Evidence map›Paper›PMID 22608879›Full record

ArticleMolecular genetics and metabolism2012

In vitro supplementation with deoxynucleoside monophosphates rescues mitochondrial DNA depletion.

Stefanie Bulst, Elke Holinski-Feder, Brendan Payne, Angela Abicht, Sabine Krause, Hanns Lochmüller, Patrick F Chinnery, Maggie C Walter, Rita Horvath

Registry-linked trialAbstract read
In one paragraph

Article in Molecular genetics and metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04802707 (A Phase II, Monocenter, Single Arm Study To Assess The Safety and Efficacy Of Combination Deoxycytidine and Deoxythymidine For Mitochondrial Depletion Disorders), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04802707 phase2recruitingnot on this mapstarted 2021, after this paper: background citation

A Phase II, Monocenter, Single Arm Study To Assess The Safety and Efficacy Of Combination Deoxycytidine and Deoxythymidine For Mitochondrial Depletion Disorders

TypeinterventionalSponsorKenneth Myers, MDRan2021 to 2029Enrolled200ConditionsMitochondrial Diseases, Mitochondrial Encephalomyopathy, Mitochondrial Encephalopathy, Mitochondrial DNA DepletionArmsdeoxycytidine and deoxythymidine
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Therapies for Mitochondrial Disease: Past, Present, and Future.Journal of inherited metabolic disease · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Genes · 2021
    Review
  12. Article
  13. Therapy Prospects for Mitochondrial DNA Maintenance Disorders.International journal of molecular sciences · 2021
    Review
  14. The natural history of infantile mitochondrial DNA depletion syndrome due to RRM2B deficiency.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  15. Article
  16. Towards a therapy for mitochondrial disease: an update.Biochemical Society transactions · 2018
    Review
  17. Review
  18. Article
  19. Review
  20. Mitochondrial DNA depletion syndromes: review and updates of genetic basis, manifestations, and therapeutic options.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Stefanie BulstMedical Genetic Center, Munich, Germany.
Elke Holinski-Feder
Brendan Payne
Angela Abicht
Sabine Krause
Hanns Lochmüller
Patrick F Chinnery
Maggie C Walter
Rita Horvath
Newcastle University · GBFriedrich Baur Stiftung · DELudwig-Maximilians-Universität München · DEMedical Genetics Center · DE

Funding

Department of Health NEWBRC-2012-1Medical Research Council G0800470Medical Research Council G1000848Wellcome Trust 071095Wellcome Trust 084980Wellcome Trust 096919Wellcome Trust 101876
6 · The paper itself

Abstract

Mitochondrial DNA depletion syndromes are a genetically heterogeneous group of often severe diseases, characterized by reduced cellular mitochondrial DNA content. Investigation of potential therapeutic strategies for mitochondrial DNA depletion syndromes will be dependent on good model systems. We have previously suggested that myotubes may be the optimal model system for such studies. Here we firstly validate this technique in a diverse range of cells of patients with mitochondrial DNA depletion syndromes, showing contrasting effects in cell lines from genetically and phenotypically differing patients. Secondly, we developed a putative therapeutic approach using variable combinations of deoxynucleoside monophosphates in different types of mitochondrial DNA depletion syndromes, showing near normalization of mitochondrial DNA content in many cases. Furthermore, we used nucleoside reverse transcriptase inhibitors to precisely titrate mtDNA depletion in vitro. In this manner we can unmask a physiological defect in mitochondrial depletion syndrome cell lines which is also ameliorated by deoxynucleoside monophosphate supplementation. Finally, we have extended this model to study fibroblasts after myogenic transdifferentiation by MyoD transfection, which similar to primary myotubes also showed deoxynucleoside monophosphate responsive mitochondrial DNA depletion in vitro, thus providing a more convenient method for deriving future models of mitochondrial DNA depletion. Our results suggest that using different combinations of deoxynucleoside monophosphates depending on the primary gene defect and molecular mechanism may be a possible therapeutic approach for many patients with mitochondrial DNA depletion syndromes and is worthy of further clinical investigation.

Indexed as

Cell LineCell TransdifferentiationDeoxyribonucleotidesDNA, MitochondrialGene DosageHumansMitochondriaMuscle Fibers, SkeletalMutationMyoblastsReverse Transcriptase InhibitorsDeoxyribonucleotidesDNA, MitochondrialReverse Transcriptase Inhibitors

Identifiers

PMID22608879
PMCPMC4038513
OpenAlexW2064958441

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.