Abstract
Mitochondrial depletion syndromes (MDS) are a class of mitochondrial diseases characterized by reduction of mitochondrial DNA (mtDNA) content in muscle and/or liver as well as encephalomyopathy or hepatoencephalopathy. Mutations in SUCLG1 or SUCLA2, which encode the a and the ADP-specific b isoforms, respectively, of Succinyl-CoA Synthetase (SCS) and cause MDS associated with mild methylmalonic acidemia. SCS deficiency is speculated to cause mtDNA depletion through perturbation of mitochondrial nucleotide pools by disruption of its interaction with mitochondrial nucleotide diphosphate kinase (NDPK). Development and study of models of SCS deficiency are required to better understand the pathogenesis of SCS-dependent MDS and to develop novel therapeutic approaches.
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