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    "Sleep Disturbances in Dementia"

    (session captured at the GAPNA 2019 Annual Conference)

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  • Clinical Care OptionsNew for GAPNA members: Clinical Care Options

    GAPNA has partnered with a Clinical Care Options to offer an ongoing series of free CNE programs available to GAPNA members. "Vaccinations and Healthy Aging: Protecting Your Older Patients From Shingles" is the latest program offered.

    In this live webinar on September 30, 2020  at 3:00 PM, US Eastern, expert faculty expert faculty discuss how important it is to prevent shingles in older patients.

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    In an effort to support our members with the most updated information on COVID-19 we developed this resource page to easily access current CDC information and other resources to assist you professionally and personally.

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Lonhala Magnair

Aging and Genetics

Mutations in Complex Mitochondrial DNA Sequences May Impact Age-Related Conditions and Genetic Diseases

Mutations in complex structures within the genomes of mitochondria, the powerhouses of cells, could be culprits in genetic diseases, cancer, and aging, according to new research.

Spontaneously formed complex G-quadruplex (G4) DNA structures are obstacles for DNA replicating enzymes. When the polymerase encounters the G4 structure, it may stall, leading to incomplete or inaccurate DNA synthesis and causing mutations in the mitochondrial genome.

Mitochondria provide energy for vital biochemical processes and proper cell function. They contain their own genomes, consisting of circular DNA molecules that encode proteins important for cellular respiration and energy production. Mitochondrial DNA mutations can cause breakdowns in normal cell function, leading to mitochondrial diseases that can affect the brain, nerves, muscles, heart, and other body systems.

Scientists from the National Institute on Aging and their colleagues investigated whether mitochondrial mutations are due to mistakes made during synthesis of certain DNA sequences. The researchers zeroed in on mitochondrial DNA sequences that spontaneously form G-quadruplexes (G4), a complex structure with four interacting DNA strands, instead of the normal DNA double helix shape. They found that when enzymes crucial for DNA replication encountered a G4 structure, they often failed to work properly, leading to errors in the newly formed DNA and resulting in damaged mitochondrial genomes.

Future study of mutations that harm mitochondrial function may help researchers and clinicians to develop potential treatment strategies for mitochondrial diseases and identify additional genetic risk factors.


Butler, T.J., Estep, K.N., Sommers, J.A., Maul, R.W., Moore, A.Z., Bandinelli, S., … Brosh, R.M. (202). Mitochondrial genetic variation is enriched in G-quadruplex regions that stall DNA synthesis in vitro. Human Molecular Genetics, 29(8), 1292-1309.

Estep, K.N. Butler, T.J., Ding, J., & Brosh, R.M. (2019). G4-interacting DNA helicases and polymerases: Potential therapeutic targets. Current Medicinal Chemistry, 26(16), 2881-2897.

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