Causal Relationship Between Mitochondrial DNA Copy Number and Intervertebral Disc Degeneration: A Bidirectional

Chengjie Ma1, Junhua Fang1, Rui Xu1

  • 1Department of Orthopedics, the First People's Hospital of Yunnan Province & the Affiliated Hospital of Kunming University of Science and Technology, the Key Laboratory of Digital Orthopaedics of Yunnan Province, the Clinical Medicine Center of Spinal and Spinal Cord Disorders of Yunnan Province, Kunming, China.

World Neurosurgery
|February 13, 2025
PubMed
Abstract

Insights

Mitochondrial DNA copy number (mtDNA-CN) does not causally influence intervertebral disc degeneration (IVDD). This Mendelian randomization study found no evidence that mtDNA-CN affects IVDD risk or vice versa.

Area of Science:

  • Genetics
  • Biochemistry
  • Orthopedics

Background:

  • Mitochondrial DNA copy number (mtDNA-CN) is implicated in various cellular processes.
  • Intervertebral disc degeneration (IVDD) is a common cause of low back pain.
  • The potential causal link between mtDNA-CN and IVDD is not well-established.

Purpose of the Study:

  • To investigate the potential causal relationship between mtDNA-CN and IVDD.
  • To utilize Mendelian randomization (MR) analyses for robust causal inference.
  • To explore the bidirectional relationship between mtDNA-CN and IVDD.

Main Methods:

  • Bidirectional 2-sample Mendelian randomization (MR) analysis.
  • Inverse-variance weighted (IVW) method as the primary analysis.
  • Sensitivity analyses including heterogeneity and pleiotropy assessments, and leave-one-out analysis.

Main Results:

  • No significant causal association was found between genetically predicted mtDNA-CN and IVDD risk (OR = 0.91, P = 0.1731).
  • Reverse MR analysis also showed no significant causal effect of IVDD on mtDNA-CN.
  • Sensitivity analyses confirmed the robustness of the findings, with no evidence of horizontal pleiotropy.

Conclusions:

  • This study provides no evidence for a causal relationship between mtDNA-CN and IVDD in either direction.
  • The findings suggest that genetic factors influencing mtDNA-CN do not play a direct causal role in the development of IVDD.
  • Further research is warranted to elucidate the complex interplay of genetic and environmental factors in IVDD pathogenesis.

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