Linda Crampton is a writer and former teacher with a first-class honors degree in biology. She writes about the scientific basis of disease.
What Are Mitochondria?
Mitochondria are very important organelles in our cells. They produce the majority of the energy that our cells need in order to function. Without mitochondria, we couldn’t survive. The energy that they produce is temporarily stored in ATP (adenosine triphosphate) molecules. These travel to wherever they are needed and release energy as required.
Mitochondria have another important characteristic. In human and animal cells, they’re the only location of DNA outside the nucleus. An error in mitochondrial DNA or in the nuclear DNA that controls the mitochondria can have mild to serious consequences in our bodies. The damage can stop the organelles from working properly and cause hundreds of different disorders. These disorders are collectively known as mitochondrial diseases. It's thought that about one in four thousand people in the United States have one of these diseases.
Unusual Organelles and a Possible Origin
Mitochondria are unusual organelles. They contain extranuclear DNA, and in addition the DNA molecules are circular. Most of the DNA in humans, other animals, and plants is located in the nucleus of a cell and is linear. Another unusual feature of mitochondria is that they can reproduce independently of the cell that contains them. A human cell may contain hundreds or even thousands of the organelles.
Bacteria also have circular DNA. A popular scientific theory says that millions of year ago, mitochondria were independent, bacteria-like organisms. At some point in time, the organisms were engulfed by a larger cell. Instead of being destroyed, the trapped organisms survived and became a permanent part of their host. They received nutrients from the host cell and in turn made ATP molecules that the host used. This type of relationship is called endosymbiosis—a situation in which two organisms live together and interact with each other, with one organism living inside the other.
According to the prevailing theory, when the host cell divided to make new cells, some of the organisms that resembled today’s mitochondria went into each of the daughter cells. The process repeated in each generation.
Nuclear DNA and Genes
DNA is the abbreviation for deoxyribonucleic acid. The forty-six DNA molecules in the nucleus of our cells are combined with protein to make structures called chromosomes. The deoxyribonucleic acid in the chromosomes contains encoded instructions for making our body and controlling how it works. (Additional factors influence these functions.) The code "tells" a cell to make specific proteins needed for life. A gene is a section of a DNA molecule that codes for one particular protein.
The nucleus of every cell in our bodies contains the same DNA and the same genetic instructions, with the exception of differences due to mutated genes. Egg and sperm cells are another exception, since they contain only twenty-three chromosomes. Different genes are active in different parts of the body.
DNA can’t leave the nucleus, so it requires help in the process of making proteins. A molecule called RNA or ribonucleic acid is made from the genetic code. Messenger RNA transports the instructions from the DNA to the ribosomes outside the nucleus. Here the proteins are produced.
Mitochondrial DNA is also known as mtDNA. The reported number of mtDNA molecules in a mitochondrion is highly variable. The number varies from one molecule to many more. Each molecule contains thirty-seven genes, which are all involved in controlling mitochondrial processes and chemical manufacture within the organelle.
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The DNA molecules in the nucleus contain about 20,000 to 25,000 genes. About 1500 of these genes control the function of the mitochondria. According to one theory, the genes migrated to the nucleus from the organisms that became mitochondria.
Mutations (changes) in mitochondrial DNA or in the nuclear genes that affect the mitochondia can result in a mitochondrial disease. A huge number of biological processes and chemical reactions are constantly occurring in our cells and in the tissues and organs that they form. Many of these processes require added energy, so malfunctioning mitochondria may sometimes have serious and widespread effects in our bodies. Some ATP molecules can be made outside the mitochondria, but not enough are produced in this location to keep us alive.
Inheritance of Mitochondria and Mutated Genes
A person's mitochondria are inherited from his or her mother. During fertilization, the sperm penetrates the egg. The genetic material of the egg and sperm join, but the rest of the sperm—including its mitochondria —disintegrates. The egg contains the mitochondria that the baby will inherit.
Once the process of fertilization has finished, the egg is known as a zygote. This is the first cell of the new individual. If the egg's mitochondria contained mutated DNA, the zygote's will as well.
