Correlation between Ubiquinone Levels, Lactate Dehydrogenase, and Lactate on Acute Myocardial Infarction

Authors

  • Ariosta Ariosta FK UNDIP
  • Purwanto Adhipireno Department of Clinical Pathology, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang
  • Lisyani Budipradigda Suromo Department of Clinical Pathology, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang
  • Charles Limantoro Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang
  • Andreas Arie Setiawan Department of Internal Medicine, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang
  • Jessica Christanti Faculty of Medicine Soegijapranata Catholic University, Semarang
  • Dwi Retnoningrum Department of Clinical Pathology, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang
  • Nyoman Suci Widiastiti Department of Clinical Pathology, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang

DOI:

https://doi.org/10.24293/ijcpml.v29i2.2001

Keywords:

Acute myocardial infarct, ubiquinone, lactate

Abstract

Ubiquinone is an antioxidant that plays a role in preventing endothelial damage, thereby reducing the risk of myocardial infarction. In myocardial infarction, there is a decrease in ubiquinone levels and energy production in the form of ATP. Both stimulate anaerobic metabolism, which increases lactate dehydrogenase and lactate levels. This study aimed to analyze the correlation between ubiquinone levels, lactate dehydrogenase levels, and lactate levels in patients with acute myocardial infarction. This study was an analytical observational study with a cross-sectional approach. The normality of data was analyzed using the Kolmogorov-Smirnov test, and the correlation among variables was analyzed using the Spearman Rank test. The number of research subjects was 52, consisting of 25 research subjects with STEMI and 27 with NSTEMI. The median of ubiquinone, LDH, and lactate levels was 12.52 ng/mL (5.6–412.2); 310 U/L (3-1212); and 4 mmol/L (0.8 – 22), respectively. The correlation test results between ubiquinone levels with LDH levels obtained p=0.4 with r=-0.35; correlation test results between LDH levels and lactate levels obtained p=0.09, with r = -0.14. There was no correlation between acute myocardial infarct patients' ubiquinone levels, LDH levels, and lactate levels in AMI patients.

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Author Biography

Ariosta Ariosta, FK UNDIP

Clinical Pathology Department 

Medical Faculty

Diponegoro University

References

Palasubramaniam J, Wang X, Peter K. Myocardial Infarction - From Atherosclerosis to Thrombosis: Uncovering New Diagnostic and Therapeutic Approaches. Arteriosclerosis, Thrombosis, and Vascular Biology 2019;39:E176–85. https://doi.org/10.1161/ATVBAHA.119.312578.

Ambrose JA, Singh M. Pathophysiology of coronary artery disease leading to acute coronary syndromes. F1000Prime Reports 2015;7. https://doi.org/10.12703/P7-08.

Rabanal-Ruiz Y, Llanos-González E, Alcain FJ. The use of coenzyme q10 in cardiovascular diseases. Antioxidants 2021;10. https://doi.org/10.3390/antiox10050755.

Su Z, Liu Y, Zhang H. Adaptive Cardiac Metabolism Under Chronic Hypoxia: Mechanism and Clinical Implications. Frontiers in Cell and Developmental Biology 2021;9. https://doi.org/10.3389/fcell.2021.625524.

Rogatzki MJ, Ferguson BS, Goodwin ML, Gladden LB. Lactate is always the end product of glycolysis. Frontiers in Neuroscience 2015;9. https://doi.org/10.3389/fnins.2015.00022.

Aydin S, Ugur K, Aydin S, Sahin ć°, Yardim M. Biomarkers in acute myocardial infarction: Current perspectives. Vascular Health and Risk Management 2019;15:1–10. https://doi.org/10.2147/VHRM.S166157.

Karabulut U, Karabulut D, Koçaş C, Kaya A, Katkat F, Yiğit Z. Oxidative Stress Markers in Young Patients with Acute Myocardial Infarction and Their Correlation with Cardiac Enzymes. Experimed 2021;11:73–80. https://doi.org/10.26650/experimed.2021.926862.

