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[不明原因心脏病患者心肌活检中线粒体的代谢研究]

[Metabolic study of mitochondria in myocardial biopsies in patients with cardiopathy of unknown origin].

作者信息

Gvozdjáková A, Kucharská J, Mizera S, Snircová M, Schreinerová Z, Schrameková E, Pechán I, Fabián J

机构信息

Farmakobiochemické laboratórium III. internej kliniky Lekárskej fakulty, Univerzity Komenského v Bratislave, Slovakia.

出版信息

Bratisl Lek Listy. 1996 Jun;97(6):348-50.

PMID:8769066
Abstract

BACKGROUND

Mitochondrial cardiomyopathies are being studied as metabolic diseases of the cardiac muscle which represents a new approach in metabolic studies. The development of mitochondrial diseases is concomited by an impairment in complexes of mitochondrial respiratory chain, which so far could have been possibly studied exclusively on experimental animals. The method of skinned? fibers enables to measure the pathobiochemical processes in mitochondria in a small amount of bioptic myocardial tissue of patients.

AIM

The study is aimed at: applying the method of skinned fibers in biopsy of myocardium in patients, trying to localize the impaired loci of the mitochondrial respiratory chains, prospective early and fast assessment of the diagnosis of mitochondrial cardiomyopathy in patients.

CONCLUSIONS

The study brings the first information on the possibility of performing more value measurements of mitochondrial respiratory chains per one bioptic sample from the myocardium in patients. The preliminary results indicate to the prospective possibility of early and fast assessment of the diagnosis of mitochondrial cardio(myo)pathies. The presented results require complementary studies involving the development of "mitochondrial medicine".

摘要

背景

线粒体心肌病正作为心肌的代谢性疾病进行研究,这代表了代谢研究中的一种新方法。线粒体疾病的发展伴随着线粒体呼吸链复合体的损伤,到目前为止,这可能只能在实验动物上进行研究。透皮纤维法能够在患者少量活检心肌组织的线粒体中测量病理生化过程。

目的

本研究旨在:将透皮纤维法应用于患者心肌活检,试图定位线粒体呼吸链的损伤位点,对患者线粒体心肌病进行前瞻性早期快速诊断评估。

结论

该研究首次提供了关于从患者心肌的一个活检样本中对线粒体呼吸链进行更有价值测量的可能性的信息。初步结果表明了对线粒体心肌病进行早期快速诊断评估的前瞻性可能性。所呈现的结果需要涉及“线粒体医学”发展的补充研究。

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