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2015SupplementFULLTEXT

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468A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

of HSC. We are now carrying out the molecular analyses of<br />

CYGB promoter activation stimulated by phosphorylated JNK.<br />

Disclosures:<br />

Massimo Pinzani - Advisory Committees or Review Panels: Intercept Pharmaceutical,<br />

Silence Therapeutic, Abbot; Consulting: UCB; Speaking and Teaching:<br />

Gilead, BMS<br />

Norifumi Kawada - Grant/Research Support: BMS, Chugai, Kowa; Speaking<br />

and Teaching: MSD, Janssen<br />

The following authors have nothing to disclose: Misako Sato, Matsubara, Tsutomu<br />

Matsubara, Atsuko Daikoku, Krista Rombouts, Kazuo Ikeda<br />

518<br />

Impaired skeletal muscle mitochondrial respiration<br />

during hyperammonemia of cirrhosis contributes to sarcopenia<br />

Julie H. Rennison 2 , Avinash Kumar 2 , Gangarao Davuluri 2 , Allawy<br />

Allawy 2,4 , Rafaella Nascimento e Silva 2 , Dharmvir Singh 2 , David<br />

R. Van Wagoner 5 , Hoppel Charles 3 , Srinivasan Dasarathy 1 ;<br />

1 Department Of Gastroenterology and Hepatology, Cleveland<br />

Clinic, Cleveland, OH; 2 Pathobiology, Cleveland Clinic, Cleveland,<br />

OH; 3 Pharmacology and Medicine, Case Western Reserve<br />

University, Cleveland, OH; 4 Department Of Internal Medicne,<br />

Cleveland Clinic, Cleveland, OH; 5 Molecular Cardiology, Cleveland<br />

Clinic, Cleveland, OH<br />

Hyperammonemia is a consistent abnormality in cirrhosis.<br />

Skeletal muscle metabolic disposal of ammonia in cirrhosis<br />

has been shown to contribute to sarcopenia or loss of skeletal<br />

muscle mass. Ammonia disposal occurs in muscle mitochondria<br />

and increased fragmentation and impaired ATP content occur<br />

in the muscle during hyperammonemia of cirrhosis. We tested<br />

the hypothesis that mitochondrial oxidation is decreased during<br />

hyperammonemia and identified the specific sites on the electron<br />

transport chain complexes (ETCC) that contribute to the<br />

impaired mitochondrial respiration. We evaluated the impact<br />

of hyperammonemia (AmAc) on mitochondrial respiration<br />

in differentiated C2C12 murine myotubes by high-resolution<br />

respirometry in the basal state in intact cells and in response<br />

to specific substrates for the ETCC (pyruvate for complex I,<br />

succinate for complex II, TMPD for complex III) and inhibitors<br />

of each of the ETCC (rotenone for complex I, oligomycin for<br />

ATP synthetase, FCCP for uncoupling oxidative phosphorylation,<br />

antimycin A for Complex III). Control and AmAc treated<br />

cells were were assessed in separate chambers simultaneously.<br />

Hyperammonemia decreased basal respiration in intact cells<br />

by ~35% (Control, 67.0±14.1; 24hr AmAc 42.3±7.9 pmol<br />

O 2<br />

s -1 10 -6 ) (p

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