Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus

Nucleic acid autoantibodies, increase type I interferon (IFN-α) levels, and immune cell hyperactivation are hallmarks of systemic lupus erythematosus (SLE). Notably, immune cell activation requires high level of cellular energy that is predominately generated by the mitochondria. Mitochondrial react...

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Main Authors: Like Zhao, Xianda Hu, Fei Xiao, Xuan Zhang, Lidan Zhao, Min Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.929520/full
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author Like Zhao
Xianda Hu
Fei Xiao
Fei Xiao
Xuan Zhang
Lidan Zhao
Lidan Zhao
Min Wang
author_facet Like Zhao
Xianda Hu
Fei Xiao
Fei Xiao
Xuan Zhang
Lidan Zhao
Lidan Zhao
Min Wang
author_sort Like Zhao
collection DOAJ
description Nucleic acid autoantibodies, increase type I interferon (IFN-α) levels, and immune cell hyperactivation are hallmarks of systemic lupus erythematosus (SLE). Notably, immune cell activation requires high level of cellular energy that is predominately generated by the mitochondria. Mitochondrial reactive oxygen species (mROS), the byproduct of mitochondrial energy generation, serves as an essential mediator to control the activation and differentiation of cells and regulate the antigenicity of oxidized nucleoids within the mitochondria. Recently, clinical trials on normalization of mitochondrial redox imbalance by mROS scavengers and those investigating the recovery of defective mitophagy have provided novel insights into SLE prophylaxis and therapy. However, the precise mechanism underlying the role of oxidative stress-related mitochondrial molecules in skewing the cell fate at the molecular level remains unclear. This review outlines distinctive mitochondrial functions and pathways that are involved in immune responses and systematically delineates how mitochondrial dysfunction contributes to SLE pathogenesis. In addition, we provide a comprehensive overview of damaged mitochondrial function and impaired metabolic pathways in adaptive and innate immune cells and lupus-induced organ tissues. Furthermore, we summarize the potential of current mitochondria-targeting drugs for SLE treatment. Developing novel therapeutic approaches to regulate mitochondrial oxidative stress is a promising endeavor in the search for effective treatments for systemic autoimmune diseases, particularly SLE.
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spelling doaj.art-26f2b01912074bc5a5239f6fc5e755fa2022-12-22T02:49:51ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-07-011310.3389/fimmu.2022.929520929520Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosusLike Zhao0Xianda Hu1Fei Xiao2Fei Xiao3Xuan Zhang4Lidan Zhao5Lidan Zhao6Min Wang7Department of Rheumatology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Clinical Immunology Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBeijing Tibetan Hospital, China Tibetology Research Center, Beijing, ChinaThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, National Health Commission, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaClinical Biobank, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Rheumatology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Clinical Immunology Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Rheumatology and Clinical Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaNational Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science and Technology, Beijing, ChinaDepartment of Rheumatology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Clinical Immunology Center, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaNucleic acid autoantibodies, increase type I interferon (IFN-α) levels, and immune cell hyperactivation are hallmarks of systemic lupus erythematosus (SLE). Notably, immune cell activation requires high level of cellular energy that is predominately generated by the mitochondria. Mitochondrial reactive oxygen species (mROS), the byproduct of mitochondrial energy generation, serves as an essential mediator to control the activation and differentiation of cells and regulate the antigenicity of oxidized nucleoids within the mitochondria. Recently, clinical trials on normalization of mitochondrial redox imbalance by mROS scavengers and those investigating the recovery of defective mitophagy have provided novel insights into SLE prophylaxis and therapy. However, the precise mechanism underlying the role of oxidative stress-related mitochondrial molecules in skewing the cell fate at the molecular level remains unclear. This review outlines distinctive mitochondrial functions and pathways that are involved in immune responses and systematically delineates how mitochondrial dysfunction contributes to SLE pathogenesis. In addition, we provide a comprehensive overview of damaged mitochondrial function and impaired metabolic pathways in adaptive and innate immune cells and lupus-induced organ tissues. Furthermore, we summarize the potential of current mitochondria-targeting drugs for SLE treatment. Developing novel therapeutic approaches to regulate mitochondrial oxidative stress is a promising endeavor in the search for effective treatments for systemic autoimmune diseases, particularly SLE.https://www.frontiersin.org/articles/10.3389/fimmu.2022.929520/fullsystemic lupus erythematosusmitochondrial reactive oxygen speciesmitochondrial dysfunctionmitophagyoxidative stressmitochondria targeting therapeutics
spellingShingle Like Zhao
Xianda Hu
Fei Xiao
Fei Xiao
Xuan Zhang
Lidan Zhao
Lidan Zhao
Min Wang
Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
Frontiers in Immunology
systemic lupus erythematosus
mitochondrial reactive oxygen species
mitochondrial dysfunction
mitophagy
oxidative stress
mitochondria targeting therapeutics
title Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
title_full Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
title_fullStr Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
title_full_unstemmed Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
title_short Mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
title_sort mitochondrial impairment and repair in the pathogenesis of systemic lupus erythematosus
topic systemic lupus erythematosus
mitochondrial reactive oxygen species
mitochondrial dysfunction
mitophagy
oxidative stress
mitochondria targeting therapeutics
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.929520/full
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