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     INNOSC Theranostics
                                                  and Pharmacological Sciences
                                        REVIEW ARTICLE
                                        Mitochondria: The master regulator of aging
                                        Pouya Sarvari* and Pourya Sarvari
                                        Iran National Elite Foundation (INEF), Tehran, Iran
                                        Abstract
                                        Mitochondria are ATP-producing organelles in eukaryotic organisms that serve
                                        as the cell’s power plants. Besides, mitochondria are integral to regulating cellular
                                        homeostasis and metabolism as a result of their essential roles in reactive oxygen
                                        species (ROS) production, bioenergetics, catabolism and anabolism, heme and iron-
                                        sulfur biosynthesis, iron and calcium homeostasis, apoptosis and signal transduction,
                                        as well as immunity and inflammation. It is well accepted that mitochondria are
                                        evolutionarily derived from endosymbiotic alphaproteobacteria within eukaryotic
                                        cells adapted for effective energy transduction. Although most of the mitochondrial
                                        DNA (mtDNA) is thought to have been transported to the eukaryotic nucleus during
                                        evolution, mitochondria may have preserved protein-coding genes within their own
                                        DNA. Accumulating data show that a progressive decline of mitochondria regulates
                                        aging. The present review aims to outline the role of mitochondria in various aspects of
                                        aging, including unfolded protein response, generation of ROS, and the contribution
                                        of somatic mtDNA mutations as well as inflammation in aging. Moreover, we propose
                                        mitochondria-targeted nanoparticles and mitochondrial genome editing as novel
                                        tools to modify mitochondrial genome aberrations.
            *Corresponding author:
            Pouya Sarvari               Keywords: Aging; Heteroplasmy; Mitochondrial DNA; Mitochondrial genome editing;
            (Pouyasarvari2008@gmail.com)  Mitochondrial quality control; Mitochondria-targeted nanoparticles; Mitochondrial
            Citation: Sarvari P, Sarvari P.   unfolded protein response; Reactive oxygen species
            Mitochondria: The master regulator
            of aging. INNOSC Theranostics
            and Pharmacological Sciences.
            2024;7(2):1726.
            doi: 10.36922/itps.1726
                                        1. Introduction
            Received: August 31, 2023
            Accepted: November 16, 2023  Aging is an intricate process during which continual tissue and organ function loss occurs
                                        over time, leading to increased susceptibility to death along with a decline in mitochondrial
            Published Online: February 22, 2024
                                        function.  This debilitation is the major cause of substantial age-related disorders,
                                               1-4
            Copyright: © 2024 Author(s).   including cardiovascular diseases, cancer, neurodegenerative disease, and diabetes.
                                                                                                            3,5
            This is an Open-Access article   Nevertheless, aging has several common features, such as (i) impotent intercellular
            distributed under the terms of the
            Creative Commons Attribution   communication, (ii) impairment of proteostasis, (iii) mitochondrial disorder, (iv) genomic
            License, permitting distribution,   alteration, (v)  epigenetic modifications, (vi) cellular senescence, (vii) nutrient-sensing
            and reproduction in any medium,   misfunction, (viii) stem cell debility, and (ix) telomere shortening.  The present review,
                                                                                            3,6
            provided the original work is
            properly cited.             however, focuses on the regulatory role of mitochondria in the aging process.
            Publisher’s Note: AccScience   Mitochondria, specialized organelles with two distinct membranes and a unique
            Publishing remains neutral with   genome, evolved through an endosymbiotic relationship of an alphaproteobacterium
            regard to jurisdictional claims in                                                    7,8
            published maps and institutional   with a eukaryotic cell, which is protected in exchange for a supply of energy.  Like nuclear
            affiliations.               genetic material, mitochondrial DNA (mtDNA) can undergo mutations or damage that
            Volume 7 Issue 2 (2024)                         1                                doi: 10.36922/itps.1726





