Coenzyme Q10 (ubiquinone) is a vitamin-like cofactor that mediates
energy transport in the mitochondrial respiratory chain. It serves as an
important antioxidant in mitochondrial membranes. A primary deficiency in
coenzyme Q10 in muscle is characterized by
the triad of (1) recurrent myoglobinuria, (2) central nervous system
symptoms including seizures, ataxia, or mental retardation, and (3) the
observation of increased numbers of mitochondria and lipid storage in muscle
biopsy. Secondary deficiencies have been observed in patients undergoing
certain drug therapies (e.g., cholesterol-lowering drugs).
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