Macular impairment in mitochondrial diseases: a potential biomarker of disease severity.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
22 05 2020
Historique:
received: 21 01 2020
accepted: 05 05 2020
entrez: 24 5 2020
pubmed: 24 5 2020
medline: 2 12 2020
Statut: epublish

Résumé

The high-energy demands of the retina are thought to contribute to its particular vulnerability to mitochondrial dysfunction. Photoreceptors are the cells with the higher oxygen consumption within the retina, and among these, the cones contain more mitochondria and have a higher energy demand than rods. A cohort of twenty-two patients with genetically-defined mitochondrial diseases (MDs) were enrolled to determine if the macula is functionally and anatomically impaired in these metabolic disorders. Visual acuity and fERG amplitude of patients with primary mitochondrial dysfunction were reduced compared to controls. Furthermore, SD-OCT layer segmentation showed a reduction of retinal and outer nuclear layer (ONL) volume in the macula of the patients. fERG amplitude showed a positive correlation with both ONL volume and thickness. A negative relationship was noted between fERG amplitude and disease severity assessed with Newcastle Mitochondrial Disease Adult Scale. In conclusion, MDs are associated with functional and anatomical alteration of macular cone system, characterized by its strong correlation with clinical disease severity suggesting a role as a potential biomarker of primary mitochondrial disorders.

Identifiants

pubmed: 32444699
doi: 10.1038/s41598-020-65482-3
pii: 10.1038/s41598-020-65482-3
pmc: PMC7244507
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

8554

Références

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Auteurs

Guido Primiano (G)

UOC Neurofisiopatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy. guido.primiano@gmail.com.
Università Cattolica del Sacro Cuore, Roma, Italia. guido.primiano@gmail.com.

Edoardo Abed (E)

Università Cattolica del Sacro Cuore, Roma, Italia.

Giovanni Corbo (G)

Università Cattolica del Sacro Cuore, Roma, Italia.

Angelo Maria Minnella (AM)

UOC Oftalmologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Università Cattolica del Sacro Cuore, Roma, Italia.

Serenella Servidei (S)

UOC Neurofisiopatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Università Cattolica del Sacro Cuore, Roma, Italia.

Catello Vollono (C)

UOC Neurofisiopatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Università Cattolica del Sacro Cuore, Roma, Italia.

Maria Cristina Savastano (MC)

UOC Oftalmologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Università Cattolica del Sacro Cuore, Roma, Italia.

Benedetto Falsini (B)

UOC Oftalmologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Università Cattolica del Sacro Cuore, Roma, Italia.

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