The mitochondrial encephalomyopathies are a diverse group ofdisorders that result from the structural, biochemical, or geneticderangement of mitochondria.1 Since mitochondrial dysfunctioncan affect virtually all organ systems (Figure 1), physiciansin many specialties see patients with mitochondrial diseases.Despite a bewildering array of clinical manifestations (Table 1and Table 2) and variations in the mode of onset, course,and progression of disease, many mitochondrial disorders shareprominent systemic effects (Table 2) that contribute to theirmorbidity.
View larger version (79K): [in this window]
[in a new window]
Figure 1. Interaction between Genes Encoded by Nuclear DNA and Those Encoded by Mitochondrial DNA in OxidativePhosphorylation.
Bujan, L., Sergerie, M., Moinard, N., Martinet, S., Porte, L., Massip, P., Pasquier, C., Daudin, M.
(2007). Decreased Semen Volume and Spermatozoa Motility in HIV-1-Infected Patients Under Antiretroviral Treatment. J Androl
28: 444-452
[Abstract][Full Text]
Heidenreich, J. O., Klopstock, T., Schirmer, T., Saemann, P., Mueller-Felber, W., Auer, D. P.
(2006). Chronic progressive external ophthalmoplegia: MR spectroscopy and MR diffusion studies in the brain.. Am. J. Roentgenol.
187: 820-824
[Abstract][Full Text]
Dickerson, B. C., Holtzman, D., Grant, P. E., Tian, D.
(2005). Case 36-2005 -- A 61-Year-Old Woman with Seizure, Disturbed Gait, and Altered Mental Status.. NEJM
353: 2271-2280
[Full Text]
Barragan-Campos, H. M., Vallee, J.-N., Lo, D., Barrera-Ramirez, C. F., Argote-Greene, M., Sanchez-Guerrero, J., Estanol, B., Guillevin, R., Chiras, J.
(2005). Brain Magnetic Resonance Imaging Findings in Patients With Mitochondrial Cytopathies. Arch Neurol
62: 737-742
[Abstract][Full Text]
Atilano, S. R., Coskun, P., Chwa, M., Jordan, N., Reddy, V., Le, K., Wallace, D. C., Kenney, M. C.
(2005). Accumulation of Mitochondrial DNA Damage in Keratoconus Corneas. IOVS
46: 1256-1263
[Abstract][Full Text]
Zhu, W., Qin, W., Bradley, P., Wessel, A., Puckett, C. L., Sauter, E. R.
(2005). Mitochondrial DNA mutations in breast cancer tissue and in matched nipple aspirate fluid. Carcinogenesis
26: 145-152
[Abstract][Full Text]
King, S. M., Committee on Pediatric AIDS, , Canadian Paediatric Society, Infectious Diseases a,
(2004). Evaluation and Treatment of the Human Immunodeficiency Virus-1--Exposed Infant. Pediatrics
114: 497-505
[Abstract][Full Text]
Cervin, C., Liljestrom, B., Tuomi, T., Heikkinen, S., Tapanainen, J. S., Groop, L., Cilio, C. M.
(2004). Cosegregation of MIDD and MODY in a Pedigree: Functional and Clinical Consequences. Diabetes
53: 1894-1899
[Abstract][Full Text]
Fukushima, K., Fiocchi, C.
(2004). Paradoxical decrease of mitochondrial DNA deletions in epithelial cells of active ulcerative colitis patients. Am. J. Physiol. Gastrointest. Liver Physiol.
286: G804-G813
[Abstract][Full Text]
Gilbert-Barness, E.
(2004). Metabolic Cardiomyopathy and Conduction System Defects in Children. Annals of Clinical & Laboratory Science
34: 15-34
[Abstract][Full Text]
Shukla, A., Jung, M., Stern, M., Fukagawa, N. K., Taatjes, D. J., Sawyer, D., Van Houten, B., Mossman, B. T.
(2003). Asbestos induces mitochondrial DNA damage and dysfunction linked to the development of apoptosis. Am. J. Physiol. Lung Cell. Mol. Physiol.
