Rheumatoid arthritis

Plasma mitochondrial DNA (mtDNA) as a possible contributor to and biomarker of inflammation in rheumatoid arthritis

Arthritis Res TherPublished Prospective observational study

Main finding · Plasma mtDNA copy numbersResult — go to the resultFold increase 19.4

Authors' conclusion

In contrast to nDNA, mtDNA is significantly elevated in the plasma of RA patients compared with HC. Regardless of RA activity, the abundance of circulating mtDNA is a sensitive discriminator between RA patients and HC.

Study context

Population
Consecutive rheumatoid arthritis (RA) patients and healthy blood donors; plasma mtDNA and nuclear DNA (nDNA) copy numbers quantified by polymerase chain reaction (PCR)
Participants
106 vs 85
Exposure
RA patients vs healthy controls
  • RAn = 106
  • Healthy controls (HC)n = 85reference
Outcome
Plasma mtDNA copy numbers
Methodological detailssingle-centre, consecutive patients
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

Fold increase

19.4

P < 0.0001

By group

RA

1.1 x108

median · copies/mL

HC

5.4 x106

median · copies/mL

Observational data: associations, not effects.

Further findings

mtDNA and disease activity

mtDNA discriminated RA in remission (DAS28 <2.6) from HC
P < 0.0001
Correlation between mtDNA and ESR
P = 0.006, R= 0.29
mtDNA correlated significantly with DAS28-ESR and increased numerically with increasing DAS28-ESR and clinical disease activity index (CDAI) activity

Demographic, serological (rheumatoid factor (RF), anti-citrullinated protein antibodies (ACPA)) and treatment factors

Not associated with DNA concentrations

nDNA

Similar analyses showed no significance for nDNA

Original publication

Plasma mtDNA as a possible contributor to and biomarker of inflammation in rheumatoid arthritis. Arthritis Res Ther. Published 7 May 2024. doi:10.1186/s13075-024-03329-2

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