Editorial: Decoding the mito-immune axis: impact of mitochondria on immune regulation and pathogen defense

pathogen clearance, prolonged or dysregulated engagement may drive excessive inflammation via inflammatory cytokines, leading to tissue injury.Mitochondrial dysfunction is increasingly recognized as a critical driver of immune activation, linking alterations in mitochondrial homeostasis to the initiation, amplification, and persistence of inflammatory responses [2]. Persistent inflammation poses a major challenge during infection.Okine et al. provide a comprehensive insight into how persistent inflammation remains a major clinical concern in HIV infection despite the widespread use of effective antiretroviral therapy (ART), contributing to ongoing immune dysregulation, an increased risk of non-AIDS comorbidities, and suboptimal long-term health outcomes. Defects in mitochondrial bioenergetics and cellular metabolism can promote the activation of inflammasomes and alter purinergic signaling pathways, resulting in sustained production of inflammatory cytokines and constant immune system stimulation. This mito-immune axis provides a mechanistic framework through which mitochondrial stress contributes to long-term immunological dysfunction and the development of cardiovascular, metabolic, and neurocognitive comorbidities commonly observed in HIV patients. This review supports the concept that therapeutic approaches aimed at improving mitochondrial function via purinergic antagonists and modulating downstream inflammatory pathways may complement antiviral treatment by restoring immune-metabolic balance and reducing the risk of chronic disease progression. Collectively, these reviews position mitochondria at the nexus of infection, metabolic reprogramming, and inflammatory pathology, underscoring the therapeutic potential of targeting mitochondrial pathways to restore immune homeostasis, enhance host defense, and mitigate infection-associated inflammatory damage.The activation of immune cells is tightly coupled to metabolic reprogramming, involving glycolysis, the tricarboxylic acid (TCA) cycle, fatty acid oxidation (FAO), amino acid metabolism, and the pentose phosphate pathway (PPP) [3]. Among these, glycolysis, the TCA cycle, and FAO are critical for regulating immune cell activation and functional differentiation. This metabolic plasticity supports macrophage polarization as well as B-and T-cell differentiation in response to environmental and pathogenic cues [4]. The study conducted by Sun et al. demonstrated that glycolysis-derived lactate is now recognised as more than a metabolic byproduct and a biomarker of disease severity. It functions as a signaling metabolite that drives histone and protein lactylation, linking metabolic reprogramming to epigenetic and post-translational regulation of gene expression. Lactylation has emerged as a key mechanism governing macrophage polarization and the transition between pro-inflammatory and reparative phenotypes, thereby influencing immune homeostasis and the pathogenesis of sepsis. Their review highlights the intimate crosstalk between metabolism and immunity and identifies lactate-driven signalling and lactylation as promising therapeutic targets for restoring macrophage function and improving outcomes in sepsis.Recent evidence has progressively highlighted the involvement of mitochondrial dysfunction in various diseases such as intestinal bowel disease (IBD) [5], neurodegenerative disease [6], pancreatitis [7], insulin resistance [8] and autoimmunity [9].The study conducted by Lee et al., demonstrated that the mtSTAT3 functions as a critical molecular bridge between mitochondrial metabolism and immune regulation in IBD. Enhanced mtSTAT3 activity restores mitochondrial respiratory capacity, reduces oxidative stress, suppresses proinflammatory and pro-fibrotic signaling, and promotes favourable signaling and alterations in the gut microbiota, collectively preserving intestinal homeostasis and attenuating disease severity. In Collectively, these findings establish mitochondrial metabolism as a central determinant of macrophage function and the pathogenesis of inflammatory disease. Molecular regulators such as mtSTAT3, GPD2, MRPS6, and MAPK14 illustrate how disruptions in mitochondrial bioenergetics, respiratory function, protein synthesis, and quality control converge to reshape macrophage activation and inflammatory signaling. Elucidating these interconnected pathways not only advances our understanding of immune-metabolic regulation but also provides a framework for improving outcomes across a broad spectrum of inflammatory diseases.Collectively, the articles published within this research topic reinforce the concept of the mitoimmune axis as a unifying framework linking immunometabolism, inflammatory pathology and infection. A deeper mechanistic understanding of mitochondrial quality control, metabolic signaling, and organelle-immune crosstalk will not only advance our knowledge of disease pathogenesis but also accelerate the development of mitochondria-directed therapeutics. Targeting mitochondrial pathways, therefore, represents a promising strategy to enhance host defense, restore immune homeostasis, and improve clinical outcomes across a broad spectrum of infectious and chronic inflammatory disorders.