Ultrastructural Changes in Skeletal Muscle of Infants with Mitochondrial Respiratory Chain Complex I Defects
Ji Young Mun1, Min Kyo Jung2, Se Hoon Kim3
1Department of Biomedical Laboratory Science, College of Health Sciences, Eulji University, Seongnam, Korea.
Insights
Infants with mitochondrial disease (MD) and defects in mitochondrial respiratory chain complex I (MRC I) show distinct skeletal muscle ultrastructural changes. These findings may help in detecting MD in infants.
Area of Science:
- Biochemistry
- Cell Biology
- Pediatric Neurology
Background:
- Mitochondrial disease (MD) pathogenesis involves disrupted cellular energy metabolism due to mitochondrial respiratory chain complex (MRC) defects.
- Infants with unexplained neurodegenerative symptoms or myopathies are often evaluated for MD.
Purpose of the Study:
- To investigate ultrastructural changes in skeletal muscle of infants with MRC I defects.
- To determine if specific morphological alterations correlate with MRC I dysfunction.
Main Methods:
- Muscle biopsies from 12 infants suspected of MD were analyzed.
- Biochemical enzyme assays were performed to identify MRC defects.
- Transmission electron microscopy was used to examine skeletal muscle ultrastructure.
Main Results:
- MRC I defects were confirmed in 7 out of 12 infants.
- Skeletal muscles of affected infants displayed larger mitochondria.
- Accumulation of lipid droplets and unique fused structures were observed.
Conclusions:
- Mitochondrial functional defects in MRC I impair adenosine triphosphate synthesis, leading to skeletal muscle alterations.
- Observed ultrastructural changes may serve as diagnostic markers for MD in infants.
Background And Purpose:
The pathogenesis of mitochondrial disease (MD) involves the disruption of cellular energy metabolism, which results from defects in the mitochondrial respiratory chain complex (MRC). We investigated whether infants with MRC I defects showed ultrastructural changes in skeletal muscle.
Methods:
Twelve infants were enrolled in this study. They were initially evaluated for unexplained neurodegenerative symptoms, myopathies, or other progressive multiorgan involvement, and underwent muscle biopsies when MD was suspected. Muscle tissue samples were subjected to biochemical enzyme assays and observation by transmission electron microscopy. We compared and analyzed the ultrastructure of skeletal muscle tissues obtained from patients with and without MRC I defects.
Results:
Biochemical enzyme assays confirmed the presence of MRC I defects in 7 of the 12 patients. Larger mitochondria, lipid droplets, and fused structures between the outer mitochondrial membrane and lipid droplets were observed in the skeletal muscles of patients with MRC I defects.
Conclusions:
Mitochondrial functional defects in MRC I disrupt certain activities related to adenosine triphosphate synthesis that produce changes in the skeletal muscle. The ultrastructural changes observed in the infants in this study might serve as unique markers for the detection of MD.
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