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.

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