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<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">786806</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2021.786806</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Mitochondrial Membrane Remodeling</article-title>
<alt-title alt-title-type="left-running-head">Yang et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Mitochondrial Morphogenesis</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Ziyun</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1574320/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Liang</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1550133/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yang</surname>
<given-names>Cheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1575082/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pu</surname>
<given-names>Shiming</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1575104/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guo</surname>
<given-names>Ziqi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1575084/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Qiong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/784591/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhou</surname>
<given-names>Zuping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1541573/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhao</surname>
<given-names>Hongxia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1356366/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>School of Life Sciences, Guangxi Normal University</institution>, <addr-line>Guilin</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Guangxi Universities, Key Laboratory of Stem Cell and Biopharmaceutical Technology, Guangxi Normal University</institution>, <addr-line>Guilin</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Research Center for Biomedical Sciences, Guangxi Normal University</institution>, <addr-line>Guilin</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>National Chengdu Center for Safety Evaluation of Drugs, State Key Laboratory of Biotherapy/Collaborative Innovation Center for Biotherapy, West China Hospital, West China Medical School, Sichuan University, High-Tech Development Zone</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Faculty of Biological and Environmental Sciences, University of Helsinki</institution>, <addr-line>Helsinki</addr-line>, <country>Finland</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/713750/overview">Hongbo Zhang</ext-link>, &#xc5;bo Akademi University, Finland</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/31154/overview">Vito De Pinto</ext-link>, University of Catania, Italy</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/27453/overview">Mohsin Saleet Jafri</ext-link>, George Mason University, United&#x20;States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Hongxia Zhao, <email>hongxia.zhao@helsinki.fi</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Nanobiotechnology, a section of the journal Frontiers in Bioengineering and Biotechnology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>01</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>786806</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Yang, Wang, Yang, Pu, Guo, Wu, Zhou and Zhao.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Yang, Wang, Yang, Pu, Guo, Wu, Zhou and Zhao</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Mitochondria are key regulators of many important cellular processes and their dysfunction has been implicated in a large number of human disorders. Importantly, mitochondrial function is tightly linked to their ultrastructure, which possesses an intricate membrane architecture defining specific submitochondrial compartments. In particular, the mitochondrial inner membrane is highly folded into membrane invaginations that are essential for oxidative phosphorylation. Furthermore, mitochondrial membranes are highly dynamic and undergo constant membrane remodeling during mitochondrial fusion and fission. It has remained enigmatic how these membrane curvatures are generated and maintained, and specific factors involved in these processes are largely unknown. This review focuses on the current understanding of the molecular mechanism of mitochondrial membrane architectural organization and factors critical for mitochondrial morphogenesis, as well as their functional link to human diseases.</p>
</abstract>
<kwd-group>
<kwd>mitochondrial fusion</kwd>
<kwd>mitochondrial fission</kwd>
<kwd>mitochondrial dynamics</kwd>
<kwd>cristae</kwd>
<kwd>crista junctions</kwd>
<kwd>membrane curvature</kwd>
<kwd>cardiolipin</kwd>
<kwd>Mitochondrial disease</kwd>
</kwd-group>
<contract-num rid="cn001">266846</contract-num>
<contract-sponsor id="cn001">Academy of Finland<named-content content-type="fundref-id">10.13039/501100002341</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Jane Ja Aatos Erkon S&#xe4;&#xe4;ti&#xf6;<named-content content-type="fundref-id">10.13039/501100004012</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Mitochondria are double-membrane enclosed organelles in eukaryotic cells essential for cellular metabolism and signaling, housing the key metabolic pathways such as oxidation of nutrients, calcium homeostasis, ROS signaling, and synthesis of heme, steroid hormone, and iron-sulphur clusters. To fulfill these functions, mitochondria form a highly dynamic and motile network that undergoes constant morphology and distribution changes by fusion and fission in response to changes in metabolic requirements, stress, and growth. Huge advances in diverse microscopy technologies and biochemical fractionation of submitochondrial membranes help us to unveil the complex mitochondrial ultrastructure, which possesses the outer (OMM) and inner (IMM) mitochondrial membranes that encapsulate the intermembrane space (IMS) and matrix compartment (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>). In particular, the mitochondrial inner membrane is folded into numerous invaginations with distinct membrane curvature called cristae (<xref ref-type="bibr" rid="B112">Mannella, 2006</xref>) that is functionally and structurally divided into two domains, namely the inner boundary membrane (IBM) and curved cristae membranes. The different domains of the inner mitochondrial membrane have strikingly distinct protein contents, e.g., the respiratory chain complexes and supercomplexes are highly enriched in the cristae membranes, whereas the mitochondrial import and assembly machineries are preferentially found in the inner boundary membrane (<xref ref-type="bibr" rid="B36">Davies et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B205">Vogel et&#x20;al., 2006</xref>). Recent studies employing electron microscopy strategies and computer-based reconstruction algorithms have revealed a large variety of cristae morphologies with a mixture of tubular and lamellar segments (<xref ref-type="bibr" rid="B36">Davies et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B103">K&#xfc;hlbrandt, 2015</xref>; <xref ref-type="bibr" rid="B112">Mannella, 2006</xref>), reflecting a high degree of functional specialization into metabolic micro-compartments. Furthermore, the pleomorphic mitochondrial inner membrane invaginations are connected to the IBM by small circular to narrow slit-shaped openings that are called crista junctions (CJs, <xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>) (<xref ref-type="bibr" rid="B112">Mannella, 2006</xref>). Based on experimental data a model of cristae membrane organization was proposed (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>). In this model, the crista sheets are made up of two leaves of IMM arranged in close apposition, leaving a narrow intermembrane space in between. These sheets are delimitated by tips or rims, in which the lipid bilayer is bending over with a strong positive curvature. At their base, the cristae are connected to the IBM with the membrane exhibiting negative curvature, which is followed by a narrow tubular neck region with highly positive curvature (<xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). The striking breakthrough of super-resolution microscopy techniques, like structured illumination microscopy (SIM) and stimulated emission depletion (STED) microscopy, reveals that both cristae and crista junctions are also highly dynamic, often undergoing membrane-remodeling on a timescale of seconds (<xref ref-type="bibr" rid="B95">Kondadi et&#x20;al., 2020</xref>). Mitochondrial membrane architecture and dynamics are indispensable for energy production, cell division, cell differentiation, and cell death (<xref ref-type="bibr" rid="B185">Wai and Langer, 2016</xref>; <xref ref-type="bibr" rid="B43">Dorn, 2019</xref>; <xref ref-type="bibr" rid="B168">Sharma et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B22">Chan, 2020</xref>; <xref ref-type="bibr" rid="B66">Giacomello et&#x20;al., 2020</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Regulators involved in the organization of mitochondrial inner membrane curvature. <bold>(A)</bold> Schematic presentation of mitochondrial membrane ultrastructure and subcompartments. The outer mitochondrial membrane (OMM) and inner mitochondrial membrane (IMM) delineate two aqueous compartments, the intermembrane space (IMS) (yellow color) between the OMM and the IMM, and the matrix (light blue), which is the innermost compartment. The IMM is further divided into the inner boundary membrane (IBM) and cristae membrane. <bold>(B)</bold> Schematic illustration of membrane curvatures at distinct regions of the cristae membrane. Positive membrane curvature is indicated in red color, negative curvature in blue, and regions with both or no apparent curvature are colored in green. <bold>(C)</bold> Factors involved in the regulation of IMM morphology. F<sub>1</sub>Fo-ATP synthase plays an important role in the formation of positive membrane curvature at the crista tip. The conical cardiolipin and PE reside in the inner leaflet of crista tip membrane while inverted conical lipid such as lysoPC locates in the outer leaflet of the lipid bilayer to maintain the positive membrane curvature at the crista tip. The MICOS complex consists of eight subunits, Mic10, Mic13, Mic14, Mic19, Mic25, MicC26, Mic27 and Mic60, residing in the crista junctions (CJs) (only the numbers are depicted in the figure for the ease of legibility). MICOS is required for the CJs and the contacts between the inner and outer membranes via interaction with the SAM (sorting and assembly machinery) complex. OPA1 is also enriched at the CJs. Interactions between membrane-bound long (L-) and soluble short (S-) forms of OPA1 are required to maintain the width of the CJs. MICU1 exclusively localizes at the crista junctions and binds to the IMM through electrostatic interactions. MICU1 contributes to the structural integrity of the CJ through formation of hexamers. The maintenance of CJ ultrastructure restricts the cytochrome C (Cyt c) inside the crista lumen region. The BAR domain protein FAM92A1 preferentially interacts with the negatively charged phospholipid cardiolipin, and plays crucial role in the formation of positive cristae membrane curvature. In addition, prohibitin ring and ATAD3A localizing in the IBM, and MCL-1 in the IMM and matrix, are also involved in the organization of the IMM.</p>
