2016
DOI: 10.1126/science.aad9642
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Hypoxia as a therapy for mitochondrial disease

Abstract: Defects in the mitochondrial respiratory chain (RC) underlie a spectrum of human conditions, ranging from devastating inborn errors of metabolism to aging. We performed a genome-wide, Cas9-mediated screen to identify factors that are protective during RC inhibition. Our results highlight the hypoxia response, an endogenous program evolved to adapt to limiting oxygen availability. Genetic or small molecule activation of the hypoxia response is protective against mitochondrial toxicity in cultured cells and zebr… Show more

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Cited by 346 publications
(358 citation statements)
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“…On the other hand, several studies have demonstrated a beneficial effect of reduced mitochondrial activity. For example, in a recent study, the cellular hypoxia response was activated in cell lines, in zebrafish, and in mice via pharmacological and genetic manipulations or via exposure to low oxygen levels (33). The hypoxia response caused a shift to glycolytic energy metabolism and provided neuroprotection in a mouse model of Leigh syndrome, a genetic defect of respiratory chain function.…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, several studies have demonstrated a beneficial effect of reduced mitochondrial activity. For example, in a recent study, the cellular hypoxia response was activated in cell lines, in zebrafish, and in mice via pharmacological and genetic manipulations or via exposure to low oxygen levels (33). The hypoxia response caused a shift to glycolytic energy metabolism and provided neuroprotection in a mouse model of Leigh syndrome, a genetic defect of respiratory chain function.…”
Section: Discussionmentioning
confidence: 99%
“…Genetic or small-molecule activation of the hypoxia response is, therefore, protective against mitochondrial toxicity (150).…”
Section: Perspectivesmentioning
confidence: 99%
“…Although our ability to obtain a genetic diagnosis has vastly improved (see below), there remains little in the way of effective treatment. Several treatment approaches have been successful in animal models (11,23,46,47,104), but there is little evidence that this has progressed to effective clinical trials in humans. The lack of effective treatment highlights the importance of developing methods to prevent transmission of mitochondrial disease.…”
Section: Mitochondrial Diseasementioning
confidence: 99%