizienz (MADD), dem primären und sekundären Koenzym-Q10-Mangel und den sog. Neutrallipidspeichererkrankungen. Möglicherweise ist ihre Rarität und erhebliche klinische Variabilität der Grund dafür, dass Lipidspeichermyopathien oftmals erst spät in die neurologische Differenzialdiagnostik einbezogen werden. Der vorliegende Beitrag bietet eine Übersicht zu vielen neuen Aspekten im Bereich von Pathophysiologie, Klinik, Diagnostik und möglichen Therapien der Lipidspeichermyopathien.
Literatur
1.
Zurück zum Zitat Akiyama M, Sakai K, Ogawa M et al (2007) Novel duplication mutation in the patatin domain of adipose triglyceride lipase (PNPLA2) in neutral lipid storage disease with severe myopathy. Muscle Nerve 36:856–859 CrossRefPubMed Akiyama M, Sakai K, Ogawa M et al (2007) Novel duplication mutation in the patatin domain of adipose triglyceride lipase (PNPLA2) in neutral lipid storage disease with severe myopathy. Muscle Nerve 36:856–859 CrossRefPubMed
2.
Zurück zum Zitat Bradley WG, Hudgson P, Gardner-Medwin D et al (1969) Myopathy associated with abnormal lipid metabolism in skeletal muscle. Lancet 1:495–498 CrossRefPubMed Bradley WG, Hudgson P, Gardner-Medwin D et al (1969) Myopathy associated with abnormal lipid metabolism in skeletal muscle. Lancet 1:495–498 CrossRefPubMed
3.
Zurück zum Zitat Bruno C, Bertini E, Di Rocco M et al (2008) Clinical and genetic characterization of Chanarin-Dorfman syndrome. Biochem Biophys Res Commun 369:1125–1128 CrossRefPubMed Bruno C, Bertini E, Di Rocco M et al (2008) Clinical and genetic characterization of Chanarin-Dorfman syndrome. Biochem Biophys Res Commun 369:1125–1128 CrossRefPubMed
5.
Zurück zum Zitat Chanarin I, Patel A, Slavin G et al (1975) Neutral-lipid storage disease: a new disorder of lipid metabolism. Br Med J 1:553–555 CrossRefPubMed Chanarin I, Patel A, Slavin G et al (1975) Neutral-lipid storage disease: a new disorder of lipid metabolism. Br Med J 1:553–555 CrossRefPubMed
6.
Zurück zum Zitat Di Giovanni S, Mirabella M, Spinazzola A et al (2001) Coenzyme Q10 reverses pathological phenotype and reduces apoptosis in familial CoQ10 deficiency. Neurology 57:515–518 Di Giovanni S, Mirabella M, Spinazzola A et al (2001) Coenzyme Q10 reverses pathological phenotype and reduces apoptosis in familial CoQ10 deficiency. Neurology 57:515–518
7.
Zurück zum Zitat Dimauro S, Quinzii CM, Hirano M (2007) Mutations in coenzyme Q10 biosynthetic genes. J Clin Invest 117:587–589 CrossRefPubMed Dimauro S, Quinzii CM, Hirano M (2007) Mutations in coenzyme Q10 biosynthetic genes. J Clin Invest 117:587–589 CrossRefPubMed
8.
Zurück zum Zitat Dorfman ML, Hershko C, Eisenberg S et al (1974) Ichthyosiform dermatosis with systemic lipidosis. Arch Dermatol 110:261–266 CrossRefPubMed Dorfman ML, Hershko C, Eisenberg S et al (1974) Ichthyosiform dermatosis with systemic lipidosis. Arch Dermatol 110:261–266 CrossRefPubMed
9.
Zurück zum Zitat Duncan AJ, Bitner-Glindzicz M, Meunier B et al (2009) A nonsense mutation in COQ9 causes autosomal-recessive neonatal-onset primary coenzyme Q10 deficiency: a potentially treatable form of mitochondrial disease. Am J Hum Genet 84:558–566 CrossRefPubMed Duncan AJ, Bitner-Glindzicz M, Meunier B et al (2009) A nonsense mutation in COQ9 causes autosomal-recessive neonatal-onset primary coenzyme Q10 deficiency: a potentially treatable form of mitochondrial disease. Am J Hum Genet 84:558–566 CrossRefPubMed
10.