</caption>
<graphic xlink:href="fbioe-09-786806-g001.tif"/>
</fig>
<p>Mitochondria possess not only complex membrane curvature and dynamics The factors involved in membrane but also exhibit defined lipid composition and asymmetric distribution of phospholipids (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>; <xref ref-type="bibr" rid="B178">Tatsuta et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B131">Nielson and Rutter, 2018</xref>). Alterations in the phospholipid composition can affect mitochondrial membrane integrity, permeability, and fluidity, and hence the stability and activity of many membrane-associated proteins. Mitochondrial membrane structure, dynamics, and function closely rely on proteins and protein complexes associated with membranes, lipid organization, and the coordinated interplay between proteins and lipids in the mitochondrial membrane. Aberrant cristae ultrastructure, dynamics, and lipid composition cause many devastating human diseases, including neurodegenerative disorders, obesity, diabetes mellitus, muscular dystrophies, cardiomyopathies, and cancer (<xref ref-type="bibr" rid="B21">Chan, 2006</xref>; <xref ref-type="bibr" rid="B132">Nunnari and Suomalainen, 2012</xref>; <xref ref-type="bibr" rid="B60">Friedman and Nunnari, 2014</xref>; <xref ref-type="bibr" rid="B185">Wai and Langer, 2016</xref>; <xref ref-type="bibr" rid="B30">Colina-Tenorio et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B106">Li et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B130">Mukherjee et&#x20;al., 2021</xref>). Although the mitochondrial membrane architecture was discovered with the pioneering work of Palade and Sj&#xf6;strand in the 1950s (<xref ref-type="bibr" rid="B139">Palade, 1952</xref>; <xref ref-type="bibr" rid="B169">Sjostrand, 1953</xref>), the molecular mechanisms underlying the formation of diverse mitochondrial membrane curvature have only been unraveled in part. The factors involved in membrane remodeling and their coordinated interplay to generate, maintain and remold mitochondrial membrane curvature are still largely unknown. This review focuses on the current understanding of molecular mechanisms for the generation of mitochondrial membrane curvature and determinants critical for mitochondrial morphogenesis, as well as human diseases linked to dysfunctional organelles.</p>
</sec>
<sec id="s2">
<title>Mitochondrial Membranes and Lipids</title>
<p>Mitochondria feature two phospholipid bilayers with a defined lipid composition. The OMM is smooth, whereas the IMM is extensively folded and highly compartmentalized (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>). The lipid-rich OMM is generally permeable to ions and small, uncharged molecules through pore-forming membrane proteins. Thus, there is no membrane potential across the outer membrane because of its porosity. Larger molecules, especially proteins that are bigger than &#x223c;5,000&#xa0;Da, have to be imported by special mitochondrial translocases and protein complexes (<xref ref-type="bibr" rid="B163">Schmidt et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B188">Wiedemann and Pfanner, 2017</xref>). Furthermore, the OMM provides a dynamics platform for cell signaling and tethers with other subcellular compartments to form membrane contact sites, including the endoplasmic reticulum, plasma membrane, lysosomes, peroxisomes, endosomes, and lipid droplets (<xref ref-type="bibr" rid="B164">Scorrano et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B85">Huang et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B150">Prinz et&#x20;al., 2020</xref>). These membrane contacts have multifunctional roles such as regulation of organelle morphology and dynamics, exchange of ions, lipids, and metabolites across organelles, and signal transduction (<xref ref-type="bibr" rid="B164">Scorrano et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B85">Huang et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B150">Prinz et&#x20;al., 2020</xref>). In contrast, the IMM contains an extremely high protein content and has much more restricted permeability with an electrochemical membrane potential of &#x223c;120&#x2013;180&#xa0;mV (negative inside) across the inner mitochondrial membrane (<xref ref-type="bibr" rid="B109">Logan et&#x20;al., 2016</xref>). Molecules can only get across the IMM with the aid of selective membrane transport proteins. In addition, the IMM contains the protein complexes of electron transport chain responsible for the oxidative phosphorylation system (OXPHOS). The mitochondrial translation machinery, mitoribosomes are also attached to the inner membrane to facilitate the co-translational insertion of the mtDNA-encoded proteins (<xref ref-type="bibr" rid="B200">Brown et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B199">Amunts et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B202">Greber et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B201">Englmeier et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B203">Itoh et&#x20;al., 2021</xref>).</p>
<p>The inner and outer membranes of mitochondria define three aqueous subcompartments within the organelle including the intermembrane space, matrix, and crista lumen, each with its distinct role and corresponding protein components (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). Between the OMM and IMM is the aqueous sub-compartment IMS. IMS is involved in the import of mitochondrial proteins, the exchange of proteins, lipids, or metal ions between the matrix and the cytosol, initiation of apoptotic cascades, signaling pathways that regulate respiration and metabolic processes, and control of mitochondrial morphogenesis (<xref ref-type="bibr" rid="B47">Edwards et&#x20;al., 2021</xref>). The innermost compartment, surrounded by the inner membrane, is the mitochondrial matrix (<xref ref-type="bibr" rid="B108">Llopis et&#x20;al., 1998</xref>), where DNA replication, transcription, protein biosynthesis and numerous enzymatic reactions occur such as the citric acid cycle and the beta-oxidation of fatty acids. The extended membrane invaginations of the IMM define the crista lumen, which contains large amounts of the small electron carrier protein cytochrome&#x20;C.</p>
<p>Mitochondria not only have the complex membrane ultrastructure but also specific lipid composition and asymmetrical distribution of proteins and lipids in the OMM and IMM (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). In contrast to other cellular membranes, mitochondrial membranes contain only low levels of sterols or sphingolipids (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>). Furthermore, the lipid composition of the OMM and IMM differs significantly. The OMM is mainly composed of phosphatidylcholine (PC, 54% in rat liver OMM) and phosphatidylethanolamine (PE, 29% in rat liver OMM) (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>). While phosphatidylinositol is present at a relatively large amount in the OMM (PI, 13% in rat liver OMM), the mitochondria-specific glycerophospholipid cardiolipin is enriched in the IMM (18% in rat liver IMM). In addition, the IMM has different lipid distribution in both leaflets. The monolayer leaflet facing the crista lumen is enriched in PE and cardiolipin with 34 and 18% of IMM phospholipid mass, respectively, while the opposing, positively curved monolayer facing the matrix, contains predominantly phosphatidylcholine (&#x223c;80%), with lesser amounts of phosphatidylserine (PS) and phosphatidylinositol (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>). This asymmetric phospholipid distribution confers stability to a continuously curved cristae membrane, providing an explanation for the high proportion of non-bilayer phospholipids in the IMM. Furthermore, PE and cardiolipin are produced on-site to maintain the cristae membrane phospholipid asymmetry (<xref ref-type="bibr" rid="B178">Tatsuta et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B120">Mesmin, 2016</xref>; <xref ref-type="bibr" rid="B177">Tatsuta and Langer, 2017</xref>). During the process of their synthesis, newly formed PE and cardiolipin segregate to the monolayer leaflet of the cristae membrane facing the matrix. Disruption of PE or cardiolipin synthesis resulted in impaired cristae morphology and oxidative phosphorylation, underlining their indispensable roles in the regulation of mitochondrial function (<xref ref-type="bibr" rid="B29">Claypool and Koehler, 2012</xref>; <xref ref-type="bibr" rid="B176">Tasseva et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B155">Ren et&#x20;al., 2014</xref>).</p>
<p>The anionic phospholipid cardiolipin is a hallmark lipid of mitochondria, almost exclusively found in the IMM (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>; <xref ref-type="bibr" rid="B116">Mejia et&#x20;al., 2014</xref>). Cardiolipin is a phospholipid dimer consisting of four acyl chains and two phosphatidyl moieties that are linked to a single glycerol group conferring it with a small polar headgroup. This unique structure of cardiolipin yields a conical shape endowing its curvature sensing/generating abilities (<xref ref-type="bibr" rid="B156">Renner and Weibel, 2011</xref>; <xref ref-type="bibr" rid="B14">Beltr&#xe1;n-Heredia et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B49">El&#xed;as-Wolff et&#x20;al., 2019</xref>). Furthermore, cardiolipin contains tissue-specific acyl chain composition with high content of unsaturated fatty acids that are prone to be oxidized by reactive oxygen species (ROS) generated through the electron transport chain. Cardiolipin plays a central role in mitochondrial metabolism, dynamics, cristae morphogenesis, and signaling (<xref ref-type="bibr" rid="B155">Ren et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B44">Dudek, 2017</xref>; <xref ref-type="bibr" rid="B141">Panov et&#x20;al., 2020</xref>). Loss of cardiolipin content, alterations in its acyl chain composition, and cardiolipin peroxidation are linked with numerous human diseases in multiple tissues, including Barth syndrome, ischemia, impaired neurogenesis and neuronal dysfunction, cancer, diabetes, and aging (<xref ref-type="bibr" rid="B29">Claypool and Koehler, 2012</xref>; <xref ref-type="bibr" rid="B142">Paradies et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B141">Panov et&#x20;al., 2020</xref>). The mechanisms that generate, shape, and remodel cristae membranes, however, have only been unraveled in&#x20;part.</p>
</sec>
<sec id="s3">
<title>Remodeling of the Mitochondrial Outer Membrane During Fusion and Fission</title>