285: L1018-L1025
[Abstract][Full Text]
Guery, B., Choukroun, G., Noel, L.-H., Clavel, P., Rotig, A., Lebon, S., Rustin, P., Bellane-Chantelot, C., Mougenot, B., Grunfeld, J.-P., Chauveau, D.
(2003). The Spectrum of Systemic Involvement in Adults Presenting with Renal Lesion and Mitochondrial tRNA(Leu) Gene Mutation. J. Am. Soc. Nephrol.
14: 2099-2108
[Abstract][Full Text]
Collins, M. L., Eng, S., Hoh, R., Hellerstein, M. K.
(2003). Measurement of mitochondrial DNA synthesis in vivo using a stable isotope-mass spectrometric technique. J. Appl. Physiol.
94: 2203-2211
[Abstract][Full Text]
Lin, D. D. M., Crawford, T. O., Barker, P. B.
(2003). Proton MR Spectroscopy in the Diagnostic Evaluation of Suspected Mitochondrial Disease. Am. J. Neuroradiol.
24: 33-41
[Abstract][Full Text]
(2003). Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care
26: s5-20
[Full Text]
Gilchrist, D. M.
(2002). Medical genetics: 3. An approach to the adult with a genetic disorder. CMAJ
167: 1021-1029
[Abstract][Full Text]
Kim, G., Sikder, H., Singh, K. K.
(2002). A colony color method identifies the vulnerability of mitochondria to oxidative damage. Mutagenesis
17: 375-381
[Abstract][Full Text]
Raffelsberger, T., Rossmanith, W., Thaller-Antlanger, H., Bittner, R. E.
(2001). CPEO associated with a single nucleotide deletion in the mitochondrial tRNATyr gene. Neurology
57: 2298-2301
[Abstract][Full Text]
Martinez-Fernandez, E., Gil-Peralta, A., Garcia-Lozano, R., Chinchon, I., Aguilera, I., Fernandez-Lopez, O., Arenas, J., Campos, Y., Bautista, J.
(2001). Mitochondrial Disease and Stroke. Stroke
32: 2507-2510
[Abstract][Full Text]
Clay, A. S., Behnia, M., Brown, K. K.
(2001). Mitochondrial Disease : A Pulmonary and Critical-Care Medicine Perspective. Chest
120: 634-648
[Abstract][Full Text]
Finnilä, S., Autere, J., Lehtovirta, M., Hartikainen, P., Mannermaa, A., Soininen, H., Majamaa, K.
(2001). Increased risk of sensorineural hearing loss and migraine in patients with a rare mitochondrial DNA variant 4336A>G in tRNAGln. J. Med. Genet.
38: 400-405
[Full Text]
Guillausseau, P.-J., Massin, P., Dubois-LaForgue, D., Timsit, J., Virally, M., Gin, H., Bertin, E., Blickle, J.-F., Bouhanick, B., Cahen, J., Caillat-Zucman, S., Charpentier, G., Chedin, P., Derrien, C., Ducluzeau, P.-H., Grimaldi, A., Guerci, B., Kaloustian, E., Murat, A., Olivier, F., Paques, M., Paquis-Flucklinger, V., Porokhov, B., Samuel-Lajeunesse, J., Vialettes, B.
(2001). Maternally Inherited Diabetes and Deafness: A Multicenter Study. ANN INTERN MED
134: 721-728
[Abstract][Full Text]
Nishikawa, M., Nishiguchi, S., Shiomi, S., Tamori, A., Koh, N., Takeda, T., Kubo, S., Hirohashi, K., Kinoshita, H., Sato, E., Inoue, M.
(2001). Somatic Mutation of Mitochondrial DNA in Cancerous and Noncancerous Liver Tissue in Individuals with Hepatocellular Carcinoma. Cancer Res.
61: 1843-1845
[Abstract][Full Text]
Uusimaa, J., Remes, A. M., Rantala, H., Vainionpää, L., Herva, R., Vuopala, K., Nuutinen, M., Majamaa, K., Hassinen, I. E.
