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Depts of 1 Pulmonology, 2 Human Biology, and 3 Movement Sciences, Nutrition Toxicology and Environment Research Institute Maastricht, and 4 Dept of Physiology, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
CORRESPONDENCE: H.R. Gosker, Maastricht University, PO Box 616, 6200 MD Maastricht, the Netherlands. Fax: 31 433875051. E-mail: H. Gosker@pul.unimaas.nl
Keywords: chronic obstructive pulmonary disease, energy metabolism, muscle fibre types, peripheral skeletal muscle, uncoupling protein-3
Received: October 1, 2002
Accepted February 24, 2003
This study was supported by a grant from the Netherlands Asthma Foundation (project number 96.16). P. Schrauwen was supported by a grant from the Netherlands Organization for Scientific Research (NWO).
Mechanical efficiency is reduced in patients with chronic obstructive pulmonary disease (COPD). Furthermore, altered fibre-type distribution and metabolic profile has been observed in peripheral skeletal muscle of COPD patients. Since skeletal muscular uncoupling protein-3 (UCP3) has been implicated in the regulation of energy metabolism, the aim of this study was to assess UCP3 in peripheral skeletal muscle of COPD patients and healthy controls.
A total of 16 COPD patients and 11 healthy age-matched control subjects were studied. Mechanical efficiency was measured by means of cycle ergometry. Biopsies were taken from the vastus lateralis, and UCP3 and cytochrome c (as a marker for mitochondrial content) levels were assessed by Western blotting. Muscle fibre types and metabolic profile were examined histochemically. UCP3 levels were markedly decreased in COPD compared to controls. In COPD patients, there was a positive correlation between UCP3 content and the forced expiratory volume in one second. UCP3 content was not related to mechanical efficiency, or other muscular data such as fibre types, markers of oxidative/glycolytic energy metabolism or cytochrome c.
The authors of this study conclude that uncoupling protein-3 content is decreased in peripheral skeletal muscle of patients with chronic obstructive pulmonary disease and is related to disease severity, but not to mechanical efficiency. The low uncoupling protein-3 content is independent of the loss of oxidative capacity observed in these patients.
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