A Molecular Approach to Mitophagy and Mitochondrial Dynamics.

Mitochondrial quality control systems are essential for the maintenance of functional mitochondria. At the organelle level, they include mitochondrial biogenesis, fusion and fission, to compensate for mitochondrial function, and mitophagy, for degrading damaged mitochondria. Specifically, in mitophagy, the target mitochondria are recognized by the autophagosomes and delivered to the lysosome for degradation. In this review, we describe the mechanisms of mitophagy and the factors that play an important role in this process. In particular, we focus on the roles of mitophagy adapters and receptors in the recognition of damaged mitochondria by autophagosomes. In addition, we also address a functional association of mitophagy with mitochondrial dynamics through the interaction of mitophagy adaptor and receptor proteins with mitochondrial fusion and fission proteins.

INTRODUCTION

Mitochondria are the main site of adenosine triphosphate (ATP) synthesis. Mitochondria are also crucial in apoptosis, necrosis, autophagy, stress regulation, production of lipids and carbohydrates, Ca2+ storage and innate immunity (Galluzzi et al., 2012). Therefore, mitochondrial dysfunction is associated with many diseases (Suomalainen and Battersby, 2017). Mitochondria undergo constant turnover and their half-life varies from tissue to tissue (Gottlieb and Stotland, 2015). Mitochondria are exposed to damages caused by intra- and extra-mitochondrial events, such as mutated mitochondrial proteins and reactive oxygen species (ROS) (Galluzzi et al., 2012). Mitochondrial quality control systems actively function, both in physiological and pathological conditions, to protect the mitochondria from stress and damage at the protein and organelle level. Damage beyond the protein level activates a bigger response that includes mitochondrial biogenesis, fusion, fission and mitochondrial degradation, also known as mitophagy. In this review, we will focus on recent data regarding the molecular mechanisms of mitochondrial quality control, especially in relation to mitophagy, and describe how these mechanisms can affect each other.

MITOCHONDRIAL QUALITY CONTROL

Mitochondria first respond to stress by attempting to maintain their structure and composition. This is achieved through the action of antioxidants, DNA repair, protein folding and degradation. Mitochondrial DNA is highly exposed to oxidative damage due to the production of ROS during oxidative phosphorylation. DNA damage is repaired by mitochondrial DNA polymerase gamma (encoded by POLG) that has base excision repair and exonuclease function. Mutation of POLG causes neurodegeneration, progressing into Leigh or Alpers-Huttenlocher syndrome (Scheibye-Knudsen et al., 2015). Antioxidants, such as superoxide dismutase, catalase, glutathione peroxidase/glutathione, peroxiredoxins and vitamin E/C, directly protect mitochondria by reducing reactive intermediates (Scheibye-Knudsen et al., 2015). In addition, mitochondrial chaperones, such as heat shock protein (Hsp)60 and Hsp70, import nuclear-encoded mitochondrial proteins (NEMP) into the mitochondrial matrix and refold misfolded proteins (Hammerling and Gustafsson, 2014). When misfolded or damaged proteins accumulate, the proteases LON and ClpP, in the matrix, and ATPase associated with diverse cellular activities (AAA), in the membrane, degrade them to maintain normal mitochondria(Cenini and Voos, 2016). Proteins in the outer mitochondrial membrane are ubiquitinated by the E3 ligase MARCH5, and targeted for degradation to the 26S proteasome (Bragoszewski et al., 2017). If the damage is beyond the capacity of these systems, a broader quality control system is activated.

At the organelle level, mitochondria quality is sustained through synthesis of new mitochondria, fusion and fission, and elimination of the damaged ones. Mitochondrial biogenesis requires the delivery of NEMP to the mitochondria and is induced by endogenous (e.g. ROS, nitrogen oxide, carbon monoxide, and H2S), and external signals (e.g. estrogen), which increase the amount of NEMP through nuclear respiration factor-1 (NRF1), peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) and estrogen receptor. Calorie restriction and exercise also stimulate mitochondrial biogenesis through changes in the ratio of oxidized/reduced nicotinamide adenine dinucleotide (NAD+/NADH) and adenosine mono-phosphate (AMP)/ATP, and increase NEMP levels via sirtuins (SIRT) and AMP-activated protein kinase (AMPK) pathways (Suliman and Piantadosi, 2016).

