Mitochondrial diseases: from molecular mechanisms to therapeutic advances

Abstract Mitochondria are essential for cellular function and viability, serving as central hubs of metabolism and signaling. They possess various metabolic and quality control mechanisms crucial for maintaining normal cellular activities. Mitochondrial genetic disorders can arise from a wide range...

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Main Authors: Haipeng Wen, Hui Deng, Bingyan Li, Junyu Chen, Junye Zhu, Xian Zhang, Shigeo Yoshida, Yedi Zhou
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-024-02044-3
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author Haipeng Wen
Hui Deng
Bingyan Li
Junyu Chen
Junye Zhu
Xian Zhang
Shigeo Yoshida
Yedi Zhou
author_facet Haipeng Wen
Hui Deng
Bingyan Li
Junyu Chen
Junye Zhu
Xian Zhang
Shigeo Yoshida
Yedi Zhou
author_sort Haipeng Wen
collection DOAJ
description Abstract Mitochondria are essential for cellular function and viability, serving as central hubs of metabolism and signaling. They possess various metabolic and quality control mechanisms crucial for maintaining normal cellular activities. Mitochondrial genetic disorders can arise from a wide range of mutations in either mitochondrial or nuclear DNA, which encode mitochondrial proteins or other contents. These genetic defects can lead to a breakdown of mitochondrial function and metabolism, such as the collapse of oxidative phosphorylation, one of the mitochondria’s most critical functions. Mitochondrial diseases, a common group of genetic disorders, are characterized by significant phenotypic and genetic heterogeneity. Clinical symptoms can manifest in various systems and organs throughout the body, with differing degrees and forms of severity. The complexity of the relationship between mitochondria and mitochondrial diseases results in an inadequate understanding of the genotype-phenotype correlation of these diseases, historically making diagnosis and treatment challenging and often leading to unsatisfactory clinical outcomes. However, recent advancements in research and technology have significantly improved our understanding and management of these conditions. Clinical translations of mitochondria-related therapies are actively progressing. This review focuses on the physiological mechanisms of mitochondria, the pathogenesis of mitochondrial diseases, and potential diagnostic and therapeutic applications. Additionally, this review discusses future perspectives on mitochondrial genetic diseases.
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issn 2059-3635
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publishDate 2025-01-01
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series Signal Transduction and Targeted Therapy
spelling doaj-art-3ae7ee83ffe44482bcb3d86b2265aec82025-01-12T12:41:35ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352025-01-0110115410.1038/s41392-024-02044-3Mitochondrial diseases: from molecular mechanisms to therapeutic advancesHaipeng Wen0Hui Deng1Bingyan Li2Junyu Chen3Junye Zhu4Xian Zhang5Shigeo Yoshida6Yedi Zhou7Department of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityDepartment of Ophthalmology, Kurume University School of Medicine, KurumeDepartment of Ophthalmology, The Second Xiangya Hospital of Central South UniversityAbstract Mitochondria are essential for cellular function and viability, serving as central hubs of metabolism and signaling. They possess various metabolic and quality control mechanisms crucial for maintaining normal cellular activities. Mitochondrial genetic disorders can arise from a wide range of mutations in either mitochondrial or nuclear DNA, which encode mitochondrial proteins or other contents. These genetic defects can lead to a breakdown of mitochondrial function and metabolism, such as the collapse of oxidative phosphorylation, one of the mitochondria’s most critical functions. Mitochondrial diseases, a common group of genetic disorders, are characterized by significant phenotypic and genetic heterogeneity. Clinical symptoms can manifest in various systems and organs throughout the body, with differing degrees and forms of severity. The complexity of the relationship between mitochondria and mitochondrial diseases results in an inadequate understanding of the genotype-phenotype correlation of these diseases, historically making diagnosis and treatment challenging and often leading to unsatisfactory clinical outcomes. However, recent advancements in research and technology have significantly improved our understanding and management of these conditions. Clinical translations of mitochondria-related therapies are actively progressing. This review focuses on the physiological mechanisms of mitochondria, the pathogenesis of mitochondrial diseases, and potential diagnostic and therapeutic applications. Additionally, this review discusses future perspectives on mitochondrial genetic diseases.https://doi.org/10.1038/s41392-024-02044-3
spellingShingle Haipeng Wen
Hui Deng
Bingyan Li
Junyu Chen
Junye Zhu
Xian Zhang
Shigeo Yoshida
Yedi Zhou
Mitochondrial diseases: from molecular mechanisms to therapeutic advances
Signal Transduction and Targeted Therapy
title Mitochondrial diseases: from molecular mechanisms to therapeutic advances
title_full Mitochondrial diseases: from molecular mechanisms to therapeutic advances
title_fullStr Mitochondrial diseases: from molecular mechanisms to therapeutic advances
title_full_unstemmed Mitochondrial diseases: from molecular mechanisms to therapeutic advances
title_short Mitochondrial diseases: from molecular mechanisms to therapeutic advances
title_sort mitochondrial diseases from molecular mechanisms to therapeutic advances
url https://doi.org/10.1038/s41392-024-02044-3
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