preview

Mitochondrial Diseases: A Case Study

Good Essays

Mitochondrial diseases arise from inherited defects in mitochondrial genes of either genome, although the bulk of the clinical research has been focused on defects in the mitochondrial genome. In any case, the problem is conveniently divided into categories of dysfunction: primary or secondary. The primary category is characterized by mutations in genes encoded by mtDNA or a NEMP, while the secondary category encompasses dysfunction due to mitochondrial toxins or to less specific processes such as infections or sterile inflammation. The five most common inherited mitochondrial disorders, Friedreich's ataxia (FA), Leber’s hereditary optic neuropathy or LHON, mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes or MELAS, …show more content…

Several mitochondrial diseases such as chronic progressive external ophthalmoplegia (CPEO), Kearns- Sayre syndrome (KSS), the syndrome of neurogenic muscle weakness, ataxia and retinitis pigmentosa (NARP), as well as LS, LHON, MERRF, and MELAS manifest in childhood and have limited therapeutic options. Mitochondrial protein dysfunction has also been linked with varying degrees of evidence to Parkinson’s disease (PD), Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS) (Lin and Beal, 2006; Trushina and McMurray, 2007), schizophrenia, and autism (Manji et al., 2012; Rossignol and Frye, 2012). Acquired mitochondrial disorders are represented in certain cancers (Wallace, 2012) and metabolic disorders (Nasrallah and Horvath, 2014). For example, mutations in the mitochondrial form of superoxide dismutase SOD1, which functions to protect mitochondria from superoxide damage, is linked to the progression of ALS; (Vehvilainen et al., 2014) NADH dehydrogenase 4 to LHON; (Kornmann, 2013) PARKIN to the familial form of PD;(Schmidt et al., 2010) and TCA cycle enzymes to oncogenesis (Schaefer et al., …show more content…

TLR4-dependent activation of NF-kB and CREB co-regulate the NRF1 promoter with NF-kB intronic enhancement leading to NRF-1 synthesis and nuclear translocation, followed by target gene expression(Suliman et al., 2010b). This also requires mitochondrial H2O2 production and identifies NRF-1 as an early-phase component of the host defense regulated by TLR signaling and by redox

Get Access