Abstract

Introduction

The aging process results in a gradual and progressive structural and functional deterioration of biomolecules that is associated with many pathological conditions, including cancer, neurodegenerative diseases, sarcopenia (loss of muscle mass) and liver dysfunction (Chung et al., 2009; Chung et al., 2008; Seo et al., 2006). Although several theories have been proposed to explain the fundamental mechanisms mediating these age-related diseases and conditions, the free-radical theory of aging is by far the most popular. This theory proposes that cumulative damage to biological macromolecules by oxygen radicals (reactive oxygen species; ROS) leads to irreversible cell damage and an overall functional decline (Harman, 1956). The free-radical theory has also been extended to include mitochondria, as the accumulation of aging-associated mutations and deletions in mitochondrial DNA (mtDNA) can impair the function of the respiratory chain and enhance ROS production (Chomyn and Attardi, 2003; Harman, 1972). The increased ROS production can subsequently lead to a vicious cycle of exponentially increasing levels of mtDNA damage and oxidative stress in the cell (Bandy and Davison, 1990; Hiona and Leeuwenburgh, 2008; Kujoth et al., 2006; Seo et al., 2006; Seo et al., 2008) (Fig. 1). Although various genetic problems in mitochondria cause phenotypes that resemble premature aging (Wallace and Fan, 2009), additional support for this theory was provided by studies showing a direct link between mtDNA mutations and mammalian aging. In particular, mice with a proofreading-deficient version of PolgA, the catalytic subunit of mitochondrial DNA polymerase γ (POLG), accumulate mtDNA mutations that are associated with impaired respiratory-chain function and increased levels of apoptosis. These mtDNA-mutator mice, with accelerated levels of mutations, had a shorter life span and displayed age-related phenotypes [such as hair loss, kyphosis (curvature of the spine), osteoporosis and sarcopenia] at an early age (Kujoth et al., 2005; Trifunovic et al., 2004). Interestingly, these changes were not accompanied by increased levels of oxidative stress, a finding that has also been confirmed in humans (Hutter et al., 2007). This has resulted in much controversy regarding the idea that mtDNA mutations contribute to aging through increased ROS production and enhanced levels of oxidative stress in mitochondria. However, it is possible that the accumulation of mtDNA mutations that occur with age leads to alterations in cell-signaling pathways that can induce cell dysfunction and initiate apoptosis, irrespective of increased ROS production and oxidative stress in mitochondria. Whether mtDNA mutations play a causal role in the aging process is still an ongoing debate; however, the fact that a functional decline in mitochondria occurs with age and that properly functioning mitochondria are crucial for longevity and minimizing age-related diseases cannot be refuted.

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Fig. 1.

Proposed model of mitochondrial dysfunction in aging. Toxic ROS generated during normal biological activity gradually impair cellular homeostatic pathways that defend against cellular stress and damage mitochondrial constituents, including the electron transfer chain (ETC) and mtDNA. Oxidative insults to mitochondria, in turn, impair the life-sustaining functions of the organelle – such as energy transduction, biogenesis of metabolites, Ca²⁺ homeostasis and regulation of redox biology – with age, thereby contributing to a vicious cycle of accumulating mitochondrial damage that culminates in a mitochondrial functional crisis. This ultimately results in cell death and aging.

It is well established that mitochondria are highly motile and remarkably plastic organelles that continuously undergo fusion and fission events that actively alter their morphology. In addition, the dynamic regulation of mitochondrial fusion and fission has been shown to be an important mechanism of modulating cellular redox status, mtDNA integrity, organellar function and cell death (Liesa et al., 2009). Notably, genetic defects in the proteins involved in mitochondrial fusion and fission lead to severely altered mitochondrial shape, loss of mtDNA integrity, increased oxidative stress and apoptotic cell death; it has been shown that these alterations can subsequently cause developmental abnormality, neuromuscular degeneration and metabolic disorders in humans (Chen and Chan, 2009). However, the relevance of mitochondrial fusion and fission to underlying mechanisms of aging has not been fully appreciated, in part because the molecular events that underlie the aging process have not yet been completely elucidated. In this Commentary, we discuss current knowledge of mitochondrial dynamics, structure and function in relation to key cellular events, including mitochondrial biogenesis, mtDNA homeostasis, autophagy and cell death. By providing a basic overview of mitochondrial fusion and fission events and their general function in these crucial biological processes during normal stable environmental conditions, we hope to portray how alterations in mitochondrial dynamics can contribute to the mitochondrial dysfunction that is commonly associated with aging.

