Abstract

The mitochondrial calcium uniporter is an intensively investigated calcium channel, and its molecular components, structural features, and encoded genes have long been explored. Further studies have shown that the mitochondrial calcium unidirectional transporter (MCU) is a macromolecular complex related to intracellular and extracellular calcium regulation. Based on the current understanding, the MCU is crucial for maintaining cytosolic Ca2+ (cCa2+) homeostasis by modulating mitochondrial Ca2+ (mCa2+) uptake. The elevation of MCU-induced calcium levels is confirmed to be the main cause of mitochondrial reactive oxygen species (mROS) generation, which leads to disordered cellular metabolic patterns and cell death. In particular, in an I/R injury model, cancer cells, and adipocytes, MCU expression is maintained at high levels. As is well accepted, the AMPK/PGC-1α/SIRT3 pathway is believed to have an affinity for mROS formation and energy consumption. Therefore, we identified a link between MCU-related mROS formation and the AMPK/PGC-1α/SIRT3 signaling pathway in controlling cell metabolism and cell death, which may provide a new possibility of targeting the MCU to reverse relevant diseases.

Highlights

  • Previous studies have revealed that mitochondria regulate intracellular and extracellular calcium concentrations and signaling and are involved in a series of physiological and pathological processes, including energy metabolism, signaling regulation, smooth muscle contractility, cell proliferation, and cell death

  • It has been found that the uniporter is a complicated protein complex in humans that consists of four essential elements: mitochondrial calcium unidirectional transporter (MCU) [located at the mitochondrial inner transmembrane for ion MCU Regulates Cell Metabolism conduction that is inhibited by ruthenium red (RR) or Ru360] [3], MICU1 and MICU2 [4, 5], and EMRE [4]

  • Calcium uptake by mitochondria is attributed to three main functions: [1] maintenance of cellular metabolic homeostasis between the cytosol and mitochondria, [2] mediation of cCa2+ dynamics, and [3] modulation of various cell death pathways of apoptosis and necrosis [6,7,8]

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Summary

Frontiers in Medicine

Death Modulated by the AMPK/PGC-1α/SIRT3 Signaling Pathway. Further studies have shown that the mitochondrial calcium unidirectional transporter (MCU) is a macromolecular complex related to intracellular and extracellular calcium regulation. Based on the current understanding, the MCU is crucial for maintaining cytosolic Ca2+ (cCa2+) homeostasis by modulating mitochondrial Ca2+ (mCa2+) uptake. The elevation of MCU-induced calcium levels is confirmed to be the main cause of mitochondrial reactive oxygen species (mROS) generation, which leads to disordered cellular metabolic patterns and cell death. The AMPK/PGC-1α/SIRT3 pathway is believed to have an affinity for mROS formation and energy consumption. We identified a link between MCU-related mROS formation and the AMPK/PGC-1α/SIRT3 signaling pathway in controlling cell metabolism and cell death, which may provide a new possibility of targeting the MCU to reverse relevant diseases

INTRODUCTION
STRUCTURE OF THE MITOCHONDRIAL CALCIUM UNIPORTER
The Regulatory Subunits of MCU
MODULATION OF MCU EXPRESSION
THE ROLE OF MCU IN RELEVANT DISEASES
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