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Updated: Aug 18, 2026

Measuring Single-Cell Mitochondrial DNA Copy Number and Heteroplasmy Using Digital Droplet Polymerase Chain Reaction
Published on: July 12, 2022
Mitochondrial DNA deletions sensitize cells to apoptosis at low heteroplasmy levels
S Schoeler1, R Szibor, F N Gellerich
1Institute of Neuropathology of the Otto-von-Guericke University, Leipziger Str. 44, 39120 Magdeburg, Germany.
Abstract:
A heterogeneous group of multisystem disorders affecting various tissues and often including neuromuscular symptoms is caused by mutations of the mitochondrial genome, which codes 13 polypeptides of oxidative phosphorylation (OXPHOS) complexes and 22 tRNA genes needed for their translation. Since the link between OXPHOS dysfunction and clinical phenotype remains enigmatic in many diseases, a possible role of enhanced apoptosis is discussed besides bioenergetic crisis of affected cells. We analyzed the proapoptotic impact of the mitochondrial 5kb common deletion (CD), affecting five tRNA genes, in transmitochondrial cybrid cell lines and found a slightly enhanced sensitivity to exogenous oxidative stress (H2O2) and a pronounced sensitization against death receptor stimulation (TRAIL) at a rather low CD heteroplasmy level of 22%. Mitochondrial deletions confer enhanced susceptibility against proapoptotic signals to proliferating cells, which might explain the elimination of deletions from hematopoietic stem cells.
Insights
Mitochondrial DNA deletions, like the 5kb common deletion (CD), increase cell susceptibility to apoptosis. This enhanced vulnerability to cell death signals may explain why these deletions are eliminated from stem cells.
Area of Science:
- Genetics and Molecular Biology
- Cell Biology
- Mitochondrial Medicine
Background:
- Mutations in mitochondrial DNA (mtDNA) cause multisystem disorders with neuromuscular symptoms.
- The link between oxidative phosphorylation (OXPHOS) dysfunction and clinical phenotypes is often unclear.
- Apoptosis (programmed cell death) is a potential factor alongside bioenergetic deficits.
Purpose of the Study:
- To investigate the proapoptotic effects of the mitochondrial 5kb common deletion (CD).
- To analyze the impact of CD on cell sensitivity to oxidative stress and death receptor stimulation.
Main Methods:
- Analysis of transmitochondrial cybrid cell lines with varying levels of the 5kb common deletion (CD).
- Assessment of cell sensitivity to exogenous hydrogen peroxide (H2O2) and TRAIL (TNF-related apoptosis-inducing ligand) stimulation.
Main Results:
- A low level of CD heteroplasmy (22%) showed slightly enhanced sensitivity to H2O2.
- A pronounced sensitization to TRAIL-induced apoptosis was observed at 22% CD heteroplasmy.
- Mitochondrial deletions enhance susceptibility to proapoptotic signals in proliferating cells.
Conclusions:
- Mitochondrial deletions, such as the 5kb common deletion, can sensitize cells to apoptosis.
- This enhanced apoptotic susceptibility may contribute to the elimination of mtDNA deletions from hematopoietic stem cells.
- Understanding these mechanisms is crucial for mitochondrial disease research.
Related Concept Videos
Animal Mitochondrial Genetics
Abnormal Proliferation
Apoptosis
The Intrinsic Apoptotic Pathway

