Abstract
We describe eight children with complex I deficiency, four of them with an isolated, the other four with an additional deficiency of complex IV. Clinical, chemical and morphological findings were compared from patients with isolated and combined deficiency. In both groups, the age of onset of symptoms was between the 1st day and the 4th month of life. Clinical and biochemical heterogeneity were observed. We found no correlation between residual activity of complex I in muscle, blood lactate level, and severity of clinical symptoms. Newborns presenting with severe lactic acidosis and children with later onset myopathy were seen in both groups. The group with combined complex I deficiency showed a more severe clinical course. By light microscopy ragged red fibres were only found in two patients with combined deficiency. However, by electron microscopy structural alterations of the mitochondria were observed in six out of seven muscle specimens.
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Abbreviations
- CI:
-
complex I (NADH dehydrogenase)
- CID:
-
complex I deficiency
- CIV:
-
complex IV (cytochrome c oxidase)
- CS:
-
citrate synthase
- NADH:
-
reduced nicotinamide adenine dinucleotide
- RRF:
-
ragged-red fibres
References
Arts WFM, Scholte HR, Bogaard JM, Kerrebijn KF, Luyt-Houwen JEM (1983) NADH-CoQ reductase deficient myopathy: successful treatment with riboflavine. Lancet II:581–582
Brown GK, Haan EA, Kirby DM, Scholem RD, Wraith JE, Rogers JG, Danks DM (1988) “Cerebral” lactic acidosis: defects in pyruvate metabolism with profound brain damage and minimal systemic acidosis. Eur J Pediatr 147:10–14
Cooperstein SJ, Lazarow A (1951) A microspectrophotometric method for the determination of cytochrome oxidase. J Biol Chem 189:665–670
DiMauro S, Zeviani M, Servidei S, Prelle A, Miranda AF, Bonilla E, Schon E (1988) Biochemical and molecular aspects of cytochrome c oxidase deficiency. Adv Neurol 48:93–105
Fischer JC, Ruitenbeek W, Gabreels FJM, Janssen AJM, Renier WO, Sengers RCA, Stadhouders AM, Ter Laak HJ, Trijbels JMF, Veerkamp JHA (1986) A mitochondrial myopathy: the first case with an established defect at the level of coenzyme Q. Eur J Pediatr 144:441–444
Gabreels FJM, Prick MJJ, Trijbels JMF, Renier WO, Jaspar HHJ, Janssen AJM, Sloof JL (1984) Defects in citric acid cycle and the electron transport chain in progressive poliodystrophy. Acta Neurol Scand 70:145–154
Griebel V, Krägeloh-Mann I, Ruitenbeek W, Trijbels JMF, Sengers RCA (1989) A mitochondrial myopathy with a deficiency of complex I (NADH dehydrogenase) in an infant with lactic acidosi. Dev Med Child Neurol (in press)
Ichiki T, Tanaka M, Nishikimi M, Suzuki H, Ozawa T, Kobayashi, Wada Y (1988) Deficiency of subunits of complex I and mitochondrial encephalomyopathy. Ann Neurol 23:287–294
Kobayashi M, Morishita H, Sugiyama N, Yokochi K, Nakano M, Wada Y, Hotta Y, Terauchi A, Nonaka J (1987) Two cases of NADH-coenzyme Q reductase deficiency: relationship to MELAS syndrome. J Pediatr 110:223–227
Koga Y, Nonaka I, Kobayashi M, Tojyo M, Nihei K (1988) Findings in muscle in complex I (NADH coenzyme Q reductase) deficiency. Ann Neurol 24:749–756
Koga Y, Nonaka I, Sunohara N, Yamanaka R, Kumagai K (1988) Variability in the activity of respiratory chain enzymes in mitochondrial myopathies. Acta Neuropathol 76:135–141
Land JM, Morgan-Hughes JA, Clark J (1981) Mitochondrial myopathy: biochemical studies revealing a deficiency of NADH-cytochrome b reductase activity. J Neurol Sci 50:1–13
Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the folin phenol reagent. J Biol Chem 193:265–275
Mizusawa H, Watanabe M, Kanazawa I, Nakanishi T, Kobayashi M, Tanaka M, Suzuki H, Nishikimi M, Ozawa T (1988) Familial mitochondrial myopathy associated with peripheral neuropathy: partial deficiencies of complex I and complex IV. J Neurol Sci 86:174–184
Morgan-Hughes JA, Darveniza P, Landon DN, Land JM, Clark JB (1979) A mitochondrial myopathy with a deficiency of respiratory chain NADH-CoQ reductase activity. J Neurol Sci 43:27–46
Morgan-Hughes JA, Hayes DJ, Cooper M, Clark JB (1985) Mitochondrial myopathies: deficiencies localized to complex I and complex III of the mitochondrial respiratory chain. Biochem Soc Trans 13:648–650
