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The mitochondrial network in hematopoietic stem and progenitor cells (HSPCs) is a complex organelle system that serves as a metabolic and signaling hub for determining cell fate (Cell Stem Cell, 2018; DOI: 10.1016/j.stem.2018.11.003). In the bone marrow niche, quiescent HSPCs maintain a fragmented mitochondrial network with low oxidative activity, relying primarily on anaerobic glycolysis to minimize reactive oxygen species (ROS) and preserve genomic integrity (Nature, 2013; DOI: 10.1038/nature12147). Upon activation for hematopoiesis, the network undergoes significant remodeling, including fusion and increased biogenesis, to support the high energy demands of proliferation and differentiation (Science, 2016; DOI: 10.1126/science.aaf2127). Dysregulation of mitochondrial dynamics, such as impaired mitophagy or excessive fission, is closely linked to hematopoietic aging and the development of myeloid malignancies like Acute Myeloid Leukemia (AML) (Blood, 2020; DOI: 10.1182/blood.2019004024). Therapeutic strategies targeting this network involve the use of metabolic modulators, such as Metformin or NAD+ precursors, to enhance mitochondrial health in aged cells or to induce metabolic stress in cancer stem cells (Nature Communications, 2021; DOI: 10.1038/s41467-021-23562-6).
Modulation of mitochondrial respiration, regulation of mitochondrial fission and fusion, induction of mitophagy, and control of reactive oxygen species (ROS) production to influence stem cell fate.
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