Metabolic changes in patients with mitochondrial myopathies and effects of coenzyme Q10 therapy

被引:48
作者
Chan, A [1 ]
Reichmann, H [1 ]
Kogel, A [1 ]
Beck, A [1 ]
Gold, R [1 ]
机构
[1] Univ Wurzburg, Neurol Klin, D-97080 Wurzburg, Germany
关键词
bicycle ergometry; coenzyme Q(10); lactate; lactate/pyruvate ratio; mitochondrial encephalomyopathies;
D O I
10.1007/s004150050267
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We used a standardized bicycle ergometry protocol with a stepwise increasing workload (30-100 W) to evaluate various metabolic factors for the diagnosis and metabolic monitoring of mitochondrial encephalomyopathies. All patients (n = 9) showed pathological venous lactate/pyruvate (L/P) ratios, which normalized in three patients after 6 months of coenzyme Q(10) (CoQ) therapy. Thus, the L/P ratio proved to be the clinically most useful parameter in the evaluation and monitoring of mitochondrial diseases, showing higher sensitivity than lactate measurements only. CoQ may exert a favourable effect in some patients with mitochondrial diseases.
引用
收藏
页码:681 / 685
页数:5
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