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线粒体移植治疗心脏和非心脏疾病:机制、前景与挑战

Mitochondrial transplantation for the treatment of cardiac and noncardiac diseases: mechanisms, prospective, and challenges.

作者信息

Wang Xinyi, Liu Zhiyuan, Zhang Ling, Hu Guangyu, Tao Ling, Zhang Fuyang

机构信息

Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.

出版信息

Life Med. 2024 Apr 26;3(2):lnae017. doi: 10.1093/lifemedi/lnae017. eCollection 2024 Apr.

DOI:10.1093/lifemedi/lnae017
PMID:39872662
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749488/
Abstract

Mitochondrial transplantation (MT) is a promising therapeutic strategy that involves introducing healthy mitochondria into damaged tissues to restore cellular function. This approach has shown promise in treating cardiac diseases, such as ischemia-reperfusion injury, myocardial infarction, and heart failure, where mitochondrial dysfunction plays a crucial role. Transplanting healthy mitochondria into affected cardiac tissue has resulted in improved cardiac function, reduced infract size, and enhanced cell survival in preclinical studies. Beyond cardiac applications, MT is also being explored for its potential to address various noncardiac diseases, including stroke, infertility, and genetic mitochondrial disorders. Ongoing research focused on refining techniques for mitochondrial isolation, preservation, and targeted delivery is bolstering the prospects of MT as a clinical therapy. As the scientific community gains a deeper understanding of mitochondrial dynamics and pathology, the development of MT as a clinical therapy holds significant promise. This review provides an overview of recent research on MT and discusses the methodologies involved, including sources, isolation, delivery, internalization, and distribution of mitochondria. Additionally, it explores the effects of MT and potential mechanisms in cardiac diseases, as well as non-cardiac diseases. Future prospects for MT are also discussed.

摘要

线粒体移植(MT)是一种很有前景的治疗策略,它涉及将健康的线粒体引入受损组织以恢复细胞功能。这种方法在治疗心脏病方面已显示出前景,如缺血再灌注损伤、心肌梗死和心力衰竭,其中线粒体功能障碍起着关键作用。在临床前研究中,将健康的线粒体移植到受影响的心脏组织中已导致心脏功能改善、梗死面积减小和细胞存活率提高。除了心脏应用外,MT还因其解决各种非心脏疾病的潜力而受到探索,包括中风、不孕症和遗传性线粒体疾病。正在进行的专注于改进线粒体分离、保存和靶向递送技术的研究正在增强MT作为临床治疗方法的前景。随着科学界对线粒体动力学和病理学有更深入的了解,MT作为一种临床治疗方法的发展具有重大前景。本综述概述了MT的最新研究,并讨论了所涉及的方法,包括线粒体的来源、分离、递送、内化和分布。此外,还探讨了MT在心脏病以及非心脏疾病中的作用和潜在机制。还讨论了MT的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/b5b4c046facd/lnae017_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/e5989dd1559d/lnae017_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/ac5a985173ee/lnae017_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/5d002e680fa3/lnae017_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/b5b4c046facd/lnae017_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/e5989dd1559d/lnae017_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/ac5a985173ee/lnae017_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/5d002e680fa3/lnae017_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f6f/11749488/b5b4c046facd/lnae017_fig4.jpg

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本文引用的文献

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Delivery of mitochondria confers cardioprotection through mitochondria replenishment and metabolic compliance.线粒体的传递通过线粒体补充和代谢顺应性来实现心脏保护作用。
Mol Ther. 2023 May 3;31(5):1468-1479. doi: 10.1016/j.ymthe.2023.02.016. Epub 2023 Feb 18.
2
Nuclear-embedded mitochondrial DNA sequences in 66,083 human genomes.66083 个人类基因组中的核内线粒体 DNA 序列。
Nature. 2022 Nov;611(7934):105-114. doi: 10.1038/s41586-022-05288-7. Epub 2022 Oct 5.
3
Dietary lipids inhibit mitochondria transfer to macrophages to divert adipocyte-derived mitochondria into the blood.
内皮细胞中的线粒体功能障碍:器官疾病和衰老的关键驱动因素。
Antioxidants (Basel). 2025 Mar 21;14(4):372. doi: 10.3390/antiox14040372.
膳食脂质抑制线粒体向巨噬细胞的转移,从而将脂肪细胞衍生的线粒体转移到血液中。
Cell Metab. 2022 Oct 4;34(10):1499-1513.e8. doi: 10.1016/j.cmet.2022.08.010. Epub 2022 Sep 6.
4
Mitochondrial control of inflammation.线粒体对炎症的控制作用。
Nat Rev Immunol. 2023 Mar;23(3):159-173. doi: 10.1038/s41577-022-00760-x. Epub 2022 Jul 25.
5
Protective effects of natural products against myocardial ischemia/reperfusion: Mitochondria-targeted therapeutics.天然产物对心肌缺血/再灌注的保护作用:线粒体靶向治疗
Biomed Pharmacother. 2022 May;149:112893. doi: 10.1016/j.biopha.2022.112893. Epub 2022 Mar 31.
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Mitochondrial and metabolic dysfunction in ageing and age-related diseases.衰老及年龄相关疾病中的线粒体与代谢功能障碍
Nat Rev Endocrinol. 2022 Apr;18(4):243-258. doi: 10.1038/s41574-021-00626-7. Epub 2022 Feb 10.
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Mitochondrial Transplantation Attenuates Cerebral Ischemia-Reperfusion Injury: Possible Involvement of Mitochondrial Component Separation.线粒体移植减轻脑缺血再灌注损伤:线粒体成分分离可能起作用。
Oxid Med Cell Longev. 2021 Nov 20;2021:1006636. doi: 10.1155/2021/1006636. eCollection 2021.
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Alda-1 treatment promotes the therapeutic effect of mitochondrial transplantation for myocardial ischemia-reperfusion injury.阿尔达-1治疗可促进线粒体移植对心肌缺血再灌注损伤的治疗效果。
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