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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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References<br />

479<br />

and, recently, there have been reports <strong>of</strong> mitochondrial muscle<br />

disorders in animals ( Breitschwerdt et al. , 1992 ; Houlton<br />

and Herrtage, 1980 ; Paciello et al. , 2003 ; Valberg et al. ,<br />

1994 ; Vijayasarathy et al. , 1994 ). When the utilization <strong>of</strong><br />

oxygen is reduced, lactate formation is favored and results<br />

in elevated blood lactate even with low-intensity exercise.<br />

Disorders <strong>of</strong> the respiratory chain <strong>of</strong>ten result in increased<br />

numbers <strong>of</strong> abnormal mitochondria and aggregates <strong>of</strong> mitochondria<br />

under the sarcolemma. In sections, these mitochondrial<br />

aggregates impart a “ ragged-red ” appearance to<br />

the periphery <strong>of</strong> my<strong>of</strong>ibers when stained with the modified<br />

trichrome stain. The presence <strong>of</strong> ragged red my<strong>of</strong>ibers and<br />

elevated lactate concentrations with exercise warrant investigation<br />

<strong>of</strong> metabolic abnormalities involving mitochondria.<br />

1 . Respiratory Chain Complex I (NADH Ubiquinone<br />

Oxidoreductase) Defi ciency<br />

A deficiency <strong>of</strong> complex I was observed in an Arabian<br />

mare with severe limitations to even mild exercise in which<br />

there was an elevated venous pO 2 , low oxygen consumption<br />

and lactic acidosis ( Valberg et al. , 1994 ). Complex I<br />

<strong>of</strong> the respiratory chain is one <strong>of</strong> four complexes involved<br />

in oxidative phosphorylation and transfers electrons from<br />

NADH to CoQ in the conversion <strong>of</strong> oxygen to water.<br />

2 . Cytochrome c Oxidase Defi ciency<br />

An episodic weakness reported in Old English sheepdog<br />

littermates is accompanied by elevated serum enzymes,<br />

lactic acidosis, and increased pO 2 ( Breitschwerdt et al. ,<br />

1992 ). This disorder may involve a reduction in cytochrome<br />

c oxidase ( Vijayasarathy et al. , 1994 ).<br />

3 . Lipid Storage Disorders<br />

Abnormal accumulation <strong>of</strong> lipid droplets has been observed<br />

in type 1 fibers <strong>of</strong> dogs with generalized myalgia, weakness,<br />

and muscle atrophy ( Platt et al. , 1999 ; Shelton et al. , 1998 ). In<br />

human beings, lipid storage myopathies have been attributed<br />

to several different deficiencies <strong>of</strong> enzymes involved with<br />

lipid transport into mitochondria (carnitine palmityl transferase<br />

deficiency) or beta oxidation <strong>of</strong> free fatty acids. <strong>Clinical</strong><br />

features include muscle necrosis and myoglobinuria without<br />

painful contractures. A specific enzyme deficiency remains<br />

to be defined for the lipid storage myopathies in dogs.<br />

F . Endocrine Myopathies<br />

Signs referable to muscle weakness are frequently observed<br />

as part <strong>of</strong> the clinical presentations <strong>of</strong> endocrine disorders.<br />

1 . Corticosteroid Myopathy<br />

Hyperadrenocorticism causes muscle wasting (atrophy)<br />

and weakness in dogs and horses with Cushing’s disease<br />

and following corticosteroid administration ( Braund et al. ,<br />

1980a, 1980b ; Duncan et al. , 1977 ); ( Aleman et al. , 2006 ).<br />

The muscle wasting is due to a rather selective anguloid to<br />

angular atrophy <strong>of</strong> type 2 my<strong>of</strong>ibers; however, quantitative<br />

studies reveal atrophy <strong>of</strong> type 1 fibers as well. Myotonia<br />

is a variable accompanying sign <strong>of</strong> this disorder ( Duncan<br />

et al. , 1977 ). Muscle wasting appears to be due to catabolism<br />

with decreased protein synthesis and increased protein<br />

degradation mediated by altered transcription in protein<br />

metabolism.<br />

2 . Hypothyroid Myopathy<br />

Thyroid status has a pr<strong>of</strong>ound affect on skeletal muscle, and<br />

hypothyroid states are <strong>of</strong>ten accompanied by manifestations<br />

