Abstract
Mitochondrial DNA (mtDNA) quality and quantity relate to two hallmarks of aging—genomic instability and mitochondrial dysfunction. Physical performance relies on mitochondrial integrity and declines with age, yet the interactions between mtDNA quantity, quality, and physical performance are unclear. Using a validated digital PCR assay specific for mtDNA deletions, we tested the hypothesis that skeletal muscle mtDNA deletion mutation frequency (i.e., a measure of mtDNA quality) or mtDNA copy number predicts physical performance in older adults. Total DNA was isolated from vastus lateralis muscle biopsies and used to quantitate mtDNA copy number and mtDNA deletion frequency by digital PCR. The biopsies were obtained from a cross-sectional cohort of 53 adults aged 50 to 86 years. Before the biopsy procedure, physical performance measurements were collected, including VO2max, modified physical performance test score, 6-min walk distance, gait speed, grip strength, and total lean and leg mass. Linear regression models were used to evaluate the relationships between age, sex, and the outcomes. We found that mtDNA deletion mutation frequency increased exponentially with advancing age. On average from ages 50 to 86, deletion frequency increased from 0.008 to 0.15%, an 18-fold increase. Females may have lower deletion frequencies than males at older ages. We also measured declines in VO2max and mtDNA copy number with age in both sexes. The mtDNA deletion frequency measured from single skeletal muscle biopsies predicted 13.3% of the variation in VO2max. Copy number explained 22.6% of the variation in mtDNA deletion frequency and 10.4% of the lean mass variation. We found predictive relationships between age, mtDNA deletion mutation frequency, mtDNA copy number, and physical performance. These data are consistent with a role for mitochondrial function and genome integrity in maintaining physical performance with age. Analyses of mtDNA quality and quantity in larger cohorts and longitudinal studies could extend our understanding of the importance of mitochondrial DNA in human aging and longevity.
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References
Lopez-Otin C, Blasco MA, Partridge L, Serrano M, Kroemer G. The hallmarks of aging. Cell. 2013;153(6):1194–217. https://doi.org/10.1016/j.cell.2013.05.039.
Lanza IR, Sreekumaran Nair K. Regulation of skeletal muscle mitochondrial function: genes to proteins. Acta Physiol (Oxford). 2010;199(4):529–47. https://doi.org/10.1111/j.1748-1716.2010.02124.x.
Sun N, Youle RJ, Finkel T. The mitochondrial basis of aging. Mol Cell. 2016;61(5):654–66. https://doi.org/10.1016/j.molcel.2016.01.028.
Persson O, Muthukumar Y, Basu S, Jenninger L, Uhler JP, Berglund AK, et al. Copy-choice recombination during mitochondrial L-strand synthesis causes DNA deletions. Nat Commun. 2019;10(1):759. https://doi.org/10.1038/s41467-019-08673-5.
Bua E, Johnson J, Herbst A, Delong B, McKenzie D, Salamat S, et al. Mitochondrial DNA-deletion mutations accumulate intracellularly to detrimental levels in aged human skeletal muscle fibers. Am J Hum Genet. 2006;79(3):469–80.
Gitschlag BL, Tate AT, Patel MR. Nutrient status shapes selfish mitochondrial genome dynamics across different levels of selection. Elife. 2020;9. https://doi.org/10.7554/eLife.56686.
Herbst A, Pak JW, McKenzie D, Bua E, Bassiouni M, Aiken JM. Accumulation of mitochondrial DNA deletion mutations in aged muscle fibers: evidence for a causal role in muscle fiber loss. J Gerontol. 2007;62(3):235–45.
Cheema N, Herbst A, McKenzie D, Aiken JM. Apoptosis and necrosis mediate skeletal muscle fiber loss in age-induced mitochondrial enzymatic abnormalities. Aging Cell. 2015;14(6):1085–93. https://doi.org/10.1111/acel.12399.
Aure K, Fayet G, Leroy JP, Lacene E, Romero NB, Lombes A. Apoptosis in mitochondrial myopathies is linked to mitochondrial proliferation. Brain. 2006;129(Pt 5):1249–59.
Wanagat J, Cao Z, Pathare P, Aiken JM. Mitochondrial DNA deletion mutations colocalize with segmental electron transport system abnormalities, muscle fiber atrophy, fiber splitting, and oxidative damage in sarcopenia. FASEB J. 2001;15(2):322–32. https://doi.org/10.1096/fj.00-0320com.
Aspnes LE, Lee CM, Weindruch R, Chung SS, Roecker EB, Aiken JM. Caloric restriction reduces fiber loss and mitochondrial abnormalities in aged rat muscle. FASEB J. 1997;11(7):573–81.
Bua EA, McKiernan SH, Wanagat J, McKenzie D, Aiken JM. Mitochondrial abnormalities are more frequent in muscles undergoing sarcopenia. J Appl Physiol (1985). 2002;92(6):2617–24. https://doi.org/10.1152/japplphysiol.01102.2001.
