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Table 2 Summary of mitochondrial transfer/transplantation in different organ

From: Mitochondrial transfer/transplantation: an emerging therapeutic approach for multiple diseases

Organ

Disease

Donor

Recipient

Methods

Therapeutic effect

Refs.

Brain

Sepsis-associated brain dysfunction

Pectoralis (allogeneic)

Mouse left lateral ventricle/BV2 microglia

Mitochondrial transplantation (i.c.v. injection)/mitochondrial coincubation

Cognitive impairment↓ Microglial polarization from the M1 phenotype to the M2 phenotype

[193]

Brain

Schizophrenia

Human lymphocytes/rat brain (xenogeneic)

Schizophrenia-derived lymphoblasts/rat prefrontal cortex neurons

Mitochondrial incubation/mitochondrial transplantation (DI)

Long-lasting cellular oxygen consumption and mitochondrial membrane potential↑ Attentional deficit↓

[194]

Brain

PD

HepG2 cells (xenogeneic)

Multiple tissues, including brain, liver, kidney, muscle, and heart tissues of mice

Mitochondrial transplantation (i.v. injection)

ETC activity↑ ROS level↓ Apoptosis and necrosis↓

[195]

Brain

PD

PC12 cells (allogeneic)/human osteosarcoma cybrids (xenogeneic)

PC12 cells/ rat dopaminergic neurons

Peptide-mediated mitochondrial incubation/peptide-mediated mitochondrial transplantation (i.c.v. injection)

Cell viability↑ Mitochondrial tolerance to 6-OHDA neurotoxicity↑ Motor function↑ Dopaminergic neuron deterioration↓

[143]

Brain

AD

HeLa cells (xenogeneic)

Brain and liver of mice

Mitochondrial transplantation (i.v. injection)

Cognitive performance↑ Neuronal loss↓ Gliosis↓ Mitochondrial dysfunction in brain↓ Mitochondrial activity in liver↑

[142]

Brain

IR injury

Pectoralis major (autologous)

Widespread distribution in the brain, mainly in ischaemic penumbra areas of the brains of rats

Mitochondrial transplantation (i.c.v. injection)

Cellular oxidative stress↓ Apoptosis↓ Astrogliosis↓ Neurogenesis↑ Brain infarct volume↓ Neurological deficits↓

[196]

Brain

IR injury

Rat MSCs (allogeneic)

Rat peri-infarct area of brain

MSC transplantation (intra-arterial injection)

Mitochondrial activity↑ Angiogenesis↑ Infarct volume↓ Functional recovery↑

[197]

Spine

Spinal cord injury

PC12 cells/soleus muscle (allogeneic)

Resident spinal cord cells of rats

Mitochondrial transplantation (DI)

Oxygen consumption rate↑ Long-lasting motor and sensory functions—

[198]

Heart

Myocardial infarction

hMADS (xenogeneic)

hMADS/endothelial or cardiac cells/mouse myocardium

Coculture/hMADS transplantation (surrounding the infarcted site injection)

HO-1 expression↑PGC1 -α expression↑ Plasma cardiac troponin t levels↓ Intracardiac caspase-3 protein expression↓

[93]

Heart

Anthracycline-induced cardiomyopathy

Human iPSC-MSCs (xenogeneic)

NMCs

Coculture (TNTs)/iPSC-MSC transplantation (intramyocardial injection)

Mitochondrial respiration↑ NMC viability↑

[106]

Heart

Anthracycline-induced cardiomyopathy

Human iPSC-MSCs/BM-MSCs (xenogeneic)

Mouse myocardium

iPSC-MSC/BM-MSC transplantation (intramyocardial injection)

Heart function↑ Myocardial damage↓ Myocardial fibrosis↓ Cell apoptosis↓ ATP production↑ Oxidative stress↓ Inflammation↓

[106]

Heart

IR injury

Pectoralis major of rabbit (autologous)

Rabbit myocardium

Mitochondrial transplantation (DI)

Creatine kinase MB↓ Cardiac troponin-I↓ Apoptosis↓ Infarct size↓ Oxygen consumption↑ ATP production↑ Precursor metabolites for energy↑ Cellular respiration↑

[74]

Heart

IR injury

Human adult cardiac fibroblasts (xenogeneic)/ rabbit liver (autologous)

