MITOCHONDRIAL REPLACEMENT THERAPY - SCI & TECH

News: U.K. sees success in mitochondrial replacement therapy

 

What's in the news?

       Eight years after the U.K. became the first country in the world to approve a reproductive technique known as mitochondrial replacement therapy (MRT), “less than five” children have been born using the procedure, as of April 2023.

 

Need for MRT:

       As of 2013, about 12,000 people in the U.K. live with such conditions, the reason why the therapy was approved by the Human Fertilisation and Embryology Authority (HFEA).

       According to the HFEA, one in 6,500 babies in the U.K. is born with a mitochondrial disorder which can lead to serious problems such as heart and liver disease, and respiratory problems, which can even lead to the death of the infant.

       In the U.S., 1,000-4,000 babies with mitochondrial disease are born each year.

 

Mitochondrial Replacement Therapy:

       Mitochondria replacement involves transferring nuclear genetic material from a mother’s egg into a donor egg that has had its nuclear DNA removed so the embryo does not inherit the mitochondrial disease. (Mitochondrial donation is a medical technique in which defective mitochondria carried by a woman is replaced with the healthy mitochondria of a donor)

       This would allow a woman carrying mitochondrial diseases to have healthy children.

       The resulting IVF embryo combines sperm and egg from the biological parents, while the mitochondria is from the donor’s egg.

 

Three-parent IVF:

       As a result, the baby has DNA from each of its parents, along with 37 genes from the donor.

       This is the reason why this technique is also called three-parent IVF (in vitro fertilisation).

 

Significance:

       It will prevent transmission of mitochondrial (genetic) disease from one generation to the next.

       It will give parents chance of having a child that is over 99% genetically matched to them and most importantly free of the mitochondrial disease.

       It has no impact on personality or looks of the offspring from third DNA set, as surrogate mitochondrial DNA is separate from core DNA in cells.

 

Go back to basics:

Mitochondria:

       Mitochondria is the powerhouse of a cell, and any mutation that damages the mitochondria tends to affect energy-hungry organs the most.