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Targeting mitochondria as a potential therapeutic strategy against chemoresistance in cancer - 26/02/23

Doi : 10.1016/j.biopha.2023.114398 
Soumi Mukherjee a , Gurjit Kaur Bhatti b , Ravindresh Chhabra c , P. Hemachandra Reddy d, e, f, g, h, , Jasvinder Singh Bhatti a,
a Laboratory of Translational Medicine and Nanotherapeutics, Department of Human Genetics and Molecular Medicine, School of Health Sciences, Central University of Punjab, Bathinda, India 
b Department of Medical Lab Technology, University Institute of Applied Health Sciences, Chandigarh University, Mohali, India 
c Department of Biochemistry, School of Basic Sciences, Central University of Punjab, Bathinda, India 
d Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA 
e Department of Pharmacology and Neuroscience and Garrison Institute on Aging, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA 
f Department of Public Health, Graduate School of Biomedical Sciences, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA 
g Department of Neurology, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA 
h Department of Speech, Language, and Hearing Sciences, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA 

Correspondence to: Internal Medicine, Neuroscience & Pharmacology, Neurology, Public Health and School of Health Professions, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA.Internal Medicine, Neuroscience & Pharmacology, Neurology, Public Health and School of Health Professions, Texas Tech University Health Sciences Center3601 4th StreetLubbockTX79430USA⁎⁎Correspondence to: Department of Human Genetics and Molecular Medicine, School of Health Sciences, Central University of Punjab, Bathinda, India.Department of Human Genetics and Molecular Medicine, School of Health Sciences, Central University of PunjabBathindaIndia

Abstract

The importance of mitochondria is not only limited to energy generation but also in several physical and chemical processes critical for cell survival. Mitochondria play an essential role in cellular apoptosis, calcium ion transport and cellular metabolism. Mutation in the nuclear and mitochondrial genes, altered oncogenes/tumor suppressor genes, and deregulated signalling for cell viability are major reasons for cancer progression and chemoresistance. The development of drug resistance in cancer patients is a major challenge in cancer treatment as the resistant cells are often more aggressive. The drug resistant cells of numerous cancer types exhibit the deregulation of mitochondrial function. The increased biogenesis of mitochondria and its dynamic alteration contribute to developing resistance. Further, a small subpopulation of cancer stem cells in the heterogeneous tumor is primarily responsible for chemoresistance and has an attribute of mitochondrial dysfunction. This review highlights the critical role of mitochondrial dysfunction in chemoresistance in cancer cells through the processes of apoptosis, autophagy/mitophagy, and cancer stemness. Mitochondria-targeted therapeutic strategies might help reduce cancer progression and chemoresistance induced by various cancer drugs.

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Abbreviations : ABC transporters, ATP, Caspase, CCA, CSCs, Cyt c, ECM, EGFR, EMT, ETC, HIF1-α, MAPK, MMPs, microRNA, mtDNA, nDNA, OXPHOS, PDGF, PI3K, ROS, TCA, TGF-β, TICs, VEGF

Keywords : Cancer chemoresistance, Mitochondrial dysfunction, Apoptosis, Autophagy, Mitochondrial dynamics, Mitochondrial biogenesis, Stemness


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