Compared to other organelles, mitochondria frequently change their shape under physiologic and pathologic conditions. Specifically, mitochondrial dynamics (fusion and fission) regulates mitochondrial network connectivity, which depends on the specific metabolic needs of the cell (Miettinen and Björklund, 2017; Rambold and Pearce, 2017). The processes controlling mitochondria dynamics are well understood and mediated by specific proteins. Mitochondrial outer membrane fusion is induced by MitoPLD, a member of the phospholipase D family, which converts cardiolipin into phosphatidic acid, and by homo or hetero dimerization of the guanosine triphosphate hydrolases (GTPases) mitofusin (MFN) 1 and 2. In addition to outer membrane, fusion of the mitochondrial inner membrane requires optic atrophy 1 (OPA1), anchored in the inner membrane and exposed to the intermembrane space. On the other hand, mitochondrial fission occurs when the GTPase dynamin related protein-1 (Drp1) translocates to the mitochondrial outer membrane to bind its receptors, such as FIS1, MFF, MID49 and MID51, and forms a multimeric structure around the fission site of the mitochondrion. While the precise reason is not yet clarified, mitochondrial protein 18 kDa (MTP18) gene ablation induces fusion of mitochondria and expression of cleaved OPA1 (S-OPA1) induces fission (Wai and Langer, 2016). Through mechanisms not fully understood, mitochondrial dynamics is also engaged in the repair of a part of the damaged mitochondria. If the mitochondria cannot be restored to a healthy state through these processes, they are eliminated by selective autophagy.

MITOPHAGY: ELIMINATION OF MITOCHONDRIA THROUGH SELECTIVE AUTOPHAGY

Autophagy, a lysosome-dependent degradation, is categorized into macroautophagy, microautophagy and chaperone-mediated-autophagy (CMA). Macroautophagy is characterized by the formation of an autophagosome: the phosphatidylinositol 3-kinase (PI3K) class III produces phosphatidylinositol 3-phosphate (PI3P) and induces the formation of the isolation membrane (phagophore), which progressively expands by using two-ubiquitin-like systems till the formation of a double-membrane vesicle (the autophagosome). Cytoplasmic cargos are sequestered into the autophagosome and subsequently degraded through the lysosomes. In microautophagy, cytosolic cargo is directly engulfed by lysosomes while CMA selectively recruits target proteins into the lysosomes through chaperone proteins without autophagosome formation (Nah et al., 2015).

Unlike non-selective removals of various targets by macroautophagy, targets ranging from proteins to organelles, including aggregated proteins, mitochondria, endoplasmic reticulum, peroxisomes, invaded bacteria, viruses and membranes, are often degraded by selective autophagy (Galluzzi et al., 2017). Among them, mitophagy is the selective removal of mitochondria via autophagy. Then, an important question is how mitochondria are selectively recognized and removed. A report shows that mitochondria-derived vesicles are directly degraded to lysosomes (Lemasters, 2014). Most of the studies, however, have focused on autophagosome-mediated mitophagy and on the importance of mitophagy mediators that interact with LC3. Recently, many studies have investigated the mechanisms of this process. Details on mitophagy are discussed below.

MECHANISMS OF MITOPHAGY: HOW ARE THE MITOCHONDRIA RECOGNIZED?

The recognition of target mitochondria by the autophagosome occurs through LC3 adapters, in an ubiquitin-dependent and independent pathway, and through the direct interaction of LC3 with its receptors.

Ubiquitin-mediated interaction of LC3 adapters

In this pathway, the first event is the ubiquitination of mitochondrial substrates, which are then recognized by LC3 adapters.