Raizner AE, Quiñones MA. Coenzyme Q10 for Patients With Cardiovascular Disease: JACC Focus Seminar. J Am Coll Cardiol 2021;77:609–19. https://doi.org/10.1016/j.jacc.2020.12.009.

Lian ZX, Wang F, Fu JH, Chen ZY, Xin H, Yao RY. ATP-induced cardioprotection against myocardial ischemia/reperfusion injury is mediated through the RISK pathway. Experimental and Therapeutic Medicine 2016;12:2063–8. https://doi.org/10.3892/etm.2016.3563.

Martelli A, Testai L, Colletti A, Cicero AFG. Coenzyme Q10: Clinical applications in cardiovascular diseases. Antioxidants 2020;9. https://doi.org/10.3390/antiox9040341.

Alcázar-Fabra M, Navas P, Brea-Calvo G. Coenzyme Q biosynthesis and its role in the respiratory chain structure. Biochimica et Biophysica Acta - Bioenergetics 2016;1857:1073–8. https://doi.org/10.1016/j.bbabio.2016.03.010.

Pallotti F, Bergamini C, Lamperti C, Fato R. The roles of coenzyme Q in disease: Direct and indirect involvement in cellular functions. International Journal of Molecular Sciences 2022;23. https://doi.org/10.3390/ijms23010128.

Tran DH, Wang Z v. Glucose Metabolism in Cardiac Hypertrophy and Heart Failure. J Am Heart Assoc 2019;8. https://doi.org/10.1161/JAHA.119.012673.

Emami A, Tofighi A, Asri-Rezaei S, Bazargani-Gilani B. The effect of short-term coenzyme Q10 supplementation and pre-cooling strategy on cardiac damage markers in elite swimmers. British Journal of Nutrition 2018;119:381–90. https://doi.org/10.1017/S0007114517003774.

P Kamble N, S Chavan G. Correlation of various cardiac markers in diagnosed case of acute MI. IP International Journal of Forensic Medicine and Toxicological Sciences 2020;5:84–9. https://doi.org/10.18231/j.ijfmts.2020.020.

Jacob R, Khan M. Cardiac Biomarkers: What Is and What Can Be. Indian Journal of Cardiovascular Disease in Women WINCARS 2018;03:240–4. https://doi.org/10.1055/s-0039-1679104.

Douglas L Mann, Douglas P Zipes, Peter Libby, Robert O Bonow, Eugene Braunwald. Braunwald's heart disease : a textbook of cardiovascular medicine, Philadelphia, PA: Elsevier/Saunders; 2015.

Grothusen C, Friedrich C, Loehr J, Meinert J, Ohnewald E, Ulbricht U, et al. Outcome of Stable Patients With Acute Myocardial Infarction and Coronary Artery Bypass Surgery Within 48 Hours: A Single-Center, Retrospective Experience. J Am Heart Assoc 2017. https://doi.org/10.1161/JAHA.117.

Valvona CJ, Fillmore HL, Nunn PB, Pilkington GJ. The Regulation and Function of Lactate Dehydrogenase A: Therapeutic Potential in Brain Tumor. Brain Pathology 2016;26:3–17. https://doi.org/10.1111/bpa.12299.

Freire Jorge P, Wieringa N, de Felice E, van der Horst ICC, Oude Lansink A, Nijsten MW. The association of early combined lactate and glucose levels with subsequent renal and liver dysfunction and hospital mortality in critically ill patients. Critical Care 2017;21. https://doi.org/10.1186/s13054-017-1785-z.

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Submitted

2022-05-18

Accepted

2023-01-30

Published

2023-05-05

How to Cite

[1]
Ariosta, A., Adhipireno, P., Suromo, L.B., Limantoro, C., Setiawan, A.A., Christanti, J., Retnoningrum, D. and Widiastiti, N.S. 2023. Correlation between Ubiquinone Levels, Lactate Dehydrogenase, and Lactate on Acute Myocardial Infarction. INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY. 29, 2 (May 2023), 119–122. DOI:https://doi.org/10.24293/ijcpml.v29i2.2001.

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