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Updated: Nov 9, 2025

Measuring Single-Cell Mitochondrial DNA Copy Number and Heteroplasmy Using Digital Droplet Polymerase Chain Reaction
Published on: July 12, 2022
Mitochondria-DNA copy-number and incident venous thromboembolism among middle-aged women: a population-based cohort
Peter Nymberg1, Ashfaque A Memon2, Jan Sundquist2
1Center for Primary Health Care Research, Lund University/Region Skåne, Skåne University Hospital Malmö, University Hospital, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden. peter.nymberg@med.lu.se.
Insights
Mitochondrial DNA copy number (mtDNA-CN) was not significantly linked to venous thromboembolism (VTE) risk in middle-aged women. This study suggests mtDNA-CN may not be a major biomarker for VTE development.
Area of Science:
- Cardiovascular Disease Epidemiology
- Mitochondrial Biology
- Genetics
Background:
- Venous thromboembolism (VTE) is a significant cardiovascular disease.
- Low mitochondrial DNA copy number (mtDNA-CN) is linked to arterial cardiovascular disease and mitochondrial dysfunction.
- The association between mtDNA-CN and VTE risk remains unexplored.
Purpose of the Study:
- To investigate the relationship between mtDNA-CN and the incidence of VTE in middle-aged women.
- To determine if mtDNA-CN can serve as a biomarker for VTE development.
Main Methods:
- The study analyzed data from 2117 women aged 50-64 years from the Women's Health In the Lund Area (WHILA) study.
- Mitochondrial DNA copy number (mtDNA-CN) was quantified using droplet digital PCR.
- Cox regression analysis was employed to assess the association between mtDNA-CN and VTE incidence over a 20-year follow-up period.
Main Results:
- A total of 87 VTE events occurred during follow-up, with an incidence rate of 2.8 per 1000 person-years.
- Neither crude nor adjusted hazard ratios indicated a significant association between mtDNA-CN and incident VTE.
- Sensitivity analyses confirmed these findings, showing no significant link.
Conclusions:
- Mitochondrial DNA copy number (mtDNA-CN) is not significantly associated with the risk of developing venous thromboembolism (VTE) in middle-aged women.
- Based on this study, mtDNA-CN, despite reflecting mitochondrial dysfunction, may not be a primary biomarker for VTE.
- Further research with larger cohorts may be needed to rule out minor associations.
Abstract:
Venous thromboembolism (VTE) is the third most common cardiovascular disease. Low amount of mitochondrial DNA copy number (mtDNA-CN) has been associated with arterial cardiovascular disease (CVD) and reflects mitochondrial dysfunctions. However, whether mtDNA-CN is associated with VTE has not been determined. To examine the association between mtDNA-CN and incident VTE among middle-aged women. 6917 women aged 50-64 years, followed for 20 years in the Women's Health In the Lund Area (WHILA) study. DNA samples for mtDNA quantification were available from 2521 women. Quantification of mtDNA-CN was performed using a well-optimized droplet digital PCR method. After exclusions of women with anticoagulant treatment, women living in nursing homes, and women who were diagnosed with cancer, stroke, VTE, or coronary heart disease at baseline, a cohort of 2117 women remained for analysis. Cox regression was used to analyze the relationship between mtDNA-CN and time to VTE (hazard ratio = HR). In total, 87 women were diagnosed with VTE during follow-up, corresponding to an incidence rate of 2.8 per 1000 person-years. Neither crude nor adjusted HR for mtDNA-CN were significantly associated with incident VTE. A sensitivity analysis with inclusion of excluded women did not change the results. MtDNA-CN was not significantly associated with VTE. The present study suggests that mtDNA-CN, reflecting mitochondrial dysfunction, should not be considered a biomarker that plays a major role for developing VTE. However, due to limited study size we may not exclude minor associations.
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