Mitochondrial myopathy biomarkers
Marco Refrigeri1, Alessandra Tola1, Rosangela Mogavero1
1Clinical Pathology Department, Vannini Hospital, Rome, Italy.
Advances in Clinical Chemistry
|May 29, 2026
Summary
Mitochondrial myopathies are complex genetic disorders affecting multiple organs due to mitochondrial dysfunction. This review explores biomarkers to improve diagnosis and patient outcomes for these energy metabolism diseases.
Area of Science:
- Biochemistry
- Genetics
- Cell Biology
Background:
- Mitochondrial myopathies are heterogeneous genetic disorders caused by impaired mitochondrial function, affecting energy production and multiple organ systems.
- Beyond bioenergetics, mitochondrial dysfunction impacts biosynthesis, calcium homeostasis, and signaling, contributing to disease complexity and heterogeneity.
- Current diagnostic delays highlight the urgent need for reliable biomarkers in mitochondrial myopathies.
Purpose of the Study:
- To critically evaluate existing and novel biomarkers for mitochondrial myopathies.
- To propose a diagnostic framework to enhance accuracy and streamline patient care.
- To facilitate timely access to treatments and genetic counseling for affected individuals.
Main Methods:
- Comprehensive literature review of current and emerging biomarkers for mitochondrial myopathies.
- Analysis of the pathophysiological roles of mitochondria beyond energy production.
- Development of a proposed diagnostic framework integrating biomarker data.
Main Results:
- Mitochondrial dysfunction has widespread cellular consequences beyond ATP production, contributing to disease heterogeneity.
- Existing biomarkers show promise, but a standardized approach is lacking.
- The proposed framework aims to integrate biomarker data for improved diagnostic accuracy.
Conclusions:
- Reliable biomarkers are essential for accurate and timely diagnosis of mitochondrial myopathies.
- A strategic diagnostic framework can reduce delays and improve patient management.
- Further research into mitochondrial pathophysiology and biomarker development is crucial.


