About Mitochondrial Diseases...
What is Mitochondrial Disease?
Imagine a major city with half its power plants shut down. At
best, such conditions would produce a “brown out” with large
sections of the city working far below optimum efficiency. Now
imagine your body working with one-half of its energy facilities
shut down. The brain would be impaired, vision would be dim, muscles
would twitch spastically or would be too weak to allow your body to
walk or write, your heart would be weakened, and you would not be
able to eat and digest food.
For large numbers of people, especially children, this is
precisely the situation in which they find themselves due to defects
in the mitochondria-organelles found in almost every cell of the
body which are responsible for the body’s energy production.
Mitochondrial diseases compromise their lives and can be fatal.
What are mitochondria?
Mitochondria is a part of every cell in the body that contains
genetic material. Mitochondria are responsible for processing oxygen
and converting substances from the foods we eat into energy for
essential cell functions. Mitochondria produce energy in the form of
adenosine triphosphate (ATP), which is then transported to the
cytoplasm of a cell for use in numerous cell functions.
What are mitochondrial diseases?
There are more than 40 different identified diseases that that
make up Mitochondrial diseases. Each one has different genetic
features. The common factor among these diseases is that the
mitochondria are unable to completely burn food and oxygen in order
to generate energy.
The process of converting food and oxygen (fuel) into energy
requires hundreds of chemical reactions, and each chemical reaction
must run almost perfectly in order to have a continuous supply of
energy. When one or more components of these chemical reactions do
not run perfectly, there is an energy crisis, and the cells cannot
function normally. As a result, the incompletely burned food might
accumulate as poison inside the body.
This poison can stop other chemical reactions that are important
for the cells to survive, making the crisis even worse. In addition,
these poisons can act as free radicals (reactive substances that
readily form harmful compounds with other molecules) that can damage
the mitochondria over time, causing damage that cannot be reversed.
Unlike nuclear DNA, mitochondrial DNA has very limited repair
abilities and almost no protective capacity to shield the
mitochondria from free radical damage.
What are the symptoms of mitochondrial diseases?
Mitochondrial diseases might affect the cells of the brain,
nerves (including the nerves to the stomach and intestines),
muscles, kidneys, heart, liver, eyes, ears, or pancreas. In some
patients, only one organ is affected, while in other patients all
the organs are involved. Depending on how severe the mitochondrial
disorder is, the illness can range in severity from mild to fatal.
- Poor growth
- Loss of muscle coordination
- Muscle weakness
- Visual and/or hearing problems
- Developmental delays, learning disabilities
- Mental retardation
- Heart, liver, or kidney disease
- Gastrointestinal disorders, severe constipation
- Respiratory disorders
- Diabetes
- Increased risk of infection
- Neurological problems, seizures
- Thyroid dysfunction
- Dementia (mental disorder characterized by confusion,
disorientation, and memory loss)
How are mitochondrial diseases treated?
Currently, there is no cure for mitochondrial diseases.
Treatment can help reduce the symptoms and possibly delay or prevent
the progression of the disease.
Treatment is different for each patient, as doctors specializing
in these diseases have found that every child and adult is "biochemically
different." That means that no two people will respond to a
particular treatment in a specific way, even if they have the same
disease.
What is the prognosis or outlook?
Once a patient is diagnosed with a specific mitochondrial
disease, the patient's medical problems have already been identified
or can be identified with proper testing so treatment can be
initiated to relieve symptoms and delay the progression of the
disease.
There is no way to predict the course of mitochondrial diseases.
They might progress quickly or slowly, even over decades. The
disease might also appear stable for years.
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