The zygote contains genetic material from both the mother and the father. If the genes controlling the mitochondria are mutated in either of these sources, the zygote will inherit them.
Inheritance of a Mitochondrial Disease
Unfortunately, although it's sometimes possible to predict the probabilty that a child will inherit mutated genes related to mitochondrial disease, it's not always possible to predict the effect of this inheritance. There are many variables involved.
Mitochondrial Gene Mutations
If the mitochondria in the zygote contain a mutation, the child that develops may experience no symptoms, mild symptoms, or serious ones. If only some of the mitochondria in a zygote contain a mutation, the child will contain a mixture of normal and mutated organelles. This may affect the symptoms that he or she experiences.
The nature of the mutations and the parts of the body where mitochondria with specific mutations are located will also affect the symptoms. When a cell divides to make new cells during the production of a baby, a selection of mitochondria go to each daughter cell instead of a complete set. The distribution of the mitochondria appears to be random. This means that we can't predict where specific versions of the organelles will end up.
Nuclear Gene Mutations
When parents have mutations in the nuclear genes controlling the mitochondria, the effects on the offspring are variable. They depend on the nature of the mutations and on whether one or both parents have a mutation. A child may be ill, healthy but a carrier of a gene for mitochondrial disease, or healthy and not a carrier.
Primary and Secondary Disease
An inherited mitochondrial problem is present at birth and is known as a primary condition. If this problem produces symptoms, they may appear immediately after birth. They may not appear until later, however. They may even be delayed until adulthood, as they were for the patient in the video above.
Mitochondrial dysfunction may develop during a person's lifetime without the presence of a relevant mutation. This condition is known as secondary mitochondrial disease. One cause of the condition is exposure to toxins that enter the body from the outside or are made inside the body. If the toxins damage the mitochondria, organelle dysfunction may develop. The condition may also arise after a serious health problem such as a heart attack or as a result of the aging process.
The following symptoms are not unique to mitochondrial disease but may also appear due to other illnesses. It's more likely—but not necessarily the case—that a mitochondrial disorder is responsible for the symptoms if they involve several organ systems.
Effects of the disease may include one or more of the following:
- vision or hearing problems
- learning and developmental problems
- heart, kidney, or liver problems
- gastrointestinal problems
- respiratory problems
- neurological problems and seizures
- thyroid problems
- poor growth
A combination of medical tests are generally necessary before a doctor will diagnose a mitochondrial disease. These tests are often performed or ordered by a specialist and may involve a muscle biopsy.
Patients’ symptoms can range from mild to severe, involve one or more organs and can occur at any age. Even patients within the same family who have the same mitochondrial disease can have differences in symptoms, severity and age of onset.
— Cleveland Cliinic (with respect to mitochondrial disease)
Some Possible Treatments
Many mitochondrial diseases have been described and named, but researchers say that there are almost certainly many additional ones that haven't yet been discovered. There is growing evidence that mitochondrial malfunction is not a rare disorder and is involved in some diseases of aging and perhaps even in the aging process itself.
At the present time, mitochondrial diseases can't be cured. They can often be helped by treating the symptoms, however. For example, anticonvulsant medications can help seizures and physical therapy can help movement problems. Parenteral nutrition (a process in which nutrients are provided intravenously) can replace conventional ingestion and digestion, which require energy. Dietary therapy may be helpful, depending on the specific version of the disease that is diagnosed. Specific supplements may be useful for some patients.
It's important for a person with a mitochondrial disease to get enough rest. Avoiding physiological stress that requires energy to remove, such as exposure to very high or very low temperatures, infections, or toxins, is also very important.
Doctors and other health professionals will probably have a variety of suggestions for helping patients and will likely be a valuable resource. In addition, they should know about the latest research related to the nature and treatment of mitochondrial disease.
