In recent years a large number of patients with different clinical phenotypes due to inborn defects in one or more of the mitochondrial respiratory chain enzyme complexes have been described. Much interesting and exciting work has been done to improve the diagnostic procedures and to elucidate the biochemical and genetic backgrounds of these diseases. However, the results of treatment of patients with a defect in the respiratory chain are often disappointing and difficult to evaluate because of the episodic course of the various diseases.In order to determine the potential value of a new in vitro method for studying the effects of possible therapeutic agents for respiratory chain defects, we studied the effects of menadione (vitamin K 3, 2-methyl-l,4-naphthoquinone) on complex I (NADH:Q1 oxidoreductase) and complex III (CoQ: cytochrome c oxidoreductase) deficient fibroblasts.
MATERIALS AND METHODSFibroblasts were cultured from skin biopsies of healthy controls and used after reaching confluency. Lactate and pyruvate production was measured after 4h incubation with 5 mmol/L glucose as previously described (Wijburg et al., 1990). ATP concentration in fibroblasts was measured after 4h incubation at 37°C in KrebsHenseleit bicarbonate buffer with 5mmol/L pyruvate, fortified with 20mmol/L HEPES. The incubation was stopped by the addition of 5 mol/L perchloric acid. After 30min at 4°C the fibroblasts were scraped out of the culture flask using a rubber policeman. The fluid was removed and centrifuged at 4°C to remove denatured protein. 500 #1 of the protein-free acid extract was neutralized to pH 6-7 using 112 #1 of neutralizing buffer (2mol/L KOH, 0.6mol/L MOPS) and centrifuged at 15 000g at 4°C. ATP was measured fluorimetrically in the acid-free extract.For inhibition of complex I, 25 gmol/L of rotenone was added to the incubation medium. Complex III was inhibited by the addition of 18 #mol/L antimycin. Complex IV (cytochrome c oxidase) was inhibited by 5 mmol/L sodium azide in the incubation medium. Menadione (Janssen Chimica, Beerse, Belgium) was added to the incubation medium at a concentration of 5/~mol/L.
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