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Updated: Jul 18, 2026

Measurement of Mitochondrial Respiration in Human and Mouse Skeletal Muscle Fibers by High-Resolution Respirometry
Published on: October 4, 2024
Mitochondrial dysfunction in COPD patients with low body mass index
R A Rabinovich1, R Bastos, E Ardite
1Pneumology Service (ICT), Hospital Clinic, Barcelona University, Spain. roberto.rabinovich@ed.ac.uk
Chronic obstructive pulmonary disease (COPD) patients with low body mass index exhibit impaired mitochondrial respiration and reduced UCP3 mRNA expression, contributing to decreased muscle endurance.
Area of Science:
- Exercise physiology
- Mitochondrial biology
- Pulmonary rehabilitation
Background:
- Skeletal muscle adaptations in COPD patients are abnormal after exercise.
- Increased oxidative stress and mitochondrial dysfunction are observed in COPD.
- Body composition may influence these adaptations.
Purpose of the Study:
- To investigate the association between body composition and mitochondrial respiration in COPD patients.
- To compare mitochondrial function in COPD patients with low BMI (BMI(L)) versus normal BMI (BMI(N)) and healthy controls.
- To explore the relationship between mitochondrial function, UCP3 expression, and muscle endurance.
Main Methods:
- Vastus lateralis muscle biopsies were obtained from BMI(L) COPD patients, BMI(N) COPD patients, and healthy controls.
- Muscle structure, in vitro mitochondrial respiratory function (assessed by acceptor control ratio - ACR), UCP3 mRNA expression, and glutathione levels were determined.
- Correlations between ACR, arterial oxygen tension, muscle endurance, and blood lactate levels were analyzed.
Main Results:
- Mitochondrial respiratory function (ACR) was significantly impaired in BMI(L) COPD patients compared to BMI(N) COPD patients and controls.
- ACR correlated positively with arterial oxygen tension and muscle endurance.
- ACR showed a negative association with exercise-induced increases in blood lactate.
- UCP3 mRNA expression was reduced in BMI(L) COPD patients.
Conclusions:
- COPD patients with low BMI demonstrate impaired electron transport chain function.
- This mitochondrial dysfunction likely contributes to reduced muscle endurance in this patient subgroup.
- Findings highlight the impact of body composition on exercise capacity in COPD.
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