a b s t r a c tMitochondrial morphology is regulated by continuous fusion and fission events that are essential for maintaining a normal mitochondrial function. If the last years have witnessed major discoveries in the characterization of the fission and fusion machineries, little is known about the physiological role of mitochondrial dynamics. In this review we report the results showing evidences of relationships between mitochondrial dynamics and cellular metabolism, autophagy or apoptosis. We discuss how different mitochondrial alterations observed in cancer cells could be linked to unbalanced mitochondrial fission or fusion events and how this could impinge on key essential cellular processes, thereby contributing to tumorigenesis.© 2008 Elsevier Ltd. All rights reserved.Mitochondria are dynamic, semi-autonomous organelles surrounded by a double membrane that have their own genome and protein synthesis machinery. They are motile and undergo frequent changes in number and morphology through fusion and fission events. In addition to being the major source of ATP in eukaryotes, they are the site of many important metabolic reactions such as the urea cycle, lipid metabolism, steroid hormone and porphyrin synthesis and interconversion of amino acids. Moreover, mitochondria play a central role in complex physiological processes including cellular proliferation, differentiation, apoptosis [1,2] and in cellular processes like glucose sensing/insulin regulation [3], cellular Ca 2+ and ROS (reactive oxygen species) homeostasis [4][5][6][7]. It is therefore not surprising that mitochondrial dysfunctions have been found to be associated with several diseases such as degenerative diseases, aging and cancer [8,9]. Many cancer cells are characterized by a decrease in oxidative phosphorylation and by a high glycolytic activity, as first described 80 years ago by Warburg [10]. Therefore, many cancer cells mainly use glucose, even in the presence of oxygen, a phenomenon called "aerobic glycolysis". Moreover, mitochondria are at the core of the so-called intrinsic apoptotic pathway and appear to be protected in cancer cells explaining, at least in part, cell tumorigenesis. Proteins involved in the fusion/fission machinery were recently found to regulate the intrinsic apoptotic pathway and therefore could participate in the resistance of cancer cells to apoptotic stimuli. Moreover, shaping of mitochondria Abbreviations: OMM, outer mitochondrial membrane; IMM, inner mitochondrial membrane; MFN, mitofusin; CMT, Charcot-Marie tooth; OXPHOS, oxidative phosphorylation; ROS, reactive oxygen species.