<p>Mitochondrial membranes undergo constant membrane remodeling via coordinated cycles of fission and fusion events, collectively called &#x2018;mitochondrial dynamics&#x2019; (<xref ref-type="bibr" rid="B181">Tilokani et&#x20;al., 2018</xref>) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). By generating smaller and more discrete mitochondria, fission is essential for cell division and removing the damaged mitochondria by mitophagy. Mitochondrial fission is known to be mediated by cytosolic dynamin-related protein 1 (Drp1) and cofactors that are required for recruitment/activation and assembly of Drp1 on the mitochondrial surface (<xref ref-type="bibr" rid="B19">Cerveny et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B126">Mishra and Chan, 2016</xref>; <xref ref-type="bibr" rid="B181">Tilokani et&#x20;al., 2018</xref>). Moreover, the endoplasmic reticulum<italic>,</italic> actin polymerization, and calcium influx play important roles in mitochondrial fission (<xref ref-type="bibr" rid="B70">Goldbeter et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B20">Chakrabarti et&#x20;al., 2018</xref>). Mitochondrial fusion is the union of two mitochondria for forming a more interconnected mitochondrial network (<xref ref-type="bibr" rid="B62">Gao and Hu, 2021</xref>). Hence, fusion allows the replenishment of damaged mitochondrial contents and facilitates intracellular energy distribution. These dynamic transitions are mainly mediated by a small number of evolutionarily conserved, guanosine triphosphatases (GTPases) belonging to the Dynamin family. Two large GTPases constitute the core machinery of mitochondrial fusion, mitofusin 1 (Mfn1) and 2 (Mfn2) residing in the outer membrane, Mgm1 and optic atrophy protein 1 (OPA1) localizing in the inner membrane of yeast and mammal mitochondria, respectively (<xref ref-type="bibr" rid="B126">Mishra and Chan, 2016</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Mitochondrial membrane remodeling during mitochondrial fusion and fission. Mitochondria dynamically change their membrane morphology through coordinated fusion and fission. In mammals, fusion relies on mitofusins 1/2 and optic atrophy protein 1 (OPA1) residing in the outer mitochondrial membrane (OMM) and the inner mitochondrial membrane (IMM), respectively. Mitochondrial fusion is driven by a two-step process with OMM fusion mediated by Mfn1/2 followed by IMM fusion by OPA1. Mfn1/2 forms homo- or hetero-dimers through a <italic>trans</italic> interaction of two opposing OMMs that is essential for mitochondrial fusion and maintenance of mitochondrial morphology. GTP binding or/and hydrolysis induce a conformational change of Mfns, leading to mitochondrial docking and increase of membrane contact sites. Subsequently, GTPase-dependent power stroke catalyzes the OMM fusion. OPA1 has multiple isoforms and can be processed from a long membrane-anchored form (L-OPA1) to a short soluble form (S-OPA1) in the intermembrane space. L-OPA1 and S-OPA1 can form homo- or hetero-dimers/oligomers and interact in <italic>trans</italic> with cardiolipin in the IMM to promote GTP-dependent membrane fusion. Mitochondrial fission involves the organelle pre-constriction followed by scission mediated by dynamin-related protein Drp1. Pre-constriction is facilitated by ER and actin cytoskeleton, specifically to the activities of two actin filament nucleators, formin INF2 and Spire1C12 that reside in the ER and mitochondria, respectively, cooperate to induce actin nucleation and polymerization. Furthermore, the motor protein Myosin II may ensure actin fiber contraction to provide the mechanical force for mitochondrial pre-constriction. The cytosolic Drp1 is recruited to the OMM via multiple transmembrane adaptors MiD51, MiD49, Fis1, and Mff. Drp1 oligomerizes at the ER marked pre-constriction site of OMM, forming a ring-like structure wrapping around mitochondria for further membrane constriction. Dynamin 2 catalyzes the final scission&#x20;step.</p>
</caption>
<graphic xlink:href="fbioe-09-786806-g002.tif"/>
</fig>
<sec id="s3-1">
<title>Mitofusins Are Involved in Outer Mitochondrial Membrane Fusion</title>
<p>Mitochondrial fusion is a multistep process that begins with the juxtaposition and tethering of two adjacent mitochondria via the OMM fusion protein mitofusins (Mfns), Mfn1 (<xref ref-type="bibr" rid="B161">Santetl et&#x20;al., 2003</xref>) and Mfn2 (<xref ref-type="bibr" rid="B118">Merkwirth and Langer, 2008</xref>) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). Both proteins accumulate at contact areas between two adjacent mitochondria and establish homo or heterotypic complexes leading to mitochondrial fusion (<xref ref-type="bibr" rid="B52">Eura et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B82">Hoppins et&#x20;al., 2011a</xref>). Although Mfn1 plays a more active role in the fusion process, Mfn1 and Mfn2 can functionally replace each other. Hence, defects in mitochondrial fusion caused by loss of Mfn1 or Mfn2 can be rescued by overexpressing Mfn2 or Mfn1, respectively (<xref ref-type="bibr" rid="B24">Chen et&#x20;al., 2005</xref>). Despite the functional similarities of Mfn1 and Mfn2 in mitochondrial fusion, some differences between these two molecules have been discovered. Mfn1 has a greater guanosine triphosphate (GTP)-dependent membrane tethering activity and is required for the role of OPA1 in mitochondrial fusion (<xref ref-type="bibr" rid="B27">Cipolat et&#x20;al., 2004</xref>). Mfn2 is not only involved in mitochondrial fusion but is also a key regulator of the mitochondria-endoplasmic reticulum (ER) contact site tethering (<xref ref-type="bibr" rid="B37">De Brito and Scorrano, 2008</xref>; <xref ref-type="bibr" rid="B118">Merkwirth and Langer, 2008</xref>).</p>
<p>Sequence analysis reveals that the N-terminus of both Mfn1 and Mfn2 contains a gtpase domain followed by a hydrophobic heptad repeat region 1 (HR1) and a second HR2 at the C-terminal region. Two transmembrane (TM) segments of yeast orthologue Fzo1 are predicted to locate between the HR1 and HR2, which contain charged residues allowing the formation of a U-turn in the OMM (<xref ref-type="bibr" rid="B99">Koshiba et&#x20;al., 2004</xref>). This U-turn topology mediates the protrusion of both N- and C-terminus of Mfns into the cytosol. Previous studies suggested that the outer membranes of two opposing mitochondria are tethered by the <italic>trans</italic> interactions of the HR2 and/or gtpase domains of Mfns (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). GTP binding or/and hydrolysis induce a conformational change of Mfns, leading to mitochondrial docking and an increase of membrane contact sites. Subsequently, GTPase-dependent power stroke catalyzes the OMM fusion. Recently, human Mfns are shown to have only 1&#xa0;TM that lies between the two HR domains, with the HR2 located in the intermembrane space that is sensitive to oxidative stress (<xref ref-type="bibr" rid="B114">Mattie et&#x20;al., 2018</xref>). This new finding opens a handful of questions concerning the OMM mediators of two opposing mitochondria docking in <italic>trans</italic> necessary for membrane fusion. It is proposed that oligomerization of Mfns on one membrane leaflet or across the opposing membranes may promote and stabilize high membrane curvature, as a prerequisite to undergo membrane fusion (<xref ref-type="bibr" rid="B35">Daumke and Roux, 2017</xref>). However, the exact molecular mechanism through which Mfns mediate mitochondrial OMM fusion is still not completely understood. Following the mitofusin mediated outer membrane fusion, dynamin-like gtpase OPA1, the homolog of <italic>S. cerevisiae</italic> Mgm1p, together with cardiolipin in the IMM drive the IMM fusion (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>).</p>
</sec>
<sec id="s3-2">
<title>Drp1 and Adaptors Are Required for Mitochondrial Fission</title>
<p>Mitochondrial fission is a complex process and the dynamin family gtpase Drp1 is a central component of the fission machinery (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). Drp1 is a cytosolic protein that can translocate to the mitochondrial outer membrane. In contrast to the classical dynamins, Drp1 lacks the specialized pleckstrin-homology domain required for OMM binding (<xref ref-type="bibr" rid="B32">Dar and Pucadyil, 2017</xref>; <xref ref-type="bibr" rid="B191">Yonashiro et&#x20;al., 2009</xref>). Instead, Drp1 contains the so-called B-insert region, a loop containing positively charged amino acids at the end of the stalk, that binds adapter proteins on the OMM (<xref ref-type="bibr" rid="B18">Bui and Shaw, 2013</xref>). Yeast Dnm1 (a Drp1 orthologue) is recruited to the OMM via the membrane-anchored protein fis1 (<xref ref-type="bibr" rid="B128">Mozdy et&#x20;al., 2000</xref>) and two receptors Mdv1 and Caf4 (<xref ref-type="bibr" rid="B73">Griffin et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B180">Tieu and Nunnari, 2000</xref>). However, orthologues of Mdv1 and Caf4 have not been identified in mammals. Instead, the mitochondrial fission factor (MFF) and mitochondrial dynamics proteins 49 and 51 (MiD49 and MiD51) act as receptors for Drp1 in mammals (<xref ref-type="bibr" rid="B110">Los&#xf3; et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B136">Otera et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B140">Palmer et&#x20;al., 2011</xref>) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). On the OMM Drp1 oligomerizes into a ring-like structure wrapping around mitochondria to drive membrane constriction in a GTP-dependent manner (<xref ref-type="bibr" rid="B101">Kraus and Ryan, 2017</xref>). However, the intrinsic diameter of helical Drp1 oligomers appears insufficient to circumscribe typical mitochondria with diameters &#x2265;200&#xa0;nm. Mitochondrial pre-constriction is therefore required for recruitment of Drp1 to the fission sites. The mitochondrial pre-constriction is regulated by endoplasmic reticulum (ER) and actin cytoskeleton (<xref ref-type="bibr" rid="B59">Friedman et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B181">Tilokani et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B190">Yang and Svitkina, 2019</xref>) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>). At the ER-mitochondrial contact sites, two actin filament nucleators, formin INF2 and Spire1C, that reside on the ER and mitochondria, respectively, cooperate to induce actin nucleation and polymerization required for mitochondrial membrane pre-constriction (<xref ref-type="bibr" rid="B98">Korobova et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B113">Manor et&#x20;al., 2015</xref>). Furthermore, the motor protein Myosin II may ensure actin fiber contraction to provide the mechanical force for mitochondrial pre-constriction (<xref ref-type="bibr" rid="B97">Korobova et&#x20;al., 2014</xref>). Interestingly, membrane-bound oligomeric Drp1 induces tubulation of the associated membrane and constricts the membrane in the presence of GTP (<xref ref-type="bibr" rid="B192">Yoon et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B115">Mears et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B56">Francy et&#x20;al., 2015</xref>). However, the diameter of constricted membrane tubules by Drp1 was 40&#x2013;60&#xa0;nm, suggesting that a final membrane scission step is required. Recently, the canonical protein dynamin 2, initially found to play an essential role in endocytic vesicle scission, has been proposed to catalyze this final step (<xref ref-type="bibr" rid="B104">Lee et&#x20;al., 2016</xref>) (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title>Key Regulators of Mitochondrial Inner Membrane Curvature</title>
