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Function is high in the presence of cardiorespiratory fitness.

Mitochondrial oxidative phosphorylation is the major pathway for ATP production in eukaryotic cells.

ATP is a chemical used to store generate energy for cellular functions, including proliferation.

Mitochondria are cell organelles that generate energy for the cell and are found in every cell of the human body except red blood cells.

They convert the energy of food molecules into the ATP that powers most cell functions.

Primary site of ATP production in aerobic respiration.

Mitochondria are known as the powerhouse of the cell is a double membrane bound cell organelle that functions for the production of energy or ATP within the cell. 

The mitochondrion contains its own DNA and ribosomes with which it synthesizes in situ 13 polypeptide subunits of enzymes that mediate oxidative phosphorylation.

Mitochondria are the cell’s powerhouses, because of their capacity to effectively produce ATP which is essential to maintain cellular homeostasis and metabolism.

Neurons and muscle cells are particularly sensitive to fluctuations in mitochondrial number and function, and pathogenic variants affecting mitochondrial components, such as proteins, and RNAs are often associated within enephalopathies and myopathies.

The mitochondria contains its own DNA and ribosomes with which it synthesize in situ 13 polypeptide subunits of enzymes that mediate oxidative phosphorylation.

Specifically, the mitochondria is where the Krebs cycle or TCA cycle for the production of NADH and FADH occurs, producing within the electron transport chain (ETC) and oxidative phosphorylation for the final production of ATP.

Cellular redox energy from the breakdown of food is converted to a proton gradient across the inner mitochondrial membrane which is dissipated to catalyze the formation of ATP.

Mitochondrial respiration is coupled to the formation of the proton motive force, and the dissipation of the proton motive force is closely linked to the synthesis of ATP.

Mitochondria generate most of the cell’s supply of adenosine triphosphate (ATP), a source of chemical energy. 

A hub for multiple signaling pathways intersecting energy production, survival control, and oxidative stress.

Mobile organelles that exist in dynamic networks.

Mitochondria convert energy for the cell into a usable form, adenosine triphosphate (ATP).

To function cells require ATP production by mitochondria.

Mitochondria continuously joined by the process of fusion and divide by the process of fission.

Mitochondrial dynamics regulate metabolic but also cell signaling processes such as cell pluripotent stem cells, proliferation, maturation, aging, and mortality.

Mitochondria are wrapped by two membranes: an inner mitochondrial membrane (IMM) and an outer mitochondrial membrane (OMM), each with a distinctive function and structure, which parallels their dual role as cellular powerhouses and signaling organelles.

The inner mitochondrial membrane divides the mitochondrial lumen into two parts: the inner border membrane, which runs parallel to the OMM, and the cristae, which are deeply twisted, multinucleated invaginations that give room for surface area enlargement and house the mitochondrial respiration apparatus.

The mitochondrion is a component of a human cell, and contains its own DNA.
Mtochondrial genome is inherited maternaly and children born to women who carry pathogenic mitochondrial DNA are at risk for life limiting mtDNA disease.

 

Mitochondrial DNA usually has 16,569 base pairs (the number can vary slightly depending on addition or deletion mutations,and is much smaller than the human genome DNA which has 3.2 billion base pairs. 

 

Mitochondrial DNA is transmitted from mother to child, thus a direct maternal ancestor can be traced using mtDNA.

 mtDNA:

A circular DNA in the mitochondria on that includes 22 transfer RNA’s, two ribosomal RNA’s, and 13 protein subunits, all of which are involved in the oxidative phosphorylation pathway.

There are 100 to 500,000 mtDNA copies per human cell.

The mitochondria is composed of proteins encoded by these genes, together with proteins encoded by nuclear genes.

Mitochondria, and thus mtDNA and mtDNA disease are maternally inherited.

In many patients with mitochondrial disease, mtDNA with a pathogenic mtDNA variant coexist with mtDNA without the variant(heteroplasmy).