Mechanisms underlying mitochondrial dynamics

Mitochondria are highly complex and dynamic organelles that can alter their organization, shape and size, depending on intracellular and extracellular signals (Bereiter-Hahn and Voth, 1994; Rube and van der Bliek, 2004). Mitochondria undergo a continuous cycle of fusion and fission, and the balance between these opposing events determines the morphology of the organelle (Chen and Chan, 2004) (Fig. 2). Whereas decreased fusion can result in mitochondrial fragmentation because of excessive fission, decreased fission can generate long and highly interconnected mitochondria (Sesaki and Jensen, 1999).

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Fig. 2.

Schematic illustration depicting the core proteins of the molecular machinery that mediate mitochondrial fusion and fission in yeast and mammals. (A) Fusion proteins Mfn1 and Mfn2 (mammalian orthologs of yeast Fzo1p) contain four heptad repeats, one GTPase domain and two transmembrane domains. Opa1 (mammalian ortholog of yeast Mgm1p) is another fusion protein, located in the MIM and intermembrane space. The fusion process requires three steps: docking, MOM fusion and MIM fusion. Mfn1 and Mfn2 are thought to play an important role in docking and MOM fusion. Opa1 seems to be involved in the formation of cristae junctions as well as in MIM fusion, which occurs in a GTP-dependent manner. (B) The fission protein Drp1 (mammalian ortholog of yeast Dnm1p) contains one N-terminal GTPase domain, a C-terminal GED (GTPase effector domain) and a hydrophilic region in the middle. Drp1 self-oligomerizes and assembles a scission machine around the MOM. Fis1 (mammalian ortholog of yeast Fis1p) is a MOM protein and is thought to recruit Drp1 to the MOM by means of adaptor proteins.

During the past decade, various cellular components have been identified as key mediators of mitochondrial fusion and fission in yeast (Hoppins et al., 2007; Merz et al., 2007; Okamoto and Shaw, 2005). The fact that these components are structurally and functionally conserved in mammals indicates the ubiquitous importance of the fusion and fission pathway in mitochondrial biology (for reviews, see Liesa et al., 2009; Schafer and Reichert, 2009; Westermann, 2008) (Fig. 2A). In mammals, the best-studied proteins involved in mitochondrial fusion are the dynamin-related guanosine triphosphatases (GTPases), mitofusin 1 (Mfn1) and its paralog, mitofusin 2 (Mfn2). Mfn1 and Mfn2, which are the human orthologs of the Fuzzy onion (Fzo) protein found in Drosophila melanogaster and yeast, are each anchored to the mitochondrial outer membrane (MOM) through their C-terminal membrane-binding domain, whereas their N-terminal GTPase domain is present in the cytoplasm (Rojo et al., 2002). Both Mfn proteins mediate fusion through their active GTPase domains by tethering opposing mitochondrial membranes (Chen et al., 2003; Eura et al., 2003).

Mammalian Mfn1 and Mfn2 proteins have greater than 70% sequence similarity and share much of the same functional domain organization (Zhang and Chan, 2007). Despite some redundancies in their function, the two proteins possess several distinct properties, suggesting that they fulfill different roles in fusion (de Brito and Scorrano, 2008; Eura et al., 2003; Ishihara et al., 2004). Although both proteins are widely expressed, Mfn2 is highly abundant in heart and skeletal muscle and is reportedly expressed at low levels in numerous other human tissues (Bach et al., 2003; Santel et al., 2003). Moreover, the fact that mutations in Mfn2 disrupt several cellular processes regulating oxidative metabolism, cell-cycle progression and cell death, and cause Charcot-Marie-Tooth neuropathy type 2A (CMT2A), has increased interest in determining its physiological role and contribution to the pathology of human disease.

