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Pluripotent stem-cell-based screening uncovers sildenafil as a mitochondrial disease therapy - PubMed

14 hours ago
  • #iPSCs
  • #mitochondrial disease
  • #drug repurposing
  • Pluripotent stem-cell-based screening identified sildenafil as a potential therapy for mitochondrial diseases, particularly Leigh syndrome (LS).
  • Sildenafil, a PDE5 inhibitor, was prioritized due to its clinical safety profile and ability to correct mitochondrial membrane potential defects.
  • The drug restored neurodevelopmental pathways and normalized calcium responses in LS brain organoids.
  • In animal models of LS, sildenafil extended lifespan and improved disease phenotypes.
  • Off-label treatment in six LS patients showed improved motor function and resistance to metabolic crises.
  • The study highlights the potential of iPSC-driven drug discovery for mitochondrial diseases.