Targeting mitochondrial homeostasis as a cancer treatment strategy: current status and future prospects

Hongling Zhong1,2, Renjie Pan1,3, Yuzhen Ouyang1,4

  • 1Hunan Cancer Hospital and the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283Th Tongzipo Road, Changsha, 410031, Hunan Province, China.

Molecular Cancer
|January 27, 2026
PubMed

Insights

Mitochondrial dysfunction drives cancer initiation, progression, and metastasis by altering metabolism and cellular processes. Targeting mitochondria offers promising therapeutic strategies for cancer treatment by restoring cellular homeostasis.

Area of Science:

  • Mitochondrial biology
  • Cancer research
  • Metabolic reprogramming

Background:

  • Mitochondria play a crucial role in cellular metabolism and homeostasis.
  • Mitochondrial dysfunction is implicated in the development and progression of various diseases, including cancer.
  • Cancer cells exhibit metabolic reprogramming, impaired mitochondrial quality control, and DNA damage, contributing to tumor growth and metastasis.

Purpose of the Study:

  • To review the intricate relationship between mitochondrial dysfunction and cancer.
  • To explore the roles of metabolism, quality control, DNA stability, ion homeostasis, and the tumor microenvironment in cancer.
  • To update on current mitochondria-targeted therapies and identify translational gaps.

Main Methods:

  • Literature review
  • Synthesis of current research on mitochondria and cancer
  • Analysis of therapeutic strategies and future directions

Main Results:

  • Mitochondrial dysfunction is a key driver in cancer initiation, development, and metastasis.
  • Metabolic reprogramming, impaired mitochondrial quality control, and DNA damage are hallmarks of cancer cells.
  • Dysfunctional mitochondria in tumor-infiltrating immune cells, like CD8+ T cells, promote cancer progression.
  • Mitochondria-targeted therapies show promise but face translational challenges.

Conclusions:

  • Mitochondrial homeostasis is a critical target for effective cancer therapy.
  • Restoring mitochondrial function holds potential for improving therapeutic outcomes in cancer treatment.
  • Further research is needed to bridge the gap between bench discoveries and clinical applications for mitochondria-targeted cancer therapies.

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