Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 All the other cases of Complex II/III I have heard of or complex III have all been with a child affected but not the parent or a adult affected but not the children which is what I have been told is what is expected because they say it is autosomal recessive. however this can not be the case for you and i . I believe it is nuclear but autosomal dominant, however that is just my opinion. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 Barbara, from what I have read so far a patient that has complex I/III and II/III most likely has a defect in COQ10. Just a thought Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 B, I am going to go ahead and request mine be checked however I wonder since my I/III is good maybe it is not COQ10 but it is always better tested than not I think so this week when I see my neuro I am going to ask him to call her and see if we can do it. I want him to ask her also if she thinks it would be worth it to run any DNA testing. She has my daiughters muscle also. you never know karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 , all I can say is that I too am deficient in II/III but also in all other complexes. My defect is thought to be in mitochondrial transport, specifically in one of the heat shock proteins, which then reduces all mitochondrial enzymes. The transport defect is in nDNA, not mtDNA, but secondarily reduces all mito enzymes, regardless of whether they are nuclear encoded or mt encoded. There is another patient in Adult Mito whose child has a deficiency in II/III as well as I and III. She was diagnosed by Shoffner and also has questions about II/III which have not been answered. Barbara _____ From: mitomomtoo Sent: Thursday, December 30, 2004 7:25 AM To: Subject: looking over my biopsy results-------any ideas here? I have a question to ask of all the " experts " here on the list. and I have spoken frequesntly about having Mtdna defects and being deficient in Complexes II-III. We have both been told that this is very unusual because Complex II is entirely nuclear. Complex III has only 1 unit that is MTdna related. Both Dr Cohen, my doc, and Dr. Navuix, her doc, have said this is quite unusual. My son who is now 6 and was biopsied first at CCF when he was 11 months.His biopsy was the first in our family to show this defect. My biopsy showed deficiencies as well and " RARE FOCI OF MILD CHRONIC INFLAMMATION " . Do any of you know exactly what this means. Dr Cohen explains " that the pathology is not entirely normal " but doesn't say much more about what could be going on. Given my lactic acidosis in my CSF, family history and clinical and labratory data, he is going ahead with the Mito Diagnosis. He says he doesn't know what to make of the inflammation but he has seen this in previous Mito patients. Any ideas or comments for me? Have any of you had a similar biopsy report? Hugs, Medical advice, information, opinions, data and statements contained herein are not necessarily those of the list moderators. The author of this e mail is entirely responsible for its content. List members are reminded of their responsibility to evaluate the content of the postings and consult with their physicians regarding changes in their own treatment. Personal attacks are not permitted on the list and anyone who sends one is automatically moderated or removed depending on the severity of the attack. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 , all I can say is that I too am deficient in II/III but also in all other complexes. My defect is thought to be in mitochondrial transport, specifically in one of the heat shock proteins, which then reduces all mitochondrial enzymes. The transport defect is in nDNA, not mtDNA, but secondarily reduces all mito enzymes, regardless of whether they are nuclear encoded or mt encoded. There is another patient in Adult Mito whose child has a deficiency in II/III as well as I and III. She was diagnosed by Shoffner and also has questions about II/III which have not been answered. Barbara _____ From: mitomomtoo Sent: Thursday, December 30, 2004 7:25 AM To: Subject: looking over my biopsy results-------any ideas here? I have a question to ask of all the " experts " here on the list. and I have spoken frequesntly about having Mtdna defects and being deficient in Complexes II-III. We have both been told that this is very unusual because Complex II is entirely nuclear. Complex III has only 1 unit that is MTdna related. Both Dr Cohen, my doc, and Dr. Navuix, her doc, have said this is quite unusual. My son who is now 6 and was biopsied first at CCF when he was 11 months.His biopsy was the first in our family to show this defect. My biopsy showed deficiencies as well and " RARE FOCI OF MILD CHRONIC INFLAMMATION " . Do any of you know exactly what this means. Dr Cohen explains " that the pathology is not entirely normal " but doesn't say much more about what could be going on. Given my lactic acidosis in my CSF, family history and clinical and labratory data, he is going ahead with the Mito Diagnosis. He says he doesn't know what to make of the inflammation but he has seen this in previous Mito patients. Any ideas or comments for me? Have any of you had a similar biopsy report? Hugs, Medical advice, information, opinions, data and statements contained herein are not necessarily those of the list moderators. The author of this e mail is entirely responsible for its content. List members are reminded of their responsibility to evaluate the content of the postings and consult with their physicians regarding changes in their own treatment. Personal attacks are not permitted on the list and anyone who sends one is automatically moderated or removed depending on the severity of the attack. