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.

Nature Reviews. Rheumatology
|September 29, 2022
PubMed

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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