Table 1.
Disease | Main Symptoms | Case Reports References | Cause |
---|---|---|---|
LHON (Leber hereditary optic neuropathy) |
Vision loss (retinal ganglion cells and axon loss) | Significant decrease in visual acuity, dyschromatopsia [54,55,56] | m.T14484C (Complex1 ND6) |
m.G3460A (Complex1 ND1) | |||
m.G11778A (Complex1 ND4) | |||
MERRF (Myoclonic epilepsy with ragged red fiber) |
Myoclonus, generalized epilepsy, ataxia, myopathy, exercise intolerance | Bilateral primary optic atrophy, sensorineural hearing loss, gait unsteadiness [57] | m.A8344G (tRNA lysine) |
Slurred speech, fatigue, hearing loss, limb weakness [58] | m.G8363A (tRNA lysine) |
||
Dysphonia, memory loss, stroke-like episode [59] | m.A3243G (tRNA leucine) |
||
MELAS (Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes) |
Muscle weakness in whole body, dementia, aphasia, myoclonus, ataxia | Developing diabetes, hearing loss, progressively deteriorating functional status [60] |
m.A3243G (tRNA leucine) |
Aphasia, subtle loss of muscle strength in right arm [61] | |||
Migraine-like headaches, muscle damage [62] | |||
disturbances of consciousness, ventilatory failure [63] | |||
Aeizures, transient sensory disturbances, weakness, visual impairment, cognitive impairment [64] | m.G13513A (Complex1 ND5) |
||
Maternally inherited diabetes and deafness (MIDD) | Chronic kidney disease, deafness, loss of oral sensation, neuropathy, hearing loss, myopathy |
Proteinuria, glomerular abnormality progressive renal failuare [65] | m.A3243G (tRNA leucine) |
Hearing loss, loss of oral sensation, dysarthria, drolling [66] | |||
Hearing loss, central nervous system diseases, myopathy, cardiac disease, nephropathy, underweight [10] | |||
Pearson syndrome | Failure to thrive, malabsorption |
Refractory anemia, digestive system failuare, bone marrow failure, metabolic disorders, gastrointestinal symptoms, renal disorders, pancreatic exocrine insufficiency [11] | Large deletion of mtDNA |
Malabsorption, lactic acidemia, sideroblasts on bone marrow evaluation, microcephaly [67] | |||
Kearns–Sayre syndrome (KSS) | Heart block, growth retardation, external ophthalmoplegia, vestibular dysfunction | Vision loss, progressive external ophthalmoplegia, retinitis pigmentosa, heart block, vestibular dysfunction, growth retardation [68] | Large deletion of mtDNA |
Photophobia, nystagmus, sensorineural hearing loss, tremor, progressive cerebellar ataxia [69] | |||
Chronic progressive external ophthalmoplegia (CPEO) | Loosing control of eyelids and eye movements, ptosis | Central neurogenic hyperventilation, restriction of eye movement and ptosis [70] | Multiple deletion of mtDNA |
Low birth weight and congenital deafness [71] | |||
Hemifacial weakness, dysarthria, mental retardation, sensorineural hearing loss [72] | mtDNA mutation with mitochondrial protein-encoding nuclear DNA mutations [73] |
||
Ophthalmoplegia, strabismus, loosing control of extraocular muscles [71] | |||
Leigh syndrome | Neurological symptoms, cardiac dysfunction, dyspraxia | Blepharoptosis, ptosis, inability to walk, sensory deficits, fever [74] | m.T9176C (MT-ATP6) |
Delay of psychomotor development, cardiomyopathy [75] | m.A14453G (Complex1 ND6) | ||
Bilateral exotropia, nystagmus bilateral, childhood-onset neuromuscular regression [76] | Nuclear NDUFAF5 gene mutation, (Complex 1 NDUFAF5) |
||
Barth syndrome | Heart failure | Left ventricular hypertrophy, heart failure with metabolic crisis [77] | Nuclear TAZ gene C640T (mitochondrial acyl chain composition remodeling enzyme) |
Friedreich’s ataxia | Ataxia, gait unsteadiness, cardiomyopathy | Chest pain, dyspnea, palpitation, left ventricular hypertrophy [78] | Nuclear FAZ gene (mitochondrial iron metabolism related enzyme) |
Blindness, sensorineural deafness [79], |