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 Interesting thought. Did they check your Q10? Dr. V can do that if there is any tissue left. B _____ From: MitomomX3@... Sent: Thursday, December 30, 2004 1:56 PM To: Subject: Re: looking over my biopsy results-------any ideas here? Barbara, from what I have read so far a patient that has complex I/III and II/III most likely has a defect in COQ10. Just a thought Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 I'm going out on a limb with an idea that is all mine and therefore probably faulty. Complex II is the one that is outside the respiratory chain and enters between I and III. My idea is that there is something going on in the mtDNA (if that seems to be the pattern in your family) that is affecting the II and III. There are many genes that act as helpers for want of a better term and the defect might be in that area. Dr. Shoffner found no defects in the complex I area of the mtDNA in me, yet everything we see as family history points to a mtDNA defect. There have 8 7 living affected members showing the material line of transmission and others going back in previous generations that probably fit the bill for having mito. I think that one of my early frozen biopsies identified some inflammation. I wonder if it could be due to the mitochondria trying to work while being defective (while dying)? I can always come up with lots of questions, but don't have the background to know if the questions even make sense. laurie > > Reply-To: > Date: Thu, 30 Dec 2004 13:25:26 -0000 > To: > Subject: looking over my biopsy results-------any ideas here? > > > I have a question to ask of all the " experts " here on the list. > and I have spoken frequesntly about having Mtdna defects and being > deficient in Complexes II-III. We have both been told that this is > very unusual because Complex II is entirely nuclear. Complex III has > only 1 unit that is MTdna related. Both Dr Cohen, my doc, and > Dr. Navuix, her doc, have said this is quite unusual. My son > who is now 6 and was biopsied first at CCF when he was 11 months.His > biopsy was the first in our family to show this defect. My biopsy > showed deficiencies as well and " RARE FOCI OF MILD CHRONIC > INFLAMMATION " . Do any of you know exactly what this means. Dr Cohen > explains " that the pathology is not entirely normal " but doesn't say > much more about what could be going on. Given my lactic acidosis in > my CSF, family history and clinical and labratory data, he is going > ahead with the Mito Diagnosis. He says he doesn't know what to make > of the inflammation but he has seen this in previous Mito patients. > Any ideas or comments for me? Have any of you had a similar biopsy > report? > > Hugs, > > > > > > > Medical advice, information, opinions, data and statements contained herein > are not necessarily those of the list moderators. The author of this e mail is > entirely responsible for its content. List members are reminded of their > responsibility to evaluate the content of the postings and consult with their > physicians regarding changes in their own treatment. > > Personal attacks are not permitted on the list and anyone who sends one is > automatically moderated or removed depending on the severity of the attack. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2004 Report Share Posted December 30, 2004 Good plan. I expect she would be interested in considering Q10 and some selective mutation screening, given the family history. Hope it works out! Barbara _____ From: MitomomX3@... Sent: Thursday, December 30, 2004 2:27 PM To: Subject: Re: looking over my biopsy results-------any ideas here? B, I am going to go ahead and request mine be checked however I wonder since my I/III is good maybe it is not COQ10 but it is always better tested than not I think so this week when I see my neuro I am going to ask him to call her and see if we can do it. I want him to ask her also if she thinks it would be worth it to run any DNA testing. She has my daiughters muscle also. you never know karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2004 Report Share Posted December 31, 2004 I have signs of " chronic inflammation " in my muscle too, and also necrotic (dead) muscle that is being destroyed and replaced. " Foci " just means " small areas " . But I also show a deficiency in Complex I activity (and some others, I forget which, but the defect is so huge in Complex I activity I don't mention the others.) Take care, RH > > I have a question to ask of all the " experts " here on the list. > and I have spoken frequesntly about having Mtdna defects and being > deficient in Complexes II-III. We have both been told that this is > very unusual because Complex II is entirely nuclear. Complex III has > only 1 unit that is MTdna related. Both Dr Cohen, my doc, and > Dr. Navuix, her doc, have said this is quite unusual. My son > who is now 6 and was biopsied first at CCF when he was 11 months.His > biopsy was the first in our family to show this defect. My biopsy > showed deficiencies as well and " RARE FOCI OF MILD CHRONIC > INFLAMMATION " . Do any of you know exactly what this means. Dr Cohen > explains " that the pathology is not entirely normal " but doesn't say > much more about what could be going on. Given my lactic acidosis in > my CSF, family history and clinical and labratory data, he is going > ahead with the Mito Diagnosis. He says he doesn't know what to make > of the inflammation but he has seen this in previous Mito patients. > Any ideas or comments for me? Have any of you had a similar biopsy > report? > > Hugs, > Quote Link to comment Share on other sites More sharing options...
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