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Research article summary (published 30 Jul 2003):

Decreased platelet cytochrome c oxidase activity is accompanied by increased blood lactate concentration during exercise in patients with Alzheimer disease.

Full Abstract

Increasing evidence indicates that mitochondrial dysfunction occurs in the central nervous system as well as in the peripheral tissues from Alzheimer's disease (AD) patients. We have recently shown that mitochondrial cytochrome c oxidase (COX) activity is significantly reduced in brain and platelets from AD patients compared to controls. In the present study we investigated whether impaired COX activity could have functional consequences on energy metabolism. Blood lactate concentration was monitored at rest and during incremental exercise in 22 AD patients in whom COX activity in platelets was decreased compared to controls (35.7 +/- 11.4 vs 48.4 +/- 1.4 nmol/min/mg, P < 0.01). In both resting and exercising conditions, blood lactate was significantly higher in AD patients than in controls. Although the magnitude of exercise-related lactate accumulation was not different between the two groups, an anticipated anaerobic lactate threshold during the incremental forearm exercise was found in AD patients (50% of maximal voluntary contraction MVC compared to 60% in controls). COX activity was inversely related to lactate at a significant level for resting condition (r = -0.65) and borderline for anaerobic threshold exercise level. These results support the hypothesis of a systemic impairment of the mitochondrial function in AD and indicate that decreased COX activity could have functional consequences on metabolism.

 

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Author information

Author/s: Mancuso, Michelangelo (M); Filosto, Massimiliano (M); Bosetti, Francesca (F); Ceravolo, Roberto (R); Rocchi, Anna (A); Tognoni, Gloria (G); Manca, Maria Laura (ML); Solaini, Giancarlo (G); Siciliano, Gabriele (G); Murri, Luigi (L);

Affiliation: Department of Neurosciences, Neurological Clinics, University of Pisa, Via Roma 67, 56126, Pisa, Italy. mmancuso(-atsign-)inwind.it

Journal and publication information

Publication Type: Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't

Journal: Experimental neurology (Exp Neurol), published in United States. (Language: eng)

Reference: 2003-Aug; vol 182 (issue 2) : pp 421-6

Dates: Created 2003/08/04; Completed 2003/09/16; Revised 2006/11/15;

PMID: 12895452, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Associated Chemicals: Lactic Acid (50-21-5) ; Electron Transport Complex IV (EC 1.9.3.1)

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