Mitochondrial mutations in atherosclerosis: new solutions in research and possible clinical applications
Igor A Sobenin1, Dimitry A Chistiakov, Yuri V Bobryshev
1Laboratory of Medical Genetics, Russian Cardiology Research and Production Complex, 15-a 3rd Cherepkovskaya Str., 121552 Moscow, Russia. sobenin@cardio.ru.
Insights
Mitochondrial DNA (mtDNA) dysfunction is increasingly linked to atherosclerosis, a major cause of cardiovascular disease. Heteroplasmic mtDNA mutations may serve as a novel biomarker for atherosclerosis susceptibility.
Area of Science:
- Cardiovascular Science
- Mitochondrial Biology
- Vascular Pathology
Background:
- Cardiovascular diseases (CVDs) are leading causes of death globally, with atherosclerosis as a primary driver.
- Atherosclerosis stems from endothelial dysfunction and involves complex genetic and environmental interactions.
- Mitochondrial factors play a critical role in atherosclerosis pathogenesis, impacting oxidative stress, metabolism, and energy balance.
Purpose of the Study:
- To review the contribution of mitochondria-related factors to arterial vascular pathology.
- To explore the role of mitochondrial DNA (mtDNA) alterations in atherosclerosis development.
- To assess the potential of heteroplasmic mtDNA mutations as biomarkers for atherosclerosis.
Main Methods:
- Literature review focusing on mitochondrial function and atherosclerosis.
- Analysis of studies investigating mitochondrial DNA (mtDNA) heteroplasmy in coronary atherosclerosis.
- Critical evaluation of evidence linking mitochondrial dysfunction to atherogenic mechanisms.
Main Results:
- Impaired mitochondrial function and mtDNA changes contribute to oxidative stress, metabolic dysfunction, and altered energy homeostasis in atherosclerosis.
- Somatic mitochondrial DNA (mtDNA) heteroplasmy levels correlate with coronary atherosclerosis.
- Heteroplasmic mtDNA mutations show promise as molecular biomarkers for atherosclerosis susceptibility.
Conclusions:
- Mitochondria are integral to atherosclerosis pathogenesis.
- Heteroplasmic mtDNA mutations represent a potential new biomarker for genetic susceptibility to atherosclerosis.
- Further research is needed to fully elucidate the role of mitochondria in vascular pathology.
Abstract:
Cardiovascular diseases are the leading causes of morbidity and mortality in many industrialized societies. Atherosclerosis is the major risk factor for the development of cardiovascular disease based on arterial endothelial dysfunction caused by the impairment of endothelial-dependent dilation. Atherosclerosis is a complex vascular disease resulted from the harmful interactions between genetic and environmental factors. There is a growing body of evidence in support of a non-redundant role of mitochondrial factors in the pathogenesis of atherosclerosis. Impaired mitochondrial function and structural and qualitative changes in mitochondrial components such as mitochondrial DNA (mtDNA) may be directly involved in the development of multiple atherogenic mechanisms including advanced oxidative stress, abnormalities in glucose and fat metabolism, and altered energy homeostasis. Recent findings showed that the heteroplasmy level of some somatic mtDNA is associated with coronary atherosclerosis. Although this field should further widely elaborated, heteroplasmic mtDNA mutations could represent a new promising molecular biomarker of genetic susceptibility to atherosclerosis and related pathologic conditions. In this review, we critically consider the contribution of mitochondria-related factors to the pathogenesis of the arterial vascular pathology.
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