title: Altered kinetics of cytochrome c oxidase in a patient with severe mitochondrial encephalomyopathy.
abstract: Deficiency of cytochrome c oxidase activity was established in a girl born to consanguineous parents. She showed symptoms of dysmaturity, generalized hypotonia, myoclonic seizures and progressive respiratory failure, leading to death on the seventh day of life. Structural abnormalities of the central nervous system consisted of severe cerebellar hypoplasia and optic nerve atrophy. Biochemical analysis of a muscle biopsy specimen demonstrated deficiency of cytochrome c oxidase activity. Cultured fibroblasts from this patient also showed a selective decrease in the activity of cytochrome c oxidase, excluding a muscle-specific type of deficiency. Further investigations in cultured fibroblasts revealed that synthesis, assembly and stability of both the mitochondrial and the nuclear subunits of the enzyme were entirely normal. The steady-state concentration of cytochrome c oxidase in the fibroblasts of the patient was also normal, suggesting that the kinetic properties of the enzyme were altered. Analysis of the kinetic parameters of cytochrome c oxidase demonstrated an aberrant interaction between cytochrome c oxidase and its substrate, cytochrome c, most likely because of a mutation in one of the nuclear subunits of the enzyme.
authors.affiliation: Department of Neurology, University of Amsterdam, The Netherlands.
authors.forename: L G
authors.initials: LG
authors.lastname: Nijtmans
authors.forename: P G
authors.initials: PG
authors.lastname: Barth
authors.forename: C R
authors.initials: CR
authors.lastname: Lincke
authors.forename: M J
authors.initials: MJ
authors.lastname: Van Galen
authors.forename: R
authors.initials: R
authors.lastname: Zwart
authors.forename: P
authors.initials: P
authors.lastname: Klement
authors.forename: P A
authors.initials: PA
authors.lastname: Bolhuis
authors.forename: W
authors.initials: W
authors.lastname: Ruitenbeek
authors.forename: R J
authors.initials: RJ
authors.lastname: Wanders
authors.forename: C
authors.initials: C
authors.lastname: Van den Bogert
mesh_terms: D002478:Cells, Cultured; D003241:Consanguinity; D030401:Cytochrome-c Oxidase Deficiency; D003576:Electron Transport Complex IV / Q000737:chemistry / Q000235:genetics; D005260:Female; D005347:Fibroblasts / Q000201:enzymology; D006801:Humans; D007231:Infant, Newborn; D007700:Kinetics; D017237:Mitochondrial Encephalomyopathies / Q000201:enzymology* / Q000235:genetics; D009154:Mutation; D011487:Protein Conformation
chemical_list: D003576:Electron Transport Complex IV