PMID- 35153669 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220215 IS - 1662-5099 (Print) IS - 1662-5099 (Electronic) IS - 1662-5099 (Linking) VI - 14 DP - 2021 TI - Mitochondrial Quality Control: A Pathophysiological Mechanism and Therapeutic Target for Stroke. PG - 786099 LID - 10.3389/fnmol.2021.786099 [doi] LID - 786099 AB - Stroke is a devastating disease with high mortality and disability rates. Previous research has established that mitochondria, as major regulators, are both influenced by stroke, and further regulated the development of poststroke injury. Mitochondria are involved in several biological processes such as energy generation, calcium homeostasis, immune response, apoptosis regulation, and reactive oxygen species (ROS) generation. Meanwhile, mitochondria can evolve into various quality control systems, including mitochondrial dynamics (fission and fusion) and mitophagy, to maintain the homeostasis of the mitochondrial network. Various activities of mitochondrial fission and fusion are associated with mitochondrial integrity and neurological injury after stroke. Additionally, proper mitophagy seems to be neuroprotective for its effect on eliminating the damaged mitochondria, while excessive mitophagy disturbs energy generation and mitochondria-associated signal pathways. The balance between mitochondrial dynamics and mitophagy is more crucial than the absolute level of each process. A neurovascular unit (NVU) is a multidimensional system by which cells release multiple mediators and regulate diverse signaling pathways across the whole neurovascular network in a way with a high dynamic interaction. The turbulence of mitochondrial quality control (MQC) could lead to NVU dysfunctions, including neuron death, neuroglial activation, blood-brain barrier (BBB) disruption, and neuroinflammation. However, the exact changes and effects of MQC on the NVU after stroke have yet to be fully illustrated. In this review, we will discuss the updated mechanisms of MQC and the pathophysiology of mitochondrial dynamics and mitophagy after stroke. We highlight the regulation of MQC as a potential therapeutic target for both ischemic and hemorrhagic stroke. CI - Copyright (c) 2022 Yang, He, Deng, Xiao, Tian, Xin, Lu, Zhao and Gong. FAU - Yang, Miaoxian AU - Yang M AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - He, Yu AU - He Y AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Deng, Shuixiang AU - Deng S AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Xiao, Lei AU - Xiao L AD - The State Key Laboratory of Medical Neurobiology, MOE Frontiers Center for Brain Science, The Institutes of Brain Science, Fudan University, Shanghai, China. FAU - Tian, Mi AU - Tian M AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Xin, Yuewen AU - Xin Y AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Lu, Chaocheng AU - Lu C AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhao, Feng AU - Zhao F AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. FAU - Gong, Ye AU - Gong Y AD - Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai, China. AD - Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Review DEP - 20220128 PL - Switzerland TA - Front Mol Neurosci JT - Frontiers in molecular neuroscience JID - 101477914 PMC - PMC8832032 OTO - NOTNLM OT - fission OT - fusion OT - mitochondrial quality control OT - mitophagy OT - neurovascular unit OT - stroke COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/15 06:00 MHDA- 2022/02/15 06:01 PMCR- 2021/01/01 CRDT- 2022/02/14 05:29 PHST- 2021/09/29 00:00 [received] PHST- 2021/12/21 00:00 [accepted] PHST- 2022/02/14 05:29 [entrez] PHST- 2022/02/15 06:00 [pubmed] PHST- 2022/02/15 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fnmol.2021.786099 [doi] PST - epublish SO - Front Mol Neurosci. 2022 Jan 28;14:786099. doi: 10.3389/fnmol.2021.786099. eCollection 2021.