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REVIEW article

Front. Mol. Biosci.

Sec. Molecular Diagnostics and Therapeutics

Cell-Free Mitochondrial DNA (cf-mtDNA) in Human Body Fluids: Molecular Characteristics, Release Mechanisms, and Clinical Translation—An Updated Review

Provisionally accepted
  • 1Huazhong University of Science and Technology, Wuhan, China
  • 2Hubei University of Medicine, Shiyan, China
  • 3Maternal and Child Health Hospital of Hubei Province, Wuhan, China

The final, formatted version of the article will be published soon.

Since its discovery, cell-free mitochondrial DNA (cf-mtDNA) has emerged as a promising non-invasive molecular marker for disease diagnosis and prognosis. However, the biological origins of cf-mtDNA remain incompletely understood, which limits its clinical applications. This review comprehensively summarizes the molecular characteristics, release mechanisms, and diagnostic applications of cf-mtDNA. By discussing standardization of cf-mtDNA detection methods, this review aims to provide theoretical foundations for clinical translation of this emerging biomarker.

Keywords: Body Fluids, cf-mtDNA, Molecular features, Molecular markers, Release mechanism

Received: 04 Jan 2026; Accepted: 05 Feb 2026.

Copyright: © 2026 ma, 管, Liu and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Yu Liu
Shunchang Zhou

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.