Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review

[Background] Mitochondrial DNA (mtDNA) encodes 37 genes necessary for synthesizing 13 essential subunits of the oxidative phosphorylation system. mtDNA alterations are known to cause mitochondrial disease (MitD), a clinically heterogeneous group of disorders that often present with neuropsychiatric symptoms. Understanding the nature and frequency of mtDNA alterations in health and disease could be a cornerstone in disentangling the relationship between biochemical findings and clinical symptoms of brain disorders. This systematic review aimed to summarize the mtDNA alterations in human brain tissue reported to date that have implications for further research on the pathophysiological significance of mtDNA alterations in brain functioning.

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Bibliographic Details
Main Authors: Valiente-Pallejà, Alba, Tortajada, Juan, Bulduk, Bengisu K., Vilella, Elisabet, Garrabou, Glòria, Muntané, Gerard, Martorell, Lourdes
Other Authors: Instituto Pere Mata
Format: artículo biblioteca
Language:English
Published: Elsevier 2022-02
Subjects:Mitochondrial DNA, Mitochondrial diseases, Neurological diseases, Psychiatric diseases, Ageing, Postmortem,
Online Access:http://hdl.handle.net/10261/272320
http://dx.doi.org/10.13039/501100004587
http://dx.doi.org/10.13039/501100004837
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id dig-ibe-es-10261-272320
record_format koha
institution IBE ES
collection DSpace
country España
countrycode ES
component Bibliográfico
access En linea
databasecode dig-ibe-es
tag biblioteca
region Europa del Sur
libraryname Biblioteca del IBE España
language English
topic Mitochondrial DNA
Mitochondrial diseases
Neurological diseases
Psychiatric diseases
Ageing
Postmortem
Mitochondrial DNA
Mitochondrial diseases
Neurological diseases
Psychiatric diseases
Ageing
Postmortem
spellingShingle Mitochondrial DNA
Mitochondrial diseases
Neurological diseases
Psychiatric diseases
Ageing
Postmortem
Mitochondrial DNA
Mitochondrial diseases
Neurological diseases
Psychiatric diseases
Ageing
Postmortem
Valiente-Pallejà, Alba
Tortajada, Juan
Bulduk, Bengisu K.
Vilella, Elisabet
Garrabou, Glòria
Muntané, Gerard
Martorell, Lourdes
Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
description [Background] Mitochondrial DNA (mtDNA) encodes 37 genes necessary for synthesizing 13 essential subunits of the oxidative phosphorylation system. mtDNA alterations are known to cause mitochondrial disease (MitD), a clinically heterogeneous group of disorders that often present with neuropsychiatric symptoms. Understanding the nature and frequency of mtDNA alterations in health and disease could be a cornerstone in disentangling the relationship between biochemical findings and clinical symptoms of brain disorders. This systematic review aimed to summarize the mtDNA alterations in human brain tissue reported to date that have implications for further research on the pathophysiological significance of mtDNA alterations in brain functioning.
author2 Instituto Pere Mata
author_facet Instituto Pere Mata
Valiente-Pallejà, Alba
Tortajada, Juan
Bulduk, Bengisu K.
Vilella, Elisabet
Garrabou, Glòria
Muntané, Gerard
Martorell, Lourdes
format artículo
topic_facet Mitochondrial DNA
Mitochondrial diseases
Neurological diseases
Psychiatric diseases
Ageing
Postmortem
author Valiente-Pallejà, Alba
Tortajada, Juan
Bulduk, Bengisu K.
