In line with this, multiple symmetric lipomatosis (MSL), an adipose disorder (AD) characterized by upper body lipomatous masses, is frequently linked to multiple mutations in mitochondrial genes such as Mttk (gene encoding mitochondrial tRNA lysine involved in the assembly of proteins that carry out oxidative phosphorylation), and Mfn2 (gene encoding mitofusin 2 that helps to regulate the morphology of mitochondria by controlling the fusion process) [376,377]. This evidence concerns the gene MT-TK and multiple symmetric lipomatosis.