Mitochondria are emerging as important players in the transformation process of cells, maintaining the biosynthetic and energetic capacities of cancer cells and serving as one of the primary sites of apoptosis and autophagy regulation. Although several avenues of cancer therapy have focused on mitochondria, progress in developing mitochondria-targeting anticancer drugs nonetheless has been slow, owing to the limited number of known mitochondrial target proteins that link metabolism with autophagy or cell death. Recent studies have demonstrated that two members of the newly discovered family of NEET proteins, NAF-1 (CISD2) and mitoNEET (mNT; CISD1), could play such a role in cancer cells. NAF-1 was shown to be a key player in regulating autophagy, and mNT was proposed to mediate iron and reactive oxygen homeostasis in mitochondria. Here we show that the protein levels of NAF-1 and mNT are elevated in human epithelial breast cancer cells, and that suppressing the level of these proteins using shRNA results in significantly reduced cell proliferation and tumor growth, decreased mitochondrial performance, uncontrolled accumulation of iron and reactive oxygen in mitochondria, and activation of autophagy. Our findings highlight NEET proteins as promising mitochondrial targets for cancer therapy.M itochondria play a key role in many human diseases related to their functions in cellular energy production, biosynthesis of essential cellular compounds, and involvement in autophagy and/or apoptosis regulation (1). Contrary to previously held beliefs, recent studies have demonstrated that mitochondria are also key players in the transformation process of cancer cells and may be used as targets for anticancer therapy (2-6). The involvement of mitochondria in cancer cell function could be linked to the enhanced accumulation of iron and reactive oxygen species (ROS) in mitochondria of cancer cells, which is thought to result from the increased metabolic and energetic demands of the transformed phenotype (7). An interesting, recently discovered group of proteins that could link iron and ROS homeostasis with mitochondrial function in cancer cells are NEET proteins (8-15).NEET proteins [mitoNEET (mNT; CISD1), Nutrient-deprivation autophagy factor-1 (NAF-1; CISD2), and CISD3] are a class of iron-sulfur proteins involved in several human pathologies, including diabetes, cystic fibrosis, Wolfram syndrome 2, neurodegeneration, and muscle atrophy (16)(17)(18)(19)(20)(21)(22). mNT and NAF-1 are localized to the outer mitochondrial membrane. NAF-1 is also localized to the endoplasmic reticulum, where it interacts with BCL-2 and Beclin 1 to regulate autophagy and apoptosis (8-13). Deficiency in mNT causes the accumulation of iron and ROS in mitochondria of animal and plant cells, and deficiency in NAF-1 results in decreased mitochondrial function and stability, as well as activation of autophagy in mice and human cells (13-16, 20, 21).Interestingly, levels of mNT and NAF-1 mRNA are increased significantly in many different human cancer c...