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. 2021 Oct 26;10(11):2898. doi: 10.3390/cells10112898

Table 1.

Role of mtDNA as inflammatory molecules in human pathologies described in this review.

Pathology Observation/Mechanism Type of Study/Sample Reference
Trauma Systemic inflammatory response syndrome (SIRS) mtDNA plasma levels were significantly higher in trauma patients, and a correlation between mtDNA levels and clinical severity was observed Blood from patients with SIRS [148,149]
Multiple organic dysfunction syndrome (MODS) mtDNA concentrations were predictive for the development of MODS (in patients) or organ dysfunction (in an animal model) Plasma from severely injured patients [150]
[149]
Traumatic injury and shock Release of mtDNA triggers the development of severe tissue injury Plasma from an animal model of trauma [150]
Trauma TLR9-mediated NETs formation triggered by mtDNA Plasma from trauma patients [94]
Trauma and sepsis An increase in mtDNA plasma levels was observed, although differences in disease course and prognostic were observed, suggesting that the mechanism of release of mtDNA is different between the two groups Blood from patients presenting trauma or severe sepsis [151]
Trauma and haemorrhagic shock mtDNA release triggers the activation of neutrophils Rat model of trauma and haemorrhagic shock [34]
Autoimmune origin Multiple sclerosis (MS) mtDNA level, together with other pro-inflammatory cytokines, was observed to be higher in patients with progressive forms of MS, which probably contributes to the systemic inflammation present in the pathology Plasma from MS patients [84]
Increased levels of cf-mtDNA in patients with relapsing-remitting form of MS
An inverse correlation was observed between cf-mtDNA and disease duration
CSF from MS patients [165]
Lupus-like disease VDAC-mediated mtDNA release In vitro and in vivo animal model of SLE [74]
Neutrophil-mediated ox-mtDNA release Blood from SLE patients [101]
NETosis inductors triggered the release of ox-mtDNA, leading to STING activation Blood from patients with CGD or SLE
In vitro models
Iv vivo animal model of CGD or SLE
[91]
Cancer Advanced epithelial ovarian cancer (EOC) The levels of mtDNA ascites were correlated with worse outcome in EOC patients Blood from EOC patients [155]
Hormonal therapy-resistant breast cancer mtDNA release via exosomes Blood from patients with breast cancer
In vitro and in vivo animal cancer models
[128]
Myelodysplastic syndromes (MDS) Ox-mtDNA release after inflammasome activation Blood from patients with MDS
In vitro cancer model
[49]
Other Sickle cell disease Increased circulating levels of cf-mtDNA
Activation of NETs formation and cGAS-STING pathway triggered by elevated levels of cf-mtDNA
The results showed a mitochondrial retention by circulating SCD red blood cells, therefore the authors suggested that this could be the source of the elevated levels of cf-mtDNA
Blood from SCD patients [99]
Non-alcoholic
steatohepatitis
mtDNA activation of TLR9 Blood from patients with non-alcohol steatohepatitis
In vivo models of NASH
[38]
Macular degeneration cGAS activation by mtDNA, released into cytosol by Alu-RNA accumulation In vivo animal model of RPE degeneration [61]