Trockel U, Scholte H R, Toyka K V, Busch H F, Luyt-Houwen I E, Berden J A
J Neurol Neurosurg Psychiatry. 1986 Jun;49(6):645-50. doi: 10.1136/jnnp.49.6.645.
A male adult with exercise-related myalgia and weakness from the age of 17 years, developed contractions after moderate exertion which were electrically silent. Triglyceride loading or prolonged fasting provoked excessive ketosis. His isolated muscle mitochondria had severe blockade of the respiratory chain, particularly of NADH-CoQ reductase. After 1.5 years a second biopsy was performed. The electron transport capacity of the respiratory chain was much improved, but now a lesion was observed in energy transduction of sites 1 and 2 of the respiratory chain. The unexpected abolishment of respiratory chain blockade was paralleled by only mild clinical improvement.
一名17岁起就患有运动相关肌痛和肌无力的成年男性,在适度运动后出现无电活动的肌肉收缩。甘油三酯负荷或长时间禁食会引发过度酮症。他分离出的肌肉线粒体存在呼吸链的严重阻滞,尤其是NADH - 辅酶Q还原酶。1.5年后进行了第二次活检。呼吸链的电子传递能力有了很大改善,但此时在呼吸链第1和第2位点的能量转导中观察到病变。呼吸链阻滞意外消除的同时,临床症状仅有轻微改善。