“…Interestingly and importantly, we show a significant accumulation of all, LPA, LPC and LC, which may explain some of the clinical features of OMS. Indeed, elevated concentrations of LPA are known to be cytotoxic to neuronal cells, including photoreceptors 21 , and defects in the LPC acyltransferase-1, an enzyme catalysing the conversion of LPC to PC, cause photoreceptor degeneration in mice 22 . LPA also promotes hair growth 23 and defects either in LPA production 24,25 or LPA signalling 26,27 are associated with hair growth abnormalities, as observed in our OMS patients.…”