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Updated: Aug 15, 2026

Simultaneous Mapping and Quantitation of Ribonucleotides in Human Mitochondrial DNA
Published on: November 14, 2017
A brief review on human mtDNA mutations and NRTI-associated mtDNA toxicity and mutations
Koushik Chattopadhyay1, Colleen Aldous1
1a Clinical Medicine Laboratory , School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal , Durban , Republic of South Africa.
Abstract:
Mitochondrion is a cellular organelle that is present in most of the cells and is responsible for producing energy for the cell. Mitochondria have their own double-stranded DNA genome which is distinct from nuclear genome. The replication, recombination and repair of mtDNA are achieved by DNA polymerase-gamma which is encoded by POLG gene. Mutation in the mtDNA or POLG gene might lead to mitochondrial dysfunction and disease. Several mutations and polymorphisms in these regions have been associated to mitochondrial disorders. Nuceloside and nucelotide reverse transcriptase inhibitors (NRTIs) that form the basis of AIDS therapy have significantly increased the survival rate of HIV-infected individuals predisposing them to other side effects. One of the most common side effects of NRTI usage is mitochondrial toxicity leading to several mitochondrial disorders. Mutations in mtDNA have also been associated to the use of specific NRTIs leading to specific mitochondrial disorders. This review briefly summarizes the advances in mtDNA mutations and NRTI-caused mitochondrial toxicity and mutations.
Insights
Mitochondrial DNA (mtDNA) mutations and POLG gene variations can cause mitochondrial disorders. Certain AIDS therapies (NRTIs) can induce mitochondrial toxicity and specific mtDNA mutations.
Area of Science:
- Cell Biology
- Genetics
- Pharmacology
Background:
- Mitochondria generate cellular energy and possess their own DNA (mtDNA).
- DNA polymerase-gamma, encoded by POLG, is crucial for mtDNA maintenance.
- mtDNA mutations or POLG gene defects can lead to mitochondrial dysfunction and disease.
Purpose of the Study:
- To review advances in understanding mtDNA mutations.
- To summarize NRTI-induced mitochondrial toxicity and associated mutations.
Main Methods:
- Literature review of studies on mtDNA mutations.
- Analysis of research on NRTI-induced mitochondrial toxicity.
- Examination of genetic associations between NRTIs and mitochondrial disorders.
Main Results:
- mtDNA mutations and POLG gene variations are linked to mitochondrial disorders.
- Nucleoside and nucleotide reverse transcriptase inhibitors (NRTIs) used in AIDS therapy can cause mitochondrial toxicity.
- Specific NRTIs are associated with distinct mtDNA mutations and mitochondrial disorders.
Conclusions:
- Understanding mtDNA mutations and NRTI-induced toxicity is vital for managing HIV patients.
- Further research is needed to mitigate NRTI side effects and treat mitochondrial disorders.
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