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Targeting Mitochondria in Aging-Related Diseases: Therapeutic Potential and Obstacles
Zijie Xiang1, Yu Chen1, Xishui Liu2
1Department of Orthopedics The First Affiliated Hospital of Soochow University Suzhou Jiangsu China.
Medcomm
|June 8, 2026
Summary
Mitochondrial dysfunction is a key driver of aging and related diseases. This review synthesizes mechanisms, therapeutic strategies, and challenges in mitochondrial medicine for aging intervention.
Area of Science:
- Gerontology
- Mitochondrial Biology
- Cellular Aging
Background:
- Aging involves cellular organelle decline, with mitochondrial dysfunction as a primary hallmark.
- Senescent cells exhibit intrinsic mitochondrial dysfunction and impaired quality control (mitophagy, dynamics, biogenesis).
- A gap exists in synthesizing mechanistic insights of mitochondrial dysfunction with therapeutic challenges in aging.
Purpose of the Study:
- To systematically review pathways of mitochondrial dysfunction in aging.
- To analyze the contribution of mitochondrial dysregulation to aging-related diseases.
- To explore mitochondrial-targeted therapeutic strategies and clinical obstacles.
Main Methods:
- Systematic literature review and synthesis.
- Analysis of molecular pathways (e.g., mitochondrial DNA instability, cGAS-STING pathway).
- Evaluation of therapeutic interventions (metabolic, kinetic, disease-specific, novel technologies).
Main Results:
- Mitochondrial dysfunction, including DNA instability and inflammation, contributes to muscle, bone, neurodegenerative, cardiovascular, and metabolic diseases.
- Therapeutic strategies range from metabolic regulation to advanced approaches like mitochondrial transplantation and DNA base editing.
- Tissue-specific mitochondrial heterogeneity presents a significant challenge for clinical translation.
Conclusions:
- Understanding mitochondrial dysfunction mechanisms is crucial for developing effective aging interventions.
- Targeting mitochondria offers promising therapeutic avenues for age-related pathologies.
- Overcoming clinical translation barriers, such as heterogeneity, is essential for advancing mitochondrial medicine.
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