Mitochondrial DNA mutations in exhaled breath condensate of patients with lung cancer
Open accessAbstract
Introduction Lung cancer is a leading cause of cancer mortality worldwide. Non-invasively collected biofluids such as exhaled breath condensate (EBC) present a potential sampling medium to detect and study pathological changes implicated in tumourigenesis. Mitochondrial DNA changes have been implicated in the carcinogenesis process. Consequently, the detection of mitochondrial changes in EBC could expand our understanding of lung carcinogenesis as well as identifying specific markers for future studies.Methods EBC and saliva was collected from newly diagnosed subjects with lung cancer and control subjects in a cross-sectional study. The EBC and saliva was analysed for mitochondrial DNA D-loop changes using a PCR sequencing approach. The sequences obtained were compared to paired salivary DNA and the revised Cambridge Reference Sequence (rCRS) to identify somatic mutations, and quantitative and qualitative differences in mutations were analysed between groups.Results A total of 25 subjects (9 NSCLC patients, 10 smokers/ex-smokers and 6 non-smokers) were recruited. A significantly elevated D-loop mutation rate in the lung cancer group compared to the control groups was present (7 vs 3.5 for smokers/ex-smokers, and 7 vs. 4 for non-smokers, p = 0.034). The recognised mutation T16217C showed specificity for lung cancer.Conclusions Mitochondrial DNA mutations are more common in the EBC of patients with lung cancer. This suggests that these processes are associated with the carcinogenesis of lung cancer and may be a marker of the disease.
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Nearly half of lung cancer patients have mutations in their mitochondrial DNA.
“Nearly half of lung cancer patients have mutations in their mitochondrial DNA (mt DNA).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Yang et al. 2013
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Lucio-Lozada, J., Prada, D., Beato-Gonzalez, L., Hirsch, F. R., Cardona, A. F., Hernández‐Pedro, N., & Arrieta, O. G. (2026) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2026.105431 · Cited by 2 · see citing works
Pathogenesis of Oxidative Stress in Lung Cancer and Its Therapeutic Aspects
Ramakrishnan, V., & Vajagathali, M. (2022) · Handbook of Oxidative Stress in Cancer: Therapeutic Aspects · doi:10.1007/978-981-16-5422-0_165 · Cited by 2 · see citing works
Rethinking Biosensors for Exhaled Breath: A Perspective on Gas and Condensate Detection
Pargoletti, E. (2025) · Advanced Sensor Research · doi:10.1002/adsr.202500086 · Cited by 1 · see citing works
Pathogenesis of Oxidative Stress in Lung Cancer and Its Therapeutic Aspects
Ramakrishnan, V., & Vajagathali, M. (2022) · Handbook of Oxidative Stress in Cancer: Therapeutic Aspects · doi:10.1007/978-981-16-1247-3_165-1 · Cited by 1 · see citing works
Tobacco, Second-Hand Smoke and Cancer
Pinkaew, D., Dammad, T., Bitar, M. A., Sahay, S., & Folz, R. J. (2023) · Springer eBooks · doi:10.1007/978-3-031-33750-5_5 · Cited by 1 · see citing works
Response to “MtDNA depletions and deletions may also important in pathogenesis of lung cancer”
Ai, S. S. Y., Hsu, K., Herbert, C. A., Cheng, Z.-J., Hunt, J., Lewis, C. R., & Thomas, P. S. (2013) · Respiratory Medicine · doi:10.1016/j.rmed.2013.08.017
Self-citationMitochondrial Mutagenesis in Cancer
Valente, W. J., & Bielas, J. H. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3612-0_7
Lung Cancer Biomarkers in Proximal Fluids
Dakubo, G. D. (2019) · Springer eBooks · doi:10.1007/978-3-030-24725-6_4
- Authors
- Yang Ai, S. S., Hsu, K., Herbert, C., Cheng, Z., Hunt, J., Lewis, C. R., & Thomas, P. S.
- Affiliations
- UNSW Sydney (AU)
- Prince of Wales Hospital (AU)
- Corresponding author
- Thomas, Paul S.
- Venue
- Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 107
- Issue
- 6
- Pages
- 911-918
- ISSN
- 0954-6111 (ISSN-L)
- OpenAlex
- W1976091213
- Cited by
- 52
- References
- 47
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 5
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Physical Sciences › Engineering › Biomedical Engineering › Advanced Chemical Sensor Technologies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- lung cancer, exhaled breath condensate, mitochondrial DNA mutations, D-loop, non-small cell lung cancer, salivary DNA, non-invasive biomarkers, lung carcinogenesis, smokers
- MeSH terms
- Aged, Breath Tests, Carcinoma, Non-Small-Cell Lung, Cross-Sectional Studies, DNA Mutational Analysis, DNA, Mitochondrial, DNA, Neoplasm, Female, Humans, Lung Neoplasms, Male, Middle Aged, Mutation, Neoplasm Staging, Saliva, Smoking
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