Raefsky · Free radical biology & medicine 2017 · narrative review · n=?

Adaptive responses of neuronal mitochondria to bioenergetic challenges: Roles in neuroplasticity and disease resistance.

Cited 269 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanistic and theoretical models without primary data or systematic review methodology

PubMed 27908782 · doi:10.1016/j.freeradbiomed.2016.11.045 · record verified 2026-08-26

What was done

This narrative review synthesizes mechanistic research regarding how neuronal mitochondria respond adaptively to bioenergetic challenges, such as synaptic activity, aerobic exercise, and fasting. The paper outlines the signaling pathways (including Ca²⁺, CREB, PGC-1α, NF-κB, BDNF, and peripheral signals like ketone bodies and irisin) involved in mitochondrial biogenesis, synaptic plasticity, neurogenesis, and cellular stress resistance.

What was found

The abstract provides a conceptual synthesis and reports no quantitative data or specific numerical effect sizes. It describes how fasting and exercise trigger a metabolic switch to fatty acids and ketone metabolites, stimulating intrinsic and peripheral signaling pathways. These pathways promote antioxidant defenses, autophagy/mitophagy, DNA repair, and neuroplasticity, potentially conferring resistance against neurodegeneration and acute brain injury through hormetic mechanisms.

Why it matters

It provides a unifying bioenergetic framework connecting intermittent lifestyle stressors (exercise, caloric restriction, cognitive challenge) to cellular resilience, mitochondrial health, and neuroprotection.

Limits

The abstract describes a conceptual narrative review containing no empirical human trials, meta-analytic data, or quantitative findings. Broad translational hypotheses regarding neuroprotection against diseases like Alzheimer's, Parkinson's, and stroke are primarily based on preclinical and mechanistic models.

Cited by