The mitochondrial inner membrane (IM) undergoes a dramatic permeability transition (mPT) associated with exposure to reactive oxygen species (ROS) and/or abnormally high Ca+2. The mPT is characterized by matrix swelling, loss of membrane potential and increased solute permeability. While changes are initially transient and partly reversible, repeated insult leads to irreversible loss in function associated with outer membrane (OM) rupture. While the onset of mPT is attributed to opening of a pore whose molecular identity remains undefined, much of what is known about mPT can be explained without invoking a pore. The IM has a complicated topology established by two high-curvature features: (1) catenoid-shaped junctions that connect cristae with the IM periphery, formed by proteins (MICOS, OPA1) and cardiolipin, and (2) acute folds in cristae induced and/or stabilized by dimer rows of the ATP synthase which interacts with MICOS and cardiolipin. There is considerable evidence that the ATP synthase and cardiolipin, stabilizers of IM topology, are disrupted by high Ca+2and by ROS respectively. The consequence of destabilizing regions of high IM curvature is increased mechanical stress, normally balanced by osmotic forces, which would drive water into the matrix through aquaporins. The increased membrane strain in the high-curvature regions could cause discrete, transient losses of local IM integrity, resulting in stepwise depolarization and solute influx that would mimic pore opening and closing. Predictions of mPT membrane stress models vs pore models will be compared against experimental data.
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