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  • Strategies to protect again...
    Visioli, Francesco; Ingram, Avery; Beckman, Joseph S.; Magnusson, Kathy R.; Hagen, Tory M.

    Free radical biology & medicine, January 2022, 2022-01-00, 20220101, Volume: 178
    Journal Article

    Mitochondria serve vital roles critical for overall cellular function outside of energy transduction. Thus, mitochondrial decay is postulated to be a key factor in aging and in age-related diseases. Mitochondria may be targets of their own decay through oxidative damage. However, treating animals with antioxidants has been met with only limited success in rejuvenating mitochondrial function or in increasing lifespan. A host of nutritional strategies outside of using traditional antioxidants have been devised to promote mitochondrial function. Dietary compounds are under study that induce gene expression, enhance mitochondrial biogenesis, mitophagy, or replenish key metabolites that decline with age. Moreover, redox-active compounds may now be targeted to mitochondria which improve their effectiveness. Herein we review the evidence that representative dietary effectors modulate mitochondrial function by stimulating their renewal or reversing the age-related loss of key metabolites. While in vitro evidence continues to accumulate that many of these compounds benefit mitochondrial function and/or prevent their decay, the results using animal models and, in some instances human clinical trials, are more mixed and sometimes even contraindicated. Thus, further research on optimal dosage and age of intervention are warranted before recommending potential mitochondrial rejuvenating compounds for human use. Display omitted •Mitochondria decay with age across mammalian species.•Oxidative damage, metabolite loss, & altered mitophagy underlie mitochondrial decay.•Direct-acting antioxidants do not appear to rescue mitochondria.•Compounds that affect stress response, NAD, or sirtuins may be beneficial.•Dose-response studies for many of these compounds are warranted before clinical use.