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Tytuł pozycji:

Divergent skeletal muscle mitochondrial phenotype between male and female patients with chronic heart failure

Tytuł :
Divergent skeletal muscle mitochondrial phenotype between male and female patients with chronic heart failure
Autorzy :
Jack O. Garnham
Lee D. Roberts
Talia Caspi
Moza M. Al‐Owais
Max Bullock
Peter P. Swoboda
Aaron Koshy
John Gierula
Maria F. Paton
Richard M. Cubbon
Mark T. Kearney
T. Scott Bowen
Klaus K. Witte
Pokaż więcej
Temat :
HFrEF
Mitochondrial dysfunction
OPA1
Exercise intolerance
Sex
Diseases of the musculoskeletal system
RC925-935
Human anatomy
QM1-695
Źródło :
Journal of Cachexia, Sarcopenia and Muscle, Vol 11, Iss 1, Pp 79-88 (2020)
Wydawca :
Wiley, 2020.
Rok publikacji :
2020
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
2190-6009
2190-5991
Relacje :
https://doaj.org/toc/2190-5991; https://doaj.org/toc/2190-6009
DOI :
10.1002/jcsm.12488
Dostęp URL :
https://doaj.org/article/37c20e4c9e3045ec9d52f327fafff6f4
Numer akcesji :
edsdoj.37c20e4c9e3045ec9d52f327fafff6f4
Czasopismo naukowe
Abstract Background Previous studies in heart failure with reduced ejection fraction (HFrEF) suggest that skeletal muscle mitochondrial impairments are associated with exercise intolerance in men. However, the nature of this relationship in female patients remains to be elucidated. This study aimed to determine the relationship between skeletal muscle mitochondrial impairments and exercise intolerance in male and female patients with HFrEF. Methods Mitochondrial respiration, enzyme activity, and gene expression were examined in pectoralis major biopsies from age‐matched male (n = 45) and female (n = 11) patients with HFrEF and healthy‐matched male (n = 24) and female (n = 11) controls. Mitochondrial variables were compared between sex and related to peak exercise capacity. Results Compared with sex‐matched controls, complex I mitochondrial oxygen flux was 17% (P = 0.030) and 29% (P = 0.013) lower in male and female patients with HFrEF, respectively, which correlated to exercise capacity (r = 0.71; P > 0.0001). Female HFrEF patients had a 32% (P = 0.023) lower mitochondrial content compared with controls. However, after adjusting for mitochondrial content, male patients demonstrated lower complex I function by 15% (P = 0.030). Expression of key mitochondrial genes regulating organelle dynamics and maintenance (i.e. optic atrophy 1, peroxisome proliferator‐activated receptor γ coactivator‐1α, NADH:ubiquinone oxidoreductase core subunit S1/S3, and superoxide dismutase 2) were selectively lower in female HFrEF patients. Conclusions These data provide novel evidence that HFrEF induces divergent sex‐specific mitochondrial phenotypes in skeletal muscle that predispose towards exercise intolerance, impacting mitochondrial ‘quantity' in female patients and mitochondrial ‘quality' in male patients. Therapeutic strategies to improve exercise tolerance in HFrEF should consider targeting sex‐specific mitochondrial abnormalities in skeletal muscle.

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