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NEUROLOGY 1987;37:257
© 1987 American Academy of Neurology

Bioenergetic heterogeneity of human mitochondrial myopathies

Phosphorus magnetic resonance spectroscopy study

Z. Argov, MD, W. J. Bank, MD, J. Maris, BS, P. Peterson, MD and B. Chance, PhD

Department of Biochemistry/Biophysics (Dr. Argov, Mr. Maris, and Dr. Chance), University of Pennsylvania, and the Department of Neurology (Dr. Bank), Hospital of the University of Pennsylvania, Philadelphia, PA and the University Health Center (Dr. Peterson), Wayne State University, Detroit, MI.

Twelve adults with mitochondrial myopathies were studied by phosphorus magnetic resonance spectroscopy of muscle. All 12 had abnormal 31P-NMR findings; recovery from exercise was abnormal in 11 patients. At rest, the ratio of phosphocreatine to inorganic phosphate was reduced in 10. Exercise transfer characteristics were abnormal in all five patients who could exercise. Exercise-induced intracellular acidosis was subnormal in nine patients. The range of abnormalities indicates biochemical heterogeneity, with two possible groups: (1) primary defects of energy metabolism with marked 31P-NMR abnormalities, and (2) secondary, less specific 31P-NMR abnormalities.

Address correspondence and reprint requests to Dr. Argov, Department of Biochemistry/Biophysics, University of Pennsylvania, Philadelphia, PA 19104.

Received February 20, 1986. Accepted for publication June 6, 1986.

Supported by National Institute of Health grant NS08075. Dr. Argov is a recipient of a Muscular Dystrophy Association postdoctoral fellowship.




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