Authors
Haiyan Zheng, Yanfang Zhang, Jian Ruan, Bingzhu Zheng, Renren Deng, Chanqi Ye
Published in
Acta biomaterialia. Nov 10, 2026. Epub Nov 10, 2026.
Abstract
Mitochondria play a crucial role in the energy metabolism, redox balance, and cell death regulation of tumor cells, making them potential targets for precise cancer treatment. Metal-based nanoparticles (MNPs) can precisely target mitochondria and directly interfere with mitochondrial functions, providing a unique opportunity for mitochondrial-directed tumor therapy. However, there is no comprehensive analysis of the mechanisms for interfering with mitochondrial functions, and questions regarding the cross-regulation of mitochondrial functions and the feasibility of clinical translation have not been answered. This review proposes a unified conceptual framework for MNP-based mitochondrial targeting, focusing on the crosstalk and synergistic interactions among ferroptosis, cuproptosis, metabolic intervention, mitophagy regulation, and immune activation. We also discuss current clinical translation challenges and the future development prospects of MNPs treatment. This review provides an important reference for the innovative design of mitochondrial-targeted nanomedicines for precise tumor treatment. STATEMENT OF SIGNIFICANCE: Current research on metal-based nanoparticles-mediated mitochondrial therapy is developing rapidly, and the research directions are rather scattered. Previous reviews have often focused on individual mitochondria-related therapeutic mechanism such as ferroptosis, cuproptosis, metabolic intervention, mitochondrial autophagy regulation, or immune activation. However, the mitochondrial regulatory system operates as an interconnected network in which various mechanisms interact and influence one another. Hence, we integrate these mechanisms under a unified conceptual framework and highlight their crosstalk and synergistic interaction. We further discuss the current clinical translation challenges and the future development prospects of MNPs treatment. This review provides an important reference for the innovative design of mitochondrial-targeted nanomedicines for precise tumor treatment.
PMID:
43009079
Bibliographic data and abstract were imported from PubMed on 11 Nov 2026.
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