<p>Mitochondria exhibit vast curvature diversity in the architecture of cristae membrane between tissues, organisms, the physiological state, and the developmental stage of cells. The highly folded IMM can be divided into several distinct functional regions including the cristae membrane and the inner boundary membrane that are connected by small circular to slit-like tubular crista junctions (<xref ref-type="fig" rid="F1">Figures 1B,C</xref>). The membrane segment corresponding to the crista junctions also adapts significant curvature, although in this case it is negatively curved on the matrix side and positively curved on the intermembrane space side. Crista junctions are not only important for the cristae architecture, but also critical for regulation of the restricted distribution of proteins, lipids, and soluble metabolites between individual mitochondrial subcompartments (<xref ref-type="bibr" rid="B2">Alkhaja et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B95">Kondadi et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>).</p>
<p>Importantly, the diverse membrane curvatures of the cristae and crista junctions can be dynamically remodeled under changes of physiological conditions. Although several models of crista biogenesis and maintenance have been suggested (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B206">Zick et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B129">Muhleip et&#x20;al., 2019</xref>), the molecular mechanism underlying the formation of cristae membrane curvature still remains poorly understood. Due to recent advances in cryoelectron microscopy (cryo-EM), cryoelectron tomography (cryo-ET), and super-resolution nanoscopy the key molecular players and the molecular details underlying the generation and remodeling of mitochondrial membrane curvature have started to emerge. The factors involved in the mitochondrial membrane remodeling reside in different subcompartments and exhibit crucial, yet different roles in cristae curvature biogenesis and maintenance, including the mitochondrial contact site and cristae organizing system (MICOS) complex, the gtpase optic atrophy type 1 (OPA1), F1Fo- ATP synthase, a BAR domain protein FAM92A1, ATAD3A (atpase family AAA-domain containing protein 3&#x2009;A), MCL-1, prohibitins, and the calcium uniporter MICU1 (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). The local lipid microenvironment is also important in the regulation of the cristae membrane ultrastructure. Furthermore, genetic and physical interactions between the F<sub>1</sub>Fo-ATP synthase, OPA1, and MICOS have been demonstrated (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B33">Darshi et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B204">Janer et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B53">Eydt et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B154">Rampelt et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B151">Quintana-Cabrera et&#x20;al., 2018</xref>), but the functional interplay between these players in cristae development remained largely elusive.</p>
<sec id="s4-1">
<title>Crista Tip</title>
<p>The crista tip exhibits a positive membrane curvature on the matrix side and a negative membrane curvature on the crista lumen side. It serves as a dome-shaped cap with an approximately 15&#xa0;nm radius of curvature that seals the membrane so as to form a barrier between the crista lumen and the matrix (<xref ref-type="bibr" rid="B87">Ikon and Ryan, 2017a</xref>). Two key determinants for the membrane curvature at the crista tip is F<sub>1</sub>Fo-ATP synthase complex and local lipid microenvironment, including cardiolipin and PE in the cristae membrane (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>).</p>
<sec id="s4-1-1">
<title>F<sub>1</sub>F<sub>o</sub>-ATP Synthase</title>
<p>F<sub>1</sub>F<sub>o</sub>-ATP synthase is a highly conserved enzyme that catalyzes the production of ATP from ADP and Pi. The structure of this multiprotein complex comprises two functional domains: a membrane-spanning subunit (F<sub>o</sub>) and a soluble subunit (F<sub>1</sub>) that generates ATP through the action of a rotational mechanism (<xref ref-type="bibr" rid="B36">Davies et&#x20;al., 2012</xref>). ATP synthesis is powered by a proton transmembrane gradient in mitochondria, which is established by pumping protons to the IMS against their electrochemical gradient across the IMM by the electron transfer chain complexes. The protons passively pass from the IMS to the matrix through Fo, which transfers the stored energy created by the proton electrochemical gradient to F1, causing a conformational change in F1Fo-ATP synthase so that ADP can be phosphorylated to form&#x20;ATP.</p>
<p>In 1995, Allen proposed a model suggesting that the association of ATP synthase dimers promotes a distortion of the inner mitochondrial membrane plane (<xref ref-type="bibr" rid="B3">Allen, 1995</xref>). Analysis of 2D membrane crystals discloses that a monomeric mitochondrial F<sub>1</sub>Fo-ATP synthase is sufficient to bend a lipid bilayer <italic>in&#x20;vitro</italic>. This local membrane curvature is likely to be a prerequisite for the formation of ATP synthase dimers and dimer rows, which are necessary for shaping mitochondrial cristae (<xref ref-type="bibr" rid="B92">Jiko et&#x20;al., 2015</xref>). A later study found that deficiency in either subunit <italic>e</italic> or <italic>g</italic> of yeast ATP synthase caused abnormal onion-like or separated cristae corresponding to an uncontrolled remodeling of the inner mitochondrial membrane (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>) (<xref ref-type="bibr" rid="B145">Paumard et&#x20;al., 2002</xref>). This study demonstrated that subunits <italic>e</italic> and <italic>g</italic> of the yeast F<sub>1</sub>F<sub>o</sub>-ATP synthase, which are non-essential components of ATP synthase but required for the dimerization and oligomerization of F<sub>1</sub>F<sub>o</sub>-ATP synthase, are involved in generating mitochondrial membrane curvature. A mutation in the &#x251; subunit of yeast ATP synthase causes remarkably aberrant cristae membrane structure while having less effect on ATP production (<xref ref-type="bibr" rid="B102">Kucharczyk et&#x20;al., 2009</xref>). Electron cryo-tomography study with mammalian mitochondria further reveals that the F1Fo-ATP synthase is arranged in rows of dimeric supercomplexes, localized to regions with a pronounced positive curvature such as ridges and rims as well as tubular cristae (<xref ref-type="bibr" rid="B173">Strauss et&#x20;al., 2008</xref>). The structure of the ATP synthase dimer from bovine heart mitochondria shows that the enzyme is overall cone-shaped (<xref ref-type="bibr" rid="B124">Minauro-Sanmiguel et&#x20;al., 2005</xref>). The spontaneous curvature of the mitochondria ATP synthase dimers can introduce positive curvature into the IMM and stabilize the rims of cristae (<xref ref-type="bibr" rid="B145">Paumard et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B173">Strauss et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B45">Dudkina et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B15">Blum et&#x20;al., 2019</xref>). Thereby, these dimer rows are important determinants of membrane bending in the formation of crista tips (<xref ref-type="bibr" rid="B173">Strauss et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B36">Davies et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B15">Blum et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B129">Muhleip et&#x20;al., 2019</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Different regions of cristae display distinct membrane curvature and loss of membrane remodeling factors causes abnormal membrane architecture. <bold>(A)</bold> MICOS complex, OPA1 and MICU1 are important for the formation of crista junctions and depletion or dysfunction of these proteins will cause abnormal membrane architecture, such as disorganized cristae, crista junction widening, decreased crista number or loss of crista. <bold>(B)</bold> F<sub>1</sub>Fo ATP synthase dimers are essential for the membrane curvature of the cristae tip. Dysfunction or loss of F<sub>1</sub>Fo ATP synthase induces concentric onion-like rings or balloon-like cristae morphology. <bold>(C)</bold> FAM92A1 mainly localizes on the lamella segments of cristae and is able to induce membrane tubulation of liposomes with a lipid composition of the IMM (<xref ref-type="bibr" rid="B186">Wang et&#x20;al., 2019</xref>), suggesting that FAM92A1 is involved in generating and maintaining the curved membrane along the lamella regions. Loss of FAM92A1 caused mitochondrial fragmentation, disorganized cristae, decreased crista number and length (<xref ref-type="bibr" rid="B186">Wang et&#x20;al., 2019</xref>).</p>
</caption>
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</sec>
<sec id="s4-2">
<title>Crista Junctions</title>
<p>Crista junction is the site where a given crista extends inward from the IBM, thus it is the interface between the IBM and cristae membrane. A prominent feature of the crista junction is an approximately 90&#xb0; bend in the membrane, with positive curvature in the IMS side and negative curvature in the matrix side. Although cristae membrane morphology is diverse in size and shape (<xref ref-type="bibr" rid="B206">Zick et&#x20;al., 2009</xref>), crista junctions appear rather uniform. Crista junctions are highly curved tubular openings that typically display inner diameters between 15 and 40&#xa0;nm that separate cristae membrane invaginations from the surrounding boundary membrane. Several studies discovered that the mitochondrial contact site and cristae organizing system (MICOS) resides within the IMM, predominantly at the crista junction region, functioning in the formation and maintenance of crista junctions. Moreover, dynamin-like gtpase OPA1 and MICU1 are key factors that play fundamental roles in the formation of crista junctions (<xref ref-type="fig" rid="F1">Figures 1</xref>,&#x20;<xref ref-type="fig" rid="F3">3</xref>).</p>
<sec id="s4-2-1">
<title>Mitochondrial Contact Site and Cristae Organizing System Complex</title>
<p>MICOS is a conserved hetero-oligomeric membrane protein complex. All subunits of MICOS are named as Mic&#x27;X&#x27; where &#x2018;X&#x27; represents the approximate molecular weight in kilodalton (kDa) as determined for the yeast homologs of the complex (<xref ref-type="bibr" rid="B100">Kozjak-Pavlovic, 2017</xref>; <xref ref-type="bibr" rid="B182">van der Laan et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B148">Pfanner et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). The MICOS complex was originally discovered in budding yeast (<xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>), an organism in which MICOS has been the most researched. Downregulation of MICOS subunits results in drastic changes in the IMM morphology and leads to reduced crista junction numbers (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>). Consequently, cristae membranes are detached from the IMM and appear as stacks within the mitochondrial matrix underlining the important role of MICOS in the formation of crista junctions (<xref ref-type="bibr" rid="B2">Alkhaja et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B93">John et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>). However, a molecular understanding of how membrane sculpting occurs at the crista junctions is just emerging.</p>