PINK1/Parkin pathway

PTEN-induced putative kinase 1 (PINK1, PARK6) and Parkin (PARK2) were first identified as genetic factors of Parkinson’s disease in which mitochondrial dysfunction has been suggested as one of the causes (Pickrell and Youle, 2015). Parkin, a cytosolic E3-ubiquitin ligase, and PINK, a mitochondrial serine/threonine-protein kinase, are now known to function in mitophagy (Matsuda et al., 2010; Narendra et al., 2008). Under normal conditions, PINK1 is continuously targeted to the mitochondria through a mitochondrial targeting sequence, degraded by matrix processing peptidases (MPP) and subsequently cleaved by presenilin-associated rhomboid like (PARL), a protease in the mitochondrial inner membrane. Cleaved PINK translocates to the cytosol and is degraded by the proteasome (Matsuda et al., 2010).

Depolarization of the mitochondrial membrane due to damage, reduces the cleavage of PINK1. PINK1 accumulates on the mitochondrial outer membrane through the translocase of the outer membrane (TOM). Mitochondrial pyruvate level can also affect the accumulation of PINK1 by inducing the interaction between PINK1 and TOM (Park et al., 2015). Accumulated PINK1 is autophosphorylated and activated, and phosphorylates ubiquitin on serine 65 (Ser65), which recruits Parkin. On the mitochondrial membrane, Parkin is phosphorylated and activated by PINK1, and polyubiquitinates its substrates (Nguyen et al., 2016). Specifically, the polyubiquitination of Parkin substrates, such as voltage-dependent anion channel-1 (VDAC1), MFN 1/2 and Miro 1, leads to their degradation by the proteasome (Chan et al., 2011; Tanaka et al., 2010). The degradation of MFN 1/2 induces mitochondrial fission and mitophagy (Tanaka et al., 2010), linking mitochondrial dynamics to mitophagy.

LC3 adapters: p62, OPTN, NDP52, TAX1BP1 and NBR1

Five LC3 adapters, sequestosome-1 (p62), optineurin (OPTN), nuclear domain 10 protein 52 (NDP52), TAX1 binding protein 1 (TAX1BP1) and neighbor of BRCA1 gene 1 (NBR1), are recruited to the K63-linked polyubiquitinated substrates on the mitochondria through their ubiquitin-binding domain. These adapters contain an LC3-interacting region (LIR) motif that is recognized by LC3 to recruit the tagged mitochondria to the autophagosome (Lazarou et al., 2015). Studies have shown that OPTN is the most important adapter for the recruitment of the phagophore to the mitochondria (Moore and Holzbaur, 2016). Specifically, Tank-binding kinase 1 (TBK1) is activated after recruitment by OPTN and promotes mitophagy through the phosphorylation of OPTN (Richter et al., 2016). While other adapters were also reported to be phosphorylated by TBK1, only OPTN and NDP52 were its common substrates (Heo et al., 2015; Matsumoto et al., 2015; Moore and Holzbaur, 2016; Richter et al., 2016).

Recently, a Parkin-independent role of PINK1 in mitophagy has been uncovered. In this pathway, PINK1 recruits OPTN and NDP52 on the mitochondria, which subsequently recruit autophagy initiation factors, such as ULK1, double FYVE-containing protein 1 (DFCP1) and WD repeat domain phosphoinositide-interacting protein 1 (WIPI1) (Lazarou et al., 2015). In addition, overexpressed synphilin-1, a synuclein alpha-interacting protein, interacts with PINK1 and induces its accumulation. The PINK1-synphilin1 complex recruits seven in absentia homolog-1 (SIAH-1), an E3 ubiquitin ligase, to increase mitochondrial ubiquitination (Szargel et al., 2016), indicating that E3 ligases other than Parkin target the mitochondria for degradation in different ways.

Ubiquitin-independent interaction of LC3 adapters

Damaged mitochondria can also be recognized by LC3 adapters in an ubiquitin-independent manner.

