Adult-onset mitochondrial encephalopathy in association with the MT-ND3 T10158C mutation exhibits unique characteristics: A case report

BACKGROUND Mitochondrial diseases are a heterogenous group of multisystemic disorders caused by genetic mutations affecting mitochondrial oxidation function. Brain involvement is commonly found in most cases but rarely as the unique clinical manifestation. Since the knowledge of its clinical manifestation combined with genetic testing is important for preventing misdiagnosis and delay in treatment,we report here how we diagnosed and managed a very unusual case of mitochondrial encephalopathy.CASE SUMMARY We report a 52-year-old woman with recurrent stroke-like episodes carrying the m.10158 T>C mutation in the MT-ND3 gene, which is also responsible for fatal infant-onset Leigh syndrome. Despite the common mutation, the present case featured a distinct clinical and neuroimaging manifestation from Leigh syndrome. This patient presented with sudden onset of right-sided hemiparesis and hemilateral sensory disturbance accompanied by a left temporal cluster-like headache and later developed epilepsy during hospitalization, with no other signs suggestive of myopathy, lactate acidosis, or other systemic symptoms. Brain magnetic resonance imaging revealed variable lesions involving multiple cortical and subcortical regions. Furthermore, a negative genetic test obtained from peripheral blood delayed the diagnosis of mitochondrial disease, which was eventually established through second-generation DNA sequencing using biopsied muscle.CONCLUSION Based on this report, we suggest that clinicians pursue proper genetic testing for patients when the clinical phenotype is suggestive of mitochondrial diseases.

Preparation and properties of silane coupling agent modified steel slag as functional filler for anti-corrosion coating

The chemical composition and high wear resistance of steel slag(SS)make it a potential alternative to traditional inorganic fillers.3-Aminopropyltriethoxysilane(KH550)modified steel slag(MSS)was successfully prepared,and its application in epoxy(EP)anti-corrosion coating was introduced.Due to the grafting of silane coupling agent functional groups onto the surface of SS,MSS exhibited improved solubility in xylene organic solvent and reduced agglomeration.When the MSS content was 15 wt.%,the contact angle of the MSS/EP composite coating was 101°,and the abrasion was only 0.07 g,compared with 56.2°and 0.13 g,respectively,for the pure EP coating.The corrosion resistance of coatings was investigated by performing the electrochemical test(impedance)after immersion in a 3.5 wt.%NaCl solution.The electrochemical test results showed that the impedance modulus of the 15 wt.%MSS/EP composite coating at low frequency(Z_(f)=0.01 Hz)was approximately 1.08×10^(7)Ωcm^(2),which was two orders of magnitude higher than that of the pure EP coating.

Preparation and properties of flame-retardant rubber composites based on steel slag filler

Ultrafine steel slag powder(shield powder)was prepared by grinding ordinary steel slag with a functional compound.As a substitute for aluminum hydroxide,the shield powder was combined with rubber to prepare flame-retardant composites.Vulcanization tests showed that the incorporation of shield powder enhances the crosslinkage of the composite and speeds up the curing rate.The gaseous products formed in the pyrolysis process are mainly hydrocarbons.Mechanical and combustion tests revealed that the introduction of shield powder improves flame-retardant performance without sacrificing mechanical properties.Specifically,the optimum substitution ratio of shield powder for aluminum hydroxide is 50.0%.In this case,the composite has the highest degree of graphitization and exhibits excellent flame-retardant performance.