<p>In mammals, eight MICOS subunits have been identified so far (<xref ref-type="bibr" rid="B100">Kozjak-Pavlovic, 2017</xref>), namely Mic10 (MINOS1, yeast Mic10), Mic13 (QIL1, yeast Mic12), Mic14 (CHCHD10), Mic19 (CHCHD3, yeast Mic19), Mic25 (CHCHD6, yeast Mic19), Mic26 (Mic23 or APoO, yeast Mic26), Mic27 (APoOL, yeast Mic26), and Mic60 (Mitofilin, yeast Mic60) (<xref ref-type="bibr" rid="B93">John et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B33">Darshi et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B2">Alkhaja et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B5">An et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B187">Weber et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B96">Koob et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B64">Genin et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B100">Kozjak-Pavlovic, 2017</xref>). These subunits form two distinct subcomplexes, Mic10/13/23/27 and Mic60/19/25, bridged together by Mic19 (<xref ref-type="bibr" rid="B58">Friedman et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>). However, the exact functions of these two MICOS subcomplexes, particularly how they bend the membrane to the degree observed at crista junctions, are yet to be defined. Recently, the two MICOS subcomplexes are suggested to have different functions in human cells. The Mic60 subcomplex, which is stable in the absence of the Mic10-subcomplex, is critical for the maintenance of crista junctions and the stability of the holo-MICOS complex. In contrast, the Mic10-subcomplex is essential for the formation of lamellar cristae (<xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). Mic10 and Mic60 are the core components of the MICOS complex, which are highly conserved during evolution, required for the stability of the MICOS complex (<xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>). Mic10 can control the spatial distribution of Mic60 and the formation of Mic60 assemblies (<xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). Depletion of Mic10 or Mic60 caused dramatically altered cristae ultrastructure. Importantly, Mic10 and Mic60 possess membrane-shaping activities (<xref ref-type="bibr" rid="B11">Barbot et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B17">Bohnert et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B80">Hessenberger et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B175">Tarasenko et&#x20;al., 2017</xref>). Purified Mic10 (MINOS1, yeast Mic10) reconstituted into proteoliposomes induces high-degree membrane curvature in model membranes, generating tubules with a diameter between 15 and 25&#xa0;nm (<xref ref-type="bibr" rid="B11">Barbot et&#x20;al., 2015</xref>). The membrane-shaping activity of Mic10 relies on the formation of homo-oligomers via conserved glycine motifs in the transmembrane segments of Mic10 (<xref ref-type="bibr" rid="B11">Barbot et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B17">Bohnert et&#x20;al., 2015</xref>) because loss of the conserved glycine motifs abolishes its membrane-shaping activity both <italic>in vivo</italic> and <italic>in&#x20;vitro</italic>. While the oligomerization mutants fail to induce curvature in model membranes overexpression of Mic10 in budding yeast promotes the formation of Mic10 oligomers, which leads to a substantial extension and deformation of cristae membranes and crista junctions (<xref ref-type="bibr" rid="B17">Bohnert et&#x20;al., 2015</xref>). A molecular mechanism underlying the process of the IMM sculpting by Mic10 has been proposed, by which Mic10 adopts a wedge-like structure in the lipid bilayer that can generate curved membranes at the crista junction (<xref ref-type="bibr" rid="B11">Barbot et&#x20;al., 2015</xref>), a similar membrane-shaping model demonstrated for the BAR domain family proteins (<xref ref-type="bibr" rid="B123">Mim and Unger, 2012</xref>). Recently, Mic10 was found associated with the ATP synthase dimers, which facilitates the formation of ATP synthase oligomers, suggesting that it may link the two major membrane shaping machineries required for the formation of crista tips and crista junctions, respectively (<xref ref-type="bibr" rid="B154">Rampelt et&#x20;al., 2017</xref>).</p>
<p>Mic60 (mitofilin, yeast Fcj1) is anchored in the inner membrane by a single transmembrane segment at the N terminus (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>), forming homo-oligomers. Mic60 associates with at least five other MICOS proteins, namely Mic27, Mic26, Mic19, Mic12, and Mic10. Depletion of Mic60, but not of Mic10, results in the absence of all MICOS subunits (<xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). Furthermore, loss of Mic60 results in loss of crista junctions and the formation of onion ring-like cristae in <italic>Saccharomyces cerevisiae</italic> and mammalian cell lines (<xref ref-type="bibr" rid="B93">John et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B105">Li et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>). Compared to WT Hela cells, the number of CJs was close to zero in Mic60-KO cells. In contrast, the occurrence of CJs is reduced by about 25% in Mic26-KO cells and by more than 70% in Mic10-, Mic13-, and Mic19-KO cells. Overexpression of Mic60 in yeast cells and Gram-negative bacterium <italic>E.&#x20;coli</italic> caused additional branching of cristae membranes and formation of plasma membrane invaginations that are reminiscent of mitochondrial cristae, respectively (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B17">Bohnert et&#x20;al., 2015</xref>). Importantly, Mic60 displays a direct membrane-shaping activity <italic>in&#x20;vitro</italic>. Purified yeast Mic60 reconstituted into proteoliposomes induces a high degree of membrane curvature, generating long and branched membrane tubules with diameters between 10 and 20&#xa0;nm (<xref ref-type="bibr" rid="B175">Tarasenko et&#x20;al., 2017</xref>). In addition, purified soluble forms of Mic60 from the thermophilic fungus <italic>Chaetomium thermophilum and Arabidopsis thaliana</italic> lacking the amino-terminal transmembrane domain cause extensive deformation of liposomes (<xref ref-type="bibr" rid="B121">Michaud et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B80">Hessenberger et&#x20;al., 2017</xref>). Importantly, Mic60 plays a prominent role in connecting the inner and outer membranes of mitochondria. The major segment of Mic60 localizing in the intermembrane space associates with several outer membrane proteins involved in mitochondrial protein import and assembly, including the protein translocase of the outer membrane (TOM), the sorting and assembly machinery (SAM), porin (VDAC), metaxins 1 and 2, as well as SLC25A46 (yeast Ugo1) involved in mitochondrial dynamics (<xref ref-type="bibr" rid="B16">Bohnert et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B33">Darshi et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B137">Ott et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B189">Xie et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B194">Zerbes et&#x20;al., 2012</xref>). Moreover, the Mic60 subcomplex bridges the MICOS and SAM complexes in the IMM and OMM, respectively. Depletion of mammalian Sam50 impairs the cristae architecture and assembly of respiratory chain complexes, suggesting an intricate interplay between the structural and functional organization of both mitochondrial membrane systems mediated by the SAM and MICOS complexes (<xref ref-type="bibr" rid="B137">Ott et&#x20;al., 2012</xref>). Mic60 also interacts with disrupted-in-schizophrenia 1 (DISC1) (<xref ref-type="bibr" rid="B143">Park et&#x20;al., 2010</xref>), DNAJC11 (<xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>), TMEM11 (<xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>), and OPA1(<xref ref-type="bibr" rid="B12">Barrera et&#x20;al., 2016</xref>). Recently, Mic60 is found to form clusters preferentially localized in the inner membrane at two opposing sides of the mitochondrial tubules with the twisted and helical arrangements (<xref ref-type="bibr" rid="B17">Bohnert et&#x20;al., 2015</xref>). Interestingly, the Mic60 distribution bands are largely independent of the cristae morphology.</p>
<p>Mic13 (Qil1 or C19orf70), a small inner membrane protein with an amino-terminal transmembrane segment and a carboxy-terminal domain facing the intermembrane space, physically interacts with Mic60 and Mic10 (<xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>). Depletion of Mic13 caused onion-like cristae membranes and a complete loss of crista junctions suggesting that Mic13 is strictly required for the formation of crista junctions (<xref ref-type="bibr" rid="B7">Anand et&#x20;al., 2016</xref>). Furthermore, Mic13 facilitates the efficient assemblies of other subunits including Mic10, Mic26, and Mic27 into the MICOS complex (<xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>). Depletion of Mic13 not only leads to reduced biogenesis of the Mic10 subcomplex but also the dissociation of two MICOS subcomplexes Mic60-Mic19-Mic25 and Mic10-Mic13-Mic26-Mic27. Thereby, Mic13 is also required to stabilize the full MICOS complex by holding two subcomplexes together (<xref ref-type="bibr" rid="B7">Anand et&#x20;al., 2016</xref>).</p>
<p>Mic14 (CHCHD10 or C22orf16) encodes a mitochondrial intermembrane space protein that is enriched at crista junctions residing with Mic60/mitofilin, Mic19/CHCHD3, and Mic25/CHCHD6 (<xref ref-type="bibr" rid="B10">Bannwarth et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B64">Genin et&#x20;al., 2016</xref>). Expression of Mic14/CHCHD10 mutant alleles leads to abnormal crista structures with loss of crista junctions (<xref ref-type="bibr" rid="B10">Bannwarth et&#x20;al., 2014</xref>), triggered by partial disassembly of the Mic60/Mic19/Mic25/Mic14 complex upon Mic14 mutations. In addition, mutations of Mic14 cause reductions in nucleoid number and nucleoid disorganization (<xref ref-type="bibr" rid="B64">Genin et&#x20;al., 2016</xref>).</p>
