PMID- 36813318 OWN - NLM STAT- MEDLINE DCOM- 20230224 LR - 20230224 IS - 0072-9752 (Print) IS - 0072-9752 (Linking) VI - 194 DP - 2023 TI - Experimental therapy for mitochondrial diseases. PG - 259-277 LID - B978-0-12-821751-1.00013-0 [pii] LID - 10.1016/B978-0-12-821751-1.00013-0 [doi] AB - Mitochondrial diseases are extremely heterogeneous genetic disorders due to faulty oxidative phosphorylation (OxPhos). No cure is currently available for these conditions, beside supportive interventions aimed at relieving complications. Mitochondria are under a double genetic control carried out by the mitochondrial DNA (mtDNA) and by nuclear DNA. Thus, not surprisingly, mutations in either genome can cause mitochondrial disease. Although mitochondria are usually associated with respiration and ATP synthesis, they play fundamental roles in a large number of other biochemical, signaling, and execution pathways, each being a potential target for therapeutic interventions. These can be classified as general therapies, i.e., potentially applicable to a number of different mitochondrial conditions, or therapies tailored to a single disease, i.e., personalized approaches, such as gene therapy, cell therapy, and organ replacement. Mitochondrial medicine is a particularly lively research field, and the last few years witnessed a steady increase in the number of clinical applications. This chapter will present the most recent therapeutic attempts emerged from preclinical work and an update of the currently ongoing clinical applications. We think that we are starting a new era in which the etiologic treatment of these conditions is becoming a realistic option. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Viscomi, Carlo AU - Viscomi C AD - Department of Biomedical Sciences, University of Padova, Padova, Italy. Electronic address: carlo.viscomi@unipd.it. FAU - Zeviani, Massimo AU - Zeviani M AD - Department of Neurosciences, University of Padova, Padova, Italy; Venetian Institute of Molecular Medicine, Padova, Italy. Electronic address: massimo.zeviani@unipd.it. LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Handb Clin Neurol JT - Handbook of clinical neurology JID - 0166161 RN - 0 (DNA, Mitochondrial) SB - IM MH - Humans MH - *Mitochondrial Diseases/genetics MH - Mitochondria/genetics MH - DNA, Mitochondrial/genetics MH - Mutation MH - Therapies, Investigational OTO - NOTNLM OT - AAV OT - Gene therapy OT - Mitochondrial biogenesis OT - Mitochondrial disease OT - Mitophagy OT - OxPhos OT - Rapamycin COIS- Declaration of interests None. EDAT- 2023/02/23 06:00 MHDA- 2023/02/25 06:00 CRDT- 2023/02/22 20:56 PHST- 2023/02/22 20:56 [entrez] PHST- 2023/02/23 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] AID - B978-0-12-821751-1.00013-0 [pii] AID - 10.1016/B978-0-12-821751-1.00013-0 [doi] PST - ppublish SO - Handb Clin Neurol. 2023;194:259-277. doi: 10.1016/B978-0-12-821751-1.00013-0.