Mitochondrial DNA damage analysis in bronchoalveolar lavage cells of preterm infants

Front Biosci (Elite Ed). 2010 Jan 1;2:361-8. doi: 10.2741/e96.


In mechanically ventilated preterm infants, the combination of immaturity, volutrauma, oxidative stress, and inflammatory processes can lead to chronic lung injury. Mitochondrial DNA (mtDNA) is more susceptible to oxidative damage than nuclear DNA. We aimed to investigate the level of mtDNA damage (deletions, mutations and changes in copy number) in bronchoalveolar lavage (BAL) cells from 10 preterm infants (27-30 weeks). A first BAL (BAL1) was done within 24 h of endotracheal intubation and BAL2 was performed 30-103 h thereafter. Deletions were analyzed by long range PCR, point mutations by heteroduplex analysis of the D-loop region, and copy number changes by real-time PCR. Using these methods, no deletions were found in any of the BAL samples. When BAL1 and BAL2 samples were compared no new mutations were found. In contrast, a marked decrease in mtDNA copy number was observed in 5 patients. In conclusion, we found that exposure of preterm infants to short term mechanical ventilation did not lead to detrimental consequences for the mtDNA in the form of mutations or deletions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bronchoalveolar Lavage Fluid / cytology*
  • DNA Copy Number Variations / genetics
  • DNA Damage / genetics*
  • DNA Mutational Analysis
  • DNA Primers / genetics
  • DNA, Mitochondrial / genetics*
  • Humans
  • Infant, Newborn
  • Netherlands
  • Premature Birth / genetics*
  • Respiration, Artificial / adverse effects*


  • DNA Primers
  • DNA, Mitochondrial