Reactive Oxygen Species-Mediated Mitochondrial-Targeted Therapeutics in Hepatic Disorders: Current Progress and

Ashish Dhiman1, Yagni Shah1, Umesh Chaudhary1

  • 1Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research-Ahmedabad (NIPER-A), Opposite Airforce Station, Palaj, Gandhinagar, Gujarat 382355, India.

Molecular Pharmaceutics
|September 18, 2025
PubMed

Insights

Reactive oxygen species (ROS) drive mitochondrial dysfunction in liver diseases like NAFLD and ALD. Targeting ROS and mitochondria offers promising therapeutic strategies for hepatic disorders.

Area of Science:

  • Mitochondrial biology and pathophysiology
  • Hepatology and liver disease research
  • Oxidative stress and cellular signaling

Background:

  • Mitochondrial dysfunction, driven by reactive oxygen species (ROS), is central to liver diseases such as nonalcoholic fatty liver disease (NAFLD), alcoholic liver disease (ALD), and liver fibrosis.
  • Mitochondria are both sources and targets of ROS, highlighting their critical role in liver disease pathogenesis and cellular energy regulation.

Purpose of the Study:

  • To review the causes of mitochondrial dysfunction, emphasizing the role of ROS in hepatic disorders.
  • To discuss current and emerging therapeutic strategies targeting mitochondrial dysfunction for liver diseases.
  • To explore recent advances in mitochondrial-targeted therapeutics and their clinical potential.

Main Methods:

  • Literature review of studies on mitochondrial dysfunction, ROS, and hepatic disorders.
  • Analysis of current therapeutic approaches including antioxidants, biogenesis enhancers, and nanotechnology.
  • Examination of emerging strategies like mitochondrial dynamics modulation and mitophagy.

Main Results:

  • Reactive oxygen species (ROS) are significant contributors to mitochondrial dysfunction in various hepatic disorders.
  • Mitochondria-specific antioxidants, enhanced mitochondrial biogenesis, and targeted delivery systems are key therapeutic avenues.
  • Modulating mitochondrial dynamics and mitophagy presents novel therapeutic potential for restoring cellular homeostasis.

Conclusions:

  • Targeting the interplay between ROS and mitochondrial dysfunction is crucial for developing effective therapies for hepatic disorders.
  • Translating current and emerging mitochondrial-targeted strategies into clinical applications holds significant promise for managing liver diseases.
  • Future research should focus on innovative approaches to exploit mitochondrial pathways for treating liver conditions.

Related Concept Videos

Electron Transport Chain: Complex I and II01:46

Electron Transport Chain: Complex I and II

The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
ROS generation is regulated and maintained at moderate levels necessary...
18.5K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.6K
Peroxisomes01:24

Peroxisomes

Peroxisomes are specialized organelles present in fungi, plant, and animal cells. It can vary in number, size, morphology, and activity depending on the type of tissue and the nutritional state of the cell. For example, cells with active lipid metabolism, such as adipocytes, neurons, and hepatocytes, have more peroxisomes than other cells in the body. Besides their primary role in breaking down complex organic molecules, peroxisomes can also synthesize specific macromolecules and participate in...
20.0K
Phase I Oxidative Reactions: Overview01:19

Phase I Oxidative Reactions: Overview

Phase I biotransformation, or functionalization, is a crucial chemical process that converts drugs and other xenobiotics into more water-soluble forms, facilitating expulsion from the body. It involves oxidative, reductive, and hydrolytic reactions that add or unveil polar functional groups on lipophilic substrates. Key players in phase I reactions are the mixed-function oxidases. Situated in liver cell microsomes, these enzymes predominantly carry out drug metabolism. They require molecular...
715
Peroxisomes and Mitochondria01:30

Peroxisomes and Mitochondria

Peroxisomes and mitochondria are two important oxygen-utilizing organelles in eukaryotic cells. Mitochondria carry out cellular respiration—the process that converts energy from food into ATP. Peroxisomes carry out a variety of functions, primarily breaking down different substances, such as fatty acids.
The peroxisome is a single membrane-bound cellular organelle that can perform several different functions, including lipid metabolism and chemical detoxification. The enzymes within...
94.3K
The Electron Transport Chain01:30

The Electron Transport Chain

The electron transport chain or oxidative phosphorylation is an exothermic process in which free energy released during electron transfer reactions is coupled to ATP synthesis. This process is a significant source of energy in aerobic cells, and therefore inhibitors of the electron transport chain can be detrimental to the cell's metabolic processes.
Inhibitors of the electron transport chain
Rotenone, a widely used pesticide, prevents electron transfer from Fe-S cluster to ubiquinone or Q...
19.7K