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2.1. Mitochondrial biogenesis inductors/promoters
Mitochondrial biogenesis induction is associated with activation of transcription factors that act on mitochondrial genes and with up‐regulation of local translation of mitochondrial proteins. These effects are produced in response to several natural products, such as 6‐gingerol (the main active component of the ginger extracts) 24 and Ursolic acid (a natural triterpene). 25 In contradistinction, relatively few synthetic drugs have been identified as mitochondrial biogenesis inductors. 12
Reportedly, the following signalling pathways sustain transcription activation during mitochondrial biogenesis:
Taken together the above data, it is obvious that up‐regulation of transcription factors is a key event in mitochondrial biogenesis. However, depending on ligands specificity, unwanted genes may be equally activated, conducting to detrimental (neurological and hyperproliferative) effects. 12
Up‐regulation of mitochondrial proteins translation is associated with exercise‐induced mitochondrial biogenesis (in the plantaris muscle). 15 An interesting mechanism implied in biogenesis of healthy mitochondria was deciphered in Drosphila: the MDI protein of the mitochondrial OM recruits the translational stimulator La‐related protein (Larp) and promotes the synthesis (on mitochondrial surface) of a subset of nuclear‐encoded mitochondrial proteins by cytosolic ribosomes. 6
2.2. Mitochondrial biogenesis stimulators and inhibitors
In physiological conditions, the response of cells to energy demands leads to either up‐ or down‐regulation of the transcription factors that stimulate and/or inhibit mitochondrial biogenesis, respectively. The pathology‐associated disturbances of mitochondrial biogenesis consist in an impeded mitochondrial biogenesis, a condition in which stimulation of the declined process is required, or in abnormal higher levels of this process, when and a diminishment is necessary.
Examples of efficient stimulators of mitochondrial biogenesis are the followings: formoterol, used for treating podocytopathies, 18 resveratrol (a polyphenol), that prevents rotenone‐induced neuronal degeneration, 34 acetylcholine, protector in hypoxia/reoxygenation injury, 35 adiponectin, a cardioprotector in diabetes, 36 and tetrahydrobiopterin, helpful for the cardiac contractility. 37
The cellular mechanism beyond the above stimulatory effects on mitochondrial biogenesis entails the up‐regulated expression of the transcriptional regulator PGC‐1α. Recently, normalization of Akt/FoxO3 axis was reported to be involved in the protective effects of dietary HMB against lipopolysaccharide (LPS)‐induced muscle atrophy. 33 Another regulatory mechanism is based on phosphorylation of GSK‐3β exerted by arachidonyl‐2‐chloroethylamide (ACEA, a selective agonist of cannabinoid receptor1) effective at the beginning of cerebral ischemia. 38
Several natural extracts have been found to stimulate mitochondrial biogenesis. Such regulatory effects were recently reported for the Kaempferia parviflora extracts (containing methoxyflavones), that act through the SIRT1/AMPK/PGC‐1α/PPARδ pathway, 39 for tangeretin (a polymethoxylated flavonoid of mandarin fruits), activator of AMPK/PGC‐1α pathway, 40 for salidroside (isolated from Rhodiola rosea L.), that stimulates the miR22/SIRT1 pathway, 41 for the spice saffron (Crocus Sativus L.), that augmented NRF‐1 gene expression in exercised rats, 42 and for the natural precursor of resveratrol, polydatin that enhances SIRT1 expression. 43
The inhibitors of mitochondrial biogenesis down‐regulate the expression of the associated‐transcription factors, such as PGC‐1α, TFAM and AMPK. The activity of PGC‐1α pathway is reduced by miR‐130b‐p, 44 2‐methoxyestradiol, 45 cyclosporine A, 46 XCT790 (a potent and selective inhibitor of the oestrogen‐related receptor α) 47 and the high glucose high‐fat environment. 36 The down‐regulation of TFAM takes place at the use of the local anaesthetic ropivacaine 48 and at the in vitro treatment of cells with silica nanoparticles. 49 Furthermore, the diminished AMPK expression explains resistin inhibitory effects on mitochondrial biogenesis. 50
It is evident that reduced biogenesis is accompanied by other mitochondrial dysfunctions, such as an impaired ATP synthesis capacity leading to acceleration of mitophagy, critical for cell health. A reduced mtDNA/ nuclear ratio 1 has also been reported to be associated with the impairment of biogenesis/altered biogenesis.
