Abstract
We report a high incidence of reduced respiratory Complex III activity in heart muscle concomitant with the presence of a specific mutation in cytochrome b (cytb) in patients with ischemic cardiomyopathy. This C-->A mutation at nt 15452 converts the 236th residue of cytb from a leucine to isoleucine, is heteroplasmic and was observed in only 2 of 43 controls. Complex III activity is reduced (> 50%) in 5 of 6 patients with the C-->A15452 mutation suggesting that the cytb mutation is responsible for decreased Complex III activity and may play a role in the pathophysiology of ischemic cardiomyopathy.
MeSH terms
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Adult
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Aged
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Cytochrome b Group / genetics*
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Cytochrome-c Oxidase Deficiency
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DNA, Mitochondrial / genetics*
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Electron Transport Complex III / deficiency*
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Electron Transport Complex III / metabolism
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Electron Transport Complex IV / metabolism
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Female
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Humans
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Male
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Middle Aged
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Mitochondria, Heart / enzymology
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Mitochondria, Heart / genetics
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Myocardial Ischemia / genetics*
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Myocardial Ischemia / metabolism
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Myocardial Ischemia / surgery
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NAD(P)H Dehydrogenase (Quinone) / deficiency
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NAD(P)H Dehydrogenase (Quinone) / metabolism
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Point Mutation*
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Polymerase Chain Reaction
Substances
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Cytochrome b Group
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DNA, Mitochondrial
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NAD(P)H Dehydrogenase (Quinone)
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Electron Transport Complex IV
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Electron Transport Complex III