Table 1.
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] |