Is an emerging pharmacotherapeutic era for rare mitochondrial diseases here?

Bedoyan, Jirair K; Vockley, Jerry · Cell Metab · 2026

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Abstract

After decades without approved pharmacotherapies, mitochondrial disease care is shifting. Two FDA approvals emerged in 1 year, elamipretide (Forzinity) for Barth syndrome and deoxynucleoside therapy (Kygevvi) for TK2 deficiency, with another under review. Zink et al.<sup>1</sup> suggest sildenafil (Viagra) could treat Leigh syndrome, highlighting drug repurposing for severe pediatric mitochondrial disease.