| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
Label |
Primary Interpretation |
Notes |
| 1 |
Mitophagy / mitochondrial quality control (PINK1–Parkin axis) |
↑ mitophagy → loss of mitochondrial reserve |
↑ mitophagy → improved mitochondrial fitness |
Driver |
Mitochondrial pruning and quality enforcement |
Urolithins selectively stress cancer cells by removing dysfunctional mitochondria while rejuvenating normal-cell mitochondrial pools |
| 2 |
Mitochondrial metabolism / bioenergetics |
↓ metabolic flexibility; ↓ ATP resilience |
↑ oxidative efficiency |
Driver |
Energy stress vs optimization |
Cancer cells are less able to compensate for enforced mitochondrial turnover |
| 3 |
Reactive oxygen species (ROS) |
↑ ROS (secondary to mitochondrial stress) |
↓ ROS |
Secondary |
Metabolism-linked redox shift |
ROS changes arise from altered mitochondrial populations, not direct redox cycling |
| 4 |
AMPK / mTOR nutrient-sensing axis |
↑ AMPK; ↓ mTOR signaling |
↑ AMPK (adaptive) |
Secondary |
Catabolic pressure and growth restraint |
Energy-sensing pathways reinforce growth suppression in metabolically stressed tumor cells |
| 5 |
Cell cycle regulation |
↓ proliferation / ↑ arrest |
↔ spared |
Phenotypic |
Cytostatic growth limitation |
Growth inhibition reflects bioenergetic insufficiency rather than direct CDK inhibition |
| 6 |
Inflammatory signaling (NF-κB / cytokines) |
↓ pro-tumor inflammation |
↓ inflammatory tone |
Secondary |
Anti-inflammatory modulation |
Reduced inflammation contributes to chemopreventive and microenvironmental effects |
| 7 |
NRF2 antioxidant response |
↑ NRF2 (adaptive, secondary) |
↑ NRF2 (protective) |
Adaptive |
Redox homeostasis reinforcement |
NRF2 activation reflects improved mitochondrial quality and reduced oxidative burden rather than a cytotoxic mechanism |
| 8 |
Apoptosis sensitivity |
↑ sensitivity to apoptosis (stress-context dependent) |
↓ apoptosis |
Phenotypic |
Threshold-dependent cell death |
Apoptosis occurs when mitochondrial and energetic stress exceed adaptive capacity |