(2000). Childhood Encephalopathies and Myopathies: A Prospective Study in a Defined Population to Assess the Frequency of Mitochondrial Disorders. Pediatrics
105: 598-603
[Abstract][Full Text]
Andreu, A. L., Hanna, M. G., Reichmann, H., Bruno, C., Penn, A. S., Tanji, K., Pallotti, F., Iwata, S., Bonilla, E., Lach, B., Morgan-Hughes, J., DiMauro, S., Shanske, S., Sue, C. M., Pulkes, T., Siddiqui, A., Clark, J. B., Land, J., Iwata, M., Schaefer, J.
(1999). Exercise Intolerance Due to Mutations in the Cytochrome b Gene of Mitochondrial DNA. NEJM
341: 1037-1044
[Abstract][Full Text]
Griggs, R. C., Karpati, G.
(1999). Muscle Pain, Fatigue, and Mitochondriopathies. NEJM
341: 1076-1078
[Full Text]
Lodi, R., Cooper, J. M., Bradley, J. L., Manners, D., Styles, P., Taylor, D. J., Schapira, A. H. V.
(1999). Deficit of in vivo mitochondrial ATP production in patients with Friedreich ataxia. Proc. Natl. Acad. Sci. USA
96: 11492-11495
[Abstract][Full Text]
TALIA, K., ANASTASIA, G., POLYXENI, N., EVMORFIA, D., MIGDALENI, T., PAPADIMITRIOU, A, KARPATHIOS, T
(1999). Kearns Sayre syndrome initially presenting as hypomelanosis of Ito. Arch. Dis. Child.
81: 278g-278
[Full Text]
Tsao, K., Aitken, P. A, Johns, D. R
(1999). Smoking as an aetiological factor in a pedigree with Leber's hereditary optic neuropathy. Br. J. Ophthalmol.
83: 577-581
[Abstract][Full Text]
HOLTHÖFER, H., KRETZLER, M., HALTIA, A., SOLIN, M.-L., TAANMAN, J.-W., SCHÄGGER, H., KRIZ, W., KERJASCHKI, D., SCHLÖNDORFF, D.
(1999). Altered gene expression and functions of mitochondria in human nephrotic syndrome. FASEB J.
13: 523-532
[Abstract][Full Text]
Dashe, J. F., Boyer, P. J.
(1998). Case 39-1998- A 13-Year-Old Girl with a Relapsing-Remitting Neurological Disorder. NEJM
339: 1914-1923
[Full Text]
Ruiz-Pesini, E., Diez, C., Lapena, A. C., Perez-Martos, A., Montoya, J., Alvarez, E., Arenas, J., Lopez-Perez, M. J.
(1998). Correlation of sperm motility with mitochondrial enzymatic activities. Clin. Chem.
44: 1616-1620
[Abstract][Full Text]
Niaudet, P.
(1998). Mitochondrial disorders and the kidney. Arch. Dis. Child.
78: 387-390
[Full Text]
CHINNERY, P. F, TURNBULL, D. M
(1997). Clinical features, investigation, and management of patients with defects of mitochondrial DNA. J. Neurol. Neurosurg. Psychiatry
63: 559-563
[Full Text]
Wong, L.-J. C., Senadheera, D.
(1997). Direct detection of multiple point mutations in mitochondrial DNA. Clin. Chem.
43: 1857-1861
[Abstract][Full Text]
Davis, R. E., Miller, S., Herrnstadt, C., Ghosh, S. S., Fahy, E., Shinobu, L. A., Galasko, D., Thal, L. J., Beal, M. F., Howell, N., Parker, W. D. Jr.
(1997). Mutations in mitochondrial cytochrome c oxidase genes segregate with late-onset Alzheimer disease. Proc. Natl. Acad. Sci. USA
94: 4526-4531
[Abstract][Full Text]
Stoicheff, H., Vital, C., Odawara, M., Yamashita, K., Johns, D. R.
(1996). Mitochondrial DNA and Disease. NEJM
334: 270-271
[Full Text]