CHDH and TBC1D15

Choline dehydrogenase (CHDH) is located in the mitochondrial inner and outer membranes under normal conditions. When the mitochondrial membrane potential is disrupted, CHDH accumulates in the mitochondrial outer membrane and interacts with p62 through its Phox and Bem1 (PB1) domain, leading to the formation of the CHDH-p62-LC3 complex that mediates mitophagy (Park et al., 2014). CHDH’s role in mitophagy, shown in gene ablation experiments, is Parkin-independent. In addition, TBC1 domain family member 15 (TBC1D15), a mitochondrial Rab GTPase-activating protein (Rab-GAP), forms a complex with TBC1D17 and migrates to the mitochondrial outer membrane by interacting with mitochondrial fission 1 protein (FIS1). The TBC1D15/17 complex then interacts with LC3 (Yamano et al., 2014). These adapters sense mitochondrial damage and consequently change their subcellular location or the protein they interact with, guiding the damaged mitochondria to the autophagosome.

Interaction between LC3 and its receptors

Unlike aforementioned LC3 adapters which require additional proteins to interact with LC3, several LC3 receptors are located on the mitochondria; they directly bind to LC3 and recruit the damaged mitochondria to autophagosomes.

NIX/BNIP3L, BNIP3 and FUNDC1

Nip3-like protein X (NIX) and BCL2/Adenovirus E1B 19 kDa Interacting Protein 3 (BNIP3) contain a BH3 domain and interact with LC3 (Hanna et al., 2012; Novak et al., 2010). NIX was initially reported to function in the removal of mitochondria from red blood cells during maturation (Sandoval et al., 2008). Additionally, NIX participates in mitophagy under hypoxic conditions. NIX mRNA levels are increased by HIF1α (Sowter et al., 2001) and NIX protein is phosphory-lated at Ser81 to mediate mitophagy under hypoxia conditions (Yuan et al., 2017). NIX-mediated mitophagy is Parkin-independent and, in mice, plays a protective role in ischemic brain injury (Yuan et al., 2017). NIX also participates in the Parkin-dependent mitophagy as a substrate of Parkin that recruits NBR1 to the mitochondria (Gao et al., 2015) and knockdown of both Parkin and NIX synergistically reduces mitophagy (Yuan et al., 2017). Thus, NIX might primarily regulate basal levels of mitophagy under physiological conditions and induce mitophagy under hypoxic conditions42.

Homodimerization of BNIP3 is necessary for its interaction with LC3 and this interaction is regulated by the phosphorylation on Ser17 and Ser24 near the LIR motif (Hanna et al., 2012; Zhu et al., 2013). BNIP3 increases mitophagy by suppressing the cleavage of PINK1 (Zhang et al., 2016). Like NIX, BNIP3 levels are increased to mediate excessive mitophagy in the cortical neurons of a mouse ischemia/hypoxia model (Shi et al., 2014). As found in BNIP3−/− mice, BNIP3 deficiency significantly decreases both neuronal mitophagy and apoptosis under hypoxic conditions (Shi et al., 2014). In addition, BNIP3 deficiency also increases non-selective autophagy following ischemic/hypoxic insults (Shi et al., 2014). While NIX expression is upregulated upon BNIP3 silencing, this upregulation does not functionally compensate for the loss of BNIP3 in activating excessive mitophagy (Shi et al., 2014).

