Can bulk blood ageing and lineage-resolved heteroplasmy tell opposite stories?

by Luca Senn

An age-associated rise in mtDNA mutation burden measured in whole blood could coexist with stable heteroplasmy within matched cell lineages if ageing mainly changes blood-cell composition. Conversely, stable bulk measurements could conceal opposing lineage-specific shifts.

Does the blood study include paired, age-stratified measurements in purified or longitudinally matched cell populations, and can the single-cell transcriptomic approach distinguish true lineage-restricted heteroplasmy from coverage and detection-threshold effects? Without that comparison, bulk-tissue accumulation and within-lineage clonal change remain different explanations.

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