Elsevier

Respiratory Medicine

Volume 100, Issue 6, June 2006, Pages 1064-1071
Respiratory Medicine

Metabolic capacity of the diaphragm in patients with COPD

https://doi.org/10.1016/j.rmed.2005.09.029Get rights and content
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Summary

Chronic obstructive pulmonary disease (COPD) is associated with an increased load on the diaphragm. Chronic loading on skeletal muscles results in metabolic changes and fiber-type shifts. Therefore, we investigated whether the load on the human diaphragm imposed by COPD altered oxidative enzyme activity, glycogenolytic enzyme activity and mitochondrial energy generating capacity and efficiency. Biopsies of the diaphragm from COPD patients and control subjects were obtained and activities of l(+)3-hydroxyacylCoA-dehydrogenase (HADH, marker for β-oxidation capacity) and phosphorylase (marker for glycogenolytic capacity) were measured spectrophotometrically. Mitochondrial energy generating capacity was measured by spectrophotometrical and radiochemical methods. Fiber-type distribution was determined electrophoretically. We found that HADH activity was increased with increasing severity of COPD (P=0.05). No change in glycogenolytic enzyme activity was observed. The activity of the mitochondrial respiratory chain complexes III and IV and oxidation of pyruvate was increased with increasing airflow obstruction. These results suggest that in COPD the diaphragm adapts to a higher workload by increasing the oxidative capacity and mitochondrial function.

Keywords

COPD
Diaphragm
Enzyme activity
Mitochondria
Fiber type

Abbreviations

COPD
chronic obstructive pulmonary disease
LDH
lactate dehydrogenase
FEV1
forced expiratory volume in 1 s
VC
vital capacity
TLC
total lung capacity
FRC
functional residual capacity
HADH
l(+)3-hydroxyacylCoA-dehydrogenase
MHC
myosin heavy chain
SDS–PAGE
sodium dodecyl sulphate–polyacrylamide gel electrophoresis
BMI
body mass index
KCO
diffusion coefficient
FRC
functional residual capacity
ADP
adenosine diphosphate
ATP
adenosine triphosphate
CS
citrate synthase
C-I
complex I
C-III
complex III
C-IV
complex IV
SCC
succinate:cytochrome-c oxidoreductase
SDH
succinate dehydrogenase

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