Key result
Severe COVID-19 is linked to lower PBMC mitochondrial cristae density and greater sitting time.
Why the study?
An interaction between mitochondrial dynamics, physical activity levels, and COVID-19 severity has been hypothesized but not previously tested.
Observational
Severe COVID-19 is associated with lower mitochondrial cristae density in PBMCs and greater sitting time, suggesting a link between physical inactivity, mitochondrial dysfunction, and disease severity.
Lower PBMC cristae density and greater sitting time associate with severe COVID-19; hypothesis-generating for inactivity-mitochondrial links, needs prospective confirmation.
An interaction between mitochondrial dynamics, physical activity levels, and COVID-19 severity has been previously hypothesized. However, this has not been tested. We aimed to compare mitochondrial morphology and cristae density of PBMCs between subjects with non-severe COVID-19, subjects with severe COVID-19, and healthy controls. Additionally, we compared the level of moderate-vigorous physical activity (MVPA) and sitting time between groups. Blood samples were taken to obtain PBMCs. Mitochondrial dynamics were assessed by electron microscopy images and western blot of protein that regulate mitochondrial dynamics. The International Physical Activity Questionnaire (IPAQ; short version) was used to estimate the level of MVPA and the sitting time The patients who develop severe COVID-19 (COVID-19++) not present alterations of mitochondrial size neither mitochondrial density in comparison to non-severe patients COVID-19 (COVID-19) and control subjects (CTRL). However, compared to CTRL, COVID-19 and COVID-19++ groups have lower mitochondrial cristae length, a higher proportion of abnormal mitochondrial cristae. The COVID-19++ group has lower number (trend) and length of mitochondrial cristae in comparison to COVID-19 group. COVID-19, but not COVID-19++ group had lower Opa 1, Mfn 2 and SDHB (Complex II) proteins than CTRL group. Besides, COVID-19++ group has a higher time sitting. Our results show that low mitochondrial cristae density, potentially due to physical inactivity, is associated with COVID-19 severity.
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Castro‐Sepúlveda et al. (2022) conducted an observational in COVID-19. Severe COVID-19 vs. Non-severe COVID-19 and healthy controls was evaluated on Mitochondrial morphology, cristae density of PBMCs, and sitting time. Severe COVID-19 was associated with lower mitochondrial cristae density in PBMCs and greater sitting time compared to non-severe COVID-19 and healthy controls.
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