Chung SS, Weindruch R, Schwarze SR, McKenzie DI, Aiken JM. Multiple age-associated mitochondrial DNA deletions in skeletal muscle of mice. Aging (Milano). 1994;6(3):193–200.
Eimon PM, Chung SS, Lee CM, Weindruch R, Aiken JM. Age-associated mitochondrial DNA deletions in mouse skeletal muscle: comparison of different regions of the mitochondrial genome. Dev Genet. 1996;18(2):107–13.
Herbst A, Wanagat J, Cheema N, Widjaja K, McKenzie D, Aiken JM. Latent mitochondrial DNA deletion mutations drive muscle fiber loss at old age. Aging Cell. 2016;15:1132–9. https://doi.org/10.1111/acel.12520.
Lee CM, Lopez ME, Weindruch R, Aiken JM. Association of age-related mitochondrial abnormalities with skeletal muscle fiber atrophy. Free Radic Biol Med. 1998;25(8):964–72.
Schwarze SR, Lee CM, Chung SS, Roecker EB, Weindruch R, Aiken JM. High levels of mitochondrial DNA deletions in skeletal muscle of old rhesus monkeys. Mech Ageing Dev. 1995;83(2):91–101.
Taylor SD, Ericson NG, Burton JN, Prolla TA, Silber JR, Shendure J, et al. Targeted enrichment and high-resolution digital profiling of mitochondrial DNA deletions in human brain. Aging Cell. 2014;13(1):29–38. https://doi.org/10.1111/acel.12146.
Kraytsberg Y, Kudryavtseva E, McKee AC, Geula C, Kowall NW, Khrapko K. Mitochondrial DNA deletions are abundant and cause functional impairment in aged human substantia nigra neurons. Nat Genet. 2006;38(5):518–20. https://doi.org/10.1038/ng1778.
Parkinson GM, Dayas CV, Smith DW. Increased mitochondrial DNA deletions in substantia nigra dopamine neurons of the aged rat. Curr Aging Sci. 2014;7(3):155–60.
Reeve A, Meagher M, Lax N, Simcox E, Hepplewhite P, Jaros E, et al. The impact of pathogenic mitochondrial DNA mutations on substantia nigra neurons. J Neurosci. 2013;33(26):10790–801. https://doi.org/10.1523/JNEUROSCI.3525-12.2013.
Song L, McMackin M, Nguyen A, Cortopassi G. Parkin deficiency accelerates consequences of mitochondrial DNA deletions and Parkinsonism. Neurobiol Dis. 2017;100:30–8. https://doi.org/10.1016/j.nbd.2016.12.024.
McKiernan SH, Tuen VC, Baldwin K, Wanagat J, Djamali A, Aiken JM. Adult-onset calorie restriction delays the accumulation of mitochondrial enzyme abnormalities in aging rat kidney tubular epithelial cells. Am J Physiol Ren Physiol. 2007;292(6):F1751–60. https://doi.org/10.1152/ajprenal.00307.2006.
Herbst A, Lee CC, Vandiver AR, Aiken JM, McKenzie D, Hoang A, et al. Mitochondrial DNA deletion mutations increase exponentially with age in human skeletal muscle. Aging Clin Exp Res. 2020. https://doi.org/10.1007/s40520-020-01698-7.
Short KR, Bigelow ML, Kahl J, Singh R, Coenen-Schimke J, Raghavakaimal S, et al. Decline in skeletal muscle mitochondrial function with aging in humans. Proc Natl Acad Sci U S A. 2005;102(15):5618–23. https://doi.org/10.1073/pnas.0501559102.
Herbst A, Widjaja K, Nguy B, Lushaj EB, Moore TM, Hevener AL, et al. Digital PCR quantitation of muscle mitochondrial DNA: age, fiber type, and mutation-induced changes. J Gerontol A Biol Sci Med Sci. 2017;72(10):1327–33. https://doi.org/10.1093/gerona/glx058.
Miljkovic N, Lim JY, Miljkovic I, Frontera WR. Aging of skeletal muscle fibers. Ann Rehabil Med. 2015;39(2):155–62. https://doi.org/10.5535/arm.2015.39.2.155.
Larsen S, Nielsen J, Hansen CN, Nielsen LB, Wibrand F, Stride N, et al. Biomarkers of mitochondrial content in skeletal muscle of healthy young human subjects. J Physiol. 2012;590(14):3349–60. https://doi.org/10.1113/jphysiol.2012.230185.
Filograna R, Koolmeister C, Upadhyay M, Pajak A, Clemente P, Wibom R, et al. Modulation of mtDNA copy number ameliorates the pathological consequences of a heteroplasmic mtDNA mutation in the mouse. Sci Adv. 2019;5(4):eaav9824. https://doi.org/10.1126/sciadv.aav9824.
Distefano G, Goodpaster BH. Effects of exercise and aging on skeletal muscle. Cold Spring Harb Perspect Med. 2018;8(3). https://doi.org/10.1101/cshperspect.a029785.