Mitochondrial fusion involves multiple steps, including mitochondrial tethering and fusion of MOMs, docking and fusion of the mitochondrial inner membranes (MIMs) and mixing of intramitochondrial components (Ishihara et al., 2004). MIM fusion is controlled by another dynamin-related GTPase, Opa1 (known as Mgm1p in yeast), which was first identified through its association with a neurodegenerative disease known as autosomal dominant optic atrophy (ADOA). Opa1 is targeted to and imported into mitochondria by a cleavable N-terminal pre-sequence and exists as both a full-length integral MIM protein and a soluble intermembrane space peptide (Alexander et al., 2000). Post-transcriptional modification of Opa1 by alternative splicing generates several isoforms that are differentially expressed in a wide variety of species (Delettre et al., 2001). Further adding to the complexity of Opa1 function, levels of Opa1 activity are also controlled by proteolytic cleavage; a decrease in the amount of long or short isoforms, for example, has been shown to be important in the regulation of cell death mediated by fragmented mitochondria (Arnoult et al., 2005a; Duvezin-Caubet et al., 2006). Although the precise function of the different isoforms is not known, Opa1 is believed to play a constitutive role in MIM fusion and remodeling of mitochondrial cristae structure (Frezza et al., 2006).

The regulation of mitochondrial fission in mammalian cells is controlled by two key proteins: dynamin-related protein 1 (Drp1; Dnm1p in yeast) and fission protein 1 (Fis1) (Fig. 2B). Drp1, a member of the dynamin family of large GTPases, is predominantely located in the cytosol and is recruited to mitochondrial surfaces, where it associates with Fis1 and assembles into foci that serve as potential scission sites for future fission events (Smirnova et al., 2001). Early studies revealed that, when Drp1 activity is inhibited, wild-type mitochondria are transformed into long and interconnected organelles (Pitts et al., 1999) and, conversely, overexpression of Drp1 in cells results in mitochondrial fragmentation (Arnoult et al., 2005b). The finding that Drp1 activity is post-translationally modified (e.g. by phosphorylation, ubiquitylation and sumoylation) revealed another level of cellular control whereby complex intracellular signaling pathways can regulate mitochondrial morphology during altered states of mitochondrial function by modulating the activity of Drp1 (Wasilewski and Scorrano, 2009).

In contrast to Drp1, mammalian Fis1 does not contain a GTPase domain and is primarily localized to the MOM by a transmembrane domain located in its C-terminal region (Suzuki et al., 2003). Fis1 overexpression in cultured cells results in mitochondrial fragmentation and depletion of Fis1 leads to elongated mitochondria (Yoon et al., 2003). The role of Fis1 in mitochondrial fission is primarily to act as an anchor protein for Drp1 (Wasilewski and Scorrano, 2009). In mammalian cells, fission also requires several accessory proteins, including mitochondrial protein of 18 kDa (MTP18) (Tondera et al., 2005), endophilin B1 (also known as Bif-1) (Karbowski et al., 2004; Takahashi et al., 2005), ganglioside-induced differentiation-associated protein 1 (GDAP1) (Niemann et al., 2005) and death-associated protein 3 (DAP3) (Mukamel and Kimchi, 2004).

Extensive ongoing research is being carried out to understand the cellular and molecular mechanisms that regulate mitochondrial dynamics in mammalian cells. However, more work is required to identify additional proteins involved in regulating mitochondrial dynamics and, more importantly, the upstream events that trigger and control mitochondrial dynamics.