Zurück zum Zitat Erguven M, Yilmaz O, Koc S et al (2007) A case of early diagnosed carnitine deficiency presenting with respiratory symptoms. Ann Nutr Metab 51:331–334 CrossRefPubMed Erguven M, Yilmaz O, Koc S et al (2007) A case of early diagnosed carnitine deficiency presenting with respiratory symptoms. Ann Nutr Metab 51:331–334 CrossRefPubMed
11.
Zurück zum Zitat Fischer J, Lefevre C, Morava E et al (2007) The gene encoding adipose triglyceride lipase (PNPLA2) is mutated in neutral lipid storage disease with myopathy. Nat Genet 39:28–30 CrossRefPubMed Fischer J, Lefevre C, Morava E et al (2007) The gene encoding adipose triglyceride lipase (PNPLA2) is mutated in neutral lipid storage disease with myopathy. Nat Genet 39:28–30 CrossRefPubMed
12.
Zurück zum Zitat Gaeta M, Minutoli F, Toscano A et al (2008) Opposed-phase MR imaging of lipid storage myopathy in a case of Chanarin-Dorfman disease. Skeletal Radiol 37:1053–1057 CrossRefPubMed Gaeta M, Minutoli F, Toscano A et al (2008) Opposed-phase MR imaging of lipid storage myopathy in a case of Chanarin-Dorfman disease. Skeletal Radiol 37:1053–1057 CrossRefPubMed
13.
Zurück zum Zitat Gempel K, Topaloglu H, Talim B et al (2007) The myopathic form of coenzyme Q10 deficiency is caused by mutations in the electron-transferring-flavoprotein dehydrogenase (ETFDH) gene. Brain 130:2037–2044 CrossRefPubMed Gempel K, Topaloglu H, Talim B et al (2007) The myopathic form of coenzyme Q10 deficiency is caused by mutations in the electron-transferring-flavoprotein dehydrogenase (ETFDH) gene. Brain 130:2037–2044 CrossRefPubMed
14.
Zurück zum Zitat Hirano K, Ikeda Y, Zaima N et al (2008) Triglyceride deposit cardiomyovasculopathy. N Engl J Med 359:2396–2398 CrossRefPubMed Hirano K, Ikeda Y, Zaima N et al (2008) Triglyceride deposit cardiomyovasculopathy. N Engl J Med 359:2396–2398 CrossRefPubMed
15.
Zurück zum Zitat Horvath R, Schneiderat P, Schoser BG et al (2006) Coenzyme Q10 deficiency and isolated myopathy. Neurology 66:253–255 CrossRefPubMed Horvath R, Schneiderat P, Schoser BG et al (2006) Coenzyme Q10 deficiency and isolated myopathy. Neurology 66:253–255 CrossRefPubMed
16.
Zurück zum Zitat Ishii K, Komaki H, Ohkuma A et al (2009) Central nervous system and muscle involvement in an adolescent patient with riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency. Brain Dev DOI:10.1016/j.braindev.2009.08.008 Ishii K, Komaki H, Ohkuma A et al (2009) Central nervous system and muscle involvement in an adolescent patient with riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency. Brain Dev DOI:10.1016/j.braindev.2009.08.008
17.
Zurück zum Zitat Jordans GH (1953) The familial occurrence of fat containing vacuoles in the leukocytes diagnosed in two brothers suffering from dystrophia musculorum progressiva (ERB). Acta Med Scand 145:419–423 CrossRefPubMed Jordans GH (1953) The familial occurrence of fat containing vacuoles in the leukocytes diagnosed in two brothers suffering from dystrophia musculorum progressiva (ERB). Acta Med Scand 145:419–423 CrossRefPubMed
18.