Rabbit myocardium

Mitochondrial transplantation (DI)/mitochondrial coronary vasculature perfusion

End diastolic pressure↓ Positive dp/dt↑ Segmental shortening↑ Infarct size↓

[199]

Lung

Acute respiratory distress syndrome

Human MSCs (allogeneic)/murine alveolar macrophages (allogeneic)

Human monocyte-derived macrophages/mouse LPS-injured lung

Noncontact coculture (EVs)/instillation of alveolar macrophages treated with MSC-derived EVs (intranasally instilled)

Macrophages OXPHOS↑ Anti-inflammatory response↑ Phagocytosis↑ Lung injury↓

[132]

Lung

Acute lung injury

Mouse BMSCs (allogeneic)

Mouse alveolar epithelium cells

BMSC transplantation (airway-instilled)

ATP concentrations↑ Alveolar leucocytosis↓ Protein leakage↓ Surfactant secretion↑ Mouse survival↑

[30]

Lung

Airway injury and allergic airway inflammation

MSCs (allogeneic)

Lung bronchial epithelial cells of mice

MSC transplantation (intratracheal or intranasal route)

Caspase-3↓ Caspase-9↓ Apoptosis↓ Inflammation↓ Mitochondrial function↑

[114]

Lung

Alveolar epithelial-capillary barrier disruption

MSCs (allogeneic)

Primary human pulmonary microvascular endothelial cells/human small airway epithelial cells/lung

EV cocultured/EV transplantation (i.v. injection)

Barrier integrity↑ Mitochondrial respiration ↑ ATP turnover↑ Mitophagy↓ mtDNA replication↑ Inflammatory response↓ Mitochondrial function↑

[200]

Liver

Carbon tetrachloride-induced liver injury

Mouse liver (allogeneic)

Mouse hepatocytes

Mitochondrial co‐incubation/mitochondrial transplantation (i.v. injection)

Liver injury↓ Liver fibrosis↓ ROS level↓ ATP content↑ OXPHOS↑ Cell proliferation↓ Xenobiotic metabolism transformation↑ Protein homeostasis↑

[127]

Kidney

Diabetic nephropathy

Rat BM-MSCs (allogeneic)

Rat renal proximal tubular epithelial cells/mouse kidney

Mitochondrial transplantation (under the renal capsule of rats)/MSC transplantation (i.v. injected)/coculture/mitochondrial coincubation

Colony formation↑ Apoptosis↓ SOD2↑ Bcl-2↑ ROS production↓ Megalin and SGLT2 expression↑ Renal tubules structural restoration↑

[201]

Bone

Bone defect

Rat BMSCs (autologous/allogeneic)

BMSCs/parietal bone of rats

Mitochondrial coincubation /mitochondria-recipient BMSC transplantation (DI)

Cell proliferation and migration↑ Osteogenic differentiation↑ Bone defect repair↑ OXPHOS↑ ATP production↑

[148]

Bone

Osteoarthritis

Rat BMSCs (allogeneic)

Rat chondrocytes

Coculture

Mitochondrial membrane potential↑ Mitochondrial respiratory chain enzymes activity↑ ATP content↑ Apoptosis↓ Type II collagen secretion↑ Proteoglycan protein↑

[147]

Skeletal muscle

Skeletal muscle atrophy

Human umbilical cord- MSCs (xenogeneic)

Rat myoblast cells

Centrifugation

Cell proliferation↑ ATP content↑ MMP↑ PGC-1↑ AMPK/FoxO3/Atrogene pathway↓

[64]

Skeletal muscle

Tendinopathy

Human umbilical cord-MSCs (allogeneic)/rat L6 myoblasts (allogeneic)

Human tenocytes/rat Achilles tendon

Centrifugation/Mitochondrial transplantation (DI)

Tenomodulin↑ Collagen 1↑ MMP1↓ ROS↓ ATP production↑ Mitochondrial fusion↑ Mitochondrial fission↓ Apoptosis↓ Inflammation↓

[145]

  1. ↑: promote; ↓: reduce; —: no effect
  2. i.c.v. injection intracerebroventricular injection, hMADS human multipotent adipose-derived stem cells, NMCs neonatal mouse cardiomyocytes