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The dysfunction of anaplerotic pathway of energy metabolism from amino acids to succinate in the elderly

https://doi.org/10.18705/1607-419X-2011--1 -

Abstract

Mitochondrial dysfunction is shown to develop progressively in people older than 55 years due to anaplerotic pathway disturbances accompanied by methylmalonic acidemia. Hyperhomocysteinemia and methylmalonic acidemia are accompanied by decrease of valine and leucine, and methionine elevation. Systemic manifestations of mitochondrial dysfunction depend on the methylmalonyl-CoA-mutase activity, and the adenosylcobalamine, as a cofactor and the others proteins defi ned, as transporters of the cofactor. This metabolic state was defi ned as an anaplerotic dysfunction in the paper. The discussed metabolic dysfunction in elderly people differs from the one in adults with Vitamin B12 functional defi ciency. The elevation of branched chain amino acids is usually observed in methylmalonic acidemia. We conclude that anaplerotic dysfunction should be considered a possible factor of initiation and progression of arterial hypertension.

About the Authors

A. A. Zhloba
Pavlov St Petersburg State Medical University, Biochemistry Department; Almazov Federal Heart, Blood and Endocrinology Centre, St Petersburg
Russian Federation


E. G. Mayevskaya
Pavlov St Petersburg State Medical University, Biochemistry Department, St Petersburg
Russian Federation


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For citations:


Zhloba A.A., Mayevskaya E.G. The dysfunction of anaplerotic pathway of energy metabolism from amino acids to succinate in the elderly. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2011;17(1):74-78. (In Russ.) https://doi.org/10.18705/1607-419X-2011--1 -

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