title: [MITOCHONDRIAL DYSFUNCTION: MODERN ASPECTS OF THERAPY (REVIEW)].
abstract: Mitochondrial diseases are considered as one of the major problems of modern interdisciplinary neonatology and pediatrics. Mitochondrial pathology can be revealed as refractory myoclonic or multifocal seizures, craniofacial dysostosis, dysmetabolic manifestations and respiratory disorders. Central nervous system (CNS), muscles, heart, liver and kidneys is involved in this pathological process. An important criterion for diagnosis of mitochondrial dysfunction is increases in blood lactate and pyruvate levels; the absolute criterion - molecular genetic diagnostic studies of mitochondrial DNA. Polymorphism of clinical symptoms complicates the process of early diagnostics, the lack clear recommendations complicates therapy. Modern aspects of treatment of mitochondrial dysfunction in various neurological syndromes are based primarily in improving the efficiency of the processes of oxidative phosphorylation at the system level. Dietary carbohydrate restriction, and medication (Coenzyme Q10, Idebenonum, Cofactors, drugs which reduce lactic acidosis- Dimephosphon, Dichloroacetate, Antioxidants, Anticonvulsants and Antidiabetic agents, vitamins C, E, K, hemotransfusions) is prescribed. Such complex approach allows us to achieve a reduction in lactate-acidosis, and improve the condition of patients in 70% of cases.
authors.affiliation: Tbilisi State Medical University, Department of Pediatric Neurology; Medical Center "Medihelp", Tbilisi, Georgia.
authors.forename: G
authors.initials: G
authors.lastname: Arveladze
authors.affiliation: Tbilisi State Medical University, Department of Pediatric Neurology; Medical Center "Medihelp", Tbilisi, Georgia.
authors.forename: N
authors.initials: N
authors.lastname: Geladze
authors.affiliation: Tbilisi State Medical University, Department of Pediatric Neurology; Medical Center "Medihelp", Tbilisi, Georgia.
authors.forename: N
authors.initials: N
authors.lastname: Khachapuridze
authors.affiliation: Tbilisi State Medical University, Department of Pediatric Neurology; Medical Center "Medihelp", Tbilisi, Georgia.
authors.forename: S
authors.initials: S
authors.lastname: Bakhtadze
authors.affiliation: Tbilisi State Medical University, Department of Pediatric Neurology; Medical Center "Medihelp", Tbilisi, Georgia.
authors.forename: N
authors.initials: N
authors.lastname: Kapanadze
mesh_terms: D000975:Antioxidants / Q000378:metabolism*; D004272:DNA, Mitochondrial / Q000378:metabolism; D004040:Dietary Carbohydrates / Q000627:therapeutic use; D006801:Humans; D008928:Mitochondria / Q000378:metabolism* / Q000473:pathology; D028361:Mitochondrial Diseases / Q000178:diet therapy / Q000378:metabolism* / Q000473:pathology; D010085:Oxidative Phosphorylation; D014451:Ubiquinone / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D000975:Antioxidants; D004272:DNA, Mitochondrial; D004040:Dietary Carbohydrates; D014451:Ubiquinone; C024989:coenzyme Q10; C025204:Ubiquinone Q2