The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics

Mitochondria are intracellular organelles that utilize nutrients to generate energy in the form of ATP by oxidative phosphorylation. Mitochondrial DNA (mtDNA) in humans is a 16,569 base pair double-stranded circular DNA that encodes for 13 vital proteins of the electron transport chain. Our understa...

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Main Authors: Sanjana Saravanan, Caitlin J. Lewis, Bhavna Dixit, Matthew S. O’Connor, Alexandra Stolzing, Amutha Boominathan
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/2/490
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author Sanjana Saravanan
Caitlin J. Lewis
Bhavna Dixit
Matthew S. O’Connor
Alexandra Stolzing
Amutha Boominathan
author_facet Sanjana Saravanan
Caitlin J. Lewis
Bhavna Dixit
Matthew S. O’Connor
Alexandra Stolzing
Amutha Boominathan
author_sort Sanjana Saravanan
collection DOAJ
description Mitochondria are intracellular organelles that utilize nutrients to generate energy in the form of ATP by oxidative phosphorylation. Mitochondrial DNA (mtDNA) in humans is a 16,569 base pair double-stranded circular DNA that encodes for 13 vital proteins of the electron transport chain. Our understanding of the mitochondrial genome’s transcription, translation, and maintenance is still emerging, and human pathologies caused by mtDNA dysfunction are widely observed. Additionally, a correlation between declining mitochondrial DNA quality and copy number with organelle dysfunction in aging is well-documented in the literature. Despite tremendous advancements in nuclear gene-editing technologies and their value in translational avenues, our ability to edit mitochondrial DNA is still limited. In this review, we discuss the current therapeutic landscape in addressing the various pathologies that result from mtDNA mutations. We further evaluate existing gene therapy efforts, particularly allotopic expression and its potential to become an indispensable tool for restoring mitochondrial health in disease and aging.
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spelling doaj.art-409bea393f7144ba82b88627923cd0942023-11-23T18:56:24ZengMDPI AGBiomedicines2227-90592022-02-0110249010.3390/biomedicines10020490The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial TherapeuticsSanjana Saravanan0Caitlin J. Lewis1Bhavna Dixit2Matthew S. O’Connor3Alexandra Stolzing4Amutha Boominathan5Division of Mitochondria Biology, SENS Research Foundation, 110 Pioneer Way, Suite J, Mountain View, CA 94041, USADivision of Mitochondria Biology, SENS Research Foundation, 110 Pioneer Way, Suite J, Mountain View, CA 94041, USADivision of Mitochondria Biology, SENS Research Foundation, 110 Pioneer Way, Suite J, Mountain View, CA 94041, USAUnderdog Pharmaceuticals Inc., 110 Pioneer Way, Suite J, Mountain View, CA 94041, USADivision of Mitochondria Biology, SENS Research Foundation, 110 Pioneer Way, Suite J, Mountain View, CA 94041, USADivision of Mitochondria Biology, SENS Research Foundation, 110 Pioneer Way, Suite J, Mountain View, CA 94041, USAMitochondria are intracellular organelles that utilize nutrients to generate energy in the form of ATP by oxidative phosphorylation. Mitochondrial DNA (mtDNA) in humans is a 16,569 base pair double-stranded circular DNA that encodes for 13 vital proteins of the electron transport chain. Our understanding of the mitochondrial genome’s transcription, translation, and maintenance is still emerging, and human pathologies caused by mtDNA dysfunction are widely observed. Additionally, a correlation between declining mitochondrial DNA quality and copy number with organelle dysfunction in aging is well-documented in the literature. Despite tremendous advancements in nuclear gene-editing technologies and their value in translational avenues, our ability to edit mitochondrial DNA is still limited. In this review, we discuss the current therapeutic landscape in addressing the various pathologies that result from mtDNA mutations. We further evaluate existing gene therapy efforts, particularly allotopic expression and its potential to become an indispensable tool for restoring mitochondrial health in disease and aging.https://www.mdpi.com/2227-9059/10/2/490mitochondriamtDNAmtDNA mutationsmitochondrial diseasesmtDNA editingallotopic expression
spellingShingle Sanjana Saravanan
Caitlin J. Lewis
Bhavna Dixit
Matthew S. O’Connor
Alexandra Stolzing
Amutha Boominathan
The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
Biomedicines
mitochondria
mtDNA
mtDNA mutations
mitochondrial diseases
mtDNA editing
allotopic expression
title The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
title_full The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
title_fullStr The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
title_full_unstemmed The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
title_short The Mitochondrial Genome in Aging and Disease and the Future of Mitochondrial Therapeutics
title_sort mitochondrial genome in aging and disease and the future of mitochondrial therapeutics
topic mitochondria
mtDNA
mtDNA mutations
mitochondrial diseases
mtDNA editing
allotopic expression
url https://www.mdpi.com/2227-9059/10/2/490
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