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2016 ; 139
(Pt 6
): 1633-48
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Emerging therapies for mitochondrial disorders
#MMPMID27190030
Nightingale H
; Pfeffer G
; Bargiela D
; Horvath R
; Chinnery PF
Brain
2016[Jun]; 139
(Pt 6
): 1633-48
PMID27190030
show ga
Mitochondrial disorders are a diverse group of debilitating conditions resulting
from nuclear and mitochondrial DNA mutations that affect multiple organs, often
including the central and peripheral nervous system. Despite major advances in
our understanding of the molecular mechanisms, effective treatments have not been
forthcoming. For over five decades patients have been treated with different
vitamins, co-factors and nutritional supplements, but with no proven benefit.
There is therefore a clear need for a new approach. Several new strategies have
been proposed acting at the molecular or cellular level. Whilst many show promise
in vitro, the clinical potential of some is questionable. Here we critically
appraise the most promising preclinical developments, placing the greatest
emphasis on diseases caused by mitochondrial DNA mutations. With new animal and
cellular models, longitudinal deep phenotyping in large patient cohorts, and
growing interest from the pharmaceutical industry, the field is poised to make a
breakthrough.