Mitochondrial DNA Depletion Syndromes

Clin Perinatol. 2020 Mar;47(1):123-141. doi: 10.1016/j.clp.2019.10.008. Epub 2019 Oct 31.

Abstract

Mitochondrial disorders present in a myriad of ways, which causes them to be included in the differential diagnosis for many patients with undiagnosed disease. A subset of mitochondrial disorders are caused by intrinsic defects in the mitochondrial replication machinery, leading to loss of cellular mitochondrial content over time. The diagnosis of mitochondrial disease is complex. Several best-practice guides are available that enable a higher likelihood of detecting a mitochondrial disorder. The application of genomic sequencing and advanced physiologic analysis of the electron transport chain can offer more definitive evidence of mitochondrial dysfunction.

Keywords: Depletion; External ophthalmoplegia; Mitochondria; Pseudo-obstruction.

Publication types

  • Review

MeSH terms

  • DNA, Mitochondrial / genetics*
  • Diagnosis, Differential
  • Gene Deletion
  • Humans
  • Infant, Newborn
  • Mitochondrial Diseases / congenital*
  • Mitochondrial Diseases / genetics*
  • Neonatal Screening
  • Prognosis
  • Rare Diseases / congenital*
  • Rare Diseases / genetics*
  • Syndrome

Substances

  • DNA, Mitochondrial