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Updated: May 9, 2026

Measuring Single-Cell Mitochondrial DNA Copy Number and Heteroplasmy Using Digital Droplet Polymerase Chain Reaction
Published on: July 12, 2022
Mitochondrial DNA copy number and exposure to polycyclic aromatic hydrocarbons
Sofia Pavanello1, Laura Dioni, Mirjam Hoxha
1Authors' Affiliations: Occupational Health Section, Department of Cardiac, Thoracic, and Vascular Sciences, Università degli Studi di Padova; Sistema Epidemiologico Regione Veneto (SER), Padova; Department of Clinical Sciences and Community Health, University of Milan, Milano and Fondazione IRCSS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy; Institute of Occupational Medicine and Environmental Health, Sosnowiec, Poland; and Department of Environmental Health and Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts.
Background:
Increased mitochondrial DNA copy number (mtDNAcn) is a biologic response to mtDNA damage and dysfunction, predictive of lung cancer risk. Polycyclic aromatic hydrocarbons (PAHs) are established lung carcinogens and may cause mitochondrial toxicity. Whether PAH exposure and PAH-related nuclear DNA (nDNA) genotoxic effects are linked with increased mtDNAcn has never been evaluated.
Methods:
We investigated the effect of chronic exposure to PAHs on mtDNAcn in peripheral blood lymphocytes (PBLs) of 46 Polish male noncurrent smoking coke-oven workers and 44 matched controls, who were part of a group of 94 study individuals examined in our previous work. Subjects' PAH exposure and genetic alterations were characterized through measures of internal dose (urinary 1-pyrenol), target dose [anti-benzo[a]pyrene diolepoxide (anti-BPDE)-DNA adduct], genetic instability (micronuclei and telomere length), and DNA methylation (p53 promoter) in PBLs. mtDNAcn (MT/S) was measured using a validated real-time PCR method.
Results:
Workers with PAH exposure above the median value (>3 μmol 1-pyrenol/mol creatinine) showed higher mtDNAcn [geometric means (GM) of 1.06 (unadjusted) and 1.07 (age-adjusted)] compared with controls [GM 0.89 (unadjusted); 0.89 (age-adjusted); (P = 0.029 and 0.016)], as well as higher levels of genetic and chromosomal [i.e., anti-BPDE-DNA adducts (P < 0.001), micronuclei (P < 0.001), and telomere length (P = 0.053)] and epigenetic [i.e., p53 gene-specific promoter methylation (P < 0.001)] alterations in the nDNA. In the whole study population, unadjusted and age-adjusted mtDNAcn was positively correlated with 1-pyrenol (P = 0.043 and 0.032) and anti-BPDE-DNA adducts (P = 0.046 and 0.049).
Conclusions:
PAH exposure and PAH-related nDNA genotoxicity are associated with increased mtDNAcn.
Impact:
The present study is suggestive of potential roles of mtDNAcn in PAH-induced carcinogenesis.
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