Mitochondrial Targeted Therapies: Where Do We Stand in Mental Disorders?

Biol Psychiatry. 2018 May 1;83(9):770-779. doi: 10.1016/j.biopsych.2017.08.007. Epub 2017 Aug 15.

Abstract

The neurobiology of psychiatric disorders is still unclear, although changes in multiple neuronal systems, specifically the dopaminergic, glutamatergic, and gamma-aminobutyric acidergic systems as well as abnormalities in synaptic plasticity and neural connectivity, are currently suggested to underlie their pathophysiology. A growing body of evidence suggests multifaceted mitochondrial dysfunction in mental disorders, which is in line with their role in neuronal activity, growth, development, and plasticity. In this review, we describe the main endeavors toward development of treatments that will enhance mitochondrial function and their transition into clinical use in congenital mitochondrial diseases and chronic disorders such as types 1 and 2 diabetes, cardiovascular disorders, and cancer. In addition, we discuss the relevance of mitochondrial targeted treatments to mental disorders and their potential to become a novel therapeutic strategy that will improve the efficiency of the current treatments.

Keywords: Antioxidants; Bioenergetics; Biogenesis; Mitochondrial targeted treatments; Mitochondrial transplantation; Psychiatric disorders.

Publication types

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

MeSH terms

  • Antioxidants / therapeutic use*
  • Humans
  • Mental Disorders / etiology
  • Mental Disorders / therapy*
  • Mitochondria* / drug effects
  • Mitochondria* / metabolism
  • Mitochondria* / transplantation
  • Mitochondrial Diseases / complications
  • Mitochondrial Diseases / therapy*

Substances

  • Antioxidants