Ed p53 in recipient cells could induce the activity of caspase-3 to cleave intracellular S100A4, that will create a chemical gradient of S100A4 and contribute towards the TNT growth path from initiating cells using a low concentration of S100A4 to targeted cells having a larger concentration of S100A4. b In mitochondrial recipient cells, multiple tension factors will induce the generation of excess ROS, that will then trigger the fragmentation of mitochondria for mitophagy. In the similar time, further broken mitochondria as well as other DAMPs will likely be released in the stressed cell and accepted by mitochondrial donor cells for transmitophagy. The degradation of damaged mitochondria by lysosomes in donor cells will result in the release of heme, which will then trigger the HO-1 pathway and enhance the biogenesis of mitochondria in donor cells, followed by the fusion of mitochondria. Functional mitochondria in donor cells are then transferred to stressed cells. Related to axonal mitochondrial transport, the movement of mitochondria on microtubules inside the TNT could also rely on the Miro1/Milton complex and its connection with kinesinand MVs was inhibited in Cx43-mutated BMSCs, which potentially resulted from the failure of attachment between BMSCs and alveoli. Consequently, the subsequent mitochondrial transfer and lung injury rescue had been also attenuated. Nonetheless, some other studies also reported the involvement of Cx43 in TNT formation.85,126,127 Osswald et al.85 verified that mitochondria traveledquickly inside the tumor membrane microtubule network, and that Cx43 was regularly Na+/H+ Exchanger (NHE) Inhibitor site located in the intersection region of two distinctive microtubules, which facilitated calcium propagation across tumor microtubules. The knockdown of Cx43 decreased synchronicity of intercellular calcium waves and also the proportion of astrocytoma cells with various microtubules, which indicated theSignal Transduction and Targeted Therapy (2021)6:Intercellular mitochondrial transfer as a indicates of tissue revitalization Liu et al.part of Cx43 in stabilization of intercellular membrane microtubules in tumor cells. Additionally, Cx43 was also reported to become abundant in the osteocyte dendritic network to market the osteocyte coupling and survival,128 indicating that Cx43 might also contribute towards the transfer of mitochondria involving osteocytes by strengthening intercellular contacts. Despite the fact that the mechanisms underlying the role of gap junction proteins in intercellular mitochondrial transfer demand further investigation, it is actually possible that Cx43 contributes to the connection between TNTs and also the anchored membranous structure. As reported, the intercellular movement of mitochondria by means of TNTs calls for the transport carrier known as Miro1, which is a calcium-sensitive Rho-GTPase in the outer mitochondrial membrane.31,32,60,69 In neurons, Miro1 acts as a mitochondria-loaded automobile that interacts with mitofusion1/2 and combines with all the kinesin-1 IDO1 review molecular motor through the Milton adaptor protein (TRAK1/2 and OIP106/98) to form a complicated, thus enabling the shuttling of mitochondria along microtubules.129,130 Ahmad et al.69 revealed the effect of Miro1 on advertising TNT-mediated intercellular mitochondrial transfer from MSCs to stressed epithelial cells. The overexpression of Miro1 in MSCs enhanced the transfer of mitochondria and also the rescue of injured epithelial cells, though Miro1 knockdown in MSCs led for the inhibition of mitochondrial transfer in addition to a reduction in rescue efficienc.