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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-10-15
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pubmed:abstractText |
Muscle biopsy specimens were obtained from 48 human immunodeficiency virus-infected patients suffering from various neuromuscular symptoms. Microscopic examination by conventional and electron microscopy revealed a characteristic structural myopathy associated with mitochondrial changes in 13 patients, all of whom had received long-term zidovudine therapy. The mean cumulative dose they had received (498 +/- 145 gm) was significantly higher than that of the other 14 zidovudine recipients of the study. They suffered from a progressive, usually painful, proximal myopathy with pronounced wasting, normal-to-moderately elevated creatine kinase levels, and a myopathic electromyographic pattern. The condition usually improved after withdrawal of the drug. Assay of mitochondrial enzymes, including succinate-cytochrome c reductase, cytochrome c oxidase, and citrate synthase, showed a decline in respiratory chain capacity. Southern blot analysis of mitochondrial DNA showed no abnormality. It is likely that mitochondrial dysfunction, probably resulting from drug-induced inhibition of the mitochondrial DNA polymerase, is implicated in the pathogenesis of this complication of zidovudine therapy.
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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 |
Jun
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pubmed:issn |
0364-5134
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
606-14
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1892364-Adult,
pubmed-meshheading:1892364-DNA, Mitochondrial,
pubmed-meshheading:1892364-DNA Polymerase III,
pubmed-meshheading:1892364-DNA Replication,
pubmed-meshheading:1892364-HIV Infections,
pubmed-meshheading:1892364-Humans,
pubmed-meshheading:1892364-Male,
pubmed-meshheading:1892364-Microscopy, Electron,
pubmed-meshheading:1892364-Middle Aged,
pubmed-meshheading:1892364-Mitochondria,
pubmed-meshheading:1892364-Muscles,
pubmed-meshheading:1892364-Muscular Diseases,
pubmed-meshheading:1892364-Oxidative Phosphorylation,
pubmed-meshheading:1892364-Zidovudine
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pubmed:year |
1991
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pubmed:articleTitle |
Zidovudine myopathy: a distinctive disorder associated with mitochondrial dysfunction.
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pubmed:affiliation |
Département de Pathologie (Unités de Médecine Légale et de Neuropathologie), Hôpital Henri Mondor, Créteil, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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