Skip to main content

Morphometric comparison of mitochondria and myofibrils of cardiomyocytes between hypertrophic and dilated cardiomyopathies

Summary

We performed an ultrastructural, morphometric comparison of mitochondria and myofibrils of cardiomyocytes using endomyocardial biopsy specimens in hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM). Biopsies came from the right ventricular side of the interventricular septum in nine patients with HCM, nine with DCM, and nine controls with arrhythmia and/or ST depression. Morphometric analysis was carried out using electron microscopic photographs and an image analyser. Mitochondria were significantly greater in number and smaller in size in HCM than in the control group. In DCM, the size of mitochondria was also significantly smaller than in the control group, although their number was similar to that of the control group. No statistically significant difference was found regarding the size of mitochondria between HCM and DCM. The percentages of both mitochondrial and myofibrillar areas in cytoplasm were smaller in the DCM than the HCM and control groups, though no difference was seen between the latter two. The ratio of mitochondrial area to myofibrillar area was almost the same in each group. These results suggest increased mitochondrial function to match hypertrophic cardiomyocytes in HCM, and decreased mitochondrial function and cardiomyocytic contractility in DCM.

This is a preview of subscription content, access via your institution.

References

  • Anversa P, Vitali-Mazza L, Visioli O, Marchetti G (1971) Experimental cardiac hypertrophy: a quantitative ultrastructural study in the compensatory stage. J Mol Cell Cardiol 3:213–227

    Google Scholar 

  • Baandrup U, Florio RA, Roters F, Olsen EGJ (1981) Electron microscopic investigation of endomyocardial biopsy samples in hypertrophy and cardiomyopathy: a semiquantitative study in 48 patients. Circulation 63:1289–1298

    Google Scholar 

  • Baker PB (1985) Cytoplasmic changes in dilated cardiomyopathy. In: Unverferth DV (ed) Dilated cardiomyopathy. Futura, New York, pp 43–69

    Google Scholar 

  • Bishop SP, Cole CR (1969) Ultrastructural changes in the canine myocardium with right ventricular hypertrophy and congestive heart failure. Lab Invest 20:219–229

    Google Scholar 

  • Dick MR, Unverferth DV, Baba N (1982) The pattern of myocardial degeneration in nonischemic congestive cardiomyopathy. Hum Pathol 13:740–744

    Google Scholar 

  • Ferrans VJ, Marrow AG, Roberts WC (1972) Myocardial ultrastructure in idiopathic hypertrophic subaortic stenosis: a study of operatively excised left ventricular outflow tract muscle in 14 patients. Circulation 42:769–792

    Google Scholar 

  • Goodwin JF, Oaklay CM (1972) The cardiomyopathies. Br Heart J 34:545–552

    Google Scholar 

  • Hatt PY (1977) Cellular changes in mechanically overloaded heart. Basic Res Cardiol 72:198–202

    Google Scholar 

  • Katagiri T, Kitsu T, Akiyama K, Takeyama Y, Niitani H (1987) Alternation in fine structures of myofibrils and structural proteins in patients with dilated cardiomyopathy: studies with biopsied heart tissues. Jpn Circ J 51:682–688

    Google Scholar 

  • Legato MJ, Mulieri LA, Alper NR (1984) The ultrastructure of myocardial hypertrophy: Why does the compensated heart fail? Eur Heart J 5 [Suppl F]: 251–269

    Google Scholar 

  • Maron BJ, Ferrans VJ, Roberts WC (1975) Ultrastructural features of degenerated cardiac muscle cells in patients with cardiac hypertrophy. Am J Pathol 79:387–434

    Google Scholar 

  • Noorden SV, Olsen EGJ, Pearse AGE (1971) Hypertrophic obstructive cardiomyopathy; a histological, histochemical, and ultrastructural study of biopsy material. Cardiovasc Res 5:118–131

    Google Scholar 

  • Olsen EGJ (1980) The pathology of idiopathic hypertrophic subaortic stenosis (hypertrophic cardiomyopathy). A critical review. Am Heart J 100:553–562

    Google Scholar 

  • Peters TJ, Wells G, Oakley CM, Brooksby IAB, Jenkins BS, Wess-People MM, Coltart DJ (1977) Enzymic analysis of endomyocardial biopsy specimens from patients with cardiomyopathies. Br Heart J 39:1333–1339

    Google Scholar 

  • Roberts WC, Ferrans VJ (1975) Pathologic anatomy of the cardiomyopathies: idiopathic dilated and hypertrophic types, infiltrative types, and endomyocardial disease with and without eosinophilia. Hum Pathol 6:287–342

    Google Scholar 

  • Rowan RA, Masek MA, Billingham ME (1988) Ultrastructural morphometric analysis of endomyocardial biopsies: idiopathic dilated cardiomyopathy, anthracycline cardiotoxicity, and normal myocardium. Am J Cardiovasc Pathol 2:137–144

    Google Scholar 

  • Schaper J, Schaper W (1983) Ultrastructural correlates of reduced cardiac function in human heart disease. Eur Heart J 4 [Suppl A]:35–42

    Google Scholar 

  • Schwarz F, Mall G, Zebe H, Blicke J, Derks H, Manthey J, Kubler W (1983) Quantitative morphologic findings of the myocardium in idiopathic dilated cardiomyopathy. Am J Cardiol 51:501–506

    Google Scholar 

  • Sekiguchi M (1974) Electron microscopical observations of the myocardium in patients with idiopathic cardiomyopathy using endomyocardial biopsy. J Mol Cell Cardiol 6:111–122

    Google Scholar 

  • Unverferth DV, Leier CV, Magorien RD, Croskery R, Svirbely JR, Kolibash AJ, Dick MR, Meacham JA, Baba N (1980) Improvement of human myocardial mitochondria after dobutamine: a quantitative ultrastructural study. J Pharmacol Exp Ther 215:527–532

    Google Scholar 

  • WHO/ISFC task force (1980) Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies. Br Heart J 44:672–673

    Google Scholar 

Download references

Author information

Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Tashiro, A., Masuda, T. & Segawa, I. Morphometric comparison of mitochondria and myofibrils of cardiomyocytes between hypertrophic and dilated cardiomyopathies. Vichows Archiv A Pathol Anat 416, 473–478 (1990). https://doi.org/10.1007/BF01600297

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01600297

Key words

  • Cardiomyopathies
  • Ultrastructure
  • Morphometry
  • Mitochondria
  • Myofibrils