Dramatic improvement in mitochondrial cardiomyopathy following treatment with idebenone

被引:41
作者
Lerman-Sagie, T
Rustin, P
Lev, D
Yanoov, M
Leshinsky-Silver, E
Sagie, A
Ben-Gal, T
Munnich, A
机构
[1] Wolfson Med Ctr, Metab Neurogenet Serv, Mitochondrial Dis Clin, IL-58100 Holon, Israel
[2] Wolfson Med Ctr, Inst Physiol Hyg, IL-58100 Holon, Israel
[3] Rabin Med Ctr, Dept Cardiol, Petah Tikva, Israel
[4] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel
[5] Hop Necker Enfants Malad, Unite Rech Handicaps Genet Enfant, Paris, France
关键词
D O I
10.1023/A:1005642302316
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Idebenone, a synthetic analogue of coenzyme Q(10), has been shown to improve cardiac function in patients with Friedreich ataxia and a deficiency of respiratory chain complexes I-III. We describe a woman with severe combined right and left heart failure due to a mitochondrial cardiomyopathy. The patient underwent an endomyocardial biopsy as part of an evaluation for cardiac transplantation. It showed severely decreased respiratory complex activities dependent on CoQ, pointing to CoQ depletion. Following idebenone treatment there was a dramatic improvement in her clinical status with resolution of the heart failure.
引用
收藏
页码:28 / 34
页数:7
相关论文
共 17 条
[1]   Mitochondrial DNA mutations and mitochondrial abnormalities in dilated cardiomyopathy [J].
Arbustini, E ;
Diegoli, M ;
Fasani, R ;
Grasso, M ;
Morbini, P ;
Banchieri, N ;
Bellini, O ;
Dal Bello, B ;
Pilotto, A ;
Magrini, G ;
Campana, C ;
Fortina, P ;
Gavazzi, A ;
Narula, J ;
Viganò, M .
AMERICAN JOURNAL OF PATHOLOGY, 1998, 153 (05) :1501-1510
[2]   A case of mitochondrial encephalomyopathy associated with a muscle coenzyme Q10 deficiency [J].
Boitier, E ;
Degoul, F ;
Desguerre, I ;
Charpentier, C ;
François, D ;
Ponsot, G ;
Diry, M ;
Rustin, P ;
Marsac, C .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1998, 156 (01) :41-46
[3]   Biochemical parameters for the diagnosis of mitochondrial respiratory chain deficiency in humans, and their lack of age-related changes [J].
Chretien, D ;
Gallego, J ;
Barrientos, A ;
Casademont, J ;
Cardellach, F ;
Munnich, A ;
Rötig, A ;
Rustin, P .
BIOCHEMICAL JOURNAL, 1998, 329 :249-254
[4]   THERAPY WITH COENZYME Q-10 OF PATIENTS IN HEART-FAILURE WHO ARE ELIGIBLE OR INELIGIBLE FOR A TRANSPLANT [J].
FOLKERS, K ;
LANGSJOEN, P ;
LANGSJOEN, PH .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 1992, 182 (01) :247-253
[5]   Mitochondrial function in heart muscle from patients with idiopathic dilated cardiomyopathy [J].
Jarreta, D ;
Orús, J ;
Barrientos, A ;
Miró, O ;
Roig, E ;
Heras, M ;
Moraes, CT ;
Cardellach, F ;
Casademont, J .
CARDIOVASCULAR RESEARCH, 2000, 45 (04) :860-865
[6]   Mitochondrial dysfunction in skeletal muscle of children with cardiomyopathy [J].
Marin-Garcia, J ;
Ananthakrishnan, R ;
Goldenthal, MJ ;
Filiano, JJ ;
Perez-Atayde, A .
PEDIATRICS, 1999, 103 (02) :456-459
[7]   Mitochondrial cardiomyopathy: Molecular and biochemical analysis [J].
MarinGarcia, J ;
Goldenthal, MJ .
PEDIATRIC CARDIOLOGY, 1997, 18 (04) :251-260
[8]   Antioxidant properties of 2,3-dimethoxy-5-methyl-6-(10-hydroxydecyl)-1,4-benzoquinone (idebenone) [J].
Mordente, A ;
Martorana, GE ;
Minotti, G ;
Giardina, B .
CHEMICAL RESEARCH IN TOXICOLOGY, 1998, 11 (01) :54-63
[9]   MUSCLE COENZYME-Q DEFICIENCY IN FAMILIAL MITOCHONDRIAL ENCEPHALOMYOPATHY [J].
OGASAHARA, S ;
ENGEL, AG ;
FRENS, D ;
MACK, D .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1989, 86 (07) :2379-2382
[10]   Quinone-responsive multiple respiratory-chain dysfunction due to widespread coenzyme Q10 deficiency [J].
Rötig, A ;
Appelkvist, EL ;
Geromel, V ;
Chretien, D ;
Kadhom, N ;
Edery, P ;
Lebideau, M ;
Dallner, G ;
Munnich, A ;
Ernster, L ;
Rustin, P .
LANCET, 2000, 356 (9227) :391-395