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Drug-Induced Mitochondrial Toxicity in the Geriatric Population: Challenges and Future Directions

1
SCIENTIA LLC, Ledyard, CT 06339, USA
2
Department of Biomedical Sciences, University of Minnesota Medical School, Duluth, MN 55455, USA
*
Author to whom correspondence should be addressed.
Biology 2019, 8(2), 32; https://doi.org/10.3390/biology8020032
Received: 22 December 2018 / Revised: 4 February 2019 / Accepted: 12 February 2019 / Published: 11 May 2019
(This article belongs to the Special Issue Mitochondrial Dysfunction in Ageing and Diseases of Ageing)
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Abstract

Mitochondrial function declines with age, leading to a variety of age-related diseases (metabolic, central nervous system-related, cancer, etc.) and medication usage increases with age due to the increase in diseases. Drug-induced mitochondrial toxicity has been described for many different drug classes and can lead to liver, muscle, kidney and central nervous system injury and, in rare cases, to death. Many of the most prescribed medications in the geriatric population carry mitochondrial liabilities. We have demonstrated that, over the past decade, each class of drugs that demonstrated mitochondrial toxicity contained drugs with both more and less adverse effects on mitochondria. As patient treatment is often essential, we suggest using medication(s) with the best safety profile and the avoidance of concurrent usage of multiple medications that carry mitochondrial liabilities. In addition, we also recommend lifestyle changes to further improve one’s mitochondrial function, such as weight loss, exercise and nutrition. View Full-Text
Keywords: drug-induced mitochondrial toxicity; polypharmacy; aging drug-induced mitochondrial toxicity; polypharmacy; aging
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Will, Y.; Shields, J.E.; Wallace, K.B. Drug-Induced Mitochondrial Toxicity in the Geriatric Population: Challenges and Future Directions. Biology 2019, 8, 32.

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