4.7 Article

Mitochondrial Dysfunction at the Center of Cancer Therapy

Journal

ANTIOXIDANTS & REDOX SIGNALING
Volume 32, Issue 5, Pages 309-330

Publisher

MARY ANN LIEBERT, INC
DOI: 10.1089/ars.2019.7898

Keywords

mitochondria; calcium; mitochondria-associated ER membranes (MAMs); reactive oxygen species (ROS); apoptosis; mitochondrial dynamics; cancer therapy

Funding

  1. National Medical Research Council [NMRC/OFIRG/0073/2018]
  2. Ministry of Education [MOE2019-T2-1-024]

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Recent Advances: Currently, the gold standard for cancer treatment is chemotherapy, radiation, and surgery. However, the efficacy of these treatments varies across different cancer cells. It has been suggested that mitochondria may be at the center of these diverse responses. In the past decade, significant advances have been made in understanding distinct types of mitochondrial dysfunctions in cancer. Through investigations of underlying mechanisms, more effective treatment options are developed. Critical Issues: We summarize various mitochondria dysfunctions in cancer progression that have led to the development of therapeutic options. Current mitochondrial-targeted therapies and challenges are discussed. Future Directions: To address the root of cancer, utilization of mitochondrial-targeted therapy to target cancer stem cells may be valuable. Investigation of other areas such as mitochondrial trafficking may offer new insights into cancer therapy. Moreover, common antibiotics could be explored as mitocans, and synthetic lethality screens can be utilized to overcome the plasticity of cancer cells.

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