Zurück zum Zitat Kobayashi K, Inoguchi T, Maeda Y et al (2008) The lack of the C-terminal domain of adipose triglyceride lipase causes neutral lipid storage disease through impaired interactions with lipid droplets. J Clin Endocrinol Metab 93:2877–2884 CrossRefPubMed Kobayashi K, Inoguchi T, Maeda Y et al (2008) The lack of the C-terminal domain of adipose triglyceride lipase causes neutral lipid storage disease through impaired interactions with lipid droplets. J Clin Endocrinol Metab 93:2877–2884 CrossRefPubMed
19.
Zurück zum Zitat Lass A, Zimmermann R, Haemmerle G et al (2006) Adipose triglyceride lipase-mediated lipolysis of cellular fat stores is activated by CGI-58 and defective in Chanarin-Dorfman Syndrome. Cell Metab 3:309–319 CrossRefPubMed Lass A, Zimmermann R, Haemmerle G et al (2006) Adipose triglyceride lipase-mediated lipolysis of cellular fat stores is activated by CGI-58 and defective in Chanarin-Dorfman Syndrome. Cell Metab 3:309–319 CrossRefPubMed
20.
Zurück zum Zitat Lefevre C, Jobard F, Caux F et al (2001) Mutations in CGI-58, the gene encoding a new protein of the esterase/lipase/thioesterase subfamily, in Chanarin-Dorfman syndrome. Am J Hum Genet 69:1002–1012 CrossRefPubMed Lefevre C, Jobard F, Caux F et al (2001) Mutations in CGI-58, the gene encoding a new protein of the esterase/lipase/thioesterase subfamily, in Chanarin-Dorfman syndrome. Am J Hum Genet 69:1002–1012 CrossRefPubMed
21.
Zurück zum Zitat Liang WC, Ohkuma A, Hayashi YK et al (2009) ETFDH mutations, CoQ10 levels, and respiratory chain activities in patients with riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency. Neuromuscul Disord 19:212–216 CrossRefPubMed Liang WC, Ohkuma A, Hayashi YK et al (2009) ETFDH mutations, CoQ10 levels, and respiratory chain activities in patients with riboflavin-responsive multiple acyl-CoA dehydrogenase deficiency. Neuromuscul Disord 19:212–216 CrossRefPubMed
22.
Zurück zum Zitat Liang WC, Tsai KB, Lai CL et al (2004) Riboflavin-responsive glutaric aciduria type II with recurrent pancreatitis. Pediatr Neurol 31:218–221 CrossRefPubMed Liang WC, Tsai KB, Lai CL et al (2004) Riboflavin-responsive glutaric aciduria type II with recurrent pancreatitis. Pediatr Neurol 31:218–221 CrossRefPubMed
23.
Zurück zum Zitat Matsuishi T, Hirata K, Terasawa K et al (1985) Successful carnitine treatment in two siblings having lipid storage myopathy with hypertrophic cardiomyopathy. Neuropediatrics 16:6–12 CrossRefPubMed Matsuishi T, Hirata K, Terasawa K et al (1985) Successful carnitine treatment in two siblings having lipid storage myopathy with hypertrophic cardiomyopathy. Neuropediatrics 16:6–12 CrossRefPubMed
24.
Zurück zum Zitat Nezu J, Tamai I, Oku A et al (1999) Primary systemic carnitine deficiency is caused by mutations in a gene encoding sodium ion-dependent carnitine transporter. Nat Genet 21:91–94 CrossRefPubMed Nezu J, Tamai I, Oku A et al (1999) Primary systemic carnitine deficiency is caused by mutations in a gene encoding sodium ion-dependent carnitine transporter. Nat Genet 21:91–94 CrossRefPubMed
25.
Zurück zum Zitat Ogasahara S, Engel AG, Frens D et al (1989) Muscle coenzyme Q deficiency in familial mitochondrial encephalomyopathy. Proc Natl Acad Sci U S A 86:2379–2382 CrossRefPubMed Ogasahara S, Engel AG, Frens D et al (1989) Muscle coenzyme Q deficiency in familial mitochondrial encephalomyopathy. Proc Natl Acad Sci U S A 86:2379–2382 CrossRefPubMed
26.
