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Updated: Sep 20, 2025

Fiber Type and Subcellular-Specific Analysis of Lipid Droplet Content in Skeletal Muscle
Published on: June 8, 2022
New insight in lipid storage myopathy
Bing Wen1, Jingwen Xu1, Chuanzhu Yan2
1Department of Neurology, Shandong Key Laboratory of Mitochondrial Medicine and Rare Diseases, Research Institute of Neuromuscular and Neurodegenerative Diseases, Qilu Hospital of Shandong University, Shandong University, Jinan, Shandong, PR China.
Lipid storage myopathy (LSM) is a muscle disorder caused by lipid metabolism issues. This review focuses on multiple acyl-CoA dehydrogenase deficiency (MADD) and MADD-like disorders as key causes of LSM.
Area of Science:
- Biochemistry
- Genetics
- Neurology
Background:
- Lipid storage myopathy (LSM) is characterized by excessive lipid droplet accumulation in muscle fibers.
- Multiple acyl-CoA dehydrogenase deficiency (MADD), or glutaric aciduria type II (GAII), is a group of disorders caused by mutations in ETF and ETFQO.
- Late-onset MADD from ETFQO mutations is increasingly recognized as a primary cause of LSM.
Purpose of the Study:
- To review recent advances in understanding LSM.
- To highlight the role of MADD and MADD-like disorders in LSM.
- To summarize clinical, pathological, biochemical, and molecular features and treatment outcomes.
Main Methods:
- Literature review of studies on LSM and MADD.
- Analysis of clinical, pathological, biochemical, and molecular data.
- Focus on recent findings in MADD-like disorders.
Main Results:
- MADD, particularly late-onset ETFQO mutations, is a significant cause of LSM.
- MADD-like disorders are also implicated in LSM pathogenesis.
- The review consolidates current knowledge on LSM etiologies.
Conclusions:
- MADD and MADD-like disorders are crucial considerations in diagnosing and managing LSM.
- Further research into MADD-like disorders can improve understanding and treatment of LSM.
- This review provides a comprehensive overview of LSM with diverse etiologies.
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