Continuing with the information flow... ************* Mitochondrial function in Parkinson's disease. The Royal Kings and Queens Parkinson's Disease Research Group. Schapira AH; Mann VM; Cooper JM; Krige D; Jenner PJ; Marsden CD Department of Neuroscience, Royal Free Hospital School of Medicine, London, UK. Ann Neurol 32 Suppl: S116-24 (1992) Abstract There is increasing evidence for a defect of mitochondrial respiratory chain function in Parkinson's disease. Specific NADH CoQ1 reductase (complex I) deficiency has been identified in the substantia nigra. Available evidence suggests that this defect is confined to the substantia nigra and is not present elsewhere in the parkinsonian brain. The absence of a detectable mitochondrial abnormality in the substantia nigra of patients with multiple system atrophy also suggests that the complex I deficiency in Parkinson's disease is not simply due to an artifact of neuronal degeneration. Evidence for abnormal mitochondrial function in skeletal muscle is conflicting; two studies showed multiple respiratory chain defects and one study was unable to demonstrate any deficiency. A severe deficiency of complex I activity has been found in platelet mitochondria from parkinsonian patients. This finding has not as yet been confirmed. Platelet homogenates do not show the complex I deficiency, however, suggesting that such a preparation may be too insensitive to detect the defect. The role of complex I deficiency in the events that culminate in dopaminergic cell death in Parkinson's disease remains unresolved. It is likely that if this mitochondrial defect is confirmed, it will be related to a number of other factors, including environmental agents, oxidative stress, and genetic predisposition. Mesh Headings Cell Death DNA, Mitochondrial Electron Transport Human Mitochondria* Mutation NAD(P)H Dehydrogenase (Quinone) Parkinson Disease* Substantia Nigra 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine Unique Identifier: 92378151 Chemical Identifiers (Names) EC 1.6.99.2 (NAD(P)H Dehydrogenase (Quinone)) 28289-54-5 (1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine) ************** Mitochondrial oxidative phosphorylation defects in Parkinson's disease. Shoffner JM; Watts RL; Juncos JL; Torroni A; Wallace DC Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322. Ann Neurol 30: 332-9 (1991) Abstract Parkinson's disease has been associated with defects in oxidative phosphorylation (Oxphos). We analyzed mitochondria isolated from muscle biopsies of 6 patients with Parkinson's disease for deficiencies in Oxphos enzymes and for mutations in the mitochondrial DNA. Oxphos enzyme assays were compared to the 5 to 95% confidence intervals from 16 control subjects. Four patients had complex I defects, whereas 1 patient had a complex IV defect. A genetic basis for Parkinson's disease was suggested by the presence of affected relatives of 2 patients with Parkinson's disease. Known pathological mitochondrial DNA mutations (insertion-deletions or point mutations) were not found. We conclude that Parkinson's disease is a systemic disorder of Oxphos, probably of a complex genetic etiology. Premature cell death in the nigrostriatal dopamine pathway could be due to energetic impairment and accentuated free radical generation caused by an Oxphos defect. Mesh Headings Adult Aged Aging Biopsy Child DNA, Mitochondrial Female Glycogen Human Lipids Male Middle Age Mitochondria, Muscle* Oxidative Phosphorylation* Oxygen Consumption Parkinson Disease* Polymorphism (Genetics) Support, Non-U.S. Gov't Support, U.S. Gov't, Non-P.H.S. Support, U.S. Gov't, P.H.S. Unique Identifier: 92060883 Chemical Identifiers (Names) (Lipids) 9005-79-2 (Glycogen) *************** PCR analysis of platelet mtDNA: lack of specific changes in Parkinson's disease. Sandy MS; Langston JW; Smith MT; Di Monte DA California Parkinson's Foundation, San Jose 95128. Mov Disord 8: 74-82 (1993) Abstract An alteration within the mitochondrial DNA (mtDNA) has been hypothesized to underlie the deficiencies in mitochondrial complex I activity observed in the platelets, striatal muscle, and brain tissue of individuals with Parkinson's disease. Here we utilized the polymerase chain reaction (PCR) to analyze mtDNA obtained from the platelets of nonmedicated patients with early Parkinson's disease (n = 8) and aged-matched controls (n = 