The prevailing notion that mitochondrial diseases arise from ATP deficiency is challenged by recent evidence that oxidative phosphorylation defects trigger maladaptive stress responses consuming excess energy. We argue that this chronic state of hypermetabolism imposes energetic constraints, thus causing mitochondrial disease pathophysiology, calling for careful translational studies from organelle to organism.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
High mitochondrial DNA content is a key determinant of stemness, proliferation, cell migration, and cancer metastasis in vivo
Cell Death & Disease Open Access 11 October 2024
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Argov, Z., Bank, W. J., Maris, J., Peterson, P. & Chance, B. Neurology 37, 257–262 (1987).
Sturm, G. et al. Commun. Biol. 6, 22 (2023).
Taivassalo, T. et al. Brain 126, 413–423 (2003).
Sharma, R. et al. J. Clin. Invest. 131, e136055 (2021).
Sercel, A. J. et al. Preprint at bioRxiv https://doi.org/10.1101/2023.09.09.556754 (2023).
Desdín-Micó, G. et al. Science 368, 1371–1376 (2020).
Forsström, S. et al. Cell Metab. 30, 1040–1054.e7 (2019).
Ost, M. et al. EMBO Rep. 21, e48804 (2020).
Losa, J. et al. Mol. Syst. Biol. 18, e10822 (2022).
Barends, M. et al. JIMD Rep. 26, 103–113 (2016).
Bobba-Alves, N., Juster, R. P. & Picard, M. Psychoneuroendocrinology 146, 105951 (2022).
Speakman, J. R. et al. Cell Rep. Med. 2, 100203 (2021).
Desousa, B. R. et al. EMBO Rep. 24, e56380 (2023).
Crosswell, A. D. et al. Psychol. Rev. https://doi.org/10.1037/rev0000453 (2023).
Naviaux, R. K. Mitochondrion 70, 131–163 (2023).
Acknowledgements
Work of the authors is partly supported by NIH grants P30-DK26687 to D.G., R35HL155670 and R01HL142648 to M.P.S.O., R01MH122706, R01AG066828, R01MH119336, the Wharton Fund, and the Baszucki Brain Research Fund to M.P.
Author information
Authors and Affiliations
Contributions
A.J.S. and M.P. conceived the model and prepared the manuscript. G.S., D.G., M.P.S.O., C.P.K., H.P. and M.H. made substantial conceptual and editorial contributions to the final article.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Sercel, A.J., Sturm, G., Gallagher, D. et al. Hypermetabolism and energetic constraints in mitochondrial disorders. Nat Metab 6, 192–195 (2024). https://doi.org/10.1038/s42255-023-00968-8
Published:
Issue Date:
DOI: https://doi.org/10.1038/s42255-023-00968-8