‘‘So be surewhen you step, Step with care and great tact. And remember that life’s A Great Balancing Act. Just never forget to be dexterous and deft, and never mix up your right foot with your left.’’ —Dr. Seuss, Oh, The Places You’ll Go! Random House, 1990. The benefits and risks of a cell’s use of O2 can be a tricky balance. Consumption of O2 by mitochondria greatly enhances the efficiency of aerobic metabolism, allowing generation of 15-fold more ATP than is possible by anaerobic glycolysis alone. Most O2 consumption occurs in the electron transport chain. Under normal conditions, the electron transport chain takes high-energy electrons from NADH or FADH2 to generate a proton concentration gradient and membrane potential gradient between the inner mitochondrial space and the mitochondrial matrix. O2 plays a key role by capturing four low energy electrons coming out of the electron transport chain, forming H2O in the process. The proton gradient is used to power ATP synthase, which harnesses the energy from protons flowing back into the mitochondrial matrix to phosphorylate ADP, yielding ATP. Yet if a highenergy electron leaks from the electron transport chain too early, it may be captured by O2 to form the reactive oxygen species (ROS) known as superoxide (O2� ). Superoxide can be quite damaging because it has an extremely high affinity for electrons, ripping them away from nearby proteins, lipids, and nucleic acids via oxidation. Indeed, ROS species play a key role in a wide range of pathologies suchasatherosclerosis(1),Alzheimer’s disease (2), and cancer (3). Therefore the cell needs to balance the benefits of an efficient aerobic metabolism with the risks of generating toxic ROS. Although the interplay between ATP synthesis and ROS generation has been studied intensively, there have emerged apparent inconsistencies between explanations of the conditions and mechanisms responsible for mitochondrial ROS production from isolated mitochondria and intact cells. As an attempt to resolve these discrepancies, Aon et al. (4) showed that ROS overflow is minimal at intermediate redox states, increasing in either highly reduced/high mitochondrial membrane
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