The Importance of Further Research
At the moment, mitochondrial disease can be frustrating for patients, their families, and their doctors. It's a complex, poorly understood condition that's hard to recognize. The good news is that researchers are becoming more aware of the significance of the disease and are investigating ways to help patients. A recent report from the Children’s Hospital of Philadelphia illustrates this fact. The researchers performed an experiment involving groups of lab animals with a mitochondrial respiratory chain disorder. The scientists found that the administration of three specific chemicals was helpful for the animals. Hopefully, we will soon have additional ways to help people with malfunctioning mitochondria.
- Mitochondria facts from the Mitochondrial Biology Unit, University of Cambridge
- Information about mitochondrial DNA from the U.S. National Library of Medicine
- Facts about mitochondrial disease (Mito FAQ) from Mitoaction (an organization that supports people who have a mitochondrial disease)
- Mitochondria information and health problems from the London Health Sciences Centre in Ontario
- Mitochondrial Genetic Disorders from the National Institutes of Health
- Information about mitochondrial disease from the Cleveland Clinic
- Therapies for managing mitochondrial disease from the Medical Xpress news service (A report from the Children’s Hospital of Philadelphia)
This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.
© 2012 Linda Crampton
Linda Crampton (author) from British Columbia, Canada on August 14, 2012:
Thank you, drbj. I appreciate your kind comments so much!
drbj and sherry from south Florida on August 14, 2012:
It is not easy nor simple, Alicia, to write an explanatory hub that is not only easy to read but rife with so much information. Brava, you have done just that with the subject of mitochondrial DNA and allied disorders.
Linda Crampton (author) from British Columbia, Canada on August 13, 2012:
Hi, Tom. I appreciate the comment and the vote! Thank you for the visit.
Thomas Silvia from Massachusetts on August 13, 2012:
Hi my friend, WOW this is all great and interesting information in this well written hub that i did not know before. Thanks so much for helping me understand and learn more about this .
Vote up and more !!!
Linda Crampton (author) from British Columbia, Canada on August 13, 2012:
Thank you so much for the wonderful comment, the votes and the share, Seeker7!!! I appreciate them all very much. I enjoyed writing this hub and doing research for it, as I always do, but this time the research touched me deeply. Some of the videos of serious mitochondrial disease sufferers on You Tube - especially of the children - are heartrending. Our mitochondria are such a major part of our existence and could be involved in far more illnesses that we realize. I think that research into mitochondrial diseases should be given a much higher priority.
Helen Murphy Howell from Fife, Scotland on August 13, 2012:
This is awesome and fascinating - I wish I had better adjectives to described this wonderful hub. I had no idea that you could have DNA that was circular? I find this mind blowing!! As a nurse you learn a little about the cell and it's workings, but I think your hub just highlights how badly our learning on this subject falls short.
I listenend with great interest to the physician who had to go through such a horrible 6 years until she was given a proper diagnosis. It really angers me how many people are fobbed of, basically because many of the those practising medicine haven't a clue. It's the classic case of - if it isn't written down in some dam science book they read at uni., then it doesn't exist - the patient just has to be nuts or imagining it etc. I'm glad she kept pushing and hopefully it will give many others the courage to keep going as well until the get the proper diagnosis that will hopefully, help them to get their lives back.
This was voted up everything, except funny + shared. I loved this awesome hub!!
Linda Crampton (author) from British Columbia, Canada on August 13, 2012:
Thanks for the visit and the comment, shara63. I hope very much that new discoveries are made very soon, too. Some people have a horrible experience with mitochondrial disease.
Farhat from Delhi on August 12, 2012:
wonderful information...i wish more new discoveries in this direction are made and facilitate the sufferers to resolve their mitochondrial problems very soon!
Linda Crampton (author) from British Columbia, Canada on August 12, 2012:
Thank you for the comment, reviewblog. Mitochondrial disease has suffered from a lack of publicity in the past, but organizations and individuals are working hard to change this. Many more people may be suffering from a mitochondrial problem than those who are currently diagnosed.
reviewblog on August 12, 2012:
thannks for this info i never knew Mitochondrial can occur and the uteria of the sickness