Clinical symptoms depend on the extent of heteroplasmy in vulnerable tissues, symptoms occur only when the threshold for a pathogenic variant is exceeded.

In patients with mitochondrial disease, 100% of their empty DNA carries the pathologic variant (homoplasmy).

Pathologic variants in mtDNA have an estimated prevalence of one in 5000 births.

These pathogenic variants can be homoplasty or heteroplasmic.

Homoplasma variants are transmitted in full to all children, but the penetrates of homoplasmic variants is subject to a genetic bottleneck.

mtDNA genetic bottleneck give rise to shift in myDNA hetero plasmy,  results in varying  levels of  heteroplasmy among oocytes from the same women making the risk of the  development of severe disease in the child difficult to predict.

Each mitochondrial organelle typically contains between 2 and 10 mtDNA copies. 

 

During cell division the mitochondria segregate randomly between the two new cells, and make more copies, normally reaching 500 mitochondria per cell. 

 

As mtDNA is copied when mitochondria proliferate, they can accumulate random mutations (heteroplasmy).

Mitochondrial DNA can play a role in the onset of disease in a variety of ways.

Mitochondrial mutations in DNA destabilize respiratory chain complexes, decrease production of cellular energy, increase production of reactive oxygen species and inflammation.

Point mutations in or alternative gene arrangements of mtDNA have been linked to several diseases that affect the heart, central nervous system, endocrine system, gastrointestinal tract, eye, and kidney.

Loss of the amount of mtDNA present in the mitochondria can lead to a whole subset of diseases known as mitochondrial depletion syndromes (MDDs) which affect the liver, central and peripheral nervous systems, smooth muscle and hearing in humans.

Mitochondrial dysfunction in skeletal muscle is associated with muscle weakness, exercise, intolerance, and fatigue.

Reduced number of mitochondrial DNA copies, which is a marker of mitochondrial depletion,  correlates with a frailty phenotype.

Tumor cells exhibit metabolic heterogeneity, shifting between glycolysis and mitochondrial oxidative phosphorylation to meet energy demands and support growth, especially during metastasis.

It has also been reported that drug tolerant cancer cells have an increased number and size of mitochondria, which suggested an increase in mitochondrial biogenesis.

Cancer cells can hijack the mitochondria from immune cells via physical tunneling nanotubes.

There have been mixed, and sometimes conflicting, results in studies that attempt to link mtDNA copy number to the risk of developing certain cancers.

Studies have been conducted that show an association between both increased and decreased mtDNA levels and the increased risk of developing breast cancer.

A positive association between increased mtDNA levels and an increased risk for developing kidney tumors has been observed but there does not appear to be a link between mtDNA levels and the development of stomach cancer.

Mitochondrial disease may become clinically apparent once the number of affected mitochondria reaches a certain level; this phenomenon is called threshold expression.

 

More than 270 pathogenic variants of mtDNA have been reported.

 

Mitochondria generate ATP, and have important roles in adaptive thermogenesis, ion homeostasis, immune responses, reactive oxygen species, and apoptosis.

Mitochondria are intracellular organelles necessary for cell function and survival.

The inheritance of mtDNA Is distinct from autosomaldisorders: there is a coexistence of normal and pathogenic variants within the cells affected by mtDNA diseases.

Mitochondrial genome is present in thousands of mtDNA copies in the normal cell and the number of mutant genomes must reach a critical  threshold in order to cause cellular dysfunction and mitochondrial disease.

Crucial for the synthesis of adenosine triphosphate (ATP), the major form of cellular energy.

In addition to the generation of reactive oxygen species, mitochondria are also involved with life-sustaining functions including calcium homeostasis, PCD, mitochondrial fission and fusion, lipid concentration of the mitochondrial membranes, and the mitochondrial permeability transition.

Major structures of mitochondria include the inner and outer mitochondrial membranes, cristae, and electron transport chain.

