Mitochondrial calcium uniporter complex: Unveiling the interplay between its regulators and calcium homeostasis.

The mitochondrial calcium uniporter complex (MCUc), serving as the specific channel for calcium influx into the mitochondrial matrix, is integral to calcium homeostasis and cellular integrity. Given its importance, ongoing research spans various disease models to understand the properties of the MCUc in pathophysiological contexts, but reported a different conclusion. Therefore, this review delves into the profound connection between MCUc-mediated calcium transients and cellular signaling pathways, mitochondrial dynamics, metabolism, and cell death. Additionally, we shed light on the recent advancements concerning the structural intricacies and auxiliary components of the MCUc in both resting and activated states. Furthermore, emphasis is placed on novel extrinsic and intrinsic regulators of the MCUc and their therapeutic implications across a spectrum of diseases. Meanwhile, we employed molecular docking simulations and identified candidate traditional Chinese medicine components with potential binding sites to the MCUc, potentially offering insights for further research on MCUc modulation. [Display omitted] • Calcium homeostasis regulates intracellular signaling pathways, metabolism, and cell death. • The mitochondrial calcium uniporter (MCU) exhibits conformational heterogeneity in response to Ca2+ fluctuation. • A plethora of extrinsic and intrinsic factors modulate the MCU complex. • Traditional Chinese Medicine are plausible candidates for MCU regulation. [ABSTRACT FROM AUTHOR]