Ross R, Blair SN, Arena R, Church TS, Despres JP, Franklin BA, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation. 2016;134(24):e653–99. https://doi.org/10.1161/CIR.0000000000000461.
Kim CH, Wheatley CM, Behnia M, Johnson BD. The effect of aging on relationships between lean body mass and VO2max in rowers. PLoS One. 2016;11(8):e0160275. https://doi.org/10.1371/journal.pone.0160275.
Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. JAMA. 2011;305(1):50–8. https://doi.org/10.1001/jama.2010.1923.
Harber MP, Kaminsky LA, Arena R, Blair SN, Franklin BA, Myers J, et al. Impact of cardiorespiratory fitness on all-cause and disease-specific mortality: advances since 2009. Prog Cardiovasc Dis. 2017;60(1):11–20. https://doi.org/10.1016/j.pcad.2017.03.001.
Rogers MA, Hagberg JM, Martin WH 3rd, Ehsani AA, Holloszy JO. Decline in VO2max with aging in master athletes and sedentary men. J Appl Physiol (1985). 1990;68(5):2195–9. https://doi.org/10.1152/jappl.1990.68.5.2195.
Coen PM, Jubrias SA, Distefano G, Amati F, Mackey DC, Glynn NW, et al. Skeletal muscle mitochondrial energetics are associated with maximal aerobic capacity and walking speed in older adults. J Gerontol A Biol Sci Med Sci. 2013;68(4):447–55. https://doi.org/10.1093/gerona/gls196.
Carrick-Ranson G, Hastings JL, Bhella PS, Shibata S, Fujimoto N, Palmer D, et al. The effect of age-related differences in body size and composition on cardiovascular determinants of VO2max. J Gerontol A Biol Sci Med Sci. 2013;68(5):608–16. https://doi.org/10.1093/gerona/gls220.
Fleg JL, Morrell CH, Bos AG, Brant LJ, Talbot LA, Wright JG, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation. 2005;112(5):674–82. https://doi.org/10.1161/CIRCULATIONAHA.105.545459.
Standley RA, Distefano G, Trevino MB, Chen E, Narain NR, Greenwood B, et al. Skeletal muscle energetics and mitochondrial function are impaired following 10 days of bed rest in older adults. J Gerontol A Biol Sci Med Sci. 2020;75(9):1744–53. https://doi.org/10.1093/gerona/glaa001.
Pollock RD, O'Brien KA, Daniels LJ, Nielsen KB, Rowlerson A, Duggal NA, et al. Properties of the vastus lateralis muscle in relation to age and physiological function in master cyclists aged 55-79 years. Aging Cell. 2018;17(2):e12735. https://doi.org/10.1111/acel.12735.
DiMauro S. Mitochondrial myopathies. Curr Opin Rheumatol. 2006;18(6):636–41. https://doi.org/10.1097/01.bor.0000245729.17759.f2.
Hou Y, Xie Z, Zhao X, Yuan Y, Dou P, Wang Z. Appendicular skeletal muscle mass: a more sensitive biomarker of disease severity than BMI in adults with mitochondrial diseases. PLoS One. 2019;14(7):e0219628. https://doi.org/10.1371/journal.pone.0219628.
Brown M, Sinacore DR, Binder EF, Kohrt WM. Physical and performance measures for the identification of mild to moderate frailty. J Gerontol A Biol Sci Med Sci. 2000;55(6):M350–5. https://doi.org/10.1093/gerona/55.6.m350.
Hennessey JV, Chromiak JA, Della Ventura S, Guertin J, MacLean DB. Increase in percutaneous muscle biopsy yield with a suction-enhancement technique. J Appl Physiol (1985). 1997;82(6):1739–42. https://doi.org/10.1152/jappl.1997.82.6.1739.
Box G, Cox D. An analysis of transformations. J R Stat Soc Ser B Methodol. 1964;26(2):211–52.
Hebert SL, Marquet-de Rouge P, Lanza IR, McCrady-Spitzer SK, Levine JA, Middha S, et al. Mitochondrial aging and physical decline: insights from three generations of women. J Gerontol. 2015;70(11):1409–17. https://doi.org/10.1093/gerona/glv086.
Lexell J, Taylor CC, Sjostrom M. What is the cause of the ageing atrophy? Total number, size and proportion of different fiber types studied in whole vastus lateralis muscle from 15- to 83-year-old men. J Neurol Sci. 1988;84(2-3):275–94.
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This work is supported by the National Institute on Aging at the National Institutes of Health (grant numbers R56AG060880, R01AG055518, K02AG059847, and R21AR072950).
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Herbst, A., Prior, S.J., Lee, C.C. et al. Skeletal muscle mitochondrial DNA copy number and mitochondrial DNA deletion mutation frequency as predictors of physical performance in older men and women. GeroScience 43, 1253–1264 (2021). https://doi.org/10.1007/s11357-021-00351-z
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DOI: https://doi.org/10.1007/s11357-021-00351-z