2018
DOI: 10.3390/jcm7020016
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Biomarkers for Detecting Mitochondrial Disorders

Abstract: (1) Objectives: Mitochondrial disorders (MIDs) are a genetically and phenotypically heterogeneous group of slowly or rapidly progressive disorders with onset from birth to senescence. Because of their variegated clinical presentation, MIDs are difficult to diagnose and are frequently missed in their early and late stages. This is why there is a need to provide biomarkers, which can be easily obtained in the case of suspecting a MID to initiate the further diagnostic work-up. (2) Methods: Literature review. (3)… Show more

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Cited by 34 publications
(28 citation statements)
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“…Creatine kinase is an enzyme highly expressed in tissues that rapidly consume energy such as skeletal muscle and brain, which are frequently affected in mitochondrial diseases. Creatine kinase is suggested as a potential biomarker to reflect mitochondrial dysfunction 36 , for which genetic and phenotypic link with mitochondria should provide novel biological insights. Patients affected with mitochondrial diseases often confer endocrine dysfunction including thyroid hormones 37 , whereas the biological link with a liver function-related trait is elusive.…”
Section: Resultsmentioning
confidence: 99%
“…Creatine kinase is an enzyme highly expressed in tissues that rapidly consume energy such as skeletal muscle and brain, which are frequently affected in mitochondrial diseases. Creatine kinase is suggested as a potential biomarker to reflect mitochondrial dysfunction 36 , for which genetic and phenotypic link with mitochondria should provide novel biological insights. Patients affected with mitochondrial diseases often confer endocrine dysfunction including thyroid hormones 37 , whereas the biological link with a liver function-related trait is elusive.…”
Section: Resultsmentioning
confidence: 99%
“…Other potential biomarkers include growth differentiation factor 15 (GDF15) and fibroblast growth factor 21 (FGF21), which are newer mitochondrial biomarkers that possess a high specificity for MD [ 82 ]. They have yet to be studied in ASD patients.…”
Section: Summary Of the Literaturementioning
confidence: 99%
“…As indicated above, we hypothesized that such a signal could be either endocrine or metabolic in nature, or a combination of both. Endocrine signals of metabolicspecifically mitochondrial stress are well established in other organisms, such as FGF21 or GDF15 in mammals [39]. Although both of these growth-factor superfamilies have representatives in insects, neither has a clear orthologue in Drosophila.…”
Section: Discussionmentioning
confidence: 99%
“…Candidates for a metabolic signal of mitochondrial dysfunction were already suggested by the previous observation of elevated pyruvate and lactate levels in tko 25t larvae [7], and the fact that their addition to the culture medium phenocopied the effects of highsugar on tko 25t . Serum lactate is already considered a key biomarker for diagnosing OXPHOS disorders in humans [39], whilst pyruvate has been identified as a crucial regulator of stemness and growth in mammalian cells [51]. In flies, the enzyme that interconverts lactate and pyruvate, lactate dehydrogenase (Ldh, or ImpL3) has previously been implicated as a target of growth signalling by the estrogen-related receptor [52].…”
Section: Tissue-specificity Of the Bang-sensitive Phenotypementioning
confidence: 99%