2023
DOI: 10.1007/s11897-023-00592-3
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Cardiac Involvement in Mitochondrial Disorders

Abstract: Purpose of Review We review pathophysiology and clinical features of mitochondrial disorders manifesting with cardiomyopathy. Recent Findings Mechanistic studies have shed light into the underpinnings of mitochondrial disorders, providing novel insights into mitochondrial physiology and identifying new therapeutic targets. Summary Mitochondrial disorders are a group of rare genetic diseases that are caused by mutati… Show more

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Cited by 7 publications
(4 citation statements)
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“…The heart has a high-energy requirement, and in cardiac myocytes, mitochondria occupy approximately one third of the cell volume [58]. Cardiac damage in the non-diabetic XM is in keeping with cardiac damage and cardiomyopathy in humans with mitochondrial disorders [59].…”
Section: Discussionmentioning
confidence: 84%
See 1 more Smart Citation
“…The heart has a high-energy requirement, and in cardiac myocytes, mitochondria occupy approximately one third of the cell volume [58]. Cardiac damage in the non-diabetic XM is in keeping with cardiac damage and cardiomyopathy in humans with mitochondrial disorders [59].…”
Section: Discussionmentioning
confidence: 84%
“…Study strengths include the use of a novel mouse model with mitochondrial dysfunction, which as in human mitochondrial disease has mild cardiac dysfunction even in the absence of diabetes [59,62]. In addition, we used this model to test if diabetes tissue damage is aggravated by mitochondrial dysfunction.…”
Section: Study Strengths and Limitationsmentioning
confidence: 99%
“…At the cardiac level, histological analysis of polg2 ia304/ia304 mutants detected decreased atrium and ventricle dimensions compared to wt, reflecting a reduced development of heart muscle and altered trabecular network, which might recall the cardiomyopathies often reported in mitochondrial disorders [ 34 ]. This feature is also congruent with a reduced development of other high-energy demanding tissues in polg2 mutants, as oxygen supply is expected to be compromised by systemic cardiovascular insufficiency.…”
Section: Discussionmentioning
confidence: 99%
“…Yet, local starvation of substrates may account for spatial adjustment of bioenergetics. Under physiologic conditions, fatty acid oxidation generates 60%–90% of ATP whilst oxidation of carbohydrates, and to a lesser degree ketones and amino acids provide the remaining 10%–40% ( Bertero and Maack, 2018 ; Popoiu et al, 2023 ). The Randle cycle ( Randle et al, 1963 ; Hue and Taegtmeyer, 2009 ) may thus become metabolically relevant when fatty acid oxidation outpaces intracellular transport mechanisms.…”
Section: Potential Modes Of Spatial Oxphos Adjustmentmentioning
confidence: 99%