Diagnosis of mitochondrial myopathies
Abstract
Mitochondria are ubiquitous organelles and play crucial roles in vital functions, most importantly, the oxidative phosphorylation and energy metabolism. Therefore, mitochondrial dysfunction can affect multiple tissues, with muscle and nerve preferentially affected. Mitochondrial myopathy is a common clinical phenotype, which is characterized by early fatigue and/or fixed muscle weakness; rhabdomyolysis can seldom occur. Muscle biopsy often identifies signs of diseased mitochondria by morphological studies, while biochemical analysis may identify respiratory chain deficiencies. The clinical, morphological and biochemical data guide molecular analysis. Being the mitochondrial function under the control of both mitochondrial DNA and nuclear DNA, the search for mitochondrial DNA mutations and mitochondrial DNA quantitation, may not be sufficient for the molecular diagnosis of mitochondrial myopathies. Approximately 1500 nuclear genes can affect mitochondrial structure and function and the targeting of such genes may be necessary to reach the diagnosis. The identification of causative molecular defects in nuclear or mitochondrial genome leads to the definite diagnosis of mitochondrial myopathy.
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A main histological hallmark of mitochondrial myopathies is the presence of ragged-red fibers, which are muscle fibers exhibiting mitochondrial aggregates in subsarcolemmal regions.
“A main histological hallmark of mitochondrial myopathies is the presence of ragged-red fibers, which are muscle fibers exhibiting mitochondrial aggregates in subsarcolemmal regions (Milone and Wong, 2013).”
From Impaired aerobic capacity and premature fatigue preceding muscle weakness in the skeletal muscle <i>Tfam-</i>knockout mouse model (2021) · cites this paper as Milone and Wong, 2013
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- Authors
- Milone, M., & Wong, L.-J.
- Affiliations
- Mayo Clinic (US)
- Baylor College of Medicine (US)
- Corresponding author
- Wong, Lee-Jun
- ORCID
- Milone, Margherita
- Venue
- Molecular Genetics and Metabolism
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 110
- Issue
- 1-2
- Pages
- 35-41
- ISSN
- 1096-7192 (ISSN-L)
- OpenAlex
- W2001999839
- Cited by
- 89
- References
- 98
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 2 · 2021: 10 · 2020: 4 · 2019: 12 · 2018: 9 · 2017: 14 · 2016: 9 · 2015: 8 · 2014: 4
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Genetics and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- MDA
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- mitochondrial myopathy, mitochondrial dysfunction, oxidative phosphorylation, muscle biopsy, respiratory chain deficiency, mitochondrial DNA mutations, nuclear genes, molecular diagnosis, fatigue, muscle weakness
- MeSH terms
- DNA, Mitochondrial, Energy Metabolism, Humans, Mitochondria, Mutation, Oxidative Phosphorylation, Mitochondrial Myopathies, Ophthalmoplegia, Chronic Progressive External, Muscle, Skeletal, Mitochondrial Diseases, Pathology, Molecular
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