<strong>of</strong> neuromuscular disease. However, descriptions <strong>of</strong> muscle<br />

disorders in clinical veterinary medicine are limited ( Braund<br />

et al. , 1981 ). Selective type 2 my<strong>of</strong>iber atrophy and type 1<br />

my<strong>of</strong>iber predominance (or type 2 my<strong>of</strong>iber paucity) are<br />

common findings in canine hypothyroidism. Experimental<br />

studies reveal that the proportion <strong>of</strong> my<strong>of</strong>iber types is influenced<br />

by thyroid status in which thyroidectomy results in<br />

type 1 my<strong>of</strong>iber predominance and thyroid excess results<br />

in type 2 my<strong>of</strong>iber predominance ( Li et al. , 1996 ; Li and<br />

Larsson, 1997 ).<br />

REFERENCES<br />

Adhihetty , P. J. , Irrcher , I. , Joseph , A. M. , Ljubicic , V. , and Hood , D. A.<br />

( 2003 ). Plasticity <strong>of</strong> skeletal muscle mitochondria in response to contractile<br />

activity . Exp. Physiol. 88 , 99 – 107 .<br />

Aleman , M. , Riehl , J. , Aldridge , B. M. , Lecouteur , R. A. , Stott , J. L. ,<br />

and Pessah , I. N. ( 2004 ). Association <strong>of</strong> a mutation in the ryanodine<br />

receptor 1 gene with equine malignant hyperthermia . Muscle Nerve<br />

30 , 356 – 365 .<br />

Aleman , M. , Watson , J. L. , Williams , D. C. , Lecouteur , R. A. , Nieto , J. E. ,<br />

and Shelton , G. D. (2006 ). Myopathy in horses with pituitary<br />

pars intermedia dysfunction (Cushing’s disease) . Neuromuscul.<br />

Disord.<br />

Anderson , M. G. ( 1975 ). The influence <strong>of</strong> exercise on serum enzyme levels<br />

in the horse . Equine Vet. J. 7 , 160 – 165 .<br />

Angelos , S. , Valberg , S. J. , Smith , B. P. , McQuarrie , P. S. , Shanske , S. ,<br />

Tsujino , S. , DiMauro , S. , and Cardinet , G. H., III. ( 1995 ).<br />

Myophosphorylase deficiency associated with rhabdomyolysis and<br />

exercise intolerance in 6 related Charolais cattle . Muscle Nerve 18 ,<br />

736 – 740 .<br />

Annandale , E. J. , Valberg , S. J. , and Essen-Gustavsson , B. ( 2005 ). Effects<br />

<strong>of</strong> submaximal exercise on adenine nucleotide concentrations in skeletal<br />

muscle fibers <strong>of</strong> horses with polysaccharide storage myopathy .<br />

Am. J. Vet. Res. 66 , 839 – 845 .<br />

Annandale , E. J. , Valberg , S. J. , Mickelson , J. R. , and Seaquist , E. R.<br />

( 2004 ). Insulin sensitivity and skeletal muscle glucose transport in<br />

horses with equine polysaccharide storage myopathy . Neuromuscul.<br />

Disord. 14 , 666 – 674 .<br />

Argiroudis , S. A. , Kent , J. E. , and Blackmore , D. J. ( 1982 ). Observations<br />

on the isoenzymes <strong>of</strong> creatine kinase in equine serum and tissues .<br />

Equine Vet. J. 14 , 317 – 321 .

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