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. 2022 May 29;27(11):3494. doi: 10.3390/molecules27113494
1. Introduction············································································································································································································· 2
2. Different Molecular Mechanisms Associated with the Same Phenotype········································································································· 2
3. Symptomatic Treatments Based on Antioxidant Cocktails································································································································ 3
4. Small Molecules, Vitamins and Cofactors Administered as Single Molecules or as a Cocktail to Patients Affected by MD···················· 3
 4.1. Vitamin B1—Thiamine···················································································································································································· 17
 4.2. Vitamin B2—Riboflavin·················································································································································································· 19
 4.3. Vitamin B3—Niacin························································································································································································ 20
 4.4. Vitamin B5—Pantothenic Acid······································································································································································ 21
 4.5. Vitamin B6—Pyridoxine················································································································································································ 21
 4.6. Vitamin B7—Biotin························································································································································································· 22
 4.7. Vitamin B9—Folic Acid·················································································································································································· 22
 4.8. Vitamin B12—Cobalamin··············································································································································································· 22
 4.9. Vitamin C—L-Ascorbic Acid········································································································································································· 23
 4.10. Lipoic Acid···································································································································································································· 23
 4.11. Vitamin A—Retinol······················································································································································································ 24
 4.12. Vitamin D—Calciferol················································································································································································· 24
 4.13. Vitamin E—α-Tocopherol··········································································································································································· 24
 4.14. Vitamin K—Phylloquinone·········································································································································································· 25
 4.15. Coenzyme Q10 (Reduced, as Ubiquinol; Oxidized, as Ubiquinone)······································································································ 25
 4.16. L-Carnitine/Acetyl-L-Carnitine·································································································································································· 26
5. Molecular Mechanisms of ROS Production and Mitochondrial Damage Observed in Cells from Mitochondrial Patient Tissues········· 27
6. The Need for a Structural Analysis for Evaluating the Real Need for Vitamin Supplementation····························································· 27
7. Missense Mutations Responsible for Severe Encephalomyopathies: The Case of MT-ND5, NDUFAF6 and SERAC1····························· 29
8. The Case of Carnitine O-Acetyltransferase (CRAT) Deficiency····················································································································· 31
9. SLC25A10 Dicarboxylate Carrier (DIC) Deficiency·········································································································································· 32
10. MDs Depending on AA-tRNA Mutations or AA-tRNA Synthetase Mutations························································································· 32
11. CoQ Analogs and Mitochondrial Delivery Systems: Organic/Inorganic Chemicals for Stimulating Mitochondrial Activity·············· 37
12. Conclusions········································································································································································································· 38
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References·················································································································································································································· 40