Front Physiol. 2026 ;17
1868353
Background: Mitochondrial dysfunction is widely recognized as a feature of aging, but the term encompasses heterogeneous processes, including altered energy production, redox imbalance, substrate handling, respiratory capacity, and mitochondrial quality control. Biological resilience depends on the capacity to respond to stressors, restore homeostasis, and preserve maintenance and repair. However, within mechanism-oriented aging literature, how mitochondrial and bioenergetic mechanisms are represented across aging hallmark domains, and whether they can be organized along a continuum of impairment, remains incompletely defined.
Methods: This study used a secondary evidence map and narrative synthesis based on a previously curated, mechanism-oriented literature dataset; it was not designed as a comprehensive hallmark-by-hallmark systematic review. The original search captured stress adaptation, bioenergetic regulation, systemic dysfunction, and metabolic strain. Included reports were recategorized by hallmark domain, stage of mitochondrial or bioenergetic impairment, mechanistic domain, evidence type, and evidence tier. The final synthesis included 433 reports.
Results: Within this mechanism-enriched dataset, mapped evidence was concentrated in regulatory and systems-level hallmark domains, particularly altered intercellular communication, chronic inflammation, and deregulated nutrient sensing. The most frequent mechanistic labels involved redox imbalance, substrate reallocation, oxidative throughput limitation, limited adenosine triphosphate availability, and mitochondrial quality-control impairment. Stage-based mapping showed that functional, adaptive, and structural labels often coexisted across hallmark domains rather than forming discrete categories.
Conclusion: These findings identify recurrent co-representation of mitochondrial and bioenergetic mechanisms with selected aging hallmark domains visible within a mechanism-oriented evidence set. The results support a cautious, hypothesis-generating interpretation in which bioenergetic constraint may provide a conceptual lens for organizing stage-like patterns, rather than reducing mitochondrial aging biology to a binary distinction between "function" and "dysfunction." However, this analysis does not establish biological centrality, causal direction, temporal sequence, tissue specificity, or generalizability across the broader aging literature.Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/, identifier CRD420251033154.
Keywords: aging hallmarks; bioenergetics; biological resilience; evidence mapping; inflammaging; mitochondrial dysfunction; nutrient sensing; redox imbalance