Obesity

Increased epicardial adipose tissue is part of the phenotype of LMNA-associated partial lipodystrophy and could contribute to increased cardiovascular risk

Diabetes MetabPublished Cross-sectional study

Authors' conclusion

Our findings support that EAT is increased in patients with FPLD2 and represents a specific ectopic adipose tissue which could contribute to the increased cardiovascular risk.

Study context

Population
Patients with familial partial lipodystrophy (FPLD2) or T2D with cardiac CT routinely performed for coronary artery calcium scoring
Participants
26 vs 44
Exposure
FPLD2 vs T2D
  • FPLD2n = 26
  • T2Dn = 44reference
Outcome
EAT volume
Methodological detailsdeep-learning algorithm epicardial adipose tissue (EAT) measurement on cardiac CT
  • Deep-learning algorithm EAT measurement on cardiac CT

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Prevalence of CAD · higher with FPLD2

P = 0.003

HbA1c · lower with FPLD2

P = 0.003

OutcomeFPLD2T2DP value
BMILower with FPLD223.3 (IQR 21–26.6)27.2 (IQR 24.7–29.6)P = 0.03

EAT vs coronary artery calcium (CAC) score in FPLD2

EAT was positively related to CAC score in the FPLD2 group

Original publication

Increased epicardial adipose tissue is part of the phenotype of LMNA-associated partial lipodystrophy and could contribute to increased cardiovascular risk. Diabetes Metab. Published 25 October 2025. doi:10.1016/j.diabet.2025.101710

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