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Mitochondrial dysfunction in human skeletal muscle biopsies of lipid storage disorder
Authors:Bandopadhyay Debashree  Manish Kumar  Thottethodi Subrahmanya Keshava Prasad  Archana Natarajan  Rita Christopher  Atchayaram Nalini  Parayil Sankaran Bindu  Narayanappa Gayathri  Muchukunte Mukunda Srinivas Bharath
Affiliation:1. Department of Neurochemistry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India;2. Institute of Bioinformatics, Bangalore, Karnataka, India;3. Manipal University, Manipal, Karnataka, India;4. Center for Systems Biology and Molecular Medicine, Yenepoya University, Mangalore, Karnataka, India;5. Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India;6. Department of Neuropathology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
Abstract:
Mitochondria regulate the balance between lipid metabolism and storage in the skeletal muscle. Altered lipid transport, metabolism and storage influence the bioenergetics, redox status and insulin signalling, contributing to cardiac and neurological diseases. Lipid storage disorders (LSD s) are neurological disorders which entail intramuscular lipid accumulation and impaired mitochondrial bioenergetics in the skeletal muscle causing progressive myopathy with muscle weakness. However, the mitochondrial changes including molecular events associated with impaired lipid storage have not been completely understood in the human skeletal muscle. We carried out morphological and biochemical analysis of mitochondrial function in muscle biopsies of human subjects with LSD s (n  = 7), compared to controls (n  = 10). Routine histology, enzyme histochemistry and ultrastructural analysis indicated altered muscle cell morphology and mitochondrial structure. Protein profiling of the muscle mitochondria from LSD samples (n  = 5) (vs. control, n  = 5) by high‐throughput mass spectrometric analysis revealed that impaired metabolic processes could contribute to mitochondrial dysfunction and ensuing myopathy in LSD s. We propose that impaired fatty acid and respiratory metabolism along with increased membrane permeability, elevated lipolysis and altered cristae entail mitochondrial dysfunction in LSD s. Some of these mechanisms were unique to LSD apart from others that were common to dystrophic and inflammatory muscle pathologies. Many differentially regulated mitochondrial proteins in LSD are linked with other human diseases, indicating that mitochondrial protection via targeted drugs could be a treatment modality in LSD and related metabolic diseases.
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Cover Image for this Issue: doi: 10.1111/jnc.14177 .
Keywords:human  lipid storage  mitochondria  myopathy  proteomics
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