Morgan-Hughes JA, Schapira AHV, Cooper JM, Clark JB (1988) Molecular defects of NADH-ubiquinone oxidoreductase (complex I) in mitochondrial diseases. J Bioenerg Biomembr 20:365–382
Parker WD, Oley CA, Parks JK (1989) A defect in mitochondrial electron-transport activity (NADH-coenzyme Q oxidoreductase) in Leber's hereditary optic neuropathy. N Engl J Med 320:1331–1333
Pavlakis SG, Phillips PC, DiMauro S, DeVivo DC, Rowland LP (1984) Mitochondrial myopathy, encephalopathy, lactic acidosis, and strokelike episodes: a distinctive clinical syndrome. Ann Neurol 16:481–488
Petty RKH, Harding AE, Morgan-Hughes JA (1986) The clinical features of mitochondrial myopathy. Brain 109:915–938
Prick MJJ, Gabreels FJM, Renier WO, Trijbels JMF, Sengers RCA, Sloof JL (1981) Progressive infantile poliodystrophy; association with disturbed pyruvate oxidation in muscle and liver. Arch Neurol 38:767–772
Roodhooft AM, Van Acker KJ, Martin JJ, Ceuterick C, Scholte HR, Luyt-Houwen JEM (1986) Benign mitochondrial myopathy with deficiency of NADH-CoQ reductase and cytochrome c oxidase. Neuropediatrics 17:221–226
Schapira AHV, Cooper JM, Morgan-Hughes JA, Patel SD, Cleeter MJW, Ragan CI, Clark JB (1988) Molecular basis of mitochondrial myopathies: polypeptide analysis in complex-I deficiency. Lancet I:500–503
Schapira AHV, Cooper JM, Dexter D, Jenner P, Clark JB, Mardsen CD (1989) Mitochondrial complex I deficiency in Parkinson's disease. Lancet I:1269
Sherrat HSA, Cartlidge NEF, Johnson MA, Turnbull DM (1984) Mitochondrial myopathy with partial cytochrome oxidase deficiency and impaired oxidation of NADH-linked substrates. J Inherited Metab Dis 7 [Suppl 2]:107–108
Srere PA (1969) Citrate synthase, EC 4.1.3.7 Citrate oxaloacetate lyase (CoA-acetylating). In: Löwenstein JM (ed) Methods in enzymology, vol XIII, Academic Press, London, pp 3–11
Tanaka M, Nishikimi M, Suzuki H, Ozawa T, Nishizawa M, Tanaka K, Miyatoka T (1986) Deficiency of subunits in heart mitochondrial NADH-ubiquinone oxidoreductase of a patient with mitochondrial encephalomyopathy and cardiomyopathy. Biochem Biophys Res Comm 140:88–93
Tanaka M, Nishikimi M, Suzuki H, Ozawa T, Koga Y, Nonaka J (1987) Partial deficiency of subunits in complex I or IV of patients with mitochondrial myopathies. Biochem Int 14:525–530
Van Erven PMM, Gabreels FJM, Ruitenbeek W, Den Hartog MR, Fischer JC, Renier WO, Trijbels JMF, Sloof JL, Janssen AJ (1985) Subacute necrotizing encephalomyopathy (Leigh syndrome) associated with disturbed oxidation of pyruvate, malate and 2-oxoglutarate in muscle and liver. Acta Neurol Scand 72:36–42
VanErven PMM, Ruitenbeek W, Gabreels FJM, Renier WO, Fischer JC, Janssen AJ (1986) Disturbed oxidative metabolism in subacute necrotizing encephalomyelopathy (Leigh Syndrome). Neuropediatrics 17:28–32
Watmough NJ, Birch-Machin MA, Bindoff LA, Aynsley-Green A, Simpson K, Ragan CI, Sherrat HSA, Tunbull DM (1989) Tissue specific defect of complex I of the mitochondrial respiratory chain. Biochem Biophys Res Commun 160:623–627
Wijburg FA, Barth PG, Ruitenbeek W, Wanders RJA, Vos GD, Ploos van Amstel SLB, Schutgens RBH (1989) Familial NADH: Q1 oxidoreductase (complex I) deficiency: variable expression and possible treatment. J Inherited Metab Dis 12 [Suppl 2]:349–351
Willems JL, Monnens LAH, Trijbels JMF, Veerkamp JH, Meyer AE, Van Dams K, Van Haelst U (1977) Leigh's encephalomyopathy in a patient with cytochrome c oxidase deficiency in muscle tissue. Pediatrics 60:850–857
Yamanaka R, Nomura Y, Segawa M, Nonaka J (1987) MELAS, myoclonus, ataxia and deficiencies of complexes I and IV in muslce mitochondria. Acta Paediatr Jpn 29:761–767
Yanamoto M, Sato T, Anno M, Ujike H, Takemoto M (1987) Mitochondrial myopathy, encephalopathy, lactic acidosis, and strokelike episodes with recurrent abdominal symptoms and coenzyme Q10 administration. J Neurol Neurosurg Psychiatry 50:1475–1481
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Korenke, G.C., Bentlage, H.A.C.M., Ruitenbeek, W. et al. Isolated and combined deficiencies of NADH dehydrogenase (complex I) in muscle tissue of children with mitochondrial myopathies. Eur J Pediatr 150, 104–108 (1990). https://doi.org/10.1007/BF02072049
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DOI: https://doi.org/10.1007/BF02072049