What is Mitochondrial Disease?

Mitochondrial Disease is a complex disease and therefore can be difficult to explain in words alone.
Nature Video have created a bespoke educational animation to explain how mitochondria are vital to sustain life, and also what happens when they go wrong. 

What Are Mitochondria? 

In nearly every cell in the body, mitochondria are responsible for producing energy (called ATP). They are like power stations, supplying the energy our cells need to function.

Cells make up tissues and organs in our bodies, for example the heart and liver. If our cells do not have enough energy, the tissues or organs do not work properly. In much the same way, if power stations do not produce enough energy there will be areas of blackout, where parts of the country cannot function.

What Is Mitochondrial Disease?

When a person has Mitochondrial Disease, the mitochondria in the cells are not producing enough energy. Sometimes they are not very efficient or they do not work at all.

There is huge variety in the symptoms and severity of Mitochondrial Disease. It depends on how many cells are affected and where they are in the body.

Every person with Mitochondrial Disease is affected differently. Each individual affected will have a different combination of mitochondria that are working and not working within each cell.

However, there are times when particular body systems are affected in a recognisable pattern and these have specific names, for example Alper's disease, Leigh’s disease, MELAS or MERRF.

The parts of the body commonly affected are those that have the highest energy demands, such as brain, muscle, liver, heart and kidney. When these systems are effected Mitochondrial Disease is usually progressive.

Available Treatments

Unfortunately, there is no cure for Mitochondrial Disease at present.

Treatment is usually supportive, relieving the symptoms that can develop, for example, treating seizures with medication.

Doctors can also try to make energy production more efficient, using co-factors and vitamins. Examples of these are Ubiquinone (Coenzyme Q10), Thiamine and Riboflavin.

Some people find that using a special diet can help and this varies depending on which part of the energy production process is affected. However, this should only be tried with guidance from your metabolic team.

Any metabolic stress on the body, for example an illness, has the potential to cause a worsening or progression of Mitochondrial Disease. This maybe due to the cells not being able to cope with the extra demand put upon them.

It is difficult to live in a world where all potential metabolic stresses are removed. Therefore, it is important to be aware of these risks so that early medical advice and treatment of any illness can be started.

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