The examination of the two opposite sides of mitochondrial biogenesis, that is the impairment (such as in ageing, metabolic and neurodegenerative diseases) and the abnormal intensification (in some tumours) conducted in the last decade to identification of several strategies adequate for exploitation in therapy. Examples are discussed next.
3. DYSREGULATION OF MITOCHONDRIAL BIOGENESIS; REPAIR STRATEGIES
3.1. Ageing
The cells senescence and the consequent ageing is associated with the impairment of mitochondrial biogenesis and bioenergetic potential, the decrease in mitochondrial dynamics, the altered quality control, the failure in mtDNA repair, the accumulation of mtDNA mutations and the decline in mitophagy. 51 , 52 , 53 , 54 The main factors involved in ageing effects on mitochondrial biogenesis are the reduced activity of AMPKα and the decreased expression of SIRT1, PGC‐1α, TFAM and NRF‐1,2, 55 , 56 along with the regulatory loop that engages PGC‐1α and NRF‐2 interaction. 57 Strategies to prevent/delay age‐associated decline in mitochondrial biogenesis consists in stimulation of PGC‐1α signalling with tetrahydrobiopterin 37 or with resveratrol, 58 modulation of TFAM binding to mtDNA, 59 mitophagy regulation, 60 dietary supplementation with acetyl‐l‐carnitine (ALCAR), 51 , 53 cells exposure to gomisin A (a bio‐active compound isolated from the fruit of Schisandra chinensis), 61 the regular exercise training, and the calorie restriction. 51 The current endeavours aimed to delay/counteract the age‐associated decline of mitochondrial biogenesis may have translational relevance for promotion of a healthy ageing, for protection against age‐related pathologies and for the improvement of the quality of life of the elderly.
3.2. Metabolic diseases
The impairment of mitochondrial biogenesis and function has been linked to metabolic diseases such as type 2 diabetes and obesity. In diabetic kidney, the mechanism beyond the reduced mitochondrial biogenesis implies the decrease of PGC‐1α/AMPK/SIRT‐1 signalling pathway. 62 In placentae of diabetic mothers, impaired mitochondrial biogenesis engages PGC‐1α/TFAM signalling pathway and is mainly present at male offspring; this trait may explain the propensity for development of future metabolic diseases in adult males. 63 In diabetic heart, earlier studies reported that hypoadiponectinemia impaired AMPK‐PGC‐1α signalling 64 ; more recently, in a model for type 2 diabetes (a high glucose/high‐fat medium) adiponectin was found to partial rescue mitochondrial biogenesis in cardiomyocytes, via PGC‐1α‐mediated signalling. 36 This pathway participates in cardioprotection and is evaluated as a novel therapeutic target. 65
Mitochondrion is regarded now as a possible target for the prevention and treatment of chronic metabolic disorders; in this context, the endurance exercise it is routinely used to alleviate the reduced mitochondrial biogenesis. 66 Furthermore, the antidiabetic effect of mitochondrial biogenesis enhancers, such as Spirulina platensis 67 and Alogliptin (a dipeptidyl‐peptidase‐4 inhibitor) 68 were recently reported.
Another ongoing topic is the regulation of mitochondrial biogenesis in adipocytes. 69 , 70 The obesity‐associated signalling entails hyperacetylation of PGC‐1α, 71 and induction of pAMPK, PGC‐1α, NRF‐1 and TFAM (after the salicylate treatment of pre‐adipocytes). 29 Activation of AMPK along with stimulation of mitochondrial gene expression and mtDNA replication explain the beneficial effects of isorhamnetin (3‐O‐methyl quercetin) on adipocytes mitochondrial biogenesis. 72 AMPK activation contributes also to the anti‐obesity effects of zeaxanthin (an oxygenated carotenoid) that promotes mitochondrial biogenesis and expression of brown and beige adipogenesis markers. 73 The regulation of mitochondrial biogenesis in beige adipocytes (in the course of browning) involves PGC‐1α signalling, associated with miR‐494‐3p expression. 74 Other stimulatory factors of mitochondrial biogenesis are NRF‐1 and the mitochondrial transcription factor A that intervene in metformin effect on brown adipocytes. 75 In contradistinction, decreased UCP1 expression explains the reduced mitochondrial biogenesis generated by arsenite in brown adipocytes. 76
The above basic findings may be used as a basis for further clinical approaches in metabolic diseases.