The importance of mitochondrial dynamics for mitochondrial function

Mitochondrial biogenesis

The constant renewal of mitochondria is crucial for maintaining healthy mitochondria with age. Accurate organellar turnover requires the coordination of two key cellular processes: mitochondrial biogenesis and selective degradation (autophagy). Although a clear understanding of the molecular details controlling mitochondrial turnover is lacking, it is known that increased mitochondrial number and mass results from the growth and division of pre-existing organelles. The capacity for mitochondrial biogenesis diminishes with age and this is an important parameter in the mitochondrial dysfunction associated with aging (Fannin et al., 1999; Sugiyama et al., 1993).

The induction of organellar biogenesis can occur in response to several physiological stimuli, including muscle myogenesis, exercise, cold exposure and calorie restriction (Civitarese et al., 2007; Holloszy, 1967; Holloszy and Booth, 1976; Klingenspor, 2003; Moyes et al., 1997). Interestingly, tissues that have high rates of aerobic metabolism, such as skeletal muscle and heart, have pronounced mitochondrial networks with a high capacity for mitochondrial biogenesis (Bakeeva et al., 1978; Hood, 2001; Kirkwood et al., 1986). Peroxisome proliferative activated receptor-γ coactivator 1α (PGC-1α) is the best-known intracellular mediator of organellar biogenesis (Scarpulla, 2008). PGC-1α is a transcriptional coactivator that enhances the activity of specific transcription factors, in turn coordinating the expression of key nuclear-encoded mitochondrial genes that are required for the proper functioning of the organelle (Mootha et al., 2004; Wu et al., 1999). PGC-1α and its downstream target gene product, estrogen-related receptor-α (ERRα), stimulate the expression of Mfn2 (Cartoni et al., 2005; Soriano et al., 2006). Repression of Mfn2 in cells decreases oxygen consumption, glucose oxidation, mitochondrial membrane potential and the expression of oxidative phosphorylation proteins (Bach et al., 2003; Chen et al., 2005; Pich et al., 2005). Notably, decreased levels of PGC-1α and Mfn2 have been reported in the skeletal muscle of obese and type-2 diabetic subjects (Bach et al., 2005; Kelley et al., 2002). In addition, weight loss and exercise increase insulin sensitivity and the expression levels of these gene products in healthy, obese and type-2 diabetic individuals (Cartoni et al., 2005; Mingrone et al., 2005). Furthermore, calorie-restriction-induced mitochondrial biogenesis in mice increases PGC-1α, Mfn1 and Mfn2 expression levels in several tissues (Nisoli et al., 2005). Among the many activators of PGC-1α, AMP-activated kinase (AMPK) seems to be the most crucial for regulating mitochondrial metabolism and biogenesis. Reduced AMPK activity has been reported in aged animals and is directly linked to age-related insulin resistance and impaired fatty-acid oxidation (Qiang et al., 2007; Reznick et al., 2007).

Collectively, these studies indicate that alterations in mitochondrial dynamics are a key component of the mitochondrial adaptations that occur in response to mitochondrial biogenesis. These mitochondrial adaptations seem to be driven by a regulatory pathway that involves PGC-1α, ERRα and Mfn2, and can be activated by several physiological stimuli, including exercise and calorie restriction. However, these studies are not sufficient to reveal the functional relationship between mitochondrial dynamics and biogenesis, or to explain how fusion and fission events contribute to mitochondrial turnover. Further characterization of the mechanisms linking mitochondrial dynamics, biogenesis and degradation is needed to obtain clearer insight into the relationship between mitochondrial homeostasis and aging (Fig. 3).

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Fig. 3.

Possible relationship between mitochondrial fusion, fission, biogenesis and degradation. An ongoing mitochondrial fusion–fission cycle allows mitochondrial functional and genetic complementation, and the proper distribution of newly synthesized mitochondria during cell division. However, an imbalance in fusion and fission events – for example, more frequent fission than fusion – might increase the total number of small mitochondria per cell if extra mitochondria are not eliminated by mitophagy. Conversely, more frequent fusion could result in large tubular networks of mitochondria. Mitochondrial biogenesis is required to compensate for decreased mitochondrial biomass resulting from mitochondrial degradation (Berman et al., 2009). Therefore, an imbalance between mitochondrial fusion, fission, biogenesis and degradation events could cause substantial changes in mitochondrial number, biomass, shape and function. P indicates a phagophore by which targeted mitochondria are engulfed during the sequestering process required for mitophagy.

