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Published on: June 14, 2024
Mitochondrial function and dysfunction in sepsis
Martina Wendel1, Axel R Heller
1Fachklinik Prinzregent Luitpold, Scheidegg, Germany. MartinaWendel@gmx.de
Abstract:
Mitochondria are the key source of cellular ATP and their structure and function are markedly affected by pathophysiologic processes associated with the host's response to invading pathogens. In particular, the highly reactive compound peroxynitrite, generated by the reaction of nitric oxide and superoxide anions, inhibits mitochondrial enzymes and damages lipids, proteins, and nucleic acids. Enhanced oxidative stress induces DNA strand breaks that are repaired by activation of poly(ADP-ribose)polymerase (PARP). This process consumes large amounts of nicotinamide adenine dinucleotide (NAD(+)) leading to cellular NAD(+) depletion that impairs flux of reducing equivalents into the respiratory chain and also further promotes inflammation. In experimental studies, novel therapeutic strategies that aim to ameliorate the host's pathogen response or to modulate intracellular signaling events related to oxidative stress protected mitochondrial function and preserved cellular respiration ultimately leading to improved organ function.
Insights
Pathogen responses can damage mitochondria via oxidative stress, depleting cellular energy (NAD+). Novel therapies targeting this response protected mitochondrial function and improved organ function in studies.
Area of Science:
- Mitochondrial biology
- Cellular pathophysiology
- Immunology
Background:
- Mitochondria generate cellular ATP, but their function is compromised during pathogen responses.
- Peroxynitrite, a reactive compound, inhibits mitochondrial enzymes and damages cellular components.
- Oxidative stress activates PARP, depleting NAD+ and promoting inflammation.
Purpose of the Study:
- To investigate the impact of pathogen-induced pathophysiologic processes on mitochondrial function.
- To explore therapeutic strategies for mitigating mitochondrial damage and preserving cellular respiration.
Main Methods:
- Experimental studies investigating host response to pathogens.
- Assessment of mitochondrial enzyme activity and cellular respiration.
- Evaluation of novel therapeutic interventions targeting oxidative stress and signaling pathways.
Main Results:
- Peroxynitrite formation inhibits mitochondrial enzymes and causes cellular damage.
- NAD+ depletion due to PARP activation impairs respiratory chain function and exacerbates inflammation.
- Therapeutic strategies ameliorated host response, protected mitochondrial function, and preserved cellular respiration.
Conclusions:
- Mitochondrial dysfunction is a critical consequence of the host's response to pathogens.
- Targeting oxidative stress and related signaling pathways offers a promising therapeutic approach.
- Preserving mitochondrial function is crucial for maintaining organ function during infection.
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