To survive, plants possess elaborate defence mechanisms to protect themselves against virus or pathogen invasion. Recent studies have suggested that plant mitochondria may play an important role in host defence responses to biotic stresses. In contrast with animal mitochondria, plant mitochondria possess a unique respiratory pathway, the cyanide-insensitive alternative pathway, which is catalysed by the alternative oxidase (AOX). Much work has revealed that the genes encoding AOX, AOX protein and the alternative respiratory pathway are frequently induced during plant-pathogen (or virus) interaction. This raises the possibility that AOX is involved in host defence responses to biotic stresses. Thus, a key to the understanding of the role of mitochondrial respiration under biotic stresses is to learn the function and regulation of AOX. In this article, we focus on the theoretical and experimental progress made in the current understanding of the function and regulation of AOX under biotic stresses. We also address some speculative aspects to aid further research in this area.