Implications for mitochondrial dynamics in neurodegenerative disease

Neuronal cells have a high metabolic demand, making them particularly dependent on mitochondrial function. Although the mechanisms of neuronal-cell degeneration are uncertain, perturbations in mitochondrial dynamics have been implicated not only in CMT2A and ADOA, but also in the progression of age-associated neurodegenerative diseases such as Alzheimer's disease (AD), Parkinson's disease (PD) and Huntington's disease (HD).

Accumulation of β-amyloid (Aβ)-containing plaques derived from the amyloid precursor protein (APP) causes cellular toxicity, mitochondrial dysfunction and aberrant mitochondrial structure, which contribute to the pathogenesis of AD. Overexpression of APP in neuronal cells results in mitochondrial fragmentation by altering the levels of mitochondrial fusion and fission proteins (Wang et al., 2008). Aβ-induced mitochondrial fission occurs in part because of the presence of Drp1 that has been S-nitrosylated (a redox-related modification of cysteine thiol groups mediated by nitric oxide), which enhances its fission activity. Interestingly, blocking S-nitrosylation of Drp1 attenuates mitochondrial fission and reduces neuronal-cell damage (Cho et al., 2009). Similar findings for S-nitrosylated Drp1 were reported in the brain tissue of AD patients, further supporting the involvement of increased mitochondrial fission events in the pathogenesis of AD (Cho et al., 2009).

HD is caused by a mutation in the huntingtin gene (HTT). Expression of mutant huntingtin (mtHtt) leads to impaired energy metabolism, abnormal Ca²⁺ signaling and mitochondrial membrane potential, and extensive changes in mitochondrial structure (Benchoua et al., 2006; Panov et al., 2002; Squitieri et al., 2006). It was recently suggested that mtHtt affects mitochondrial fusion and fission events by colocalizing with Drp1 at specific fission sites on the MOM (Bossy-Wetzel et al., 2008).

Mitochondrial dynamics have also been linked to inherited PD and, specifically, to defects in two genes, Parkin (PARK) and PINK1 (Dodson and Guo, 2007). Although there are conflicting data regarding the specific effects of these proteins on mitochondrial morphology in mammalian cells, extensive studies in Drosophila revealed that knocking out either gene caused muscle degeneration that was associated with enlarged mitochondria (Clark et al., 2006; Greene et al., 2003). In Drosophila, ablation of the genes encoding Parkin and Pink1 seems to promote mitochondrial fusion or inhibit fission, as this phenotype can be rescued by overexpressing the fission protein Drp1 or downregulating the expression of the fusion proteins Mfn2 and Opa1 (Deng et al., 2008; Poole et al., 2008). Consistent with the role of Parkin and Pink1 in Drosophila, knocking down Pink1 in mouse neuronal cells leads to mitochondria with a swollen morphology (Wood-Kaczmar et al., 2008). By contrast, human fibroblasts from PD patients exhibit elevated levels of fragmented mitochondria, which suggests that enhanced fission events are involved in the pathogenesis of human PD (Exner et al., 2007). Adding to the complexity of the role of Parkin and Pink1 in PD pathogenesis, these proteins also seem to be involved in mitochondrial quality control by promoting the removal of damaged mitochondria by autophagy in human cells (Dagda et al., 2009; Narendra et al., 2008).

Although these studies indicate that mitochondrial fusion and fission pathways are involved in neurodegenerative diseases, the precise roles of these proteins have remained elusive owing to the contradictory findings that have been reported in studies of different cell lines and animal models, and with varying pathologies. Therefore, future work will help to understand the role of mitochondrial dynamics in the complex interactions underlying these age-related diseases and the potential for manipulation of mitochondrial dynamics to treat neurodegenerative diseases (for reviews, see Chen and Chan, 2009; Lu, 2009).

