Homeostatic regulation and function of mitochondrial ROS (mtROS). (a) Under physical conditions, mtROS homeostasis is maintained by ROS generation (including ROS production at OMM, IMM, and matrix) and ROS scavenging (including ROS elimination at IMM and matrix) in mitochondria. (b) Mitochondrial ROS is implicated in multiple biological processes including mtDNA damage, mitophagy, apoptosis, energy homeostasis, inflammation, cell survival, proteostasis, and lipid peroxidation. OMM: outer mitochondrial membrane; NOX4: nicotinamide adenine dinucleotide phosphate oxidase subunit 4; MAO: monoamine oxidases; Cb5R: cytochrome b5 reductase; IMM: mitochondrial intermembrane space; CI: complex I; BCKD: branched-chain ketoacid dehydrogenase; GPDH: glycerol-3-phosphate dehydrogenase; CYP450: cytochrome P450; KGDHC: α-ketoglutarate dehydrogenase; PDHC: pyruvate dehydrogenase complex; SDH: succinate dehydrogenase; ACO: aconitase; SOD: superoxide dismutase; MSRA: methionine sulphoxide reductase A; CAT: catalase; GSH: glutathione; Grx2/5: glutaredoxin 2 and glutaredoxin 5; Trx2: thioredoxin 2; Prdx3/5: peroxiredoxin 3 and peroxiredoxin 5; GR: glutathione reductase; GPx: glutathione peroxidase; PDHK: pyruvate dehydrogenase kinase; ROS: reactive oxygen species.