Our study investigated mtDNA variants and their potential functional impact on epigenetic and biological aging in young adulthood. We identified seven common variants with potential functional effects related to the OXPHOS complexes I, III, and IV and introduced a novel FI score of mtDNA variants. We observed that the J-T group displayed higher FI score of the mtDNA variants than other European macrohaplogroups, suggesting higher pathogenicity in the J-T group, whereas the H-HV group exhibited significantly lower FI score if the mtDNA variants than the other European macrohaplogroups, suggesting lower pathogenicity in the J-T group. Moreover, we demonstrated that a higher FI score of mtDNA variants was associated with both premature epigenetic aging in the early 20s and premature biological aging in the late 20s. These effects were independent of sex, current BMI and cigarette smoking.
Mitochondria are essential for several vital biological functions including energy production, regulation of ROS, calcium balance, inflammation, and programmed cell death [46–49]. Endogenous or exogenous cellular stressors can impair mitochondrial function, resulting in elevated ROS levels and accumulation of mutations in the mtDNA [50]. Excessive intracellular ROS levels lead to increased oxidative stress (OS), resulting in oxidative damage to macromolecules such as proteins, lipids, and DNA [51]. Research suggests that increased OS and ROS levels contribute to the occurrence of somatic mutations in mtDNA [52–54]. Genetic mouse models have demonstrated that somatic mtDNA mutations and cell type-specific dysfunction in the respiratory chain can lead to various phenotypes associated with aging and age-related diseases [55, 56]. In our study, we identified mtDNA variants in the MT-ND2, MT-ND3, MT-ND5, MT-CO3 and MT-CYB genes. Mutations in these genes have been associated with impaired mitochondrial energy production in various aging-related diseases, including Alzheimer's disease [57, 58], Parkinson's disease [59], and type 2 diabetes mellitus [60, 61]. Therefore, we hypothesize that the presence of the identified variants may significantly diminish the activity of complexes I, III and IV, resulting in decreased energy production.
Specifically, the higher FI score associated with these variants appears to be more harmful, correlating with both epigenetic and biological aging. Our findings support and substantially extend research in mice, which reported that mtDNA mutations are associated with life-shortening [20]. Moreover, given the fact that one of the biomarkers used in the KDM formula is glycated hemoglobin, which is closely linked with one’s levels of glucose, our findings are also consistent with other research in mice, which reported that accumulation of mtDNA mutations translates into impairments of glucose metabolism [19]. Our findings regarding the relationship between the FI score of mtDNA and premature epigenetic aging then support and extend the literature on mitochondrial dysfunction due to mutations of mtDNA and epigenetic alterations [27].
Interestingly, there were no relationships between epigenetic aging in the early 20s and biological aging in the late 20s, suggesting these two estimates of aging reflect different aging-related processes. Still, the fact that the FI score of mtDNA variants was able to predict premature aging estimated based on the DNA methylation as well as blood-based markers at two different timepoints suggests that the impact of the FI score of mtDNA variants is robust and most likely influences two different pathways leading to premature aging. Our findings are consistent with previous research indicating that somatic mtDNA mutations occurring during mouse embryogenesis or early life stages could potentially influence the development of aging-related phenotypes in adult mice [23, 52].
Contradictory evidence suggests that the role of mitochondrial genome mutations in longevity remains uncertain. The haplogroup J, characterized by specific mutations, including m.489T > C, m.10398A > G, m.1262A > G, and m.13708G > A, as well as substitutions m.4216T > C, m.11251A > G, and m.15452C > A shared with haplogroup T, appears to be associated with a higher likelihood of achieving longevity in certain populations such as Northern Italians, Northern Irish, Finns, and Northern Spaniards [62–65]. However, this association is not consistently observed in Southern Italians and central Spaniards [66, 67], suggesting population-specific effects. Differences in study methodologies, including ethnic backgrounds and age ranges of subjects, may have contributed to these discrepancies. Ruiz-Pesini et al. [68] proposed that the prevalence of J mitochondrial haplogroups in colder climates may offer an evolutionary advantage by enhancing mitochondrial energy and heat production [68]. However, this advantage may come at the cost of increased oxidative stress and susceptibility to degenerative diseases in unfavorable cellular environments. Despite associations with longevity, J and related haplogroups have also been linked to degenerative diseases like Parkinson's disease [69–71]. Our results showed that the J-T group displayed higher pathogenicity FI scores compared to all other European macrohaplogroups, whereas the H-HV group exhibited significantly lower pathogenicity FI scores than the others. These findings suggest that individuals within the J-T haplogroup may be predisposed to the premature aging process, potentially increasing their susceptibility to age-related diseases when compared to the other groups. These results underscore the importance of incorporating mitochondrial genetics, specifically haplogroup membership, into the study of epigenetic and biological aging.
Our findings should be viewed in light of some limitations. The sample of our study is small and thus our findings should be replicated by future research using a larger sample. Further, inclusion of other ancestry populations is essential for comprehensive insights. Additionally, considering the complex interplay between genetic and environmental factors in aging, future studies should explore how the variants identified here affect mtDNA-nDNA communication. Still, we believe that the identification of the novel FI score of mtDNA variants as well as its large effects on premature aging in young adults in the early as well as the late 20s bring important evidence regarding the potential origin of premature aging in young adulthood. We also speculate that future research might develop targeted interventions allowing the attenuation or correction of the mtDNA mutations and contribute to the extension of healthspan.
Overall, our study presents preliminary evidence suggesting the involvement of seven mtDNA variants — m.4917A > G and m.5460 G > A in the gene MT-ND2, m.9477G > A in the gene MT-CO3, m.10398A > G in the gene MT-ND3, m.13708G > A in the gene MT-ND5, and m.14798T > C and m.15452C > A in the gene MT-CYB — in premature aging in young adulthood. These findings emphasize the need for further investigation into mitochondrial genetics in the aging process to unravel its underlying mechanisms.