Therapies for Mitochondrial Disorders

Mitochondria are cytoplasmic, double-membrane organelles that synthesise adenosine triphosphate (ATP). Mitochondria contain their own genome, mitochondrial DNA (mtDNA), which is maternally inherited from the oocyte. Mitochondrial proteins are encoded by either nuclear DNA (nDNA) or mtDNA, and both c...

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Main Authors: Kayli Sousa Smyth, Anne Mulvihill
Format: Article
Language:English
Published: Technological University Dublin 2022-12-01
Series:SURE Journal: (Science Undergraduate Research Experience Journal)
Subjects:
Online Access:https://arrow.tudublin.ie/sure_j/vol4/iss1/3
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author Kayli Sousa Smyth
Anne Mulvihill
author_facet Kayli Sousa Smyth
Anne Mulvihill
author_sort Kayli Sousa Smyth
collection DOAJ
description Mitochondria are cytoplasmic, double-membrane organelles that synthesise adenosine triphosphate (ATP). Mitochondria contain their own genome, mitochondrial DNA (mtDNA), which is maternally inherited from the oocyte. Mitochondrial proteins are encoded by either nuclear DNA (nDNA) or mtDNA, and both code for proteins forming the mitochondrial oxidative phosphorylation (OXPHOS) complexes of the respiratory chain. These complexes form a chain that allows the passage of electrons down the electron transport chain (ETC) through a proton motive force, creating ATP from adenosine diphosphate (ADP). This study aims to explore current and prospective therapies for mitochondrial disorders (MTDS). MTDS are clinical syndromes coupled with abnormalities of the ETC and OXPHOS, caused by pathogenic variants in mtDNA or nDNA. Many MTDS emerge from either homoplasmic or heteroplasmic mutations of the DNA, and include mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes. Current therapies include increasing mitochondrial biogenesis, the use of antioxidants, dietary approaches, and exercise. However, these are mostly symptomatic and supportive therapies. Future therapies comprise of personalised and precision medicine approaches which include gene, mitochondrial, cell, and in utero-based therapies. Obstacles towards discovering effective therapies include the rarity of MTDS, its pathogenic complexity and lack of clinical trials. Despite the lack of current curative therapies for MTDS, emerging therapies promise exciting and clinically meaningful therapies in the future.
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spelling doaj-art-47bd1ea7a55a4e45b503c49c3bb4f8282025-01-31T10:28:14ZengTechnological University DublinSURE Journal: (Science Undergraduate Research Experience Journal)2990-81672022-12-014110.21427/dst1-ft32Therapies for Mitochondrial DisordersKayli Sousa Smyth0https://orcid.org/0000-0002-1260-8561Anne Mulvihill1Technological University of the Shannon: Midlands MidwestTechnological University of the Shannon: Midlands MidwestMitochondria are cytoplasmic, double-membrane organelles that synthesise adenosine triphosphate (ATP). Mitochondria contain their own genome, mitochondrial DNA (mtDNA), which is maternally inherited from the oocyte. Mitochondrial proteins are encoded by either nuclear DNA (nDNA) or mtDNA, and both code for proteins forming the mitochondrial oxidative phosphorylation (OXPHOS) complexes of the respiratory chain. These complexes form a chain that allows the passage of electrons down the electron transport chain (ETC) through a proton motive force, creating ATP from adenosine diphosphate (ADP). This study aims to explore current and prospective therapies for mitochondrial disorders (MTDS). MTDS are clinical syndromes coupled with abnormalities of the ETC and OXPHOS, caused by pathogenic variants in mtDNA or nDNA. Many MTDS emerge from either homoplasmic or heteroplasmic mutations of the DNA, and include mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes. Current therapies include increasing mitochondrial biogenesis, the use of antioxidants, dietary approaches, and exercise. However, these are mostly symptomatic and supportive therapies. Future therapies comprise of personalised and precision medicine approaches which include gene, mitochondrial, cell, and in utero-based therapies. Obstacles towards discovering effective therapies include the rarity of MTDS, its pathogenic complexity and lack of clinical trials. Despite the lack of current curative therapies for MTDS, emerging therapies promise exciting and clinically meaningful therapies in the future.https://arrow.tudublin.ie/sure_j/vol4/iss1/3mitochondrial diseasesrosmtdsmtdnamitochondriaoxidative phosphorylationtherapiesmitochondria dysfunction
spellingShingle Kayli Sousa Smyth
Anne Mulvihill
Therapies for Mitochondrial Disorders
SURE Journal: (Science Undergraduate Research Experience Journal)
mitochondrial diseases
ros
mtds
mtdna
mitochondria
oxidative phosphorylation
therapies
mitochondria dysfunction
title Therapies for Mitochondrial Disorders
title_full Therapies for Mitochondrial Disorders
title_fullStr Therapies for Mitochondrial Disorders
title_full_unstemmed Therapies for Mitochondrial Disorders
title_short Therapies for Mitochondrial Disorders
title_sort therapies for mitochondrial disorders
topic mitochondrial diseases
ros
mtds
mtdna
mitochondria
oxidative phosphorylation
therapies
mitochondria dysfunction
url https://arrow.tudublin.ie/sure_j/vol4/iss1/3
work_keys_str_mv AT kaylisousasmyth therapiesformitochondrialdisorders
AT annemulvihill therapiesformitochondrialdisorders