Cited by 181Mitochondrial Function and PathologyGenetics, Aging, and Longevity in Model OrganismsAutophagy in Disease and Therapy

The DOI matches its Crossref record; 273 of the 276 references it cites were found in a registry or an index; none of the 188 sources its claims cite is checked for support yet.

Role of the mitochondrial DNA replication machinery in mitochondrial DNA mutagenesis, aging and age-related diseases

Open access

Abstract

As regulators of bioenergetics in the cell and the primary source of endogenous reactive oxygen species (ROS), dysfunctional mitochondria have been implicated for decades in the process of aging and age-related diseases. Mitochondrial DNA (mtDNA) is replicated and repaired by nuclear-encoded mtDNA polymerase γ (Pol γ) and several other associated proteins, which compose the mtDNA replication machinery. Here, we review evidence that errors caused by this replication machinery and failure to repair these mtDNA errors results in mtDNA mutations. Clonal expansion of mtDNA mutations results in mitochondrial dysfunction, such as decreased electron transport chain (ETC) enzyme activity and impaired cellular respiration. We address the literature that mitochondrial dysfunction, in conjunction with altered mitochondrial dynamics, is a major driving force behind aging and age-related diseases. Additionally, interventions to improve mitochondrial function and attenuate the symptoms of aging are examined.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that clonally expanded mtDNA mutations arising from errors by the nuclear-encoded mtDNA replication machinery, rather than ROS-induced damage, are a major driving force behind aging and age-related diseases. It surveys Pol γ, PolG2, Twinkle, TFAM, MGME1, and RNase H1, linking their dysfunction to mtDNA mutagenesis, mitochondrial dysfunction, and diseases such as PEO and Parkinson’s disease.

Key findings

  • mtDNA mutation rates are estimated at 10- to 17-fold higher than nuclear DNA, and over 85% of mutations detected in vivo could be recapitulated in vitro by purified human Pol γ, suggesting spontaneous replication errors account for most base-pair substitutions in mtDNA.
  • The exonuclease-deficient Pol γ mtDNA mutator mouse shows a 3- to 8-fold increase in somatic point mutations, a 2000-fold higher mutation load than wild-type by random capture, and a 90-fold increase in circular mtDNA with large deletions excluding one hotspot; it develops a progeroid phenotype, whereas heterozygous mice have a 500-fold higher mutational burden than age-matched wild-type controls but no progeroid phenotype or reduced lifespan.
  • Disease-associated replication-machinery defects include over 300 POLG mutations; PEO-associated Pol γ mutations R943H and Y955C cause a 99% decrease in polymerase activity, Y955C causes a 45-fold decrease in dNTP binding affinity, and G923D and A957S retain 21% and 23% of wild-type catalytic activity, respectively.
  • Twinkle has 31 dominant and 3 recessive mutations recognized, mostly causing age-related disease; TFAM, MGME1, and RNase H1 defects are also linked to mtDNA depletion, replication stalling, PEO, neurodegeneration, or embryonic lethality in model systems.

Methods

  • Narrative review of the literature on mtDNA replication machinery, mtDNA mutagenesis, aging, and age-related diseases.
  • Synthesizes evidence from in vitro biochemistry, cultured cells, mouse models, Drosophila, C. elegans, and human patient studies.
  • No systematic search strategy, inclusion/exclusion criteria, or meta-analysis is described.

Limitations

  • The paper states that future studies focused on mechanisms of action are needed to effectively delay aging and prevent age-related diseases.
  • The paper states that it remains controversial whether point mutations, deletions, or both drive the progeroid phenotype in mtDNA mutator mice, and that the timing of mtDNA mutations remains debated.
  • Evident from the text: this is a narrative review without systematic methods, and many conclusions rely on animal models or correlative human data rather than uniform causal evidence.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.arr.2016.04.006

Cites

273 of 273 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

130 Not checked yet · 33 Own interpretation · 13 No basis given

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Show all 98 claims

  • Probably not a substantial claim. 16
  • It may state two separate claims as one. 67
78 of 78
  • The paper relies on this without support.

    The mtDNA mutator mouse progeroid phenotype is a valid model of mammalian aging.

    “However, the first strong experimental evidence demonstrating a causal relationship between aging and the accumulation of mtDNA mutations/deletions secondary to an exonuclease-deficient Pol γ was obtained with the creation of the mtDNA mutator mouse.”
  • The paper relies on this without support.

    MtDNA typically exists as monomeric double-stranded, covalently closed circles.

    “MtDNA typically exists as monomeric double-stranded, covalently closed circles.”
  • The paper relies on this without support.

    The theory of mitohormesis states that low levels of ROS are important signaling molecules that regulate stress response pathways and enhance longevity.

    “The theory of mitohormesis states that low levels of ROS are important signaling molecules that regulate stress response pathways and enhance longevity.”
3 of 3

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Self-check

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Each contradiction between two passages listed here was confirmed by an independent check.

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Citations

Cites

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Metadata

Authors
DeBalsi, K. L., Hoff, K. E., & Copeland, W. C.
Affiliations
National Institutes of Health (US)
Corresponding author
Copeland, William C.
Venue
Ageing Research Reviews
Publisher
Elsevier BV
Published
2017-01
Volume
33
Pages
89-104
ISSN
1568-1637 (ISSN-L)
OpenAlex
W2344148285
Cited by
180
References
276
Citations by year
2026: 8 · 2025: 11 · 2024: 15 · 2023: 13 · 2022: 24 · 2021: 31 · 2020: 29 · 2019: 14 · 2018: 18 · 2017: 14
FWCI
1.44
Type
journal article
Language
en
Open access
Locations
  • Ageing Research Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Environmental Health Sciences (Z01ES065078)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Autophagy in Disease and Therapy
Keywords
mitochondrial DNA replication, mitochondrial dysfunction, aging, age-related diseases, reactive oxygen species, clonal expansion, mitochondrial dynamics, electron transport chain, cellular respiration
MeSH terms
Aging, DNA Replication, DNA, Mitochondrial, Humans, Mitochondria, Mutation, Mutagenesis, Reactive Oxygen Species, Genes, Mitochondrial

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