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In animals, the mitochondrial F1F0 ATP synthase is the key protein that synthesizes ATP molecules through a complex catalytic mechanism. While the nuclear genome encodes the majority of ATP synthase subunits, the mitochondrial genome encodes some of the enzyme's most critical components. The formation of this multi-subunit enzyme is a complex multi-step process regulated at the level of transcription, translation, and assembly. Defects in one or more of these steps can result in decreased...
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The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
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线粒体功能障碍在单源发育和性脑病变中

Crista A Minderhoud1, Eva H Brilstra2, Floor E Jansen1

  • 1Member of the European Reference Network EpiCare, Department of Pediatric Neurology, UMCU Brain Center, University Medical Center Utrecht, Utrecht, The Netherlands.

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线粒体功能障碍在发育和性脑病变 (DEE) 中很常见,即使没有遗传线粒体疾病诊断. 整体外基因组测序可以确定DEE的遗传原因,并可能指导向治疗.

关键词:
迪伊·迪伊是什么意思发育性和性脑病变 - 发育性和性脑病变.遗传性是一种遗传性.线粒体疾病 线粒体疾病线粒体功能障碍 线粒体功能障碍肌肉功能测定试验 肌肉功能测定试验发作 在发作.

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科学领域:

  • 神经学 神经学
  • 遗传学 是一个遗传学.
  • 代谢障碍 代谢障碍 代谢障碍

背景情况:

  • 发育性和性脑病变 (DEEs) 经常模仿线粒体疾病 (MDs) 由于类似的症状.
  • 准确的诊断至关重要,因为在基因测试之前,DEE可能被误诊为MD.

研究的目的:

  • 在患者和疑似线粒体疾病患者中调查线粒体功能障碍.
  • 为了比较基因确定的DEE与确定的MDs中的线粒体功能.

主要方法:

  • 对27名疑似MD和患者进行肌肉/纤维细胞活检的回顾性分析 (2005-2015).
  • 患者被分为DEE,确认的MD,疑似的MD和非MD代谢性疾病.
  • 应用了线粒体疾病标准得分和统计分析.

主要成果:

  • 线粒体功能障碍在所有组中普遍存在,其中85%符合可能/确定的MD标准.
  • 高血乳酸和受损的ATP生产是常见的.
  • 意想不到的是,在DEE和其他非MD组中发生了严重的线粒体复合功能障碍,但在确诊的MD中没有.

结论:

  • 线粒体功能障碍在非线粒体DEE中很常见.
  • 对于疑似MDs的患者,建议基于肌肉活检进行整体外基因测序,以确定可治疗的遗传变异.
  • 未来的研究应该专注于根据线粒体功能定制非MD DEEs的治疗方法.