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Clotting the Gap Between Mitochondria-Mediated Immunity and Mitochondrial Transfer
Florian Tupin1,2,3, Jorge A Gonzalez-Chapa4, Jay H Chung5
1Département de Microbiologie, Infectiologie et Immunologie, Faculté de Médecine de l'Université Laval (F.T., E.B.), Université Laval, Québec City, Québec, Canada.
Abstract:
Mitochondria are organelles that orchestrate numerous cell functions in addition to providing energy. During viral infection or in case of defects in mitochondrial replication, an intricate mechanism of self-destruction is engaged through the formation of mitochondrial pores. This leads to the release of mitochondrial DNA into the cytoplasm, where it triggers innate immune responses. Platelets constitute the principal source of circulating mitochondria, and increasing evidence demonstrates that they actively release mitochondria, some of which are enclosed within extracellular vesicles. This process is enhanced in autoimmune conditions, occurs in platelet storage, and has been linked to adverse reactions after platelet transfusion. Extracellular mitochondria act as carriers of damage-associated molecular patterns and are targets of antibodies in various pathologies, including antiphospholipid syndrome and cardiomyopathies. Moreover, elevated levels of antimitochondria antibodies have also been associated with increased mortality and cardiovascular risk in systemic lupus erythematosus. Mitochondrial transplantation, a process by which defective mitochondria in a tissue or organ may be replaced by healthy mitochondria, is receiving growing therapeutic interest. Thus, understanding how extracellular mitochondria interact with the immune system is increasingly important. This review summarizes current knowledge on the multifaceted roles of mitochondria in immunity, with a particular focus on platelets and platelet-derived mitochondria as a key biological context.
Insights
Platelets release mitochondria, which can trigger immune responses and are implicated in autoimmune diseases. Understanding extracellular mitochondria is crucial for immunity and potential therapies like mitochondrial transplantation.
Area of Science:
- Immunology
- Cell Biology
- Mitochondrial Medicine
Background:
- Mitochondria are vital organelles involved in energy production and cellular functions.
- Mitochondrial dysfunction or viral infection can trigger cell death, releasing mitochondrial DNA (mtDNA) that activates innate immunity.
- Platelets are a primary source of circulating mitochondria, actively releasing them, often within extracellular vesicles.
Purpose of the Study:
- To review the multifaceted roles of mitochondria in immunity.
- To highlight the significance of platelets and platelet-derived mitochondria in immune responses.
- To underscore the importance of understanding extracellular mitochondria-immune system interactions.
Main Methods:
- Literature review of current knowledge on mitochondria, immunity, and platelets.
- Synthesis of evidence regarding extracellular mitochondria release and function.
- Analysis of the role of mitochondria in autoimmune conditions and transfusion reactions.
Main Results:
- Extracellular mitochondria, particularly from platelets, act as damage-associated molecular patterns (DAMPs).
- Platelet-derived extracellular mitochondria are implicated in autoimmune diseases (e.g., antiphospholipid syndrome, systemic lupus erythematosus) and adverse transfusion reactions.
- Antimitochondrial antibodies are linked to cardiovascular risk and mortality.
Conclusions:
- Extracellular mitochondria play a significant role in immune system modulation and pathology.
- Platelet-derived mitochondria are key players in immune responses and disease pathogenesis.
- Further research into extracellular mitochondria is vital for therapeutic strategies like mitochondrial transplantation.
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