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Published on: October 19, 2013
Alterations in Mitochondrial Function in Pulmonary Vascular Diseases
Samar Farha1,2, Kewal Asosingh1, Paul M Hassoun3
1Integrated Hospital-Care Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Mitochondrial dysfunction and altered arginine metabolism are common in pulmonary hypertension (PH). Group 1 PAH patients show a unique mitochondrial phenotype linked to fatty acid metabolism and survival.
Area of Science:
- Mitochondrial biology
- Cardiovascular research
- Metabolomics
Background:
- Pulmonary arterial hypertension (PAH) involves mitochondrial and arginine metabolism alterations.
- Limited understanding exists regarding mitochondrial function across diverse pulmonary hypertension (PH) groups.
Purpose of the Study:
- To investigate mitochondrial function and arginine metabolism across all PH groups.
- To associate these alterations with clinical phenotypes and survival.
Main Methods:
- Analysis of platelet mitochondrial transmembrane potential, superoxide production, and mass via flow cytometry.
- Plasma metabolomics and calculation of global arginine bioavailability.
- Clinical phenotyping and 4-year follow-up for death or transplant in the Pulmonary Vascular Disease Phenomics Program cohort.
Main Results:
- All PH groups exhibited lower global arginine bioavailability than controls.
- Mitochondrial superoxide was elevated in group 1 PAH and lowest in group 3.
- Group 1 PAH showed reduced mitochondrial transmembrane potential, linked to fatty acid metabolism and transplant-free survival.
Conclusions:
- Mitochondrial dysfunction is present in all PH groups.
- Group 1 PAH displays a distinct mitochondrial phenotype characterized by increased superoxide and decreased transmembrane potential.
- These findings in group 1 PAH are associated with fatty acid metabolism and clinical outcomes.
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