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Why is sever muscle weakness one manifestation of cytochrome oxidase deficiency in humans?

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Cytochrome oxidase deficiency is a rare genetic disorder that affects the function of mitochondria, the energy-producing structures within cells. The deficiency specifically affects the activity of cytochrome c oxidase, which is an enzyme complex that is essential for the process of oxidative phosphorylation, the final step of cellular respiration that produces ATP, the primary energy currency of cells.

Severe muscle weakness is one of the manifestations of cytochrome oxidase deficiency in humans because muscles require a lot of energy to function properly, and ATP is the main source of energy for muscle contraction. When the activity of cytochrome c oxidase is reduced, the ability of mitochondria to produce ATP is impaired, leading to a lack of energy in muscle cells. This results in muscle weakness, which may be especially noticeable during physical activity or exercise.

In addition to muscle weakness, other symptoms of cytochrome oxidase deficiency may include exercise intolerance, fatigue, developmental delay, encephalopathy (brain disease), and other neurological problems. The severity and specific symptoms of the disorder can vary widely depending on the extent and location of the deficiency in different tissues and organs.

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