Related Experiment Video
Updated: Jul 7, 2025

Author Spotlight: Bidirectional Mitochondrial Transfer between MSCs and Retinal Pigment Epithelium Cells — Pathways and In Vivo Challenges
Published on: October 4, 2024
MELAS-Derived Neurons Functionally Improve by Mitochondrial Transfer from Highly Purified Mesenchymal Stem Cells
Lu Liu1, Jiahao Yang1, Yoshinori Otani2
1Department of Pediatrics, Faculty of Medicine, Shimane University, 89-1 Enya-cho, Izumo 693-8501, Japan.
Abstract:
Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode (MELAS) syndrome, caused by a single base substitution in mitochondrial DNA (m.3243A>G), is one of the most common maternally inherited mitochondrial diseases accompanied by neuronal damage due to defects in the oxidative phosphorylation system. There is no established treatment. Our previous study reported a superior restoration of mitochondrial function and bioenergetics in mitochondria-deficient cells using highly purified mesenchymal stem cells (RECs). However, whether such exogenous mitochondrial donation occurs in mitochondrial disease models and whether it plays a role in the recovery of pathological neuronal functions is unknown. Here, utilizing induced pluripotent stem cells (iPSC), we differentiated neurons with impaired mitochondrial function from patients with MELAS. MELAS neurons and RECs/mesenchymal stem cells (MSCs) were cultured under contact or non-contact conditions. Both RECs and MSCs can donate mitochondria to MELAS neurons, but RECs are more excellent than MSCs for mitochondrial transfer in both systems. In addition, REC-mediated mitochondrial transfer significantly restored mitochondrial function, including mitochondrial membrane potential, ATP/ROS production, intracellular calcium storage, and oxygen consumption rate. Moreover, mitochondrial function was maintained for at least three weeks. Thus, REC-donated exogenous mitochondria might offer a potential therapeutic strategy for treating neurological dysfunction in MELAS.
Insights
Highly purified mesenchymal stem cells (RECs) can donate functional mitochondria to neurons affected by MELAS syndrome. This mitochondrial transfer shows promise as a therapeutic strategy for neurological dysfunction in MELAS.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Stem Cell Therapy
Background:
- Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episode (MELAS) syndrome is a common inherited mitochondrial disease causing neuronal damage.
- Current treatments for MELAS are limited, highlighting the need for novel therapeutic approaches.
- Previous research indicated mesenchymal stem cells (RECs) can restore mitochondrial function in deficient cells.
Purpose of the Study:
- To investigate if exogenous mitochondria can be donated to MELAS neurons.
- To determine the efficacy of RECs versus mesenchymal stem cells (MSCs) in mitochondrial transfer.
- To assess the functional recovery of MELAS neurons following mitochondrial donation.
Main Methods:
- Neurons with impaired mitochondrial function were generated from MELAS patients using induced pluripotent stem cells (iPSCs).
- MELAS neurons were co-cultured with RECs and MSCs under both contact and non-contact conditions.
- Mitochondrial function was assessed by measuring membrane potential, ATP/ROS production, calcium storage, and oxygen consumption.
Main Results:
- Both RECs and MSCs successfully donated mitochondria to MELAS neurons, with RECs demonstrating superior transfer efficiency.
- REC-mediated mitochondrial transfer significantly restored key mitochondrial functions in MELAS neurons.
- Improved mitochondrial function was sustained for at least three weeks post-transfer.
Conclusions:
- Exogenous mitochondria, particularly from RECs, can be effectively transferred to MELAS neurons.
- REC-mediated mitochondrial donation shows potential as a therapeutic strategy for MELAS-associated neurological dysfunction.
- This study provides evidence for mitochondrial transfer as a viable approach for treating inherited mitochondrial diseases.
More Related Videos
Related Concept Videos
Mesenchymal Stem Cells
Satellite Stem Cells and Muscular Dystrophy

