Re: 可不可以幫我解答
※ 引述《YuChHa (偷心計畫)》之銘言:
: ※ 引述《cave (三毛貓:水深火熱)》之銘言:
: : in vivo 情況下,
: : mitochondria 藉由 "proton-motive force" 驅動 ATP synthase。
: : 因為 intermembrane space(外) proton conc. 高,matrix(內)
: : proton conc.低,外部的 proton 會經 ATP synthase 進入內部,
: : 此時利用 proton concentration gradient 儲存的化學位能,
: : 驅使 ATP synthase 合成 ATP。
: : 所以在 in vitro 情況下也相同,當外部 pH 低 (proton 濃度高),
: : 可以促使 mitochondria membrane 上的 ATP synthase 產生 ATP。
: : 這題從結果現象反推:
: : 在肌肉劇烈運動或 mitochondria function 受損時,cell 會進行
: : lactic acid fermentation。由此推測,這個新藥可能造成
: : mitochondria DNA 的損壞,於是 electron-carrier complexes 失
: : 去正常功能,electron transport chain 無法正常進行,最後細胞
: : 不能 uptake oxygen,細胞在缺氧狀態下,只好進行 lactic acid
: : fermentation。
: : "drastic overproduction of lactic acid and liver failure"就
: : 這樣產生了。
: : (ps 不曉得有沒有說錯的地方 以上是不負責任版 :p)
: 網路上看到的!!
: The key concept is that lactic acid is produced only when there is exertion
: for the muscles or when mitochondrial function is inhibited.
: The drastic overproduction of lactic acid and liver failure due to a drug
: that acts like a nucleotide would only occur if this analogue was
: incorporated into mitochondrial DNA, disrupting mitochondria function.
: Tragically, that is exactly what happened in this case.
: The overproduction of lactic acid is evidence that
: fermentation is occuring on a large scale.
: Knowing that the drug can interfere with DNA replication,
: it makes sense to conclude that it has interefered with mitochondrial
: DNA and affected normal ATP production.
: If the mitochondria's ability to produce ATP were disrupted,
: the ATP would have to be produced outside the mitochondria,
: by fermentation taking place in the cytosol.
: Though it is normal for the body to use fermentation,
: especially by muscle cells during hard excercise,
: fermentation is a temporary response that cannot be sustained in humans.
: In the case of patients in this clinical trial,
: ongoing exposure to the drug would disrupt mitochondrial DNA as use continued,
: rendering more mitochondria unable to produce ATP.
: Lactic acid production as a by-product of fermentation would continue,
: and eventually overwhelm the liver.
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
位什麼不會是全身性的?
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