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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1995-8-3
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pubmed:abstractText |
A 16-year-old girl presented with early-onset cerebellar ataxia, myoclonus, elevated lactic acidosis and hypogonadotropic hypogonadism. Muscle biopsy specimens revealed fibres with a "ragged" appearance with increased mitochondria and lipid droplets. Biochemical investigation revealed a deficiency of complex bc1 (complex III) of the mitochondrial respiratory chain. Genetic analysis did not show either deletions or known mutations of mitochondrial DNA (mtDNA). Phosphorus magnetic resonance spectroscopy (31P-MRS) showed defective energy metabolism in brain and gastrocnemius muscle. A decreased phosphocreatine (PCr) content was found in the occipital lobes accompanied by normal inorganic phosphate (Pi) and cytosolic pH. These findings represented evidence of a high cytosolic adenosine diphosphate concentration and a relatively high rate of metabolism accompanied by a low phosphorylation potential. Muscle 31P-MRS showed a high Pi content at rest, abnormal exercise transfer pattern and a low rate of PCr post-exercise recovery. These findings suggested a deficit of mitochondrial function. Therapy with vitamins K3 and C normalized brain 31P-MRS indices, whereas it did not affect muscle bioenergetic metabolism. In this patient, the endocrinological disorder is putatively due to a mitochondrial cytopathy. Although an unknown mtDNA mutation cannot be ruled out, the genetic defect may lie in the nuclear genome.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0340-5354
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
242
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
203-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7798118-Adolescent,
pubmed-meshheading:7798118-Age of Onset,
pubmed-meshheading:7798118-Ascorbic Acid,
pubmed-meshheading:7798118-Consanguinity,
pubmed-meshheading:7798118-DNA, Mitochondrial,
pubmed-meshheading:7798118-Electron Transport,
pubmed-meshheading:7798118-Electron Transport Complex III,
pubmed-meshheading:7798118-Female,
pubmed-meshheading:7798118-Humans,
pubmed-meshheading:7798118-Magnetic Resonance Spectroscopy,
pubmed-meshheading:7798118-Mitochondria,
pubmed-meshheading:7798118-Myoclonic Cerebellar Dyssynergia,
pubmed-meshheading:7798118-Vitamin K
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pubmed:year |
1995
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pubmed:articleTitle |
Early-onset cerebellar ataxia, myoclonus and hypogonadism in a case of mitochondrial complex III deficiency treated with vitamins K3 and C.
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pubmed:affiliation |
Istituto di Scienze Neurologiche e Neurochirurgiche, Università di Messina, Italy.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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