Secretion of mitochondrial DNA via exosomes promotes inflammation in Behçet's syndrome

Hachiro Konaka1,2,3, Yasuhiro Kato1,2,4, Toru Hirano1,5

  • 1Department of Respiratory Medicine and Clinical Immunology, Graduate School of Medicine, Osaka University, Osaka, Japan.

The EMBO Journal
|September 4, 2023
PubMed

Insights

Noxious stimuli cause mitochondrial DNA (mtDNA) release via pyroptosis. This mtDNA is secreted in exosomes, promoting inflammation and potentially exacerbating diseases like Behçet's syndrome.

Area of Science:

  • Cell Biology
  • Immunology
  • Molecular Biology

Background:

  • Mitochondrial DNA (mtDNA) released into the cytoplasm can trigger inflammatory responses.
  • Extracellular mtDNA contributes to sterile inflammation, but its secretion mechanism is unclear.
  • Understanding mtDNA secretion is crucial for inflammatory disease research.

Purpose of the Study:

  • To elucidate the mechanism of mitochondrial DNA secretion from cells.
  • To investigate the role of exosome-mediated mtDNA secretion in inflammation.
  • To explore the relevance of this pathway in human inflammatory disorders.

Main Methods:

  • Induction of pyroptosis and caspase-1 activation in cells.
  • Analysis of mitochondrial DNA localization and exosome formation.
  • In vivo studies involving exosome biosynthesis inhibition.
  • Isolation and analysis of monocytes from Behçet's syndrome patients.

Main Results:

  • Pyroptotic cells secrete mitochondrial DNA encapsulated within exosomes.
  • Caspase-1 activation, via gasdermin-D, mediates mtDNA release into the cytoplasm and subsequent exosome packaging.
  • Inhibition of exosome biosynthesis reduced the inflammatory response.
  • Monocytes from Behçet's syndrome patients exhibit enhanced caspase-1 activation and exosome-mediated mtDNA secretion.

Conclusions:

  • Mitochondrial DNA-containing exosomes are a key mechanism for promoting inflammation.
  • This exosome-mediated mtDNA secretion pathway contributes to the pathology of human inflammatory diseases like Behçet's syndrome.
  • Targeting exosome biogenesis may offer therapeutic strategies for inflammatory conditions.

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