FUNDC1 is a mitochondrial outer membrane protein that mediates hypoxia-induced mitophagy in mammalian cells (Liu et al., 2012). FUNDC1 regulates Parkin-independent mitophagy by binding to LC3 under hypoxia. Specifically, the phosphorylation of FUNDC1 at Tyr18 by SRC and Ser13 by casein kinase II (CK2) suppresses its interaction with LC3 under normoxic conditions (Chen et al., 2014; Liu et al., 2012). Under hypoxia, FUNDC1 is dephosphorylated at Ser13 by phosphoglycerate mutase 5 (PGAM5) and phosphorylated at Ser17 by ULK1 (Chen et al., 2014). In addition, FUNDC1 is Lys119-ubiquitinated by MARCH5 and degraded in the initial phase of hypoxia; the remaining FUNDC1 participates in mitophagy under prolonged hypoxia (Chen et al., 2017). Inhibition of FUNDC1-mediated mitophagy by Receptor-interacting serine/threonine-protein kinase 3 (Ripk3), which participates in necroptosis- and mitochondria-mediated apoptosis, increases mitochondrial apoptosis in cardiac ischemia/reperfusion injury (Zhou et al., 2017). On the contrary, a report showed that knockdown or overexpression of FUNDC1 has insignificant effect on starvation- or hypoxia-induced mitophagy (Hirota et al., 2015), which remains to be clarified.

BCL2L13 and FKBP8

Bcl2 like 13 (BCL2L13) is the mammalian homologue of atg32, the only mitophagy receptor found in yeast (Mao et al., 2011); its expression somewhat compensates the reduced mitophagy in atg32-null yeast. In mammalian cells, BCL2L13 mediates mitophagy independently of Parkin. Like other LC3 receptors, BCL2L13 locates on the mitochondrial outer membrane and binds to LC3 via the LIR motif. Specifically, phosphorylation at Ser272 increases the binding of BCL2L13 to LC3 (Murakawa et al., 2015).

FK506-binding protein 8 (FKBP8), was identified as a LC3-interacting protein using yeast two-hybrid screening (Bhujabal et al., 2017). FKBP8 is located on the mitochondrial outer membrane and mediates mitophagy by interacting with LC3A (Bhujabal et al., 2017); the effect of FKBP8 on mitophagy is Parkin-independent. In particular, FKBP8 migrates from the mitochondria into the ER following the treatment with carbonyl cyanide m-chlorophenylhydrazone (CCCP), a chemical ionophore (Saita et al., 2013). Accordingly, the FKBP8 N412K mutant, which cannot be targeted to ER, plays a role in mitophagy only, suggesting that the subcellular localization of FKBP8 regulates mitophagy (Bhujabal et al., 2017).

PHB2 and cardiolipin

Unlike other LC3 receptors, prohibitin 2 (PHB2) is a mitochondrial inner membrane protein (Wei et al., 2017). Parkin-mediated degradation of mitochondrial outer membrane proteins results in rupture of the mitochondrial outer membrane, leading to exposure of PHB2 to LC3, and subsequent mitophagy. The function of PHB2 is crucial for the selective elimination of paternal mitochondria in C. elegans (Wei et al., 2017). However, the detailed mechanism responsible for this process remains to be elucidated.

Cardiolipin, a membrane lipid in the mitochondrial inner membrane, can also function as a LC3 receptor in mitophagy. Cardiolipin is translocated from the inner membrane to the outer membrane in the presence of external toxic signals, such as 6-hydroxydopamine (6-OHDA), rotenone and 1-methyl-4-phenylpyridinium (MPP+). Externalized cardiolipin directly interacts with the N-terminal helices of LC3 (Chu et al., 2013). This interaction seems to be LC3 subtype-specific. In vitro experiments revealed that cardiolipin directly interacts with gamma-aminobutyric acid receptor-associated protein (GABARAP), a member of the LC3 family, but does not translocate GABARAP to the mitochondria in rotenone-treated cells, implying that cardiolipin interacts with GABARAP in different autophagic processes (Anton et al., 2016). These data indicate that mitochondrial inner membrane components also participate in mitophagy.

