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Updated: Oct 6, 2025

Measuring Single-Cell Mitochondrial DNA Copy Number and Heteroplasmy Using Digital Droplet Polymerase Chain Reaction
Published on: July 12, 2022
Association of mitochondrial DNA copy number with cardiometabolic diseases
Xue Liu1, Ryan J Longchamps2, Kerri L Wiggins3
1Department of Biostatistics, School of Public Health, Boston University, Boston, MA 02118, USA.
Insights
Mitochondrial DNA (mtDNA) copy number (CN) declines with age after 65, increasing risks for obesity, hypertension, diabetes, and hyperlipidemia. This age-related decline in mtDNA CN may be crucial for understanding aging diseases.
Area of Science:
- Genetics and Aging Research
- Cardiovascular and Metabolic Diseases
Background:
- Mitochondrial DNA (mtDNA) exists in multiple copies per cell.
- mtDNA copy number (CN) is a potential biomarker for cellular health.
Purpose of the Study:
- To investigate the association between whole blood mtDNA CN and cardiometabolic disease traits.
- To explore the relationship between age and mtDNA CN across diverse ancestries.
Main Methods:
- Cross-sectional analysis of 408,361 participants from TOPMed and UK Biobank.
- Evaluation of associations between mtDNA CN and traits including obesity, hypertension, diabetes, and hyperlipidemia.
- Age-stratified analysis to identify threshold effects on mtDNA CN.
Main Results:
- A threshold association of age with mtDNA CN was observed around 65 years.
- Below 65, mtDNA CN increased with age (0.03 s.d. per decade).
- Above 65, mtDNA CN decreased significantly with age (0.14 s.d. per decade).
- Lower mtDNA CN levels were independently associated with increased odds of obesity, hypertension, diabetes, and hyperlipidemia.
Conclusions:
- The decline in mtDNA CN after 65 years of age is a significant finding.
- This age-related decrease in mtDNA CN may be a key factor in age-related diseases.
- mtDNA CN is a potential indicator of cardiometabolic health and aging processes.
Abstract:
Mitochondrial DNA (mtDNA) is present in multiple copies in human cells. We evaluated cross-sectional associations of whole blood mtDNA copy number (CN) with several cardiometabolic disease traits in 408,361 participants of multiple ancestries in TOPMed and UK Biobank. Age showed a threshold association with mtDNA CN: among younger participants (<65 years of age), each additional 10 years of age was associated with 0.03 standard deviation (s.d.) higher level of mtDNA CN (P = 0.0014) versus a 0.14 s.d. lower level of mtDNA CN (P = 1.82 × 10-13) among older participants (≥65 years). At lower mtDNA CN levels, we found age-independent associations with increased odds of obesity (P = 5.6 × 10-238), hypertension (P = 2.8 × 10-50), diabetes (P = 3.6 × 10-7), and hyperlipidemia (P = 6.3 × 10-5). The observed decline in mtDNA CN after 65 years of age may be a key to understanding age-related diseases.
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