Zurück zum Zitat Ohkuma A, Noguchi S, Sugie H et al (2009) Clinical and genetic analysis of lipid storage myopathies. Muscle Nerve 39:333–342 CrossRefPubMed Ohkuma A, Noguchi S, Sugie H et al (2009) Clinical and genetic analysis of lipid storage myopathies. Muscle Nerve 39:333–342 CrossRefPubMed
27.
Zurück zum Zitat Ohkuma A, Nonaka I, Malicdan MC et al (2008) Distal lipid storage myopathy due to PNPLA2 mutation. Neuromuscul Disord 18:671–674 CrossRefPubMed Ohkuma A, Nonaka I, Malicdan MC et al (2008) Distal lipid storage myopathy due to PNPLA2 mutation. Neuromuscul Disord 18:671–674 CrossRefPubMed
28.
Zurück zum Zitat Olsen RK, Olpin SE, Andresen BS et al (2007) ETFDH mutations as a major cause of riboflavin-responsive multiple acyl-CoA dehydrogenation deficiency. Brain 130:2045–2054 CrossRefPubMed Olsen RK, Olpin SE, Andresen BS et al (2007) ETFDH mutations as a major cause of riboflavin-responsive multiple acyl-CoA dehydrogenation deficiency. Brain 130:2045–2054 CrossRefPubMed
29.
Zurück zum Zitat Olsen RK, Pourfarzam M, Morris AA et al (2004) Lipid-storage myopathy and respiratory insufficiency due to ETFQO mutations in a patient with late-onset multiple acyl-CoA dehydrogenation deficiency. J Inherit Metab Dis 27:671–678 CrossRefPubMed Olsen RK, Pourfarzam M, Morris AA et al (2004) Lipid-storage myopathy and respiratory insufficiency due to ETFQO mutations in a patient with late-onset multiple acyl-CoA dehydrogenation deficiency. J Inherit Metab Dis 27:671–678 CrossRefPubMed
30.
Zurück zum Zitat Purevjav E, Kimura M, Takusa Y et al (2002) Molecular study of electron transfer flavoprotein alpha-subunit deficiency in two Japanese children with different phenotypes of glutaric acidemia type II. Eur J Clin Invest 32:707–712 CrossRefPubMed Purevjav E, Kimura M, Takusa Y et al (2002) Molecular study of electron transfer flavoprotein alpha-subunit deficiency in two Japanese children with different phenotypes of glutaric acidemia type II. Eur J Clin Invest 32:707–712 CrossRefPubMed
31.
Zurück zum Zitat Quinzii C, Naini A, Salviati L et al (2006) A mutation in para-hydroxybenzoate-polyprenyl transferase (COQ2) causes primary coenzyme Q10 deficiency. Am J Hum Genet 78:345–349 CrossRefPubMed Quinzii C, Naini A, Salviati L et al (2006) A mutation in para-hydroxybenzoate-polyprenyl transferase (COQ2) causes primary coenzyme Q10 deficiency. Am J Hum Genet 78:345–349 CrossRefPubMed
32.
Zurück zum Zitat Quinzii CM, Dimauro S, Hirano M (2007) Human coenzyme Q10 deficiency. Neurochem Res 32:723–727 CrossRefPubMed Quinzii CM, Dimauro S, Hirano M (2007) Human coenzyme Q10 deficiency. Neurochem Res 32:723–727 CrossRefPubMed
33.
Zurück zum Zitat Quinzii CM, Hirano M, Dimauro S (2007) CoQ10 deficiency diseases in adults. Mitochondrion 7(Suppl):S122–126 CrossRefPubMed Quinzii CM, Hirano M, Dimauro S (2007) CoQ10 deficiency diseases in adults. Mitochondrion 7(Suppl):S122–126 CrossRefPubMed
34.
Zurück zum Zitat Rozenszajn L, Klajman A, Yaffe D et al (1966) Jordans‘ anomaly in white blood cells. Report of case. Blood 28:258–265 PubMed Rozenszajn L, Klajman A, Yaffe D et al (1966) Jordans‘ anomaly in white blood cells. Report of case. Blood 28:258–265 PubMed
35.
