While there is general agreement that most forms of common disease develop as a consequence of a combination of factors, including genetic, environmental, and behavioral contributors, the actual mechanistic basis of how these factors initiate or promote diabetes, cancer, neurodegenerative, and cardiovascular diseases in some individuals while not in others with seemingly identical risk factor profiles, is not clearly understood. In this respect, consideration of the potential role for mitochondrial genetics, damage, and function in influencing common disease susceptibility seems merited, given that the prehistoric challenges were the original factors that molded cellular function, and these were based upon the mitochondrial-nuclear relationships which were established during evolutionary history. These interactions were likely refined during prehistoric environmental selection events that today, are largely absent. Contemporary risk factors such as diet, sedentary lifestyle and increased longevity that influence our susceptibility to a variety of chronic diseases were not part of the dynamics that defined the processes of mitochondrialnuclear interaction, and thus, cell function. Consequently, the prehistoric challenges that contributed to cell functionality and evolution should be considered when interpreting and designing experimental data and strategies. Although several molecular epidemiologic studies have generally supported this notion, studies that probe beyond these associations are required. Such investigation will mark the initial steps for mechanistically addressing the provocative concept that contemporary human disease susceptibility is the result of prehistoric selection events for mitochondrial-nuclear function that increased the probability for survival and reproductive success during evolution.
KeywordsMitochondria; Bioenergetics; Oxidants; Disease susceptibilityThe genetic basis for common diseases associated with metabolism is generally appreciated as being complex. Overall, disease susceptibility is considered to be an interactive consequence of multiple modifiable (behavioral, lifestyle) and non-modifiable (genetic) factors, however, the actual mechanistic basis of this interaction is not clearly understood. The "common disease -common variants" hypothesis argues that common forms of disease involve multiple genes, each with a different effect that interact with other genes or environmental factors that modify their actions, contributing to individual disease susceptibility [1].