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Published on: June 2, 2023
The role of mitochondria in rheumatic diseases
Yann L C Becker1,2,3, Bhargavi Duvvuri4, Paul R Fortin1,2,5
1Centre de Recherche ARThrite-Arthrite, Recherche et Traitements, Université Laval, Québec, QC, Canada.
Abstract:
The mitochondrion is an intracellular organelle thought to originate from endosymbiosis between an ancestral eukaryotic cell and an α-proteobacterium. Mitochondria are the powerhouses of the cell, and can control several important processes within the cell, such as cell death. Conversely, dysregulation of mitochondria possibly contributes to the pathophysiology of several autoimmune diseases. Defects in mitochondria can be caused by mutations in the mitochondrial genome or by chronic exposure to pro-inflammatory cytokines, including type I interferons. Following the release of intact mitochondria or mitochondrial components into the cytosol or the extracellular space, the bacteria-like molecular motifs of mitochondria can elicit pro-inflammatory responses by the innate immune system. Moreover, antibodies can target mitochondria in autoimmune diseases, suggesting an interplay between the adaptive immune system and mitochondria. In this Review, we discuss the roles of mitochondria in rheumatic diseases such as systemic lupus erythematosus, antiphospholipid syndrome and rheumatoid arthritis. An understanding of the different contributions of mitochondria to distinct rheumatic diseases or manifestations could permit the development of novel therapeutic strategies and the use of mitochondria-derived biomarkers to inform pathogenesis.
Insights
Mitochondria, the cell powerhouses, play a key role in autoimmune and rheumatic diseases. Understanding mitochondrial dysfunction offers new therapeutic targets and biomarkers for conditions like lupus and rheumatoid arthritis.
Area of Science:
- Cell Biology
- Immunology
- Rheumatology
Background:
- Mitochondria, originating from endosymbiosis, are crucial for cellular energy and apoptosis.
- Mitochondrial dysfunction is implicated in autoimmune disease pathophysiology.
- Pro-inflammatory cytokines and genetic defects can impair mitochondrial function.
Purpose of the Study:
- To review the multifaceted roles of mitochondria in rheumatic diseases.
- To explore the interplay between mitochondria and both innate and adaptive immunity in autoimmunity.
- To highlight the potential for mitochondria-targeted therapies and biomarkers.
Main Methods:
- Literature review focusing on mitochondrial roles in autoimmune and rheumatic diseases.
- Analysis of mechanisms linking mitochondrial components to immune responses.
- Examination of evidence for mitochondrial involvement in systemic lupus erythematosus, antiphospholipid syndrome, and rheumatoid arthritis.
Main Results:
- Mitochondrial components released extracellularly can trigger innate immune pro-inflammatory responses.
- Antibodies targeting mitochondria suggest adaptive immune system involvement in autoimmune diseases.
- Mitochondrial defects are linked to the pathogenesis of several rheumatic conditions.
Conclusions:
- Mitochondria are central players in the pathogenesis of rheumatic diseases.
- Targeting mitochondrial dysfunction presents a promising avenue for novel therapeutic strategies.
- Mitochondria-derived biomarkers could advance understanding and management of rheumatic diseases.
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