Rare but severe diseases such as
mitochondrial myopathies are associated with dysfunctional human ADP/ATP translocase. Mitochondrial myopathies (MM) refer to a group of clinically and biochemically heterogeneous disorders that share common features of major mitochondrial structural abnormalities in
skeletal muscle. The major morphological hallmark of MM is ragged, red fibers containing peripheral and intermyofibrillar accumulations of abnormal mitochondria. In particular,
autosomal dominant progressive external
ophthalmoplegia (adPEO) is a common disorder associated with dysfunctional ADP/ATP translocase and can induce paralysis of muscles responsible for eye movements. General symptoms are not limited to the eyes and can include exercise intolerance, muscle weakness, hearing deficit, and more. adPEO shows
Mendelian inheritance patterns but is characterized by large-scale
mitochondrial DNA (mtDNA) deletions. mtDNA contains few
introns, or non-coding regions of DNA, which increases the likelihood of deleterious
mutations. Thus, any modification of ADP/ATP translocase mtDNA can lead to a dysfunctional transporter, particularly residues involved in the binding pocket which will compromise translocase efficacy. The negatively charged groups of the inhibitors bind strongly to the positively charged residues deep within the binding pocket. The high affinity (
Kd in the nanomolar range) makes each inhibitor a deadly poison by obstructing cellular respiration/energy transfer to the rest of the cell. There are structures available that show the translocator locked in a cytoplasmic state by the inhibitor
carboxyatractyloside, or in the matrix state by the inhibitor
bongkrekic acid. ==History==