Mitochondrial DNA (mtDNA) depletion syndrome (MDS; MIM 251880) is a prevalent cause of oxidative phosphorylation disorders characterized by a reduction in mtDNA copy number. The hitherto recognized disease mechanisms alter either mtDNA replication (POLG (ref. 1)) or the salvage pathway of mitochondrial deoxyribonucleosides 5'-triphosphates (dNTPs) for mtDNA synthesis (DGUOK (ref. 2), TK2 (ref. 3) and SUCLA2 (ref. 4)). A last gene, MPV17 (ref. 5), has no known function. Yet the majority of cases remain unexplained. Studying seven cases of profound mtDNA depletion (1-2% residual mtDNA in muscle) in four unrelated families, we have found nonsense, missense and splice-site mutations and in-frame deletions of the RRM2B gene, encoding the cytosolic p53-inducible ribonucleotide reductase small subunit. Accordingly, severe mtDNA depletion was found in various tissues of the Rrm2b-/- mouse. The mtDNA depletion triggered by p53R2 alterations in both human and mouse implies that p53R2 has a crucial role in dNTP supply for mtDNA synthesis.
Liver diseases affect millions of people worldwide, especially in
developing country. According to the American Liver Foundation, nearly 1 in
every 10 Americans suffers from some form of liver disease. Even though, the
liver has great ability to self-repair, in end-stage liver diseases including
fibrosis, cirrhosis, and liver cancer induced by viral hepatitis and drugs, the
liver regenerative capacity is exhausted. The only successful treatment for
chronic liver failure is the whole liver transplantation. More recently, some
clinical trials using hepatocyte transplantation have shown some clinical
improvement for metabolic liver diseases and acute liver failure. However, the
shortage of donor livers remains a life-threatening challenge in liver disease
patients. To overcome the scarcity of donor livers, hepatocytes generated from
embryonic stem cell or induced pluripotent stem cell differentiation cultures
could provide an unlimited supply of such cells for transplantation. This review
provides an updated summary of hepatic differentiation protocols published so
far, with a characterization of the hepatic cells generated in
vitro and their ability to regenerate damaged livers in
vivo following transplantation in pre-clinical liver deficient
mouse models.
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