2006
DOI: 10.1002/elps.200500687
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Coordinated and reversible reduction of enzymes involved in terminal oxidative metabolism in skeletal muscle mitochondria from a riboflavin‐responsive, multiple acyl‐CoA dehydrogenase deficiency patient

Abstract: In this case report we studied alterations in mitochondrial proteins in a patient suffering from recurrent profound muscle weakness, associated with ethylmalonic-adipic aciduria, who had benefited from high dose of riboflavin treatment. Morphological and biochemical alterations included muscle lipid accumulation, low muscle carnitine content, reduction in fatty acid beta-oxidation and reduced activity of complexes I and II of the respiratory chain. Riboflavin therapy partially or totally reversed these symptom… Show more

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Cited by 55 publications
(55 citation statements)
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References 51 publications
(78 reference statements)
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“…Here we postulate another possibility, which may occur concomitantly to the previous one. The hypothesis is based on the fact that externally added riboflavin leads to an increase in the FAD content, as shown in yeast mitochondria (44) and human mitochondria (42,43). In this scenario, increased availability of the FAD ligand would promote its binding, which induces conformational changes which propagate to the overall structure.…”
Section: Discussionmentioning
confidence: 99%
“…Here we postulate another possibility, which may occur concomitantly to the previous one. The hypothesis is based on the fact that externally added riboflavin leads to an increase in the FAD content, as shown in yeast mitochondria (44) and human mitochondria (42,43). In this scenario, increased availability of the FAD ligand would promote its binding, which induces conformational changes which propagate to the overall structure.…”
Section: Discussionmentioning
confidence: 99%
“…In MADD several FAD-dependent dehydrogenases are impaired including those responsible for fatty acid oxidation, and the clinical features therefore resemble those seen in fatty acid oxidation disorders (Olsen et al 2007). Proteomic investigation of patient muscle mitochondria has revealed decrease or absence of approximately 10 enzymes related to flavin cofactor-dependent mitochondrial pathways, for example, medium chain acyl-CoA dehydrogenase (ACADM) and trifunctional enzyme b subunit of fatty acid β-oxidation (Gianazza et al 2006). Since the patient was riboflavin responsive, the protein levels were normalized after riboflavin treatment.…”
Section: Methylmalonic Acidemia and Etf-qo Deficiencymentioning
confidence: 99%
“…It belongs to the group of lipid storage myopathies [32] caused by a reduction in activity of flavin-dependent acyl-CoA dehydrogenases, which may also be associated with a deficiency of complexes I and II of the respiratory chain [33,34]. Proteomic analysis using 2-DE and ESI-MS/MS of muscle mitochondria revealed the differential expression of several flavoenzymes, enzymes related to flavin cofactor-dependent mitochondrial pathways and mitochondrial or mitochondriaassociated calcium-binding proteins, such as NADHubiquinone oxidoreductase 75 kDa subunit, ETF-QO, ACADM, E2 component of BCKAD and the E2 component of PDF, suggesting that a number of enzymatic pathways are altered in RR-MAD [35].…”
Section: -D Gel Electrophoresis and 2-d Differential Gel Electrophormentioning
confidence: 99%