A synthesis: linking mitochondrial dynamics and aging

The process of aging involves a multitude of complex biological phenomena; a decline in mitochondrial turnover caused by reduced mitochondrial biogenesis and/or inefficient mitochondrial degradation seems to be a particularly crucial factor (Terman et al., 2010). In healthy cells, mitochondrial fusion provides a synchronized internal cable for translocating metabolites and intramitochondrial mixing during biogenesis, whereas mitochondrial division facilitates the equal distribution of mitochondria into daughter cells during mitosis and allows the selective degradation of damaged mitochondria through autophagy (Chen and Chan, 2009; Skulachev, 2001). However, it has become increasingly clear that these protective mechanisms are markedly impaired in aging and that faulty mitochondrial dynamics might be involved in the aging process.

As discussed above, mitochondria are highly dynamic structures that can adapt their morphology and function in response to a wide range of intracellular and extracellular stimuli. The plasticity of these organelles decreases with age: their capacity for mitochondrial biogenesis is reduced owing to a decline in PGC-1α activity, which might be instigated by an age-related increase in ROS production (Qiang et al., 2007; Reznick et al., 2007). An example that supports this concept is provided by recent studies of mitochondria in muscle. The subcellular localization of mitochondria and the overall mitochondrial network in multinucleated muscle fibers are tightly controlled by mitochondrion-shaping proteins, and an imbalance in mitochondrial fusion and fission dynamics probably impairs their function and contributes to the age-related loss of muscle. Indeed, it has recently been shown that the expression of Mfn2 and Drp1 genes is reduced in the skeletal muscle of aging individuals (Crane et al., 2010). Furthermore, the role of mitochondrion-shaping proteins has recently been investigated in mice with a muscle-specific deficiency in Fis1 and Drp: diminished mitochondrial fission was associated with reduced muscle atrophy and attenuated activation of atrophy-related genes during fasting (Romanello et al., 2010). Interestingly, the level of PGC-1α is decreased in various models of muscle atrophy (Adhihetty et al., 2007; Sandri et al., 2006), whereas overexpression of PGC-1α protects skeletal muscle from atrophy, mainly by inhibiting the induction of genes that are crucial for the atrophy process (Sandri et al., 2006). The finding that PGC-1α regulates Mfn2 expression supports the idea that there is a direct link between mitochondrial biogenesis and mitochondrial morphology (Cartoni et al., 2005). Collectively, these findings support the existence of a newly identified pathway that regulates muscle atrophy involving transcriptional changes in PGC-1α and in fission- and atrophy-specific genes. In addition, it opens up the possibility that muscle mass and function could be preserved during aging and other pathological conditions through physiological stimuli (e.g. exercise) and/or pharmacological intervention.

Mitochondrial dynamics are also important for proper organellar turnover in that they affect mitochondrial degradation pathways. Although there is conflicting evidence regarding the effect of aging on various proteolytic pathways (for reviews, see Attaix et al., 2005; Combaret et al., 2009), it has been reported that the lysosomal-autophagy system declines in a variety of tissues with age (Cuervo and Dice, 2000; Donati et al., 2001; Wohlgemuth et al., 2010). The appearance of giant mitochondria in aging cells suggests that these cells possess dysregulated degradation pathways. This is consistent with investigations of senescent cells: Fis1 expression was found to be reduced in abnormal mitochondria, whereas overexpression of this protein blocked the senescence-related phenotype and maintained cells in a proliferating state (Lee et al., 2007; Yoon et al., 2006). The link between fission proteins and mitochondrial turnover has also been illustrated in neuronal cells, in which Fis1 was shown to activate autophagy and the selective degradation of depolarized mitochondria (Twig et al., 2008).

