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Peer-reviewedCC BYRedox report : communications in free radical research

Coordinated mitochondrial quality control underlies oxidative stress resilience in MUSE stem cells.

6 affiliations
  1. 1Department of Life Sciences, Health and Health Professions, Link Campus University, Rome, Italy.
  2. 2Department of Experimental Medicine, Luigi Vanvitelli Campania University, Naples, Italy.
  3. 3Department of Biotechnology, University of Samarra, Samarra, Iraq.
  4. 4Department of Medical Laboratory Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
  5. 5Saint Camillus International University of Health and Medical Sciences, UNICAMILLUS, Rome, Italy.
  6. 6Genome and Stem Cell Center (GENKÖK), Erciyes University, Kayseri, Turkey.

Abstract

Background

Reactive oxygen species (ROS) regulate stem-cell function, but sustained exposure causes oxidative damage, mitochondrial dysfunction and exhaustion. Multilineage-differentiating Stress-Enduring (MUSE) cells, a rare SSEA-3⁺ MSC subset, tolerate ROS-rich environments, although the mechanisms remain unclear.Methods

We compared MUSE, Non-MUSE (SSEA-3⁻) and MSCs after H₂O₂ exposure, assessing ROS clearance, mtDNA integrity, 8-oxo-dG, antioxidant and BER responses, mitochondrial morphology/function, mitophagy and biogenesis, with focus on the PGC-1α/NRF2 axis. Three independent biological replicates were analyzed by imaging, qPCR, flow cytometry and biochemical assays.Results

MUSE cells showed greater resistance to oxidative stress than MSCs and Non-MUSE cells. After H₂O₂, they displayed lower ROS accumulation (~15-25%), preserved mtDNA integrity, reduced 8-oxo-dG, rapid induction of antioxidant and BER-related genes, and maintenance of mitochondrial morphology, membrane potential and respiratory activity. MUSE cells also showed enhanced mitophagy, with >2-fold increased LAMP1-MitoTracker colocalization and induction of PINK1/phospho-Ub-S65, together with increased biogenesis, including ~45% higher COX-I/SDHA ratio, TFAM induction and PGC-1α activation at 48 h.Conclusion

MUSE cells coordinate antioxidant defense, DNA repair, mitophagy and biogenesis through a remove-and-replace program that preserves mitochondrial function during oxidative stress.

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BibTeX
@article{aprile2026coordinated,
  title = {{Coordinated mitochondrial quality control underlies oxidative stress resilience in MUSE stem cells.}},
  author = {Domenico Aprile and Sura Hilal Ahmed Al-Sammarraie and Alessia Ambrosino and Mohd Shahzaib and Yesuf Siraj and Afshin Samiminemati and Nicola Alessio and Gianfranco Peluso and Giovanni Di Bernardo and Umberto Galderisi},
  journal = {Redox report : communications in free radical research},
  year = {2026},
  month = oct,
  doi = {10.1080/13510002.2026.2698189},
  url = {https://europepmc.org/article/MED/42852617},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Coordinated mitochondrial quality control underlies oxidative stress resilience in MUSE stem cells.
AU  - Domenico Aprile
AU  - Sura Hilal Ahmed Al-Sammarraie
AU  - Alessia Ambrosino
AU  - Mohd Shahzaib
AU  - Yesuf Siraj
AU  - Afshin Samiminemati
AU  - Nicola Alessio
AU  - Gianfranco Peluso
AU  - Giovanni Di Bernardo
AU  - Umberto Galderisi
PY  - 2026
DA  - 2026/10/09
JO  - Redox report : communications in free radical research
DO  - 10.1080/13510002.2026.2698189
UR  - https://europepmc.org/article/MED/42852617
AB  - Background  Reactive oxygen species (ROS) regulate stem-cell function, but sustained exposure causes oxidative damage, mitochondrial dysfunction and exhaustion. Multilineage-differentiating Stress-Enduring (MUSE) cells, a rare SSEA-3⁺ MSC subset, tolerate ROS-rich environments, although the mechanisms remain unclear.Methods  We compared MUSE, Non-MUSE (SSEA-3⁻) and MSCs after H₂O₂ exposure, assessing ROS clearance, mtDNA integrity, 8-oxo-dG, antioxidant and BER responses, mitochondrial morphology/function, mitophagy and biogenesis, with focus on the PGC-1α/NRF2 axis. Three independent biological replicates were analyzed by imaging, qPCR, flow cytometry and biochemical assays.Results  MUSE cells showed greater resistance to oxidative stress than MSCs and Non-MUSE cells. After H₂O₂, they displayed lower ROS accumulation (~15-25%), preserved mtDNA integrity, reduced 8-oxo-dG, rapid induction of antioxidant and BER-related genes, and maintenance of mitochondrial morphology, membrane potential and respiratory activity. MUSE cells also showed enhanced mitophagy, with >2-fold increased LAMP1-MitoTracker colocalization and induction of PINK1/phospho-Ub-S65, together with increased biogenesis, including ~45% higher COX-I/SDHA ratio, TFAM induction and PGC-1α activation at 48 h.Conclusion  MUSE cells coordinate antioxidant defense, DNA repair, mitophagy and biogenesis through a remove-and-replace program that preserves mitochondrial function during oxidative stress.
SN  - 1351-0002
SN  - 1743-2928
ER  -