FUNCTIONAL ASSOCIATION OF MITOCHONDRIAL DYNAMICS AND MITOPHAGY

Changes in mitochondrial shape and size are associated to the fission and fusion of the mitochondria according to the cell’s needs (Trotta and Chipuk, 2017). Since the size of the autophagosome in mammalian cells is approximately 500–1500 nm (Wang and Klionsky, 2003), it is reasonable to predict that a huge mitochondria network should be fragmented through fission prior to mitophagy. In that regard, it has been reported that either mitochondrial fission-related factors or degradation of mitochondrial fusion-related factors are required for mitophagy (Shirihai et al., 2015). Proteins with a role in mitochondrial dynamics are thus implicated in mitophagy to function together with the aforementioned LC3 adapters/receptors. That is, Drp1, a mitochondrial fission protein, interacts with over-expressed FUNDC1 and BCL2L13, and both FUNDC1 and BNIP3 require Drp1 for mitochondrial fragmentation and Parkin-mediated mitophagy (Lee et al., 2011; Wu et al., 2016). In contrast, a recent report showed that mitophagy occurs without mitochondrial fission (Yamashita and Kanki, 2017). Thus, the role of Drp1 in mitophagy needs to be further addressed.

In addition, OPA1, a mitochondrial fusion protein, may also play a role as a mitophagic factor. BNIP3 induces mitochondrial fragmentation through its interaction with OPA1 (Landes et al., 2010). Ablation of PHB2 leads to loss of OPA1 long isoform, resulting in an abnormal cristae morphogenesis and mitochondrial fragmentation (Merkwirth et al., 2008). A recent report has shown that the fusion of the inner membrane of the mitochondria requires the binding of OPA1 with cardiolipin and high concentration of cardiolipin in the inner membrane (Ban et al., 2017). Additionally, TBC1D15 mediates the autophagic encapsulation of mitochondria downstream of Parkin activation, upon interaction with FIS1 (Yamano et al., 2014). Thus, it is likely that mitophagy is functionally associated with mitochondrial dynamics, through the interaction between mitochondrial dynamics factors and LC3 adapter/receptors. The details of the interplay between mitochondrial dynamics and mitophagy remain, however, to be further assessed.

PHYSIOLOGIC ROLE OF MITOPHAGY

To understand the molecular mechanism of mitophagy, CCCP has widely been used to disrupt the membrane potential of the mitochondria and induce mitophagy, in vitro. Despite its great contribution to the elucidation of mitophagy, the conditions it creates are different from physiologic conditions. Mitophagy constantly occurs in basal conditions (Bingol et al., 2014) and is induced under specific physiological conditions. During development, NIX is responsible for the removal of mitochondria from maturing erythrocytes (Sandoval et al., 2008), and Parkin and mitochondrial E3 ubiquitin protein ligase 1 (MUL1) are required for degradation of paternal mitochondria after fertilization in mice (Rojansky et al., 2016). Mitophagy is also involved in cellular differentiation. PINK1-dependent mitophagy affects pluripotency and differentiation state in stem cells (Vazquez-Martin et al., 2016). Mitophagy appears to contribute to metabolic changes in the differentiation of retinal ganglion cells (Esteban-Martinez et al., 2017) and the transition from beige to white adipocytes (Wrighton, 2016). In addition, mitophagy plays a role in the activation of the NOD-like receptor protein 3 (NLRP3) inflammasome (Lazarou, 2015) and FUNDC1-dependent mitophagy decreases the activation of platelet following acute ischemia/reperfusion injury (Zhang et al., 2016). Together, these reports show diverse roles of mitophagy in development and cell differentiation.

MITOPHAGY AND HUMAN DISEASES

A dysfunction in the mitochondria quality control and/or mitophagy is associated with many pathological conditions: one of the most studied examples are some neurodegenerative diseases (Rodolfo et al., 2017). Parkin and PINK1 are genetic factors in Parkinson’s disease and play a protective role in neurons through mitophagy (Ashrafi et al., 2014). In Alzheimer disease progression, Parkin is involved in the removal of mitochondria (Ye et al., 2015) and its overexpression alleviates the symptoms of the disease (Martin-Maestro et al., 2016). In Huntington’s disease, mitophagy is altered. Mutant huntingtin acts as a scaffold inducing selective autophagy (Martinez-Vicente et al., 2010) or negatively affecting mitochondrial delivery to the lysosome (Wong and Holzbaur, 2014). The details of this process are unclear. Mitochondrial dysfunction is also observed in amyotrophic lateral sclerosis (ALS), though the role of autophagy in this disease is uncertain (Rodolfo et al., 2017). Mutant superoxide dismutase-1 (SOD1), involved in ALS, induces mitochondrial fragmentation and inhibits mitochondrial retrograde axonal transport (Magrane et al., 2014). In addition, mutant SOD1 binds to p62, OPTN and LC3 (Rodolfo et al., 2017). Thus, reduced targeting of ubiquitinated mitochondria to autophagosomes might contribute to ALS pathology.