Cell-death pathways are also induced in postmitotic aging cells, leading to irreversible damage to mitochondrial proteins and DNA, and the loss of nuclei. Mitochondrial fragmentation due to elevated fission events has been reported to both precede and follow the release of apoptogenic factors from mitochondria in many cell types. Interestingly, it has also been described that autophagy of mitochondria occurs following opening of the mitochondrial permeability transition pore and the depolarization of the mitochondrial membrane, suggesting that autophagy plays a protective role by preventing the cellular damage caused by activation of pro-apoptotic pathways (Elmore et al., 2001; Kim et al., 2007). This idea is further corroborated by results of a recent study demonstrating that autophagy is negatively correlated with oxidative damage and apoptosis in skeletal muscle from aged rodents (Wohlgemuth et al., 2010). In yeast, autophagy is required for chronological longevity (Alvers et al., 2009) and for preventing damage to mitochondria in chronologically old cells (A.Y.S., Ashley Alvers, Jennifer Westcott, Michael Wood, Roy Ferraiuolo, Michelle Marraffini et al., unpublished data). It is possible that the engulfment of dysfunctional mitochondria by autophagosomes blocks the release of pro-apoptotic proteins from mitochondria into the cytosol, thereby inhibiting DNA fragmentation and irreversible cell death. However, an open question is what determines the fate of a mitochondrion – that is, whether it will be selectively degraded by autophagy or undergo MOMP and trigger irreversible cell death. One possibility is that, during aging, the homeostatic regulation of mitochondrial biogenesis, dynamics and turnover by autophagy no longer efficiently maintains functional mitochondria, resulting in cellular senescence. As a result, oxidative damage might surpass a crucial threshold above which apoptosis is triggered, leading to substantial changes in mitochondrial morphology and irreversible cell death (Fig. 4). To address this issue conclusively, detailed studies that examine the specific effects of aging on mitochondrial fusion and fission proteins, mitochondrial morphology and mitochondrial turnover processes in a wide range of cells and tissues are required.

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Fig. 4.

Model of the influence of mitochondrial dynamics on aging. Aging compromises the plasticity of mitochondria by disrupting the homeostatic regulation of mitochondrial fusion and fission pathways, resulting in abnormal mitochondrial morphology. The presence of fragmented mitochondria owing to a decline in fusion and/or an increase in fission events can compromise mtDNA integrity, mitochondrial structural and functional complementation, and mitochondrial biogenesis, all of which can lead to mitochondrial dysfunction. Conversely, the formation of enlarged mitochondria as a result of decreased fission and/or increased fusion events can diminish mitochondrial turnover by impairing mitophagy and biogenesis, leading to the accumulation of damaged mitochondria in aged cells. In both cases, the abnormal mitochondria are unable to fulfill their life-sustaining roles. Therefore, age-associated alterations in mitochondrial fusion and fission dynamics might play a causative role in mitochondrial dysfunction, and increase susceptibility to cell death in response to various types of stress during progressive aging.

Perspectives

It is well established that alterations in mitochondrial function are preceded by or occur concurrently with changes in mitochondrial architecture. This is now apparent in age-related pathologies, wherein energy-challenged mitochondria have disparate levels of fusion and fission proteins and, subsequently, altered mitochondrial morphology. Major advances have recently been made in understanding the association between mitochondrial dynamics and mitochondrial function. However, given the dynamic nature of mitochondria and the difficulty in visualizing fusion and fission events in in vivo models of mammalian aging, progress in the field has been slow. Recent advances in live-cell and tissue imaging techniques, such as fluorescent labeling of proteins and three-dimensional reconstruction of mitochondrial electron micrographic images in tissues, have facilitated the study of mitochondrial dynamics in animal models.

Extensive research has led to the consensus that regulation of mitochondrial dynamics is vital to basic biological processes and for proper mitochondrial function. However, a full appreciation of the multifaceted role of fusion and fission proteins has not been ascertained. For example, what are the upstream signaling molecules that regulate these proteins and their specific binding partners? An even more intriguing question is where in the aging process are these different factors integrated? The development of genetic tools to manipulate the levels of mitochondrial morphology proteins, in addition to the application of imaging techniques, will be crucial for understanding the physiological relevance of these proteins and their potential use in delaying the aging process and preventing the onset of age-related diseases.

Acknowledgments

References