<p>Comparably little is known about the peripheral MICOS protein MIC19 (CHCHD3, yeast Mic19 or Aim13), having a coiled-coil-helix-coiled-coil-helix (CHCH) domain that is essential for the import of MIC19 into mitochondria (<xref ref-type="bibr" rid="B33">Darshi et&#x20;al., 2011</xref>, <xref ref-type="bibr" rid="B34">2012</xref>; <xref ref-type="bibr" rid="B127">Modjtahedi et&#x20;al., 2016</xref>). Human MIC19 possesses five cysteine residues, four of which in the CHCH domain form two disulfide bonds (<xref ref-type="bibr" rid="B160">Sakowska et&#x20;al., 2015</xref>). In contrast to human MIC19, yeast Mic19 does not possess a standard twin Cys-X9-Cys motif but has a simplified Cys-X10-Cys motif that also forms a disulfide bond corresponding to the inner disulfide bond of human MIC19 between Cys193 and Cys204. MIC19 appears to be a regulatory subunit that acts as a redox-sensor of the MICOS complex (<xref ref-type="bibr" rid="B160">Sakowska et&#x20;al., 2015</xref>), which is important for the formation of the MICOS complex and regulation of the mitochondrial membrane architecture. However, MIC19 oxidation is dispensable for its integration into the MICOS complex. MIC19 associates directly with Mic60 (<xref ref-type="bibr" rid="B189">Xie et&#x20;al., 2007</xref>). Downregulation of Mic60/Mitofilin or MIC19 results in disorganized mitochondrial cristae, disassembly of MICOS complex, and reduced number of crista junctions (<xref ref-type="bibr" rid="B33">Darshi et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B184">von der Malsburg et&#x20;al., 2011</xref>). However, MIC19 (yeast Aim13) deficiency displays less severe effects compared to Mic60 indicating that MIC19 may regulate the complex stability and/or subunit assembly of the complex. Furthermore, MIC19 mediates mitochondrial outer- and inner-membrane contact by directly interacting with mitochondrial outer-membrane protein Sam50 and Mic60 to form the Sam50-Mic19-Mic60 axis (<xref ref-type="bibr" rid="B174">Tang et&#x20;al., 2020</xref>). In contrast, loss of another CHCH-domain containing protein Mic25 (CHCHD6, yeast Mic19 or Aim13) from mammalian mitochondria has only minor effects on MICOS integrity and cristae morphology, but the specific role of this MICOS subunit remains elusive (<xref ref-type="bibr" rid="B174">Tang et&#x20;al., 2020</xref>).</p>
<p>Mic26&#x20;<italic>(</italic>Mic23, ApoO) and Mic27 (ApoOL or FAM121A) are apolipoprotein-O-like proteins sharing substantial sequence similarity. Both subunits are required for the maintenance of the cristae ultrastructure and assembly of the F1 subunit into monomeric F<sub>1</sub>F<sub>o</sub>-ATP synthase (<xref ref-type="bibr" rid="B6">Anand et&#x20;al., 2020</xref>). Depletion of Mic26 and Mic27 caused aberrant onion-like crista structures with loss of crista junctions (<xref ref-type="bibr" rid="B187">Weber et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B96">Koob et&#x20;al., 2015</xref>). In addition, single and double deletion of Mic26 and Mic27 in human cells lead to more concentric onion-like cristae with loss of crista junctions than any single deletion, demonstrating overlapping roles of Mic26 and Mic27 in the formation of crista junctions. Furthermore, Mic26 and Mic27 are cooperatively required for global integrity and stability of multimeric OXPHOS complexes by modulating the cardiolipin level (<xref ref-type="bibr" rid="B96">Koob et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B6">Anand et&#x20;al., 2020</xref>). Unlike the loss of Mic60, Mic10, or Mic13 that resulted in destabilization of either the whole or part of the MICOS subcomplex, Mic26 and Mic27, however, were dispensable for the stability of the remaining subunits of the MICOS complex and their incorporation into higher molecular weight complexes (<xref ref-type="bibr" rid="B6">Anand et&#x20;al., 2020</xref>).</p>
<p>Besides the MICOS-associated OMM proteins involved in protein import and assembly as discussed above, interaction and function links between the MICOS and the F<sub>1</sub>F<sub>o</sub>-ATP synthase have been demonstrated (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B53">Eydt et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B154">Rampelt et&#x20;al., 2017</xref>). A fraction of Mic10 physically interacts with the ATP synthase dimers and overexpression of Mic10 stabilizes the ATP synthase oligomers (<xref ref-type="bibr" rid="B53">Eydt et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B154">Rampelt et&#x20;al., 2017</xref>). In contrast, no direct interaction has been demonstrated between Mic60 and any ATP synthase subunits although a pronounced increase of ATP synthase oligomers is observed upon deletion of Mic60 (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>). The dimeric F1Fo-ATP synthase, however, can affect the Mic60 distribution (<xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). Importantly, Mic60 and the F<sub>1</sub>F<sub>O</sub>-ATP synthase subunits e or g act antagonistically to control the oligomerization of F<sub>1</sub>F<sub>O</sub>-ATP synthase (<xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>). Overall, MICOS promotes the formation of crista junctions, whereas the oligomeric F<sub>1</sub>F<sub>o</sub>-ATP synthase is crucial for shaping the crista rims. The interplay between the MICOS complex and F<sub>1</sub>F<sub>o</sub>-ATP synthase highlights a remarkable molecular mechanism by which they cooperatively play critical roles in shaping the inner membrane to regulate the formation of crista junctions and&#x20;rims.</p>
</sec>
<sec id="s4-2-2">
<title>OPA1</title>
<p>Optic atrophia 1 (OPA1), the homolog of <italic>S. cerevisiae</italic> Mgm1p, plays essential roles in mitochondrial dynamics, cristae integrity, respiratory capacity, and mtDNA maintenance (<xref ref-type="bibr" rid="B28">Cipolat et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B165">Serrano Cardona and Mu&#xf1;oz Mata, 2013</xref>; <xref ref-type="bibr" rid="B144">Patten et&#x20;al., 2014</xref>). Loss of OPA1 causes mitochondrial fragmentation, abnormal cristae architecture and dynamics (<xref ref-type="bibr" rid="B4">Amutha et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B84">Hu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B166">Sesaki et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B170">Song et&#x20;al., 2007</xref>) (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>), leading to impaired cell proliferation, mitochondrial membrane potential, respiratory capacity (<xref ref-type="bibr" rid="B133">Olichon et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B170">Song et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B125">Mishra et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B144">Patten et&#x20;al., 2014</xref>), and depletion of mtDNA (<xref ref-type="bibr" rid="B25">Chen et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B48">Elachouri et&#x20;al., 2011</xref>). Structurally, OPA1 contains an N-terminal mitochondrial targeting sequence (MTS), followed by a transmembrane domain (TM), a coiled-coil domain, a highly conserved gtpase domain, a middle region, and a C-terminal gtpase effector domain (GED). Eight OPA1 variants are present in humans, which are ubiquitously expressed but their levels display great variability in different human tissues (<xref ref-type="bibr" rid="B134">Olichon et&#x20;al., 2007</xref>). Cleavage of the MTS leads to long isoforms (L-OPA1) anchored to the inner mitochondrial membrane by the transmembrane domain, with the other domains exposed to the inner mitochondrial membrane space. Additional cleavage by OMA1 and YME1L proteases at sites S1 (exon 5) or S2 (exon 5b) results in soluble short isoforms (S-OPA1) devoid of the transmembrane segment in the intermembrane spaces (<xref ref-type="bibr" rid="B111">MacVicar and Langer, 2016</xref>; <xref ref-type="bibr" rid="B40">Del Dotto et&#x20;al., 2017</xref>, <xref ref-type="bibr" rid="B39">2018</xref>). The long membrane-bound isoforms L-OPA1 are shown to be required for mitochondrial fusion while short forms S-OPA1 facilitate mitochondrial fission (<xref ref-type="bibr" rid="B89">Ishihara et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B74">Griparic et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B170">Song et&#x20;al., 2007</xref>). Later experiments, however, demonstrate that expression of any OPA1 isoform is able to restore the cristae morphology, preserve the assembly of respiratory complexes and mtDNA content (<xref ref-type="bibr" rid="B40">Del Dotto et&#x20;al., 2017</xref>). The maintenance of mitochondrial network morphology requires at least two OPA1 isoforms with a specific balance of L- and S-forms and an adequate amount of proteins (<xref ref-type="bibr" rid="B40">Del Dotto et&#x20;al., 2017</xref>).</p>
<p>Importantly, OPA1 oligomers tight the crista junctions and maintain a negative crista junction curvature. OPA1 also physically interacts with the MICOS core component MIC60 to stabilize the curvature of crista junctions (<xref ref-type="bibr" rid="B12">Barrera et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B68">Glytsou et&#x20;al., 2016</xref>). Mild OPA1 overexpression can inhibit apoptotic crista remodeling and correct altered cristae shape even if MICOS are altered in dysregulated mitochondria, indicating that OPA1 lies upstream of Mic60 in regulating the number and stability of crista junctions (<xref ref-type="bibr" rid="B68">Glytsou et&#x20;al., 2016</xref>). Furthermore, OPA1 and Mic10 antagonistically influence the size and the distribution of Mic60 assemblies (<xref ref-type="bibr" rid="B172">Stephan et&#x20;al., 2020</xref>). OPA1 can stabilize tubular crista junctions in Mic10-KO cells suggesting that OPA1 works in concert with the Mic10-subcomplex to maintain the tubular crista junctions. Additionally, OPA1 associates with the F<sub>1</sub>F<sub>o</sub>-ATP synthase, and its function relies on the oligomerization of ATP synthase (<xref ref-type="bibr" rid="B57">Frezza et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B144">Patten et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B151">Quintana-Cabrera et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B152">Quintana-Cabrera et&#x20;al., 2021</xref>). Both S-OPA1 and S-Mgm1 are able to induce membrane curvature as observed by tubulation of cardiolipin-containing liposomes, revealing the molecular mechanism by which they regulate the IMM morphology (<xref ref-type="bibr" rid="B9">Tadato et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B158">Rujiviphat et&#x20;al., 2015</xref>). Recently, electron cryotomography structural studies of the OPA1 homologue Mgm1 on reconstituted membrane tubes show that Mgm1 from <italic>Chaetomium thermophilum</italic> can assemble into a helical filament on positively and negatively curved membranes (<xref ref-type="bibr" rid="B54">Faelber et&#x20;al., 2019</xref>). Consistently, a structural study with S-OPA1 reveals that S-OPA1 can assemble onto membranes in a helical array with a dimer building block, revealing a power stroke membrane remodeling mechanism during mitochondrial inner membrane fusion (<xref ref-type="bibr" rid="B195">Zhang et&#x20;al., 2020</xref>).</p>
</sec>
<sec id="s4-2-3">
<title>MICU1</title>
<p>Mitochondrial calcium uniporter (MCU) complex consists of two pore-forming proteins MCU and EMRE (essential MCU regulator). The activity of the MCU-Complex is controlled by MICU1 (mitochondrial calcium uptake 1) and its paralog MICU2 (<xref ref-type="bibr" rid="B38">Stefani et&#x20;al., 2016</xref>). In contrast to the homogeneous distribution of MCU and EMRE at the IMM, MICU1 forms dimer or hexamer via its C-terminal oligomerization site and exclusively localizes at the IBM through electrostatic interaction of its polybasic domain. Loss of MICU1 causes strong widening of the crista junctions suggesting that MICU1 contributes to the structural integrity of the crista junctions (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>). In contrast, knockdown of MCU or EMRE or both has no effect on the morphology of crista junctions. Hence, as a regulator of the MCU complex MICU1 also plays an essential role in the stabilization of crista junctions (<xref ref-type="bibr" rid="B72">Gottschalk et&#x20;al., 2019</xref>).</p>