6) for the presence of deletion(s) or addition(s) equal to or greater than 50-100 base pairs. Initial attention was focused upon detecting a 4.977 kb deletion previously found in the brains of parkinsonian patients and some aged controls. Indeed, a large deletion of approximately 5.0 kb was observed in the platelet mtDNA from all parkinsonian individuals. However, this defect was also found in all age-matched controls as well as in a group of young healthy subjects (n = 5). In addition, we searched for the presence of smaller changes in platelet mtDNA from parkinsonian patients by PCR analysis of four mtDNA segments that code for seven of the complex I polypeptides. No large deletions or additions were detected within these four regions of mtDNA in any of the disease or age-matched control samples. We conclude that (a) a 4.977 kb deletion is apparently present in a subpopulation of platelet mtDNA from all individuals, and (b) no macrosequence alteration in mtDNA is likely to underlie the deficiency in complex I activity reported in platelet mitochondria from parkinsonian patients. Mesh Headings Adult Aged Base Sequence Blood Platelets* Chromosome Deletion DNA, Mitochondrial* Gene Amplification Human Male Middle Age NAD(P)H Dehydrogenase (Quinone) Parkinson Disease* Polymerase Chain Reaction* Support, Non-U.S. Gov't Unique Identifier: 93125606 Chemical Identifiers (Names) EC 1.6.99.2 (NAD(P)H Dehydrogenase (Quinone)) (DNA, Mitochondrial) *************** I've hardly made a dent in the info available yet!! Even tho' I'd rather be doing this research for something other than PD, in a way this is fun playing detective. I intend to "solve" this case. I ABSOLUTELY REFUSE to accept the dire predictions for PD. Basically my philosophy (or whatever you may call it) is when I'm told what to do and/or how I have to do something, I simply do the opposite (right or wrong, I can't help it). Some people believe that people develop different diseases due to different character traits or feelings (e.g., broken heart:heart attack, chip on the shoulder: arthritis in the shoulder, etc), so maybe my stubborness contributes to my rigidity. Just a thought. My dad cut out a cartoon for me once with a father leaving his daughter's room after putting her to bed, and as he's leaving you hear, "And I will let the bed bugs bite!" So, they say PD is "relentlessly debilitating", etc., etc., I say _____ (please fill-in as you wish) to that! In some ways it's my "friend", in that it makes me slow down and take it easy and listen to what my body needs, rather than constantly running around like a nut (which I do alot). Supposedly alot of native cultures believe those who are ill to be blessed by the gods, because (although it may be against their will), they gain a different perspective on life than those who are not so "blessed". So, I guess we're all blessed, like it or not! It's kinda funny too that in my 'net surfing' I'm reading alot about a liver/platelet genetic type of defect (see above articles for example), and my acupuncturist has all along been treating my "blood" and kidneys/liver. Anyway, please excuse my digression. I'm a bit punchy at the moment and tired (I recently moved and I find it more stressful than previously due to the PD. My roomate's unpacked and ready to go, and I'm still plodding along, but getting there). Although I love this list for all the commentaries and information; like going to one of my support meetings, it's sometimes depressing to think that my life will be reduced to discussions about drug dosages and whether they cause constipation (at the end of one of my first support group meetings that was the hot topic, and the friend who accompanied me for the drive lightened things up by joking about it). I have a friend who's wife is manic depressive and won't admit she's ill. My roomate and I were talking about him and his wife, and about PD and depression, the other night. I guess I'm just trying to fire myself up, and whomever else cares, to fight the PD with everything without denying its existence and effects. I must say that between this list and the other info I've found on the web, I'm really excited about going to my next support group meeting. Thanks to everyone, and especially to those organizing this list and the new WWW homepage (and to those that actually read this entire babble!). Wendy Tebay