Zurück zum Zitat Schweiger M, Lass A, Zimmermann R et al (2009) Neutral lipid storage disease: genetic disorders caused by mutations in adipose triglyceride lipase/PNPLA2 or CGI-58/ABHD5. Am J Physiol Endocrinol Metab 297:E289–E296 CrossRefPubMed Schweiger M, Lass A, Zimmermann R et al (2009) Neutral lipid storage disease: genetic disorders caused by mutations in adipose triglyceride lipase/PNPLA2 or CGI-58/ABHD5. Am J Physiol Endocrinol Metab 297:E289–E296 CrossRefPubMed
36.
Zurück zum Zitat Schweiger M, Schoiswohl G, Lass A et al (2008) The C-terminal region of human adipose triglyceride lipase affects enzyme activity and lipid droplet binding. J Biol Chem 283:17211–17220 CrossRefPubMed Schweiger M, Schoiswohl G, Lass A et al (2008) The C-terminal region of human adipose triglyceride lipase affects enzyme activity and lipid droplet binding. J Biol Chem 283:17211–17220 CrossRefPubMed
37.
Zurück zum Zitat Shults CW, Haas R (2005) Clinical trials of coenzyme Q10 in neurological disorders. Biofactors 25:117–126 CrossRefPubMed Shults CW, Haas R (2005) Clinical trials of coenzyme Q10 in neurological disorders. Biofactors 25:117–126 CrossRefPubMed
38.
Zurück zum Zitat Vielhaber S, Feistner H, Weis J et al (2004) Primary carnitine deficiency: adult onset lipid storage myopathy with a mild clinical course. J Clin Neurosci 11:919–924 CrossRefPubMed Vielhaber S, Feistner H, Weis J et al (2004) Primary carnitine deficiency: adult onset lipid storage myopathy with a mild clinical course. J Clin Neurosci 11:919–924 CrossRefPubMed
39.
Zurück zum Zitat Vockley J, Whiteman DA (2002) Defects of mitochondrial beta-oxidation: a growing group of disorders. Neuromuscul Disord 12:235–246 CrossRefPubMed Vockley J, Whiteman DA (2002) Defects of mitochondrial beta-oxidation: a growing group of disorders. Neuromuscul Disord 12:235–246 CrossRefPubMed
40.
Zurück zum Zitat Zhang W, Miao J, Zhang G et al (2009) Muscle carnitine deficiency: adult onset lipid storage myopathy with sensory neuropathy. Neurol Sci 31(1):61–64 CrossRefPubMed Zhang W, Miao J, Zhang G et al (2009) Muscle carnitine deficiency: adult onset lipid storage myopathy with sensory neuropathy. Neurol Sci 31(1):61–64 CrossRefPubMed
41.
Zurück zum Zitat Zimmermann R, Strauss JG, Haemmerle G et al (2004) Fat mobilization in adipose tissue is promoted by adipose triglyceride lipase. Science 306:1383–1386 CrossRefPubMed Zimmermann R, Strauss JG, Haemmerle G et al (2004) Fat mobilization in adipose tissue is promoted by adipose triglyceride lipase. Science 306:1383–1386 CrossRefPubMed
Metadaten
Titel
Lipidspeichermyopathien
Eine klinische und pathobiochemische Herausforderung
verfasst von
T. Skuban
T. Klopstock
B. Schoser
Publikationsdatum
01.12.2010
Verlag
Springer-Verlag
Erschienen in
Der Nervenarzt / Ausgabe 12/2010
Print ISSN: 0028-2804
Elektronische ISSN: 1433-0407
DOI
https://doi.org/10.1007/s00115-010-3009-5

Weitere Artikel der Ausgabe 12/2010

Der Nervenarzt 12/2010 Zur Ausgabe

Mitteilungen der DGPPN

Mitteilungen der DGPPN 12/2010

Mitteilungen der Schlaganfallgesellschaft

Mitteilungen der Schlaganfallgesellschaft

Neu in den Fachgebieten Neurologie und Psychiatrie