Stem cell-derived mitochondria transplantation: A promising therapy for mitochondrial encephalomyopathy

CNS Neurosci Ther. 2021 Jul;27(7):733-742. doi: 10.1111/cns.13618. Epub 2021 Feb 3.

Abstract

Mitochondrial encephalomyopathies are disorders caused by mitochondrial and nuclear DNA mutations which affect the nervous and muscular systems. Current therapies for mitochondrial encephalomyopathies are inadequate and mostly palliative. However, stem cell-derived mitochondria transplantation has been demonstrated to play an key part in metabolic rescue, which offers great promise for mitochondrial encephalomyopathies. Here, we summarize the present status of stem cell therapy for mitochondrial encephalomyopathy and discuss mitochondrial transfer routes and the protection mechanisms of stem cells. We also identify and summarize future perspectives and challenges for the treatment of these intractable disorders based on the concept of mitochondrial transfer from stem cells.

Keywords: mitochondria; mitochondria quality control; mitochondrial dynamics; mitochondrial encephalomyopathy; stem cell; tunneling nanotube.

Publication types

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

MeSH terms

  • Animals
  • DNA, Mitochondrial / immunology
  • DNA, Mitochondrial / metabolism
  • Extracellular Vesicles / immunology
  • Extracellular Vesicles / metabolism
  • Humans
  • Mitochondria / immunology
  • Mitochondria / metabolism
  • Mitochondria / transplantation*
  • Mitochondrial Encephalomyopathies / immunology
  • Mitochondrial Encephalomyopathies / metabolism
  • Mitochondrial Encephalomyopathies / therapy*
  • Nanotubes
  • Stem Cell Transplantation / methods*
  • Stem Cells / immunology
  • Stem Cells / metabolism

Substances

  • DNA, Mitochondrial