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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.
Abstract:
Mitochondria are central to health and disease by precisely regulating metabolism and interacting closely with other organelles. Mitochondrial dysfunction contributes to the initiation and development of numerous diseases, including cancer. In cancer cells, metabolic reprogramming, impaired mitochondrial quality control, and mitochondrial DNA damage are linked to tumor initiation, development, and metastasis. Dysregulated mitochondrial function in cells within the tumor microenvironment, such as CD8 + T cells, also promotes cancer progression. Therapeutic approaches targeting mitochondria range from dietary interventions to small-molecule drugs aimed at restoring mitochondrial dysfunction. In this review, we summarize the relationships between mitochondrial dysfunction and cancer from the perspectives of metabolism, quality control, mitochondrial DNA stability, ion homeostasis, and the tumor microenvironment. We also provide updates on mitochondria-targeted therapies, highlighting key translational gaps from bench to bedside. Finally, we discuss future directions for mitochondria-targeted cancer therapy, emphasizing mitochondrial homeostasis as a critical target for improving therapeutic outcomes.
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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