Cardiolipin is a unique phospholipid exclusive to mitochondria and present only in the inner membrane of mitochondria, and acts as a linchpin to hold together the respiratory protein complex subunits (complexes I, II, III, and IV) that are essential to achieve optimal functioning of numerous enzymes involved in mitochondrial energy metabolism.

Crucial for the synthesis of adenosine triphosphate (ATP), the major form of cellular energy.

Cardiolipin acts to holds together the respiratory protein complex subunits of the electron transport train that are essential to achieve optimal functioning of numerous enzymes involved in mitochondrial energy metabolism.

Contain their own DNA which encodes 13 mitochondrial proteins, 2 ribosomal RNAs and 22 transfer RNAs.

Cell injury frequently associated by morphologic changes in mitochondria.

Damage caused by oxidative stress, increased Ca++, by phospholipid breakdown via phospholipase A2 and sphingomyelin pathways, and by lipid breakdown products free fatty acids and ceramide.

Reactive oxygen species (ROS) are regarded as unwanted by-products of oxidative phosphorylation in mitochondria.

 

 It is proposed that substances which inactivate ROS, such as antioxidants, would lead to a reduction of oxidative stress and thereby produce an increase in lifespan.

The outer membrane contains proteins which allow the transport of large molecules for oxidative respiration.

The inner membrane is selectivley permeable and has a large surface area with folds, the cristae.

Cristae contain enzymes and other molecules that carry out energy producing reactions of the

Transmembrane proteins maintain the selectivity of the inner membrane and comprise the electron transport chain and maintain a proton gradient between the intermembrane space and the inner membrane.

Mitochondria are wrapped by two membranes: an inner mitochondrial membrane (IMM) and an outer mitochondrial membrane (OMM), each with a distinctive function and structure, which parallels their dual role as cellular powerhouses and signaling organelles.

Matrix granules function as binding sites for calcium and contain some DNA and ribosomes.

Contain more than 1500 different proteins.

Damage leads to increased mitochondrial permeability and prevents maintenance of membrane potential critical for oxidative phosphorylation.

Myocardial ischemia leads to increased mitochondria Ca++ uptake, which increases permeability and leads to breakdown of mitochondrial respiration and ultimately cell death.

Damage can be caused by leakage of cytochrome c into the cytoplasm .

Cells contain hundreds to thousands of mitochondria, but are lacking in mature erythrocytes.

Mitochondrial diseases heterogeneous and vary in clinical features that are caused by impaired function of the mitochondrial respiratory chain.
The underlying cause of such mitochondrial diseases can be gene mutations affecting the nuclear DNA or the mitochondrial DNA, both of which contain genes encoding components of the oxidative phosphorylation machinery required to generate ATP.
Mitochondrial DNA encodes 22 transfer RNAs, two ribosomal RNA’s, and 11 protein subunits involved in the oxidative phospho relation pathway.
There are 100 to 500,000 mtDNA copies per human cell.

ATP is the currency of cellular energy.

For most patients with mitochondrial disease is only symptomatic treatment is available.
There are more than 300 distinct mitochondrial diseases occurring in the nuclear of mitochondrial genomes.
Mitochondrial disorders result from pathogenic variance in either the nuclear or mitochondrial DNA.
Most of these diseases are recessive conditions with decreased respiration.
Mitochondrial disease is typically manifest as severe and often lethal multisystem disorders.
Mitochondrial diseases affect 5-15 persons 100,000 patient population.
Mutations in mitochondrial DNA more commonly causes mitochondrial disease in adults than  do mutations in nuclear genes.
More than 2 pathological variants of mitochondrial DNA have been reported.
Mitochondrial donation through pronuclear transfer is compatible with human embryo viability and pro-nuclear transfer and pre-implantation genetic testing can be effective in reducing the transmission of homoplasmic and heterplasmic pathogenic mtDNA variants.
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