Molecular insights into Friedreich's ataxia and antioxidant-based therapies

Trends Mol Med. 2002 May;8(5):221-4. doi: 10.1016/s1471-4914(02)02330-4.

Abstract

Friedreich's ataxia (FRDA) is an autosomal recessive neurodegenerative disease causing limb and gait ataxia and cardiomyopathy. The disease gene encodes a mitochondrial protein of unknown function, frataxin. The loss of functional frataxin is caused by a large GAA trinucleotide expansion in the first intron of the gene, thus impairing gene transcription. The lack of frataxin appears to result primarily in disabled recruitment of early antioxidant defenses, resulting in oxidative insult to the highly sensitive iron-sulfur proteins aconitase and three mitochondrial respiratory chain complexes (I-III). Accordingly, antioxidant-based therapy appears promising in counteracting the course of the disease.

Publication types

  • Review

MeSH terms

  • Animals
  • Antioxidants / therapeutic use*
  • Benzoquinones / therapeutic use*
  • Carrier Proteins / genetics*
  • Frataxin
  • Friedreich Ataxia / drug therapy*
  • Friedreich Ataxia / genetics*
  • Humans
  • Iron / metabolism
  • Iron-Binding Proteins*
  • Mice
  • Ubiquinone / analogs & derivatives

Substances

  • Antioxidants
  • Benzoquinones
  • Carrier Proteins
  • Iron-Binding Proteins
  • Ubiquinone
  • Iron
  • idebenone