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Mitochondrial DNA-related Disorders

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Bioscience Reports

Abstract

Mitochondrial diseases are a group of disorders due to a mitochondrial respiratory chain deficiency. They may depend on mitochondrial genome (mtDNA-related disorders) as well as on a nuclear genome defect (nDNA-related disorders). mtDNA-related disorders encompass an increasing number of clinical pictures associated with more than 250 different provisional or confirmed pathogenic changes in mtDNA. Although some clinical syndromes are nosologically defined, most of the cases present with polymorphous phenotypes ranging from pure myopathy to multi-system involvement. Complexity of mitochondrial genetics is in part responsible for the extreme clinical intra- and inter-familial heterogeneity of this group of diseases. In this review, we briefly report an updated classification and overview the main clinical pictures of this class of diseases.

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References

  • Anderson S, Bankier AT, Barrell BG (1981) Sequence and organization of the human mitochondrial genome. Nature 290:457–465

    Article  PubMed  CAS  Google Scholar 

  • Andreu A, Hanna MG, Reichmann H et al (1999) Exercise intolerance due to mutations in the cytochrome b gene of mitochondrial DNA. N Engl J Med 341:1037–1044

    Article  PubMed  CAS  Google Scholar 

  • Carelli V, Ross-Cisneros FN, Sadun AA (2004) Mitochondrial dysfunction as a cause of optic neuropathies. Prog Retin Eye Res 23:53–89

    Article  PubMed  CAS  Google Scholar 

  • Chakrapani A, Heptinstall L, Walter J (1998) A family with Leigh syndrome caused by the rarer T8993C mutation. J Inherit Metab Dis 21:685–686

    Article  PubMed  CAS  Google Scholar 

  • Cock HR, Tabrizi SJ, Cooper JM et al (1998) The influence of nuclear background on the biochemical expression of 3460 Leber’s hereditary optic neuropathy. Ann Neurol 44:187–193

    Article  PubMed  CAS  Google Scholar 

  • De Vries DD, Van Engelen BG, Gabreels FJ et al (1993) A second missense mutation in the mitochondrial ATPase 6 gene in Leigh’s syndrome. Ann Neurol 34:410–412

    Article  PubMed  Google Scholar 

  • DiMauro S, Bonilla E, Se Vivo C (1999). Does the patient have a mitochondrial encephalomyopathy? J Child Neurol 14:S23–S35

    PubMed  Google Scholar 

  • DiMauro S, Andreu AL, Musumeci O et al (2001) Diseases of oxidative phosphorylation due to mtDNA mutations. Semin Neurol 21:251–260

    Article  PubMed  CAS  Google Scholar 

  • DiMauro S, Hirano M, Kaufmann P et al (2002) Clinical features and genetics of myoclonic epilepsy with ragged red fibers. Adv Neurol 89:217–229

    PubMed  Google Scholar 

  • DiMauro S, Schon EA (2003) Mitochondrial respiratory-chain diseases. N Engl J Med 348:2656–2668

    Article  PubMed  CAS  Google Scholar 

  • Filosto M, Mancuso M, Vives-Bauza C et al (2003) Lack of paternal inheritance of muscle mitochondrial DNA in sporadic mitochondrial myopathies. Ann Neurol 54:524–526

    Article  PubMed  CAS  Google Scholar 

  • Filosto M, Mancuso M (2007) Mitochondrial diseases: a nosological update. Acta Neurolo Scand DOI: 10.1111/j.1600–0404.2006.00777.x

  • Gillis L, Kaye E (2002) Diagnosis and management of mitochondrial diseases. Ped Clin North America 49:203–219

    Article  Google Scholar 

  • Hirano M, Ricci E, Koenigsberger MR et al (1992) MELAS: an original case and clinical criteria for diagnosis. Neuromusc Disord 2:125–135

    Article  PubMed  CAS  Google Scholar 

  • Hirano M, DiMauro S (1996) Clinical features of mitochondrial myopathies and encephalomyopathies. In: Lane RJ (ed) Handbook of muscle disease. New York, Marcel Dekker, pp 479–504

