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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2000-2-14
pubmed:abstractText
Mitochondrial encephalomyopathies caused by mitochondrial DNA (mtDNA) defects are a genetically and phenotypically heterogeneous group of disorders. The site, percentage and distribution of mutations do not explain the overall clinical heterogeneity that is found. Apoptosis (programmed cell death) is an evolutionarily conserved mechanism that is essential for tissue development and homeostasis. Dysregulation of apoptosis has been implicated in the pathogenesis of various human diseases, such as cancer and autoimmune and neurodegenerative disorders. Recent in vitro evidence has indicated the central role of mitochondria in the apoptotic process. We investigated the occurrence of apoptosis in muscle biopsies of 36 patients carrying different mtDNA mutations and four patients with inclusion body myositis and mitochondrial abnormalities. Apoptotic features, mainly localized in cytochrome c oxidase-negative fibres, were observed in muscle fibres of patients carrying a high percentage of single mtDNA deletions (>40%) and of tRNA point mutations (>70%). By contrast, no apoptotic changes were observed in inclusion body myositis and in patients carrying mutations of mtDNA structural genes. Our study suggests that apoptosis is not simply a means whereby cells with dysfunctional mitochondria are eliminated, but that it seems to play a role in the pathogenesis of mitochondrial disorders associated with mtDNA defects affecting mitochondrial protein synthesis. The imbalance and relative abundances of nuclear-encoded and mtDNA-encoded subunits may favour cytochrome c inactivation and release. Cytochrome c, together with respiratory chain dysfunction, could activate apoptotic pathways that, in turn, inhibit the rate of mitochondrial translation and the importation of nuclear-encoded mitochondrial protein precursors. This vicious circle may amplify the biochemical defects and tissue damage and contribute to the modulation of clinical features.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0006-8950
pubmed:author
pubmed:issnType
Print
pubmed:volume
123 ( Pt 1)
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
93-104
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:10611124-Adolescent, pubmed-meshheading:10611124-Adult, pubmed-meshheading:10611124-Aged, pubmed-meshheading:10611124-Apoptosis, pubmed-meshheading:10611124-Child, pubmed-meshheading:10611124-Child, Preschool, pubmed-meshheading:10611124-DNA, Mitochondrial, pubmed-meshheading:10611124-Female, pubmed-meshheading:10611124-Humans, pubmed-meshheading:10611124-Inclusion Bodies, pubmed-meshheading:10611124-MELAS Syndrome, pubmed-meshheading:10611124-MERRF Syndrome, pubmed-meshheading:10611124-Male, pubmed-meshheading:10611124-Middle Aged, pubmed-meshheading:10611124-Mitochondria, pubmed-meshheading:10611124-Mitochondrial Encephalomyopathies, pubmed-meshheading:10611124-Muscle, Skeletal, pubmed-meshheading:10611124-Mutation, pubmed-meshheading:10611124-Point Mutation, pubmed-meshheading:10611124-Sequence Deletion
pubmed:year
2000
pubmed:articleTitle
Apoptosis in mitochondrial encephalomyopathies with mitochondrial DNA mutations: a potential pathogenic mechanism.
pubmed:affiliation
Institute of Neurology, Catholic University, Rome, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't