Table 3 Preclinical studies on mitochondrial gene editing

From: Engineered mitochondria in diseases: mechanisms, strategies, and applications

Author

Diseases

Therapeutics

Delivery method

Animal model

Main result

Nervous system

Di, 2012435

Ethylmalonic acid encephalopathy

hETHE1 cDNA

ssAAV2/8 vector

Eth1 KO mice

Improvement of the disease’s primary metabolic and biochemical indicators

Reynaud-Dulaurier, 2020437

Leigh syndrome

Ndufs4-IRES

AAV9

Ndufs4 KO mice

Reduced gliosis, significant body weight and locomotor activity improvement, and a significantly prolonged survival time

Digestive system

Marta, 2021438

Mitochondrial neurogastrointestinal encephalomopathy

CRISPR/Cas9 and TYMP cDNA

Lipid nanoparticle or polymeric nanoparticle

Tymp/Upp1 mice

Promoted the synthesis and secretion of TYMP mRNA and active enzymes in the liver

Battani, 2014439

Mitochondrial hepatocerebral disease

MPV17

AAV8

MPV17 KO mice

The supramolecular complex level of MPV17 was effectively restored, and the progression of liver failure was delayed

Musculoskeletal system

Flierl, 2005441

Mitochondrial myopathy

ANT1 cDNA

AAV2

ANT1 KO mice

Improved mitochondrial functions and reversed histopathological and clinical symptom changes

Perdomini, 2014473

Friedreich’s ataxia

hFXN cDNA

AAVrh10

Mck-Cre-FxnL3/L– mice

Improved frataxin protein expression, delayed the progression of myocardial fibrosis, and prolonged the survival time

Myocardial disease

Bacman, 2018115

Mitochondrial cardiomyopathy

mitoTALENs

AAV9

m.50624 C > T mice

Restored the normal expression of tRNAAla, and ameliorated the symptoms of mitochondrial cardiomyopathy.

Gammage, 2018146

Mitochondrial cardiomyopathy

mitoZFNs

AAV9.45

m.50624 C > T mice

Restored mitochondrial tRNAAla expression levels in the heart and improved tissue levels of lactate, pyruvate, and aspartate

Zekonyte, 202170

Mitochondrial cardiomyopathy

mitoARCUS

AAV9

m.50624 C > T mice

Reduced the amount of mutant mtDNA in organs by inducing specific dsDNA breaks

  1. AAV adeno-associated viruses, ANT1 adenine nucleotide translocator 1, Cas9 CRISPR-associated protein 9, CRISPR clustered regularly interspaced short palindromic repeats, hETHE1 human ethylmalonic encephalopathy protein 1, hFXN human frataxin, IRES intra-ribosome-entry-site, KO knockout, mitoARCUS mitochondrial-targeted meganuclease, mitoTALENs mitochondrial-targeted transcription activator-like effector nucleases, mitoZFNs mitochondrial-targeted zinc finger nucleases, Ndufs4 ubiquinone oxidoreductase subunit S4, TYMP thymidine phosphorylase, Upp1 uridine phosphorylase 1