biomedicines Review Mind the Gap: Mitochondria and the Endoplasmic Reticulum in Neurodegenerative Diseases Nuno Santos Leal * and Luís Miguel Martins * MRC Toxicology Unit, University of Cambridge, Cambridge CB2 1QR, UK * Correspondence:
[email protected] (N.S.L.);
[email protected] (L.M.M.) Abstract: The way organelles are viewed by cell biologists is quickly changing. For many years, these cellular entities were thought to be unique and singular structures that performed specific roles. However, in recent decades, researchers have discovered that organelles are dynamic and form physical contacts. In addition, organelle interactions modulate several vital biological functions, and the dysregulation of these contacts is involved in cell dysfunction and different pathologies, including neurodegenerative diseases. Mitochondria–ER contact sites (MERCS) are among the most extensively studied and understood juxtapositioned interorganelle structures. In this review, we summarise the major biological and ultrastructural dysfunctions of MERCS in neurodegeneration, with a particular focus on Alzheimer’s disease as well as Parkinson’s disease, amyotrophic lateral sclerosis and frontotemporal dementia. We also propose an updated version of the MERCS hypothesis in Alzheimer’s disease based on new findings. Finally, we discuss the possibility of MERCS being used as possible drug targets to halt cell death and neurodegeneration. Keywords: mitochondria–ER contact sites (MERCS); mitochondria–ER associated membrane (MAM); neurodegeneration; neurodegenerative diseases; Alzheimer’s disease; Parkinson’s disease; amy- otrophic lateral sclerosis; frontotemporal dementia Citation: Leal, N.S.; Martins, L.M. Mind the Gap: Mitochondria and the Endoplasmic Reticulum in Neurodegenerative Diseases. Biomedicines 2021, 9, 227. https:// 1. The Beginning: Cells, Organelles and Organelle Contact Sites doi.org/10.3390/biomedicines9020227 The Earth is 4.5 billion years old, and life on our planet began approximately 3.8 billion years ago.