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Food Pharmacy
Fall 1998
In graphic detail
The enzymes known as carnitine palmitoyl transferase I and II are involved in the transport of long-chain fatty acids through the mitochondrial membranes.

Mitochondria have two membranes, an inner and an outer, visible in this electron microscope photograph.  The many infoldings or cristae of the inner membrane increase the surface area where biochemical reactions can take place. 

Mitochondria appear to be two-dimensional in electron micrographs, but in reality they more closely resemble the three-dimensional drawing seen here. 

Each cell in our body contains 500-2,000 mitochondria. The exceptions are red blood cells, which have no mitochondria, and platelets, which have only 1-6. 

Mitochondria generate energy by breaking down carbohydrates and fats.
mitochondria
Drawing of one molecule of myoglobin with heme group, an iron-containing ring and source of the red color.
 
Myoglobin is released from skeletal muscle cells when they are damaged and is quickly filtered into urine by the kidneys. Myoglobinuria refers to the presence of myoglobin in urine.

Myoglobinuria has been described as cola-colored, tea-colored, rust-colored, pinkish, rosy, reddish-brown or black.
myoglobin molecule
Skeletal muscle with speckled cell damage resulting from rhabdomyolysis.

Rhabdomyolysis is defined as the breakdown of muscle tissue which results in elevated levels of creatine kinase (CK ) in blood. 

The earliest modern report of rhabdomyolysis occurred in 1911 in a German medical journal.
rhabdomyolysis
Skeletal muscle with patchy, moth-eaten type I fibers resulting from malignant hyperthermia (MH)

Type I fibers are more affected by MH than type II because they have a lower capacity for anaerobic metabolism and are more quickly depleted of ATP or muscle fuel.

People with neuromuscular disorders may be at risk for developing MH when given certain general anesthetics prior to surgery.
malignant hyperthermia
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