Vilella, Elisabet
Garrabou, Glòria
Muntané, Gerard
Martorell, Lourdes
author_sort Valiente-Pallejà, Alba
title Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
title_short Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
title_full Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
title_fullStr Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
title_full_unstemmed Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review
title_sort comprehensive summary of mitochondrial dna alterations in the postmortem human brain: a systematic review
publisher Elsevier
publishDate 2022-02
url http://hdl.handle.net/10261/272320
http://dx.doi.org/10.13039/501100004587
http://dx.doi.org/10.13039/501100004837
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spelling dig-ibe-es-10261-2723202022-07-16T01:35:03Z Comprehensive summary of mitochondrial DNA alterations in the postmortem human brain: A systematic review Valiente-Pallejà, Alba Tortajada, Juan Bulduk, Bengisu K. Vilella, Elisabet Garrabou, Glòria Muntané, Gerard Martorell, Lourdes Instituto Pere Mata Ministerio de Ciencia e Innovación (España) Instituto de Salud Carlos III Mitochondrial DNA Mitochondrial diseases Neurological diseases Psychiatric diseases Ageing Postmortem [Background] Mitochondrial DNA (mtDNA) encodes 37 genes necessary for synthesizing 13 essential subunits of the oxidative phosphorylation system. mtDNA alterations are known to cause mitochondrial disease (MitD), a clinically heterogeneous group of disorders that often present with neuropsychiatric symptoms. Understanding the nature and frequency of mtDNA alterations in health and disease could be a cornerstone in disentangling the relationship between biochemical findings and clinical symptoms of brain disorders. This systematic review aimed to summarize the mtDNA alterations in human brain tissue reported to date that have implications for further research on the pathophysiological significance of mtDNA alterations in brain functioning. [Methods] We searched the PubMed and Embase databases using distinct terms related to postmortem human brain and mtDNA up to June 10, 2021. Reports were eligible if they were empirical studies analysing mtDNA in postmortem human brains. [Findings] A total of 158 of 637 studies fulfilled the inclusion criteria and were clustered into the following groups: MitD (48 entries), neurological diseases (NeuD, 55 entries), psychiatric diseases (PsyD, 15 entries), a miscellaneous group with controls and other clinical diseases (5 entries), ageing (20 entries), and technical issues (5 entries). Ten entries were ascribed to more than one group. Pathogenic single nucleotide variants (pSNVs), both homo- or heteroplasmic variants, have been widely reported in MitD, with heteroplasmy levels varying among brain regions; however, pSNVs are rarer in NeuD, PsyD and ageing. A lower mtDNA copy number (CN) in disease was described in most, but not all, of the identified studies. mtDNA deletions were identified in individuals in the four clinical categories and ageing. Notably, brain samples showed significantly more mtDNA deletions and at higher heteroplasmy percentages than blood samples, and several of the deletions present in the brain were not detected in the blood. Finally, mtDNA heteroplasmy, mtDNA CN and the deletion levels varied depending on the brain region studied. [Interpretation] mtDNA alterations are well known to affect human tissues, including the brain. In general, we found that studies of MitD, NeuD, PsyD, and ageing were highly variable in terms of the type of disease or ageing process investigated, number of screened individuals, studied brain regions and technology used. In NeuD and PsyD, no particular type of mtDNA alteration could be unequivocally assigned to any specific disease or diagnostic group. However, the presence of mtDNA deletions and mtDNA CN variation imply a role for mtDNA in NeuD and PsyD. Heteroplasmy levels and threshold effects, affected brain regions, and mitotic segregation patterns of mtDNA alterations may be involved in the complex inheritance of NeuD and PsyD and in the ageing process. Therefore, more information is needed regarding the type of mtDNA alteration, the affected brain regions, the heteroplasmy levels, and their relationship with clinical phenotypes and the ageing process. Hospital Universitari Institut Pere Mata; Institut d'Investigació Sanitària Pere Virgili; Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (PI18/00514). Peer reviewed 2022-06-13T09:58:57Z 2022-06-13T09:58:57Z 2022-02 artículo EBioMedicine 76: 103815 (2022) http://hdl.handle.net/10261/272320 10.1016/j.ebiom.2022.103815 2352-3964 http://dx.doi.org/10.13039/501100004587 http://dx.doi.org/10.13039/501100004837 en Publisher's version https://doi.org/10.1016/j.ebiom.2022.103815 Sí open application/pdf Elsevier