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<title>Saudi Pharmaceutical Journal August 2022</title>
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<place><placeTerm type="text">Arab Saudi</placeTerm></place>
<publisher>University of Jeddah</publisher>
<dateIssued>2021</dateIssued>
<issuance>monographic</issuance>
<edition>August 2022</edition>
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<languageTerm type="text">Indonesia</languageTerm>
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<note>abstract
Mitochondria are double-membraned cytoplasmic organelles that are responsible for the production of
energy in eukaryotic cells. The process is completed through oxidative phosphorylation (OXPHOS) by
the respiratory chain (RC) in mitochondria. Thousands of mitochondria may be present in each cell,
depending on the function of that cell. Primary mitochondria disorder (PMD) is a clinically heterogeneous
disease associated with germline mutations in mitochondrial DNA (mtDNA) and/or nuclear DNA (nDNA)
genes, and impairs mitochondrial structure and function. Mitochondrial dysfunction can be detected in
early childhood and may be severe, progressive and often multi-systemic, involving a wide range of
organs. Understanding epigenetic factors and pathways mutations can help pave the way for developing
an effective cure. However, the lack of information about the disease (including age of onset, symptoms,
clinical phenotype, morbidity and mortality), the limits of current preclinical models and the wide range
of phenotypic presentations hamper the development of effective medicines. Although new therapeutic

approaches have been introduced with encouraging preclinical and clinical outcomes, there is no defini-
tive cure for PMD. This review highlights recent advances, particularly in children, in terms of etiology,

pathophysiology, clinical diagnosis, molecular pathways and epigenetic alterations. Current therapeuticapproaches, future advances and proposed new therapeutic plans will also be discussed.</note>
<subject authority=""><topic>Gene editing</topic></subject>
<subject authority=""><topic>Epigenetic alterations</topic></subject>
<subject authority=""><topic>Mitochondrial diseases</topic></subject>
<subject authority=""><topic>Nanomedicine</topic></subject>
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<physicalLocation>PERPUSTAKAAN SEKOLAH TINGGI ILMU KESEHATAN SAMARINDA REPOSITORY</physicalLocation>
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