Abstract:The better part of a century has passed since Otto Warburg first hypothesized that unique phenotypic characteristics of tumor cells might be associated with an impairment in the respiratory capacity of these cells. Since then a number of distinct differences between the mitochondria of normal cells and cancer cells have been observed at the genetic, molecular, and biochemical levels. This article begins with a general overview of mitochondrial structure and function, and then outlines more specifically the metabolic and molecular alterations in mitochondria associated with human cancer and their clinical implications. Special emphasis is placed on mtDNA mutations and their potential role in carcinogenesis. The potential use of mitochondria as biomarkers for early detection of cancer, or as unique cellular targets for novel and selective anti-cancer agents is also discussed.
I. GENERAL BACKGROUNDdepolymerising agents has been shown to result in an altered distribution of mitochondria [2,3]. This suggests that mitochondria are associated with and travel along a molecular 'highway' composed of a cytoplasmic microtubule network.
I.A: Mitochondrial Structure and FunctionIn electron micrographs of fixed tissue specimens, mitochondria are most commonly observed as oval particles, 1-2 µm in length and 0.5-1 µm in width. These dimensions approximate to those of the bacterium Escherichia coli. The organelle is bound by two membranes. The peripheral, or outer, membrane encloses the entire contents of the mitochondrion. The inner membrane has a much greater surface area and forms a series of folds or invaginations, called cristae, which project inward towards the interior space of the organelle. The total surface area of the inner membrane varies considerably depending upon the tissue and type of cell. Since the enzymes involved in oxidative phosphorylation are located on the inner mitochondrial membrane, its surface area and number of cristae are generally correlated with the degree of metabolic activity exhibited by a cell. The spatial arrangement of the outer and inner membranes creates two distinct internal compartments: the intermembrane space is located between the outer and inner membranes; and the matrix is the space enclosed by the inner mitochondrial membrane. By contrast to the static, 'cigar-shaped' organelles commonly observed in electron micrographs, living cells stained with the lipophilic cation rhodamine 123 (Rh123) and observed by fluorescence microscopy reveal mitochondria as a dynamic network of long filamentous structures, capable of profound changes in size, form and location [1]. These mitochondria can be seen extending, contracting, fragmenting and even fusing with one another as they move in three dimensions throughout the cytoplasm. Interestingly, the treatment of cells with microtubuleMitochondria play a central role in oxidative metabolism in eukaryotes (reviewed in [4]. In the catabolism of carbohydrates (Fig. (1a)), this begins with the transport of pyruvate from the cytosol into the m...