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Mitochondrial DNA copy number and Alzheimer’s disease and Parkinson disease

Qin, P; Chen, X; Ma, P; Li, X; Lin, Y; Liu, X; Liang, X; ... Ouyang, J; + view all (2025) Mitochondrial DNA copy number and Alzheimer’s disease and Parkinson disease. Mitochondrion , 83 , Article 102032. 10.1016/j.mito.2025.102032.

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Abstract

Introduction: A systematic review on the association of mitochondrial DNA copy number (mtDNA-CN) with Alzheimer's disease (AD) and Parkinson disease (PD) is lacking and the causal relationship remains unclear. Objective: We aimed to conduct a systematic review of observational studies on the association of mtDNA-CN with AD and PD and perform a bidirectional 2-sample Mendelian randomization (MR) study to investigate their causal relationships. Methods: PubMed, Embase, and Web of Science were searched for eligible studies before Jan 2025. The causal links were conducted with inverse-variance weighted (IVW) method as the main analysis. Results: Fourteen case-control and 2 cohort studies investigated the association between mtDNA-CN and AD, with 13 reporting decreased mtDNA-CN associated with increased risk of AD and 3 showing no significant association. All the studies (9 case-control, 1 cross-sectional, 2 cohort studies) observed the relation between mtDNA-CN and PD except for 3 studies reporting no significant association. In MR analysis, genetically predicted mtDNA-CN was not associated with AD and PD, whereas genetically predicted AD (β −0.085, 95 % CI −0.156 to −0.013; P = 0.02) but not PD was associated with mtDNA-CN. Sensitivity and replication analyses showed a stable finding. Discussion: The systematic review found limited observational studies on mtDNA-CN and AD and PD and majority were case-control study. Findings of the bidirectional MR study did not support a causal effect of mtDNA-CN in the development of AD and PD but found that AD can lead to decreased levels of mtDNA-CN, which suggest mtDNA-CN as a potential biomarker of AD.

Type: Article
Title: Mitochondrial DNA copy number and Alzheimer’s disease and Parkinson disease
Location: Netherlands
DOI: 10.1016/j.mito.2025.102032
Publisher version: https://doi.org/10.1016/j.mito.2025.102032
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Alzheimer’s disease, Mendelian randomization, Mitochondrial DNA copy number, Observational study, Parkinson disease, Systematic review, Humans, Parkinson Disease, Alzheimer Disease, DNA, Mitochondrial, DNA Copy Number Variations, Case-Control Studies, Mendelian Randomization Analysis
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10218862
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