Review: Mitochondria and disease progression in multiple sclerosis
Open accessAbstract
Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system. Recent evidence suggests that dysfunction of surviving demyelinated axons and axonal degeneration contribute to the progression of MS. We review the evidence for and potential mechanisms of degeneration as well as dysfunction of chronically demyelinated axons in MS with particular reference to mitochondria, the main source of adenosine‐5′‐triphosphate in axons. Besides adenosine‐5′‐triphosphate production, mitochondria play an important role in calcium handling and produce reactive oxygen species. The mitochondrial changes in axons lacking healthy myelin sheaths as well as redistribution of sodium channels suggest that demyelinated axons would be more vulnerable to energy deficit than myelinated axons. A dysfunction of mitochondria in lesions as well as in the normal‐appearing white and grey matter is increasingly recognized in MS and could be an important determinant of axonal dysfunction and degeneration. Mitochondria are a potential therapeutic target in MS.
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Oxidative damage and mitochondrial dysfunction are key features of MS pathology.
“Oxidative damage and mitochondrial dysfunction are key features of MS pathology [277,278,279,280].”
From Ageing, Cellular Senescence and Neurodegenerative Disease (2018) · cites this paper as [278]
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- Authors
- Mahad, D., Lassmann, H., & Turnbull, D.
- Affiliations
- Newcastle University (GB)
- Medical University of Vienna (AT)
- Corresponding author
- Mahad, D.
- Venue
- Neuropathology and Applied Neurobiology
- Publisher
- Wiley
- Published
- 2008-11-12
- Volume
- 34
- Issue
- 6
- Pages
- 577-589
- ISSN
- 0305-1846 (ISSN-L)
- 1365-2990
- PMC
- PMC2981078
- OpenAlex
- W2015016389
- Cited by
- 193
- References
- 119
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 5 · 2023: 6 · 2022: 11 · 2021: 6 · 2020: 12 · 2019: 12 · 2018: 9 · 2017: 12 · 2016: 10 · 2015: 20 · 2014: 13 · 2013: 11 · 2012: 19
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Neuropathology and Applied Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- Wellcome Trust (19854)
- Austrian Science Fund
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- multiple sclerosis, mitochondria, axonal degeneration, demyelination, ATP production, calcium handling, reactive oxygen species, negative energy balance, disease progression, normal-appearing white matter, therapeutic target
- MeSH terms
- Adenosine Triphosphate, Animals, Axons, Demyelinating Diseases, Energy Metabolism, Humans, Mitochondria, Multiple Sclerosis, Myelin Sheath, Nerve Degeneration, Disease Progression
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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