The outer circle of stars shall be so arranged that one star shall appear directly in the middle at the top of the circle, and the word Indiana shall be placed in a half circle over and above the star representing Indiana and midway between it and the star in the center above it.
Mutations in either nuclear DNA (nDNA) or mitochondrial DNA (mtDNA) can cause mitochondrial disease. Nuclear DNA is packaged into structures called chromosomesâ22 pairs of non-sex related chromosomes (called autosomes) and a single pair of sex chromosomes (XX in females and XY in males).
The prognosis for these disorders ranges in severity from progressive weakness to death. Most mitochondrial myopathies occur before the age of 20, and often begin with exercise intolerance or muscle weakness. During physical activity, muscles may become easily fatigued or weak. Muscle cramping is rare, but may occur.