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Open AccessDOI: 10.12307/2026.21254Original Research

Roles and mechanisms of mitochondrial dynamics in bone defect repair

Zhou Fada¹,Long Zhisheng¹

Jiangxi University of Chinese Medicine; Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College

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Roles and mechanisms of mitochondrial dynamics in bone defect repair
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Published In
Chinese Journal of Tissue Engineering Research
Published:January 15, 2026Edition:Vol 1897, Issue 25 • pp. 100-112Citation:Zhou Fada et al. (2026), Chinese Journal of Tissue Engineering Research
Impact FactorPremier Chinese Biomedical Journal indexed in SinoBioData: Chinese Journal of Tissue Engineering Research (中国组织工程研究).
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Key Takeaways & Executive Findings

  • • Mitochondrial dynamics (fusion, fission, autophagy) are crucial for maintaining mitochondrial health and cellular balance, and play a significant role in bone defect healing. • Bone defect repair is a complex process regulated by multiple cells and signaling pathways, with mitochondrial dynamics influencing bone cell function and metabolism. • Future research should focus on molecular mechanisms of mitochondrial dynamics and develop novel nano-targeted particles and mitochondrial clinical drugs for bone defect repair. • This review summarizes current knowledge and highlights the potential of targeting mitochondrial dynamics as a therapeutic strategy for bone defects.
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Abstract

BACKGROUND: Mitochondrial dynamic changes, such as fusion, fission and autophagy, are particularly important for maintaining mitochondrial health homeostasis and cellular balance. Increasing studies have shown that these mitochondrial dynamic changes play a significant role in the healing process of bone defects. In-depth research on mitochondrial dynamics creates new possibilities for the treatment of bone defects. OBJECTIVE: To explore the mechanism and principles of mitochondrial dynamics and its research and development in bone defect repair. METHODS: Relevant literature was retrieved from databases such as CNKI, WanFang Data, and PubMed published from 1990 to 2024 using the keywords of “mitochondrial dynamics, bone defect repair, mitochondrial fusion and fission, osteocytes” in Chinese and “mitochondrial dynamics, bone defect repair, mitochondrial dysfunction” in English. All retrieved documents were strictly screened, analyzed, and sorted one by one according to the inclusion criteria. A total of 77 documents were included for comprehensive analysis, consisting of 15 Chinese documents and 62 English documents. RESULTS AND CONCLUSION: (1) The repair of bone defects is finely regulated by a variety of cells and molecular signaling pathways, which is a highly complex process. Mitochondrial dynamics play a particularly critical role in this process, as they can significantly influence bone cell function and bone metabolism, thereby further promoting the repair of bone defects. (2) Future research could focus on in-depth exploration of the molecular mechanisms of mitochondrial dynamics, development of novel nano-targeted particles and mitochondrial clinical drugs, and creating more possibilities for the clinical application of mitochondrial dynamics in bone defect repair.

1. Introduction

Bone defects are a common health problem, often accompanied by various complications. Traditional therapies include surgery and medication, but they have slow recovery, many complications, and limited efficacy. Mitochondria are the core of cellular energy metabolism, and their state directly affects bone cell viability, which is important for bone repair. Increasing studies have found that mitochondrial dynamic processes such as fusion, fission, and autophagy are crucial in promoting bone defect repair, offering new ideas for treatment. This article reviews the research progress of mitochondrial dynamics in the field of bone defect repair, explores possible mechanisms, and discusses future application potential.

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Cite This Research Paper
Zhou Fada, Long Zhisheng (2026). Roles and mechanisms of mitochondrial dynamics in bone defect repair. Chinese Journal of Tissue Engineering Research. https://doi.org/10.12307/2026.21254
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Frequently Asked Questions

What is mitochondrial dynamics?

Mitochondrial dynamics refers to the continuous processes of fusion and fission that mitochondria undergo within cells, maintaining the dynamic balance of their network structure. This mechanism is crucial for regulating mitochondrial shape, distribution, and quantity, ensuring cellular stability and optimal mitochondrial function.

How does mitochondrial dynamics affect bone defect repair?

Mitochondrial dynamics influence bone cell function and bone metabolism, thereby promoting bone defect repair. Proper regulation of mitochondrial fusion, fission, and autophagy helps maintain mitochondrial health and cellular balance, which is essential for the activity of osteoblasts, osteoclasts, and osteocytes during the healing process.

What are the potential therapeutic applications of mitochondrial dynamics in bone defects?

Future therapeutic strategies may include targeting mitochondrial dynamics through novel nano-targeted particles or mitochondrial clinical drugs to enhance bone regeneration. Additionally, mitochondrial transplantation and biomaterials that modulate mitochondrial function are being explored as potential treatments for bone defects.

What methods were used in this review?

The authors conducted a comprehensive literature search in databases including CNKI, WanFang Data, PubMed, and Web of Science from 1990 to 2024. They used specific keywords related to mitochondrial dynamics and bone defect repair, and after strict screening, included 77 relevant articles (15 Chinese, 62 English) for analysis.

What are the key findings of this review?

The review highlights that mitochondrial dynamics play a critical role in bone defect repair by influencing bone cell function and metabolism. It emphasizes the need for further research into the molecular mechanisms and the development of targeted therapies to harness mitochondrial dynamics for clinical applications.

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