RT Journal Article T1 Advances in mt-tRNA Mutation-Caused Mitochondrial Disease Modeling: Patients' Brain in a Dish. A1 Povea-Cabello, Suleva A1 Villanueva-Paz, Marina A1 Suárez-Rivero, Juan M A1 Álvarez-Córdoba, Mónica A1 Villalón-García, Irene A1 Talaverón-Rey, Marta A1 Suárez-Carrillo, Alejandra A1 Munuera-Cabeza, Manuel A1 Sánchez-Alcázar, José A K1 direct reprogramming K1 disease modeling K1 induced neurons K1 mitochondrial diseases K1 mtDNA AB Mitochondrial diseases are a heterogeneous group of rare genetic disorders that can be caused by mutations in nuclear (nDNA) or mitochondrial DNA (mtDNA). Mutations in mtDNA are associated with several maternally inherited genetic diseases, with mitochondrial dysfunction as a main pathological feature. These diseases, although frequently multisystemic, mainly affect organs that require large amounts of energy such as the brain and the skeletal muscle. In contrast to the difficulty of obtaining neuronal and muscle cell models, the development of induced pluripotent stem cells (iPSCs) has shed light on the study of mitochondrial diseases. However, it is still a challenge to obtain an appropriate cellular model in order to find new therapeutic options for people suffering from these diseases. In this review, we deepen the knowledge in the current models for the most studied mt-tRNA mutation-caused mitochondrial diseases, MELAS (mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) and MERRF (myoclonic epilepsy with ragged red fibers) syndromes, and their therapeutic management. In particular, we will discuss the development of a novel model for mitochondrial disease research that consists of induced neurons (iNs) generated by direct reprogramming of fibroblasts derived from patients suffering from MERRF syndrome. We hypothesize that iNs will be helpful for mitochondrial disease modeling, since they could mimic patient's neuron pathophysiology and give us the opportunity to correct the alterations in one of the most affected cellular types in these disorders. SN 1664-8021 YR 2021 FD 2021-01-12 LK https://hdl.handle.net/10668/24925 UL https://hdl.handle.net/10668/24925 LA en DS RISalud RD Apr 6, 2025