</sec>
</sec>
<sec id="s4-3">
<title>Other Factors Involved in the Regulation of Mitochondrial Membrane Curvature</title>
<sec id="s4-3-1">
<title>Prohibitin</title>
<p>Mitochondrial prohibitins consist of two subunits PHB-1 (32&#xa0;KDa) and PHB-2 (34&#xa0;KDa), belonging to the SPFH (stomatin/prohibitin/flotillin/HflKC) family. Proteins in the SPFH family often are membrane-anchored and perform diverse cellular functions in different organelles (<xref ref-type="bibr" rid="B179">Tavernarakis et&#x20;al., 1999</xref>). Within mitochondria, approximately 14 heterodimers composed of PHB1 and PHB2 assemble into a ring-like macromolecular structure at the inner membrane, which is involved in diverse cellular processes, such as maintenance of cristae structure and assembly of the OXPHOS complexes (<xref ref-type="bibr" rid="B138">Ou et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B119">Merkwirth et&#x20;al., 2012</xref>). Deletion of PHB2 leads to specific loss of L-OPA1, resulting in an aberrant cristae morphogenesis, suggesting that prohibitin is required for the formation of mitochondrial cristae by stabilizing a long form of the dynamin-like gtpase OPA1. Furthermore, expression of L-OPA1 in PHB2-deficient cells suppresses this defect indicating that impaired OPA1 processing is the primary cellular defect in the absence of prohibitin. Prohibitin can prevent the hydrolysis of L-OPA1 into S-OPA1 thereby enhancing the effect of OPA1 on the morphology of mitochondrial cristae (<xref ref-type="bibr" rid="B117">Merkwirth et&#x20;al., 2008</xref>). In addition, prohibitins genetically interact with genes modulating the biosynthesis of mitochondrial phospholipids, in particular for cardiolipin and PE, suggesting that the prohibitin complex also acts as a membrane organizer affecting the distribution of cardiolipin and PE by clustering them at distinct sites of the IMM (<xref ref-type="bibr" rid="B135">Osman et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B79">Hernando-Rodr&#xed;guez and Artal-Sanz, 2018</xref>). Due to the critical roles of cardiolipin and PE in the regulation of cristae membrane curvature, prohibitin is proposed to maintain the proper ultrastructural organization of the IMM. Furthermore, PHB proteins interact with ATAD3 in human cells (<xref ref-type="bibr" rid="B78">He et&#x20;al., 2012</xref>) that has been shown to control cristae structure (<xref ref-type="bibr" rid="B67">Gilquin et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B31">Cooper et&#x20;al., 2017</xref>).</p>
</sec>
<sec id="s4-3-2">
<title>MCL-1</title>
<p>MCL-1 is a member of the anti-apoptotic BCL-2 family and plays a critical role in the survival of multiple cell lineages. MCL-1 is proteolyzed at the N-terminus to generate three different MCL-1 species, including the full-length (40&#xa0;kD), two truncated proteins cleaved at Ile 10 (38&#xa0;kD) or Leu 33 (MW 36&#xa0;kD). Within mitochondria, MCL-1 proteins with sizes of 40&#xa0;kD and 38&#xa0;kD are enriched in the OMM, whereas the 36&#xa0;kD form localizes to the IMM and matrix, where they perform distinct functions at different mitochondrial subcompartments. The OMM localized MCL-1 proteins exert their anti-apoptotic activity by antagonizing the BAX and BAK activation to maintain mitochondrial integrity. In contrast, the IMM and matrix localized MCL-1 maintains normal IMM architecture through facilitating mitochondrial fusion and promoting the assembly of ATP synthase oligomers (<xref ref-type="bibr" rid="B147">Perciavalle et&#x20;al., 2012</xref>).</p>
</sec>
<sec id="s4-3-3">
<title>FAM92A1</title>
<p>MICOS complex and OPA1 are critical for the formation of crista junctions and F<sub>1</sub>F<sub>o</sub>-ATP synthase is essential for the generation of crista tips (<xref ref-type="bibr" rid="B36">Davies et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B42">Ding et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B58">Friedman et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B76">Guarani et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B77">Harner et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B81">Hoppins et&#x20;al., 2011b</xref>; <xref ref-type="bibr" rid="B84">Hu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B182">van der Laan et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B122">Milenkovic and Larsson, 2015</xref>; <xref ref-type="bibr" rid="B129">M&#xfc;hleip et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B153">Rabl et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B173">Strauss et&#x20;al., 2008</xref>). However, it is yet to be defined how the deeply curved inner membrane invaginations are formed and in particular whether dedicated membrane-shaping proteins are involved in the process. FAM92A1 is a BAR domain protein localizes to the matrix side of the IMM and the majority of FAM92A1 resides in the lamella segments of cristae (<xref ref-type="fig" rid="F1">Figures 1C</xref>, <xref ref-type="fig" rid="F3">3C</xref>). Loss of FAM92A1 caused a severe disruption to mitochondrial morphology and ultrastructure underlying its critical role in mitochondrial membrane morphogenesis (<xref ref-type="bibr" rid="B186">Wang et&#x20;al., 2019</xref>) (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>). FAM92A1 preferentially interacts with negatively charged phospholipids such as phosphatidylinositol 4,5-bisphosphate and cardiolipin. Importantly, FAM92A1 possesses a membrane-remodeling activity, inducing a high degree of positive membrane curvature <italic>in&#x20;vitro</italic> suggesting that FAM92A1 is involved in generating and maintaining the curved membrane along the lamella regions (<xref ref-type="fig" rid="F3">Figure&#x20;3</xref>). However, the cooperative interplays between FAM92A1 and the other regulators of cristae membrane curvature including MICOS, ATP synthase, and OPA1 remain to be defined.</p>
</sec>
<sec id="s4-3-4">
<title>ATAD3A</title>
<p>ATAD3A (atpase family AAA-domain containing protein 3&#x2009;A) is a nuclear-encoded protein in mitochondria, which is anchored in the IMM by a central transmembrane domain, with the N-terminal region associating with the inner surface of OMM and the C-terminal AAA&#x2b; atpase domain residing in the matrix, thus connecting both the inner and outer mitochondrial membranes. ATAD3 is a component of mtDNA nucleoids and plays a role in mtDNA maintenance (<xref ref-type="bibr" rid="B65">Gerhold et&#x20;al., 2015</xref>). In addition, ATAD3A regulates mitochondrial morphology and controls cholesterol trafficking at the ER-mitochondria contact sites (<xref ref-type="bibr" rid="B67">Gilquin et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B65">Gerhold et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B90">Issop et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B13">Baudier, 2018</xref>). Loss of ATAD3A causes abnormal cristae morphology and dynamics (<xref ref-type="bibr" rid="B67">Gilquin et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B31">Cooper et&#x20;al., 2017</xref>). Moreover, ATAD3A knockout resulted in increased mitochondrial crista-IBM and crista-crista contacts indicating that ATAD3A negatively regulates the membrane contacts. Furthermore, depletion of ATAD3A remarkably reduced the levels of OPA1, Yme1L, and Mic60, suggesting that ATAD3A may cooperate with OPA1, Yme1L, and MICOS to regulate mitochondrial cristae morphology (<xref ref-type="bibr" rid="B84">Hu et&#x20;al., 2020</xref>). The molecular mechanisms underlying the role of ATAD3A in membrane remodeling and association with other membrane-shaping proteins, however, are unknown and warrant further investigation.</p>
</sec>
<sec id="s4-3-5">
<title>Mitochondrial Phospholipids</title>
<p>Besides the membrane-remodeling activities of the above-mentioned proteins and protein complexes, membrane lipids and their organization in a lipid bilayer play crucial roles in the generation of membrane curvature. A eukaryotic cell contains more than 1,000 different lipid species that are not homogenously distributed among intracellular membranes, but instead each organelle has a characteristic lipid composition that is required for its proper function. The specific distribution of lipid species across the different cellular membranes/leaflets determines membrane physical properties, such as permeability, membrane curvature, or membrane surface charge, which regulates protein binding and organelle functions. In addition, protein-membrane interaction can cause dynamic rearrangement of lipid and proteins in the membranes, for example, inducing the formation of membrane microdomains and protein oligomerization, consequently modulating protein function, membrane curvature, and dynamics of both protein and lipids (<xref ref-type="bibr" rid="B50">Epand et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B196">Zhao et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B6">Anand et&#x20;al., 2020</xref>). On the other hand, membrane curvature can control the distribution of membrane lipids and proteins. For example, cardiolipin sorting is observed with increasing membrane curvature (<xref ref-type="bibr" rid="B14">Beltr&#xe1;n-Heredia et&#x20;al., 2019</xref>). Cardiolipin and PE residing in the IMM play critical roles in mitochondrial membrane morphogenesis. The IMM comprises &#x223c;18 and 34% cardiolipin and PE, respectively (<xref ref-type="bibr" rid="B83">Horvath and Daum, 2013</xref>). Cardiolipin, an acidic phospholipid with negative charges, plays essential role in the characteristic shape of the mitochondrial inner membrane (<xref ref-type="bibr" rid="B86">Ikon and Ryan, 2017b</xref>). Different from the other glycerophospholipids, cardiolipin consists of two phosphatidyl moieties that share a glycerol head group. Thus, the combination of a compact anionic polar head group and four esterified fatty acyl chains results in a distinctly conical lipid molecule (<xref ref-type="bibr" rid="B162">Schlame, 2008</xref>). Based on its molecular geometry, cardiolipin is classified as a &#x201c;non-bilayer&#x201d; phospholipid. Usually, cardiolipin forms clusters with a certain size by itself or together with another conical lipid PE, promoting negative curvature in biomembranes where headgroups face the concave surface. Due to their specific cone shape, they are segregated into the negatively curved inner monolayer leaflet of the IMM. This lipid asymmetry can reduce membrane tension at the curved region and is required for the generation and maintenance of membrane curvature at the crista tip. Furthermore, the local enrichment of cardiolipin or PE can lower the energetic cost of negative membrane curvature originating from lipid asymmetry between leaflets and distribution of membrane remodeling enzymes, such as F<sub>1</sub>F<sub>o</sub>-ATP