Therapeutic implications of targeting antioxidants to mitochondria

Redox and oxidative balance are mainly regulated by mitochondria, which control the life and death of cells and organisms, and are therefore implicated in multiple pathologies. Mitochondria can be considered key organelles to be used in different therapeutically approaches, and mitochondria-targeted antioxidants have already shown great potential in the treatment of various human diseases. In fact, major progress has been achieved in the development of different molecules targeted to mitochondria. In this chapter, we will discuss the various strategies that have been employed, such as molecules conjugated with lipophilic cations (e.g., triphenylphosphonium) and peptide-based compounds. In addition, we will review different molecular strategies developed as delivery tools for the manipulation of mitochondrial function. Further studies are necessary to test the clinical usefulness of these compounds.