4.7 Article

Mitochondrial disease: genetics and management

Journal

JOURNAL OF NEUROLOGY
Volume 263, Issue 1, Pages 179-191

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00415-015-7884-3

Keywords

Mitochondrial disease; Mitochondrial DNA (mtDNA); Nuclear genes; Acute and chronic neurological presentations; Treatment

Funding

  1. Wellcome Trust [074454/Z/04/Z]
  2. Newcastle University Centre for Ageing and Vitality - Biotechnology and Biological Sciences Research Council
  3. Newcastle University Centre for Ageing and Vitality - Medical Research Council [M501700]
  4. MRC Centre for Neuromuscular Disease
  5. UK NIHR Biomedical Research Centre for Ageing and Age-related disease award
  6. Lily Foundation
  7. UK NHS Specialist Commissioners
  8. MRC [MR/L016354/1] Funding Source: UKRI
  9. Medical Research Council [MR/L016354/1] Funding Source: researchfish
  10. National Institute for Health Research [NF-SI-0514-10077] Funding Source: researchfish

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Mitochondrial disease is one of the most common groups of genetic diseases with a minimum prevalence of greater than 1 in 5000 in adults. Whilst multi-system involvement is often evident, neurological manifestation is the principal presentation in most cases. The multiple clinical phenotypes and the involvement of both the mitochondrial and nuclear genome make mitochondrial disease particularly challenging for the clinician. In this review article we cover mitochondrial genetics and common neurological presentations associated with adult mitochondrial disease. In addition, specific and supportive treatments are discussed.

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