PMID- 30601141 OWN - NLM STAT- MEDLINE DCOM- 20191105 LR - 20200309 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 129 IP - 1 DP - 2019 Jan 2 TI - Mitochondria, OxPhos, and neurodegeneration: cells are not just running out of gas. PG - 34-45 LID - 120848 [pii] LID - 10.1172/JCI120848 [doi] AB - Mitochondrial respiratory deficiencies have been observed in numerous neurodegenerative disorders, such as Alzheimer's and Parkinson's diseases. For decades, these reductions in oxidative phosphorylation (OxPhos) have been presumed to trigger an overall bioenergetic crisis in the neuron, resulting in cell death. While the connection between respiratory defects and neuronal death has never been proven, this hypothesis has been supported by the detection of nonspecific mitochondrial DNA mutations in these disorders. These findings led to the notion that mitochondrial respiratory defects could be initiators of these common neurodegenerative disorders, instead of being consequences of a prior insult, a theory we believe to be misconstrued. Herein, we review the roots of this mitochondrial hypothesis and offer a new perspective wherein mitochondria are analyzed not only from the OxPhos point of view, but also as a complex organelle residing at the epicenter of many metabolic pathways. FAU - Area-Gomez, Estela AU - Area-Gomez E AD - Department of Neurology. FAU - Guardia-Laguarta, Cristina AU - Guardia-Laguarta C AD - Department of Pathology and Cell Biology, and. FAU - Schon, Eric A AU - Schon EA AD - Department of Neurology. AD - Department of Genetics and Development, Columbia University Medical Center, New York, New York, USA. FAU - Przedborski, Serge AU - Przedborski S AD - Department of Pathology and Cell Biology, and. LA - eng GR - R01 AG056387/AG/NIA NIH HHS/United States GR - R01 NS107442/NS/NINDS NIH HHS/United States GR - R01 EB009041/EB/NIBIB NIH HHS/United States GR - R21 NS099862/NS/NINDS NIH HHS/United States GR - K01 AG045335/AG/NIA NIH HHS/United States GR - P01 HD032062/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20190102 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (DNA, Mitochondrial) SB - IM MH - Alzheimer Disease/genetics/*metabolism/pathology MH - Animals MH - Cell Death MH - DNA, Mitochondrial/genetics/metabolism MH - Humans MH - Mitochondria/genetics/*metabolism/pathology MH - *Models, Neurological MH - Mutation MH - Neurons/*metabolism/pathology MH - *Oxidative Phosphorylation MH - Parkinson Disease/genetics/*metabolism/pathology PMC - PMC6307938 COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2019/01/03 06:00 MHDA- 2019/11/07 06:00 PMCR- 2020/01/02 CRDT- 2019/01/03 06:00 PHST- 2019/01/03 06:00 [entrez] PHST- 2019/01/03 06:00 [pubmed] PHST- 2019/11/07 06:00 [medline] PHST- 2020/01/02 00:00 [pmc-release] AID - 120848 [pii] AID - 10.1172/JCI120848 [doi] PST - ppublish SO - J Clin Invest. 2019 Jan 2;129(1):34-45. doi: 10.1172/JCI120848. Epub 2019 Jan 2.