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GMJ News > GMJ Briefs > Beyond Birth: How Cells Dynamically Build New Mitochondria in Response to Demand

Beyond Birth: How Cells Dynamically Build New Mitochondria in Response to Demand

GMJ
Last updated: 29/07/2026 21:29
By
Prof. Giorgi Pkhakadze
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1 Min Read
Diagram showing mitochondrial biogenesis pathway: energy stress signals activate PGC-1α, triggering nuclear gene transcription and mitochondrial DNA replication
When energy demand increases—during exercise, fasting, or cold exposure—cells activate mitochondrial biogenesis to generate new energy-producing structures. This adaptive process is orchestrated by the protein PGC-1α, activated by energy sensors AMPK and SIRT1, which triggers nuclear gene transcription and mitochondrial DNA replication. — Photo by Mikhail Nilov on Pexels (Pexels License)
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1 min read|135 words

Contrary to common assumption, the mitochondria you inherit at birth are not your cells’ only energy source. Recent research highlights that cells possess a sophisticated adaptive mechanism called mitochondrial biogenesis, which activates when energy demands surge during exercise, fasting, or cold exposure. This dynamic process allows tissues to expand their metabolic capacity and sustain function under physiological stress. The orchestration of this expansion involves a coordinated sequence of events: energy deficit signals activate key proteins such as AMPK and SIRT1, which in turn trigger PGC-1α—the master regulator of mitochondrial expansion. Nuclear genes then encode essential mitochondrial proteins that are imported into existing mitochondria, while TFAM directs the replication of mitochondrial DNA to match the growing protein machinery. Understanding this adaptive response reveals how cellular resilience is maintained throughout life in response to metabolic demands.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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