    Google Scholar 

  • Holt IJ, Harding AE, Morgan Hughes JA (1988) Deletions of muscle mitochondrial DNA in patients with mitochondrial myopathies. Nature 331:717–719

    Article  PubMed  CAS  Google Scholar 

  • Kearns TP, Sayre GP (1958) Retinitis pigmentosa, external ophthalmoplegia, and complete heart block. Arch Ophthalmol 60:280–289

    CAS  Google Scholar 

  • Lyons G, Adams RD, Kolodny EH (1996) Early infantile progressive metabolic encephalopathies: clinical problems and diagnostic considerations. In: Neurology of hereditary metabolic diseases of children, 2nd edn. McGraw-Hill, New York, pp 92–100, 139, 251

  • Mancuso M, Filosto M, Mootha VK et al (2004). A novel mitochondrial tRNAPhe mutation causes MERRF syndrome, Neurology 62:2119–2121

    PubMed  CAS  Google Scholar 

  • Mitomap (2006) A human mitochondrial genome database. http://www.mitomap.org

  • Moraes CT, DiMauro S, Zeviani M et al (1989) Mitochondrial DNA deletions in progressive external ophthalmoplegia and Kearns–Sayre syndrome. N Engl J Med 320:1293–1299

    Article  PubMed  CAS  Google Scholar 

  • Nakase H, Moraes CT, Rizzuto R et al (1990) Transcription and translation of deleted mitochondrial genomes in Kearns–Sayre syndrome: implication for pathogenesis. Am J Hum Genet 46:418–427

    PubMed  CAS  Google Scholar 

  • Rotig A, Bessis JL, Romero N et al (1992) Maternally inherited duplication of the mitochondrial genome in a syndrome of proximal tubulopathy, diabetes mellitus, and cerebellar ataxia. Am J Hum Genet 50:364–370

    PubMed  CAS  Google Scholar 

  • Schon EA, Rizzuto R, Moraes CT et al (1989) A direct repeat is a hotspot for large-scale deletions of human mitochondrial DNA. Science 244:346–349

    Article  PubMed  CAS  Google Scholar 

  • Schon EA, Bonilla E, Mirando A et al (1991) Molecular biology of mitochondrial diseases. In: Brosius J, Fremeau E (eds) Molecular genetic approaches to neuropsychiatric diseases. Academic, San Diego, CA,pp 57–80

    Google Scholar 

  • Schon EA, DiMauro S (2001) Primary disorders of mitochondrial DNA and the pathophysiology of mtDNA-related disorders. In: Lemasters JJ, Nieminen A (eds) Mitochondria in pathogenesis. New York: Kluwer Academic/Plenum Publishers.pp 53–80

    Google Scholar 

  • Schwartz M, Vissing J (2002) Paternal inheritance of mitochondrial DNA. N Engl J Med 347:576–580

    Article  PubMed  Google Scholar 

  • Servidei S (2003). Mitochondrial encephalomyopathies: gene mutation. Neuromuscul Disord 13:848–853

    Article  PubMed  Google Scholar 

  • Shanske S, Tang Y, Hirano M et al (2002) Identical mitochondrial DNA deletion in a woman with ocular myopathy and in her son with pearson syndrome. Am J Hum Genet 71:679–683

    Article  PubMed  CAS  Google Scholar 

  • Spagnolo M, Tomelleri G, Vattemi G et al (2001) A new mutation in the mitochondrial tRNA(Ala) gene in a patient with ophthalmoplegia and dysphagia. Neuromuscul Disord 11:481–484

    Article  PubMed  CAS  Google Scholar 

  • Wallace DC, Singh G, Lott MT et al (1988) Mitochondrial DNA mutation associated with Leber’s hereditary optic neuropathy. Science 242:1427–1430

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Michelangelo Mancuso.

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Mancuso, M., Filosto, M., Choub, A. et al. Mitochondrial DNA-related Disorders. Biosci Rep 27, 31–37 (2007). https://doi.org/10.1007/s10540-007-9035-2

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