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Updated: Apr 15, 2026

Modeling Mitochondrial Disease Using Brain Organoids: A Focus on Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes
Published on: October 10, 2025
Impaired respiratory function in MELAS-induced pluripotent stem cells with high heteroplasmy levels
Masaki Kodaira1, Hideyuki Hatakeyama2, Shinsuke Yuasa1
1Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
Abstract:
Mitochondrial diseases are heterogeneous disorders, caused by mitochondrial dysfunction. Mitochondria are not regulated solely by nuclear genomic DNA but by mitochondrial DNA. It is difficult to develop effective therapies for mitochondrial disease because of the lack of mitochondrial disease models. Mitochondrial myopathy, encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) is one of the major mitochondrial diseases. The aim of this study was to generate MELAS-specific induced pluripotent stem cells (iPSCs) and to demonstrate that MELAS-iPSCs can be models for mitochondrial disease. We successfully established iPSCs from the primary MELAS-fibroblasts carrying 77.7% of m.3243A>G heteroplasmy. MELAS-iPSC lines ranged from 3.6% to 99.4% of m.3243A>G heteroplasmy levels. The enzymatic activities of mitochondrial respiratory complexes indicated that MELAS-iPSC-derived fibroblasts with high heteroplasmy levels showed a deficiency of complex I activity but MELAS-iPSC-derived fibroblasts with low heteroplasmy levels showed normal complex I activity. Our data indicate that MELAS-iPSCs can be models for MELAS but we should carefully select MELAS-iPSCs with appropriate heteroplasmy levels and respiratory functions for mitochondrial disease modeling.
Insights
Researchers generated induced pluripotent stem cells (iPSCs) from patients with mitochondrial myopathy, encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS). These MELAS-iPSCs serve as valuable models for studying mitochondrial diseases.
Area of Science:
- Genetics and Genomics
- Cell Biology
- Biomedical Research
Background:
- Mitochondrial diseases stem from mitochondrial dysfunction, impacting cellular energy production.
- These disorders arise from mutations in both nuclear and mitochondrial DNA, complicating therapeutic development.
- Effective disease models are crucial for understanding and treating mitochondrial disorders.
Purpose of the Study:
- To generate induced pluripotent stem cells (iPSCs) specific to Mitochondrial Myopathy, Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes (MELAS).
- To validate the utility of these MELAS-iPSCs as disease models for mitochondrial dysfunction.
- To investigate the correlation between heteroplasmy levels and cellular function in MELAS-iPSC derivatives.
Main Methods:
- Established induced pluripotent stem cells (iPSCs) from MELAS patient-derived fibroblasts.
- Quantified the m.3243A>G heteroplasmy levels across established MELAS-iPSC lines.
- Assessed the enzymatic activity of mitochondrial respiratory chain complexes in differentiated MELAS-iPSC-derived fibroblasts.
Main Results:
- Successfully generated MELAS-iPSC lines with a wide range of m.3243A>G heteroplasmy (3.6% to 99.4%).
- MELAS-iPSC-derived fibroblasts with high heteroplasmy exhibited significant Complex I deficiency.
- MELAS-iPSC-derived fibroblasts with low heteroplasmy maintained normal Complex I activity.
Conclusions:
- MELAS-specific iPSCs are viable models for studying MELAS and other mitochondrial diseases.
- Careful selection of MELAS-iPSCs based on heteroplasmy levels and respiratory function is essential for accurate disease modeling.
- This study provides a foundation for developing targeted therapies for mitochondrial disorders using patient-specific iPSC models.
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