Mitochondria and endoplasmic reticulum (ER) are fundamental in the control of cell physiology regulating several signal transduction pathways. They continuously communicate exchanging messages in their contact sites called MAMs (Mitochondria-Associated Membranes). MAMs are specific microdomains acting as a platform for the sorting of vital and dangerous signals.In recent years increasing evidence reported that multiple scaffold proteins and regulatory factors localize to this subcellular fraction suggesting MAMs as hotspot signaling domains. In this review we describe the current knowledge about MAMs' dynamics and processes, which provided new correlations between MAMs' dysfunctions and human diseases. Infact, MAMs machinery is strictly connected with several pathologies, like neurodegeneration, diabetes and mainly cancer. These pathological events are characterized by alterations in the normal communication between ER and mitochondria, leading to deep metabolic defects that contribute to the progression of the diseases.MFN2 defining it as a ER-mitochondria tether whose ablation decreases interorganellar juxtaposition and communication (Naon et al., 2016). This topic is still controversial with opposite results (Filadi et al., 2017) which allow for further considerations about MFN2 functions. Another protein complex whose function is to modulate ER-mitochondria juxtaposition is the complex formed by inositol 1,4,5-trisphosphate receptors (IP3Rs), the voltage-dependent anion channel (VDAC) and the OMM chaperone Grp75 as described in Figure 1 (Szabadkai et al., 2006). This interaction is considered functional because it promotes the efficient transfer of calcium from the ER to mitochondria. In fact, silencing of Grp75 in HeLa cells abolished Ca 2+ accumulation in mitochondria, highlighting chaperone-mediated conformational coupling between the IP3R and mitochondrial machinery. Nevertheless, a recent study of Bartok et al. reveals a non-canonical and structural role for the IP3Rs independently from calcium flux (Bartok et al., 2019).They display that IP3Rs are required for maintaining ER-mitochondrial contacts. Recently, a study of the Transglutaminase type 2 (TG2) interactome showed an enzymatic interaction with GRP75 in the MAM fraction (D'Eletto et al., 2018). In fact, silencing of the TG2-GRP75 complex leads to an increase in the interaction between IP3R-3 and GRP75, a reduction in the number of ER-mitochondria contact sites, impairment of ER-mitochondrial Ca 2+ flux and an altered MAM proteome profile. Furthermore, the complex formed between ER vesicle-associated membrane protein-associated protein B (VAPB) and PTPIP51 regulates the modulation of Ca 2+ homeostasis by MAMs (De Vos et al., 2012).

The divalent cation calcium (Ca2+) is considered one of the main second messengers inside cells and acts as the most prominent signal in a plethora of biological processes. Its homeostasis is guaranteed by an intricate and complex system of channels, pumps, and exchangers. In this context, by regulating cellular Ca2+ levels, mitochondria control both the uptake and release of Ca2+. Therefore, at the mitochondrial level, Ca2+ plays a dual role, participating in both vital physiological processes (ATP production and regulation of mitochondrial metabolism) and pathophysiological processes (cell death, cancer progression and metastasis). Hence, it is not surprising that alterations in mitochondrial Ca2+ (mCa2+) pathways or mutations in Ca2+ transporters affect the activities and functions of the entire cell. Indeed, it is widely recognized that dysregulation of mCa2+ signaling leads to various pathological scenarios, including cancer, neurological defects and cardiovascular diseases (CVDs). This review summarizes the current knowledge on the regulation of mCa2+ homeostasis, the related mechanisms and the significance of this regulation in physiology and human diseases. We also highlight strategies aimed at remedying mCa2+ dysregulation as promising therapeutical approaches.

Cardiac tissue requires a persistent production of energy in order to exert its pumping function. Therefore, the maintenance of this function relies on mitochondria that represent the “powerhouse” of all cardiac activities. Mitochondria being one of the key players for the proper functioning of the mammalian heart suggests continual regulation and organization. Mitochondria adapt to cellular energy demands via fusion-fission events and, as a proof-reading ability, undergo mitophagy in cases of abnormalities. Ca2+ fluxes play a pivotal role in regulating all mitochondrial functions, including ATP production, metabolism, oxidative stress balance and apoptosis. Communication between mitochondria and others organelles, especially the sarcoplasmic reticulum is required for optimal function. Consequently, abnormal mitochondrial activity results in decreased energy production leading to pathological conditions. In this review, we will describe how mitochondrial function or dysfunction impacts cardiac activities and the development of dilated cardiomyopathy.

Mitochondria are key regulators of cell survival and are involved in a plethora of mechanisms, such as metabolism, Ca2+ signaling, reactive oxygen species (ROS) production, mitophagy and mitochondrial transfer, fusion, and fission (known as mitochondrial dynamics). The tuning of these processes in pathophysiological conditions is fundamental to the balance between cell death and survival. Indeed, ROS overproduction and mitochondrial Ca2+ overload are linked to the induction of apoptosis, while the impairment of mitochondrial dynamics and metabolism can have a double-faceted role in the decision between cell survival and death. Tumorigenesis involves an intricate series of cellular impairments not yet completely clarified, and a further level of complexity is added by the onset of apoptosis resistance mechanisms in cancer cells. In the majority of cases, cancer relapse or lack of responsiveness is related to the emergence of chemoresistance, which may be due to the cooperation of several cellular protection mechanisms, often mitochondria-related. With this review, we aim to critically report the current evidence on the relationship between mitochondria and cancer chemoresistance with a particular focus on the involvement of mitochondrial dynamics, mitochondrial Ca2+ signaling, oxidative stress, and metabolism to possibly identify new approaches or targets for overcoming cancer resistance.

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