Mitophagy is also associated with cancer (Drake et al., 2017). Metabolic-reprogramming in cancer cells is associated with decreased mitophagy and increased mitochondrial biogenesis (Vazquez et al., 2013) and inhibition of mitophagy reduces cell stemness in cell self-renewal (Drake et al., 2017). In relation to inflammation-induced cell death, p62-mediated elimination of damaged mitochondria attenuates inflammation by reducing NLRP3 inflammasome activation in macrophages (Zhong et al., 2016). When DNA is damaged, mitophagy is induced through the poly (ADP-ribose) polymerase-1 (PARP1)-SIRT1-BNIP3/NIX pathway to limit the generation of ROS or inflammasomes, which are harmful to the cell (Drake et al., 2017). In cardiovascular diseases, mitophagy factors are either protective or damaging. It was shown that Parkin and PGAM5 prevent cardiac damage, while FUNDC1, MFN1 and MFN2 in the absence of BNIP3 have an opposite effect. Additionally, Parkin and PINK1 have a protective role in atherosclerosis (Bravo-San Pedro et al., 2017). Likewise, the role of mitophagy in lung disease is not clear. The absence of PINK1 has a protective effect on mitophagy-dependent necroptosis in chronic obstructive pulmonary disease (COPD) (Mizumura et al., 2014), but also induces idiopathic pulmonary fibrosis (IPF). Mitophagy reduces mitochondrial ROS, which modulate senescence in human bronchial epithelial cells. Thus, the role of mitophagy in lung disease depends on the cell type (Cloonan and Choi, 2016).

In acute kidney injury, mitochondrial dysfunction precedes renal dysfunction. Mitophagy protects renal cells against damage in acute kidney injury and metabolic acidosis, a cause of chronic kidney disease. A high-calorie diet causes renal injury, reduces autophagy and mitophagy, and is associated with abnormal mitochondrial morphology (Parikh et al., 2015). Mitophagy also affects non-alcoholic fatty liver disease (NAFLD); NAFLD is relieved by the thyroid hormone (TH), which stimulates mitophagy and mitochondrial biogenesis. BNIP3, NIX, ULK1, p62 and LC3 mRNA levels are increased by TH (Sinha and Yen, 2016). Additionally, activation of AMPK contributes to NAFLD reduction through mitophagy (Smith et al., 2016). Of course, there are active ongoing researches to show the roles of mitophagy in the pathogenesis in other diseases as well.

CONCLUSION

Failure in the removal of dysfunctional mitochondria induces cellular stress and is linked to human diseases. The function of mitophagy-regulating proteins depends on the tissues and the stimuli they are exposed to. Many LC3 adaptors and receptors were originally reported to function independently of Parkin. However, some of them, such as NIX, participate in Parkin-mediated mitophagy (Gao et al., 2015). NDP52, FUNDC1, BCL2L13, FKBP8 and TBC1D15 are also Parkin substrates under certain conditions (Sarraf et al., 2013). Importantly, mitochondrial dynamics and mitophagy affect each other to maintain the quality of mitochondria. Here again, mitochondrial dynamic factors, such as Miro 1 and 2, Drp1 and FIS1 are also Parkin substrates (Sarraf et al., 2013). Therefore, future studies on mitophagy need also to consider the molecular connection among proteins involved in mitophagy, and among proteins involved in mitophagy and mitochondrial dynamics.