consecuencia pura, miopata con encefalopata, atrofia cerebelosa con ataxia y enfermedad multisistmica infantil, encefalopata y nefropata. Se ha demostrado que las mutaciones en algunos genes implicados en la biosntesis de la CoQ10 causa la deficiencia en CoQ10 primaria. Syndrome Number of cases (new cases) Clinical features Natural history Responsible genes (numbers of patients/fami lies) Encephalomyopathy 4 Juvenile-onset mitochondrial myopathy, recurrent myoglobinuria, and encephalopathy Slow progression of weakness None known Isolated myopathy 14 (4) Juvenile or adult-onset muscle weakness, myoglobinuria, exercise intolerance, cramps, myalgias, elevated CK Slow progression of weakness ETFDH (7/5) Nephropathy 11 Infantile or early childhood- onset steroid-resistant nephrotic syndrome. May progress to renal failure. Encephalopathy may develop. COQ2 (2/2), Infantile multisystemic disease 17 (2) Infantile-onset psychomotor regression, encephalopathy, optic atrophy, retinopathy, hearing loss, renal dysfunction (mainly nephrotic syndrome). Less common: liver, cardiac, and pancreatic dysfunction and obesity. Typically progresses rapidly with high mortality (11/17=65%) COQ2 (4/3?), PDS S2 (1/1), COQ9 (1/1) PDSS 1 (1/1), COQ6 (3/?) Cerebellar ataxia 94 (23) Typically juvenile- onset cerebellar ataxia. Multiple additional neurological and non-neurological manifestations may occur. Slow or minimal progression of ataxia. ADCK3 (22/13?), APTX (12/8?) Situaciones ambientales Piericidina(antibitico) , amital (barbiturato), y la rotenona, un producto vegetal obtenido de las plantas que se usa como insecticida y pesticida, bloquean la cadena de transporte electrnico entre la NADH deshidrogenasa (Complejo I) y la CoQ10. Complejo II es inhibido por la carboxina y teniltrifluoroacetona. Antimicina A (antibitico) lo hace entre CoQ y Cit b.
Referencias Heterogeneity of coenzyme Q 10 deficiency: Patient Study and Literature Review V Emmanuele, LC Lpez, A Berardo, A Naini, S Tadesse, B Wen, E DAgostino, M Salomon, S DiMauro, CM Quinzii, M Hirano Arch Neurol. Author manuscript; available in PMC 2013 April 30.Published in final edited form as: Arch Neurol. 2012 August; 69(8): 978983. doi: 10.1001/archneurol.2012.206. RAMIREZ, Augusto V.. Toxicidad del cianuro: Investigacin bibliogrfica de sus efectos en animales y en el hombre. An. Fac. med. [online]. 2010, vol.71, n.1 [citado 2014-09-11], pp. 54-61 . Disponible en: <http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025- 55832010000100011&lng=es&nrm=iso>. ISSN 1025-5583. http://books.google.com.mx/books?id=TLBUs0vuZxEC&pg=PA34&lpg=PA34&dq=toxicos+para+Coe nzima+Q10&source=bl&ots=TXmrG2vJKp&sig=ZVKQKwW_OlbfVuwikzmbj_Igl0Y&hl=es- 419&sa=X&ei=UzoRVJjyN4a_8gGmoYEI&ved=0CFYQ6AEwBw#v=onepage&q=toxicos%20para%20C oenzima%20Q10&f=false http://compartments.jensenlab.org/Entity?figures=subcell_cell_%&knowledge=10&textmining=10 &experiments=10&predictions=10&type1=9606&type2=-22&id1=ENSP00000263960 consultada 11/09/2014 http://books.google.com.mx/books?id=p3DCb9lTLx8C&pg=PA575&lpg=PA575&dq=Amital+barbitur ato&source=bl&ots=Y-WEUPRgZO&sig=fcgcP3t1SekSj0f9lxDxUYBhNyQ&hl=es- 419&sa=X&ei=uEMRVMmSOIXH8AHu44C4Dw&ved=0CD8Q6AEwBQ#v=onepage&q=Amital%20bar biturato&f=false