Mitochondrial diseases are a group of genetic disorders that affect the mitochondria, the cellular structures responsible for producing energy in the form of ATP (adenosine triphosphate). These diseases are caused by mutations in mitochondrial DNA or in nuclear genes that encode proteins related to mitochondrial function. Because mitochondria are crucial to cells' energy metabolism, mitochondrial disorders can affect multiple systems in the body, including the brain, nervous system, muscles, heart, and other organs.

Characteristics or peculiarities of mitochondrial diseases.
Nuclear DNAmtDNA
LocationCoreMitochondrial matrix
Size3200 MB16.6kb
StructureDouble linear antiparallel helixDouble circular helix
IntronsPresentsMissing
Non-coding sequences98%7%
TranscriptionMonogenic. Individual transcripts for each gene.Multigenic. Block transcription of the entire transcript.
Number of copies1 set per cellFrom hundreds to thousands per cell
Associated proteinsHistonesNo associated proteins
Coding genes30.00037
CodonUniversal genetic codeMitochondrial genetic code
  • Heteroplasmy. Heteroplasmy refers to the presence of different types of mitochondrial DNA in a cell or individual. Mitochondria multiply by dividing independently of the cell cycle, and in the copying process errors can occur that accumulate over time. This variation in mitochondrial DNA is known as heteroplasmy.
  • Mitochondrial inheritance. Mitochondria are inherited primarily through the mother, and therefore, mitochondrial DNA (mtDNA) is inherited exclusively from the mother, unlike nuclear DNA, which is inherited from both parents. Mutations or variants in mitochondrial DNA are passed from mother to children, but only daughters can pass these mutations on to their offspring. Male children do not pass on their mitochondrial DNA to their offspring.
  • Mitochondrial genetic code. The mitochondrial genetic code is the set of rules that determines how the information contained in mitochondrial DNA (mtDNA) is translated into proteins within the mitochondria, and is similar but not identical to the universal genetic code used in the rest of the cell, which is found in nuclear DNA. In the mitochondrial genetic code, some of the amino acid codings are different, meaning that certain codons in the mRNA translate into different amino acids compared to the nuclear genetic code. Some of the most notable differences in the mitochondrial genetic code are:
    • The AGA codon in the nuclear code codes for the amino acid arginine, while in the mitochondrial code it codes for serine.
    • The AGG codon in the nuclear code codes for the amino acid arginine, while in the mitochondrial code it also codes for serine.
    • The UGA codon in the nuclear code is usually a stop codon (termination codon), but in the mitochondrial code it codes for the amino acid tryptophan.
  • Mitochondrial chromosome. The term "mitochondrial chromosome" refers to the genetic material contained in mitochondria, but it is important to note that mitochondria do not have chromosome structures similar to chromosomes in the nucleus. Here are some key features of mitochondrial DNA:
    • Shape and Structure: Mitochondrial DNA usually appears in the shape of a closed circle, in contrast to the linear chromosomes in the nucleus.
    • Genes: Mitochondrial DNA contains a total of 37 genes.
    • Transcription and Translation: Mitochondria are capable of transcribing and translating their own DNA, which allows them to synthesize the proteins necessary for their function. However, most proteins required for mitochondrial function are encoded by the nucleus and then imported into the mitochondria.

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Genes encoded in mtDNA

The 37 genes of the Cambridge Reference Sequence for human mitochondrial DNA and their locations[30]

GeneTypeProductPositions
in the mitogenome
Strand
MT-ATP8protein codingATP synthase, Fo subunit 8 (complex V)08.366–08.572 (overlap with MT-ATP6)H
MT-ATP6protein codingATP synthase, Fo subunit 6 (complex V)08,527–09,207 (overlap with MT-ATP8)H
MT-CO1protein codingCytochrome c oxidase, subunit 1 (complex IV)05,904–07,445H
MT-CO2protein codingCytochrome c oxidase, subunit 2 (complex IV)07,586–08,269H
MT-CO3protein codingCytochrome c oxidase, subunit 3 (complex IV)09,207–09,990H
MT-CYBprotein codingCytochrome b (complex III)14,747–15,887H
MT-ND1protein codingNADH dehydrogenase, subunit 1 (complex I)03,307–04,262H
MT-ND2protein codingNADH dehydrogenase, subunit 2 (complex I)04,470–05,511H
MT-ND3protein codingNADH dehydrogenase, subunit 3 (complex I)10,059–10,404H
MT-ND4Lprotein codingNADH dehydrogenase, subunit 4L (complex I)10,470–10,766 (overlap with MT-ND4)H
MT-ND4protein codingNADH dehydrogenase, subunit 4 (complex I)10,760–12,137 (overlap with MT-ND4L)H
MT-ND5protein codingNADH dehydrogenase, subunit 5 (complex I)12,337–14,148H
MT-ND6protein codingNADH dehydrogenase, subunit 6 (complex I)14,149–14,673L
MT-RNR2protein codingHumanin
MT-TAtransfer RNAtRNA-Alanine (Ala or A)05,587–05,655L
MT-TRtransfer RNAtRNA-Arginine (Arg or R)10,405–10,469H
MT-TNtransfer RNAtRNA-Asparagine (Asn or N)05,657–05,729L
MT-TDtransfer RNAtRNA-Aspartic acid (Asp or D)07,518–07,585H
MT-TCtransfer RNAtRNA-Cysteine (Cys or C)05,761–05,826L
MT-TEtransfer RNAtRNA-glutamic acid (Glu or E)14,674–14,742L
MT-TQtransfer RNAtRNA-Glutamine (Gln or Q)04,329–04,400L
MT-TGtransfer RNAtRNA-Glycine (Gly or G)09,991–10,058H
MT-THtransfer RNAtRNA-Histidine (His or H)12,138–12,206H
MT-TItransfer RNAtRNA-Isoleucine (Ile or I)04,263–04,331H
MT-TL1transfer RNAtRNA-Leucine (Leu-UUR or L)03,230–03,304H
MT-TL2transfer RNAtRNA-Leucine (Leu-CUN or L)12,266–12,336H
MT-TKtransfer RNAtRNA-Lysine (Lys or K)08,295–08,364H
MT-TMtransfer RNAtRNA-Methionine (Met or M)04,402–04,469H
MT-TFtransfer RNAtRNA-Phenylalanine (Phe or F)00.577–00.647H
MT-TPtransfer RNAtRNA-Proline (Pro or P)15,956–16,023L
MT-TS1transfer RNAtRNA-Serine (Ser-UCN or S)07,446–07,514L
MT-TS2transfer RNAtRNA-Serine (Ser-AGY or S)12,207–12,265H
MT-TTtransfer RNAtRNA-Threonine (Thr or T)15,888–15,953H
MT-TWtransfer RNAtRNA-Tryptophan (Trp or W)05,512–05,579H
MT-TYtransfer RNAtRNA-Tyrosine (Tyr or Y)05,826–05,891L
MT-TVtransfer RNAtRNA-Valine (Value or V)01,602–01,670H
MT-RNR1ribosomal RNASmall subunit: SSU (12S)00,648–01,601H
MT-RNR2ribosomal RNALarge subunit: LSU (16S)01,671–03,229H
Diagnostic criteria for mitochondrial disease. When to suspect the presence of a mitochondrial disease.
When to request a study for mitochondrial diseases if NGS sequencing has been performed. What you may miss if you have performed NGS sequencing and are looking for a mitochondrial disease.
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