3.3. Neurodegeneration
Mitochondrial biogenesis is a potential novel therapeutic target for neurodegenerative diseases treatment including Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD) and amyotrophic lateral sclerosis (ALS). 1 Although this strategy is based on a plethora of basic and (pre)clinical results, in the present overview only the data on the intracellular pathways beyond mitochondrial biogenesis are mentioned.
In AD and PD, mitochondrial biogenesis is impaired 77 and augmenting this process turned into a therapeutic approach. The intracellular mechanism was uncovered in hippocampal neurons, where amyloid β25‐35 inhibits AMPK‐SIRT‐1, PGC‐1α pathway. 78 Recent reports indicate melatonin, as a promoter of mitochondrial biogenesis, 77 along with resveratrol, that induced PGC‐1α and mtTFA expression, 34 berberine (a natural AMPK activator), that stimulates PGC‐1α and NRF‐2 in neuronal cells, 79 and rotenone, an inhibitor of Complex I. 80 Moreover, necdin (a melanoma antigen) prevents mitochondria‐associated neurodegeneration by binding to PGC‐1α and suppressing its proteolytic degradation in the ubiquitin‐proteasomal system. 81 , 82 Interestingly, mtDNA replication appears to be an early response to neurodegeneration‐associated stress and a precursor for mitochondrial biogenesis in axons. 80
Distinctly, the neurotoxic effect of some medicines is accompanied by reduced mitochondrial biogenesis. An example is the local anaesthetic ropivacaine (employed in medical and dental care) that reduces expression of mitochondrial regulators PGC‐1α, NRF‐1 and TFAM. 48
3.4. Cancer
It is known that mitochondrial biogenesis targeted therapies are efficient for the prevention and treatment of relapsed and resistant cancers. 47 The pointed intracellular pathways are PGC‐1α (important also for the cells adaptive response against chemotherapeutic stress), 83 AMPK (a proximal signalling step for mitochondrial biogenesis) 84 and dynamin‐related protein‐1 (Drp1) up‐regulation, accompanied by augmented levels of PGC‐1α, NRF‐1 and TFAM. 19 Among the modulators of mitochondrial biogenesis, sulforaphane (a sulphur‐rich compound found in cruciferous vegetables) is considered a potential antineoplastic agent; in prostate cancer cells, it stabilizes NRF‐2, increases the expression of PGC‐1α and decreases the level of hypoxia‐inducible factor‐1α (HIF‐1α). 85 Chemotherapy medication with cisplatin stimulates PGC‐1α expression and up‐regulates mitochondrial biogenesis. 83
Mitochondrial biogenesis is increased in some invasive cancer cells, such as osteosarcoma; the use of 2‐methoxyestradiol inhibits biogenesis, via regulation of PGC‐1α, COX1 and SIRT‐3. 45 In this circumstance, the strategy to stop the increased propagation of cancer stem cells consists in doxycycline inhibition of mitochondrial biogenesis. 86
4. CONCLUSION AND PERSPECTIVES
The mitochondrial biogenesis is a complex biological process (Figure 1), that controls organelle's self‐renewal and the maintenance of mtDNA, ensuing cell homeostasis. This topic is under intense investigation at present. The intracellular signalling pathways uncovered so far identified PGC‐1α as a master regulator of mitochondrial biogenesis, implicated in the response to several inductors/promoters, stimulators and inhibitors. Dysregulated mitochondrial biogenesis occurs not only in senescence and ageing, but also in metabolic diseases, neurodegeneration and cancer, and is potentially ameliorated by the novel mitochondria‐based therapies. However, there are still several issues that require an answer, such as the association between impaired mitochondrial biogenesis and the early stage of myocardial remodeling, 87 the neuron‐specific mechanism of mitochondrial biogenesis, 81 and the limitation of osteoarthrosis progression in chondrocytes, 55 among others. Challenging topics are the exploitation of mitochondria‐based therapies for the treatment of chronic degenerative diseases 12 , 13 and for the cancer prevention. 88
CONFLICT OF INTEREST
The author confirms that there is no conflict of interest.
Notes
Popov L‐D. Mitochondrial biogenesis: An update. J Cell Mol Med. 2020;24:4892–4899. 10.1111/jcmm.15194 [PMC free article] [PubMed] [CrossRef] [Google Scholar]
DATA AVAILABILITY STATEMENT
Most of the 88 references are associated with the corresponding DOI reference number.
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