synthase and MICOS (<xref ref-type="bibr" rid="B88">Iovine et&#x20;al., 2021</xref>). Genetic disruption of cardiolipin or PE biosynthesis mediates the impairment of cristae morphology, demonstrating the indispensable roles of cardiolipin and PE in the formation of cristae membrane curvature (<xref ref-type="bibr" rid="B71">Gonzalvez et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B176">Tasseva et&#x20;al., 2013</xref>). Moreover, cardiolipin interacts with proteins in the IMM regulating their localization and activities. Cardiolipin can directly bind the mitochondrial F<sub>1</sub>F<sub>o</sub>-ATP synthase and the dimer interface to stabilize the structure of the enzyme, promoting the long distance ribbon-like assembly of F<sub>1</sub>F<sub>o</sub>-ATP synthase dimers and affecting the lateral ultrastructural organization of the cristae membrane (<xref ref-type="bibr" rid="B46">Duncan et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B129">M&#xfc;hleip et&#x20;al., 2019</xref>). The phospholipid PE is also a conical-shaped, non-bilayer phospholipid, which is the most autonomously synthesized phospholipid in the mitochondrial membranes. It is synthesized from PS by the enzyme phosphatidylserine decarboxylase (PSD) through the CDP-ethanolamine pathway (<xref ref-type="bibr" rid="B94">Kennedy and Weiss, 1956</xref>). Genetic deletion of the PSD enzyme leads to swollen, rounded, and fragmented mitochondria, indicating that PE is critical for mitochondrial morphology (<xref ref-type="bibr" rid="B171">Steenbergen et&#x20;al., 2005</xref>). Several excellent reviews summarize our current understanding of lipid signaling and its scaffolding role (<xref ref-type="bibr" rid="B178">Tatsuta et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B8">Aufschnaiter et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B44">Dudek, 2017</xref>; <xref ref-type="bibr" rid="B131">Nielson and Rutter, 2018</xref>; <xref ref-type="bibr" rid="B157">Royes et&#x20;al., 2020</xref>).</p>
<p>Taken together, factors regulating membrane curvature includes lipid composition and asymmetry, nanoscopic scaffolding by oligomerized protein domains, insertion of transmembrane protein domain that have an intrinsic conical or inverted conical shape, or penetration of amphipathic helices like a wedge into one leaflet of a bilayer (<xref ref-type="bibr" rid="B91">Jarsch et&#x20;al., 2016</xref>). The mechanisms that generate membrane curvature and remodel cristae membranes, however, have only been unraveled in part. In particular, we are only beginning to understand how dynamic the inner membrane is and how the various determinants of membrane shape may communicate to generate both cristae architecture and dynamics. The cooperative interplay of the above-mentioned protein and protein complexes in the regulation of mitochondrial membrane architecture and dynamics is not fully understood. Furthermore, mitochondrial lipids such as cardiolipin and PE are emerging as important players in regulating mitochondrial membrane morphology. Whether they modulate functions of the membrane shaping proteins or protein complexes or whether the nonbilayer lipids directly influence the curvature of the IMM by lipid sorting requires further studies. Answering these questions will allow us to understand the basis of human diseases associated with abnormal IMM morphology, which may promote the identification of potential targets for developing therapeutics for mitochondrial diseases.</p>
</sec>
</sec>
</sec>
<sec id="s5">
<title>Diseases Linked With Abnormal Mitochondrial Membrane Architecture</title>
<p>Mitochondrial membrane composition and architecture are essential for mitochondrial function and characterizing abnormal mitochondrial structural features may provide insight into the underlying pathogenesis of inherited and acquired mitochondrial diseases. Dysregulation of factors involved in mitochondrial membrane morphogenesis, such as defects in relevant protein complexes or phospholipid synthetic enzymes that result in aberrant cristae architecture have been linked to an increasing number of human diseases including neurodegeneration, cardiomyopathies, diabetes mellitus, aging, and cancer (<xref ref-type="bibr" rid="B198">Zong et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B106">Li et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B130">Mukherjee et&#x20;al., 2021</xref>). For example, mitochondrial ultrastructural defects are prominent in mitochondrial myopathy. So far, the OPA1-associated human disorders are most studied. OPA1 is an important mitochondrial quality control gene and heterozygous mutations in this gene result in dominant optic atrophy (DOA), a disease specifically affecting the retinal ganglion cells and the optic nerve (<xref ref-type="bibr" rid="B1">Alexander et&#x20;al., 2000</xref>; <xref ref-type="bibr" rid="B41">Delettre et&#x20;al., 2000</xref>). Recent studies show that an increasing number of symptoms involving the central, peripheral, and autonomous nervous systems, with considerable variations of the age of onset and severity, has been found in OPA1-related diseases (<xref ref-type="bibr" rid="B23">Chao de la Barca et&#x20;al., 2016</xref>). This variety of phenotypes is attributed to differences in the effects of OPA1 mutations and to the mode of inheritance. Mutations in the mitochondrial ATP synthase also cause severe phenotypes mainly due to deficiency in bioenergetics. The Leigh syndrome is a neurological disorder that has been associated with mutations in the mitochondrial ATP6 gene encoding the Atp6p (or &#x3b1;) subunit of the ATP synthase (<xref ref-type="bibr" rid="B102">Kucharczyk et&#x20;al., 2009</xref>). Interestingly, a mutation T9176G in yeast ATP synthase exhibits anomalies in mitochondrial morphology, indicating that the pathogenicity of T9176G may not be limited to a bioenergetic deficiency but is also linked to the role of the ATP synthase in mitochondrial morphogenesis. Dysfunctions of the MICOS components caused by mutations also result in diverse human diseases and the MICOS subcomplexes are affected in different diseases (<xref ref-type="bibr" rid="B75">Guarani et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B69">G&#xf6;diker et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B159">Russell et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B51">Eramo et&#x20;al., 2020</xref>). Expression of a Mic14 (CHCHD10) mutant leads to the loss of MICOS complex assembly accompanied by a change of cristae ultra-structure and ultimately mitochondrial damage (<xref ref-type="bibr" rid="B63">Genin et&#x20;al., 2018</xref>). Mutations in Mic14/CHCHD10 have been associated with frontotemporal dementia&#x2013;amyotrophic lateral sclerosis (FTD-ALS) clinical spectrum (<xref ref-type="bibr" rid="B64">Genin et&#x20;al., 2016</xref>), and a founder mutation (p.Gly66Val) in the same gene was identified in Finnish families with late-onset spinal motor neuronopathy (SMAJ) (<xref ref-type="bibr" rid="B146">Penttil&#xe4; et&#x20;al., 2015</xref>). Mutations in CHCHD2, a CHCHD10 homologue, were linked also with neurodegenerative disease, Parkinson&#x2019;s disease (PD), and FTD/Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B61">Funayama et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B197">Zhou et&#x20;al., 2019</xref>). Null mutations in Mic13 (QIL1) in mitochondria cause early-onset fatal encephalopathy along with liver disease (<xref ref-type="bibr" rid="B75">Guarani et&#x20;al., 2016</xref>).</p>
<p>Alterations in lipid metabolism and dysregulated phospholipid levels in mitochondria have been associated with a broad range of acute and chronic pathological conditions. Abnormal lipid profiles were reported for example, in several diseases including Alzheimer&#x2019;s disease, Parkinson&#x2019;s disease, and amyotrophic lateral sclerosis (<xref ref-type="bibr" rid="B167">Shamim et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B107">Liu et&#x20;al., 2020</xref>). The mitochondrial signature phospholipid cardiolipin is essential for mitochondrial membrane architecture, dynamics, bioenergetics, protein import, mitophagy, and apoptosis (<xref ref-type="bibr" rid="B55">Falabella et&#x20;al., 2021</xref>). Aberrant cardiolipin content, structure, and localization result in impaired neurogenesis and neuronal dysfunction, contributing to aging and the pathogenesis of neurodegenerative diseases (<xref ref-type="bibr" rid="B55">Falabella et&#x20;al., 2021</xref>). In particular, cardiolipin is susceptible to oxidative damage by reactive oxygen species produced through the mitochondrial electron transport chain due to its high composition of unsaturated acyl chains. Uncontrolled cardiolipin oxidation causes conformational changes that affect the physical properties of the IMM and OXPHOS activity, favoring the release of cytochrome c and other apoptotic factors into the cytosol, leading to cell death (<xref ref-type="bibr" rid="B44">Dudek, 2017</xref>). Under stress conditions cardiolipin is translocated from the IMM to the OMM, playing a central role in mitophagy (<xref ref-type="bibr" rid="B26">Chu et&#x20;al., 2013</xref>). Furthermore, the defects in the biosynthesis of cardiolipin caused by a mutation in the tafazzin (TAZ) gene in Barth syndrome is clinically manifested by cardiomyopathy, skeletal muscle weakness, lactic acidosis, organic aciduria, and growth delay (<xref ref-type="bibr" rid="B86">Ikon and Ryan, 2017b</xref>; <xref ref-type="bibr" rid="B55">Falabella et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B193">Zegallai and Hatch, 2021</xref>). The crucial roles of cardiolipin in mitochondrial function and human diseases have been summarized in recent reviews (<xref ref-type="bibr" rid="B142">Paradies et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B55">Falabella et&#x20;al., 2021</xref>). Fully understanding of the factors and pathways that regulate mitochondrial ultrastructure and mitochondrial lipid metabolism is required to design promising therapeutic strategies for eliminating dysfunctional mitochondria and renewing the pool of healthy organelles that are needed for the treatment of mitochondrial dysfunctional diseases. The link between protein- and lipid-dependent regulation of the inner mitochondrial membrane morphology and diseases has been summarized in recent reviews (<xref ref-type="bibr" rid="B23">Chao de la Barca et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B149">Picard et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B183">Vincent et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B55">Falabella et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B130">Mukherjee et&#x20;al., 2021</xref>).</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Author Contributions</title>
<p>ZY, LW, and HZ wrote the manuscript with the help of CY, SP, ZG, QW, and&#x20;ZZ.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by grants from the Academy of Finland (HZ decision No. 266846), Jane and Aatos Erkko Foundation (HZ), and Guangxi distinguished expert funding&#x20;(HZ).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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