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Genetic Testing : A Case Study

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Due to the long list of symptoms, lack of accurate testing and insufficient specialty doctors available, these diseases are difficult to diagnose. As there is no definitive testing or the available tests are not considered to be accurate, there are many research groups focused on determining various markers for mitochondrial dysfunction. Genetic testing shows significant promise in diagnostic testing, but it lacks high-throughput screening capabilities. As mitochondria function is affected, either the enzymes involved or the intermediates participating in various metabolic pathways like Citric Acid cycle, β-oxidation or oxidative phosphorylation are being targeted as markers for mitochondrial dysfunction. However, for many of these …show more content…

[1] One of the key energy-associated pathways, the Citric Acid Cycle (CAC), is in the mitochondrial matrix, whereas the final common pathway for energy production, the electron transport chain (ETC), is located on the inner mitochondrial membrane. The number of mitochondria in each cell depends on the cellular energy demands. Low-energy cells, such as skin cells, have fewer mitochondria, whereas cells that require high-energy demands, such as muscle, brain, and GI cells possess many mitochondria. Mitochondria are only organelles which have their own genome which is called as mitochondrial DNA (mtDNA), that is independent of the nuclear DNA (nDNA) present in all the cells. For oxidative phosphorylation pathway, the enzymes involved are coded by both mtDNA and nDNA, while the other mitochondrial enzymes are coded by the only nDNA. [2] It is important to note that mtDNA is not protected by histones as observed in nDNA wherein the histones provide a shield for nDNA protecting it from damaging free radicals and crucial for repairing double stranded DNA breaks. Due to the absence of histones, mtDNA is very susceptible to free radical damage (by Reactive Oxygen Species). [3] B.1.2. Functions of Mitochondria As mitochondria are present in every cell (except RBC), the main function of mitochondria is generating ATP (energy currency) via oxidative metabolism of tricarboxylic acid cycle,

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