Cited by 607Mitochondrial Function and PathologyMetabolism and Genetic DisordersGenomics and Rare Diseases

Diagnosis and management of mitochondrial disease: a consensus statement from the mitochondrial medicine society

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Parikh, Sumit, Goldstein, Amy, Koenig, Mary Kay, Scaglia, Fernando, Enns, Gregory M., Saneto, Russell, Anselm, Irina, Cohen, Bruce H. +11 more·2015·Genetics in Medicine

Abstract

Purpose The purpose of this statement is to review the literature regarding mitochondrial disease and to provide recommendations for optimal diagnosis and treatment. This statement is intended for physicians who are engaged in diagnosing and treating these patients.Methods The Writing Group members were appointed by the Mitochondrial Medicine Society. The panel included members with expertise in several different areas. The panel members utilized a comprehensive review of the literature, surveys, and the Delphi method to reach consensus. We anticipate that this statement will need to be updated as the field continues to evolve.Results Consensus-based recommendations are provided for the diagnosis and treatment of mitochondrial disease.Conclusion The Delphi process enabled the formation of consensus-based recommendations. We hope that these recommendations will help standardize the evaluation, diagnosis, and care of patients with suspected or demonstrated mitochondrial disease.

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  • Mitochondrial diseases are caused by genetic mutations in mitochondrial or nuclear DNA that affect the function of the mitochondrial respiratory chain, leading to defective oxidative phosphorylation.

    “Mitochondrial diseases are caused by genetic mutations in mitochondrial or nuclear DNA that affect the function of the mitochondrial respiratory chain, thereby leading to defective oxidative phosphorylation (Ishikawa and Nakada, 2021; Parikh et al., 2015; Thorburn, 2004).”

    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 Parikh et al., 2015

    The introductory definition says primary mitochondrial diseases result from nuclear or mitochondrial DNA mutations affecting mitochondrial structure or function, and the DNA testing section repeats the two genetic sources. The tissue-testing section links mitochondrial dysfunction to electron-transport-chain testing and oxidative-phosphorylation measurements, but it does not say that every such mutation affects the respiratory chain and thereby causes defective oxidative phosphorylation. (LLM, conf=0.82)

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Authors
Parikh, S., Goldstein, A., Koenig, M. K., Scaglia, F., Enns, G. M., Saneto, R., Anselm, I., Cohen, B. H., Falk, M. J., Greene, C., Gropman, A. L., Haas, R., Hirano, M., Morgan, P., Sims, K., Tarnopolsky, M., Van Hove, J. L. K., Wolfe, L., & DiMauro, S.
Affiliations
  • Cleveland Clinic (US)
  • Children's Hospital of Pittsburgh (US)
  • The University of Texas Health Science Center at Houston (US)
  • Baylor College of Medicine (US)
  • Lucile Packard Children's Hospital (US)
  • Seattle Children's Hospital (US)
  • Boston Children's Hospital (US)
  • Akron Children's Hospital (US)
  • Children's Hospital of Philadelphia (US)
  • University of Maryland Medical Center (US)
  • Children's National (US)
  • University of California San Diego (US)
  • Columbia University Irving Medical Center (US)
  • Harvard University (US)
  • McMaster University (CA)
  • National Institutes of Health (US)
Corresponding author
Parikh, Sumit
Venue
Genetics in Medicine
Publisher
Elsevier BV
Published
2015-09
Volume
17
Issue
9
Pages
689-701
ISSN
1098-3600 (ISSN-L)
OpenAlex
W2004807060
Cited by
607
References
239
Citations by year
2026: 61 · 2025: 51 · 2024: 73 · 2023: 62 · 2022: 64 · 2021: 73 · 2020: 55 · 2019: 48 · 2018: 47 · 2017: 38 · 2016: 26 · 2015: 9
FWCI
9.97
Type
journal article
Language
en
Open access
Locations
  • Genetics in Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Neurological Disorders and Stroke (U54NS078059)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD080642)
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 disease, diagnosis, treatment, clinical guidelines, consensus recommendations, mitochondrial medicine, standardization of care
MeSH terms
Delphi Technique, Humans, Treatment Outcome, Evidence-Based Medicine, Mitochondrial Diseases, Consensus

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