Towards a therapy for mitochondrial disease: an update

Biochem Soc Trans. 2018 Oct 19;46(5):1247-1261. doi: 10.1042/BST20180134. Epub 2018 Oct 8.

Abstract

Preclinical work aimed at developing new therapies for mitochondrial diseases has recently given new hopes and opened unexpected perspectives for the patients affected by these pathologies. In contrast, only minor progresses have been achieved so far in the translation into the clinics. Many challenges are still ahead, including the need for a better characterization of the pharmacological effects of the different approaches and the design of appropriate clinical trials with robust outcome measures for this extremely heterogeneous, rare, and complex group of disorders. In this review, we will discuss the most important achievements and the major challenges in this very dynamic research field.

Keywords: bypass therapy; gene therapy; mitochondrial biogenesis; mitochondrial dysfunction; rapamycin.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antioxidants / chemistry
  • Clinical Trials as Topic
  • Diet, Ketogenic
  • Genetic Therapy
  • Humans
  • Hypoxia
  • Mechanistic Target of Rapamycin Complex 1 / metabolism
  • Mitochondria / metabolism*
  • Mitochondria / pathology
  • Mitochondrial Diseases / metabolism*
  • Mitochondrial Diseases / therapy*
  • Mutation
  • Phenotype
  • Reactive Oxygen Species / metabolism
  • Sirolimus / pharmacology

Substances

  • Antioxidants
  • Reactive Oxygen Species
  • Mechanistic Target of Rapamycin Complex 1
  • Sirolimus