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Masked mitochondria slip into cells to treat disease in mice

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Why This Matters

This breakthrough in cloaking mitochondria with red blood cell membranes offers a promising new approach for treating mitochondrial diseases, potentially improving the effectiveness of mitochondrial transplants. It highlights a significant advancement in cellular therapy techniques, which could lead to better treatments for genetic and degenerative disorders. However, further research is needed to confirm its efficacy and safety in humans.

Key Takeaways

Mitochondria (artist’s impression) wrapped in red-blood-cell membranes can sneak into cells without being tagged for destruction.Credit: Alfred Pasieka/SPL

A well-fitted ‘disguise’ allows transplanted mitochondria to slip into cells whose own mitochondria are defective, scientists reported 18 March in Cell1. Administration of these cloaked mitochondria prolonged the life of mice with a deadly disease caused by abnormal mitochondria.

The scientists found that a mitochondrion wrapped in the membrane of a red blood cell can enter a cell without triggering protective mechanisms that would typically destroy the organelle. The technique “hugely” increased the efficiency of the treatment compared with previous methods, says Mike Devine, a neurobiologist at the Francis Crick Institute in London, who was not involved in the study. The difference is like “night and day”, he says.

But scientists also expressed scepticism about some aspects of the study. The work is a “remarkable advance”, but the conclusion that the method prevents Parkinson’s disease in a mouse model is “overstated,” says Ken Nakamura, a neuroscientist at the Gladstone Institutes in San Francisco, California.

Targeted for destruction

Mitochondria are cellular substructures that produce fuel to power cellular activity. They have their own genomes, and mutations in their DNA cause diseases such as Leigh syndrome, a rare and often fatal disorder that usually strikes during early childhood.

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Scientists have long sought ways to transplant normal mitochondria into cells. But when mitochondria are exposed to tissue or blood, they lose the electrical gradient across their outer membrane. Mitochondria that lack such a gradient are recognized by a cell’s internal machinery as damaged and quickly destroyed2.

The vast majority of previous studies involved injecting “naked” mitochondria directly into the bloodstream or tissue sites, says Noa Sher, chief scientific officer at Minovia Therapeutics in Haifa, Israel. But the approach isn’t very efficient, so researchers often have to use “ridiculous” doses of mitochondria that would be infeasible when scaled to a human-sized organism. “It is immediately obvious that you should protect the mitochondria if they’re going to be outside of the cell,” Sher says. “What to put them in is more complicated.”

Shrink-wrapped

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