Coenzyme Q10 reverses pathological phenotype and reduces apoptosis in familial CoQ10 deficiency

被引:130
作者
Di Giovanni, S
Mirabella, M
Spinazzola, A
Crociani, P
Silvestri, G
Broccolini, A
Tonali, P
Di Mauro, S
Servidei, S
机构
[1] Catholic Univ, Policlin Gemelli, Inst Neurol, I-00168 Rome, Italy
[2] IRCCS, Neurol Unit, San Giovanni Rotondo, Italy
[3] Columbia Univ, Dept Neurol, H Houston Merrit Clin Res Ctr Muscular Dystrophy, New York, NY USA
关键词
D O I
10.1212/WNL.57.3.515
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Two brothers with myopathic coenzyme Q(10) (CoQ(10)) deficiency responded dramatically to CoQ(10) supplementation. Muscle biopsies before therapy showed ragged-red fibers, lipid storage, and complex I + III and II + III deficiency. Approximately 30% of myofibers had multiple features of apoptosis. After 8 months of treatment, excessive lipid storage resolved, CoQ(10) level normalized, mitochondrial enzymes increased, and proportion of fibers with TUNEL-positive nuclei decreased to 10%. The authors conclude that muscle CoQ(10) deficiency can be corrected by supplementation of CoQ(10) which appears to stimulate mitochondrial proliferation and to prevent apoptosis.
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页码:515 / 518
页数:4
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