234 MITOCHONDRIAL ELECTRON TRANSFER
questions can be formulated as follows: (1) How many protons are pumped
out of the mitochondrial matrix for each pair of electrons passing from NADH
to oxygen? (2) How many protons are pumped at each coupling site — that is,
at complex I, complex III (Q - cycle), and complex IV? (3) How many protons
are returned to the matrix through the ATP synthase to make one ATP?
Theoretically, the oxidation of NADH by oxygen liberates enough free energy
to make > 6 ATPs from ADP and inorganic phosphate, but since even biologi-
cal reactions are not 100% effi cient, the expected number is ∼ 3 for 50%
effi ciency.
Early in the investigations of respiration and oxidative phosphorylation, the
phenomenon of “ acceptor control ” was recognized. Experimentally, it was
observed that intact mitochondria supplied with abundant substrate such as
succinate or β - hydroxybutyrate do not consume signifi cant amounts of oxygen
unless the “ acceptor ” ADP is present (inorganic phosphate is also needed, but
routinely/typically present as part of the medium). Thus, it is possible to make
precise measurements of oxygen consumption with limiting, known amounts
of ADP. The number of molecules of ADP converted to ATP compared to the
number of oxygen atoms converted to water yield a P/O ratio (or ADP/O
ratio). Over the years there have been numerous reports reporting P/O ratios
that were in the range of 2 – 3 for NADH oxidation and 1 – 2 for succinate oxi-
dation. The recent review by Hinkle (231) summarizes these data and presents
a critical discussion of the methodology, the experimental pitfalls, and the
source of possible errors. In light of what we understand now, it is clear that
the P/O ratio need not be an integer. A consensus value of ∼ 2.5 is emerging
for NADH - dependent oxidations, along with a value of ∼ 1.5 for succinate -
dependent oxidations. These experimental values may not only vary due to
methodological differences and errors, but may even depend on the tissue of
origin of the mitochondria (a P/O ratio of close to zero in mitochondria from
brown adipose tissue is an extreme example; see below).
A signifi cantly more challenging task is to measure the number of protons
pumped out of the matrix. The method is the “ respiratory pulse method, ”
which measures a pH change in a mitochondrial suspension in the presence
of a specifi c substrate following a brief pulse with a known quantity of oxygen.
This measurement can be decomposed into a measurement of the total number
of protons pumped for each pair of electrons passed from NADH to oxygen,
or measurements of the number of protons pumped at each “ coupling site, ”
now generally accepted to be complex I, complex III, and complex IV. This
number can be referred to as the H
+
/O ratio or as the H
+
/2 e
−
ratio. Hinkle ’ s
review (231) can again be cited as the most critical and complete review of
various reports over the past decades. According to Hinkle, “ the arguments
seem to be over, although not all groups have accepted the consensus explic-
itly. ” The accepted H
+
/2 e
−
ratios have values of 10 for NADH and 6 for succi-
nate. From these, one can calculate that H
+
/2 e
−
= 4 for site 1 (complex I), and
this value has direct experimental support from measurements with submito-
chondrial particles (232) . For complex IV the best experimental value for H
+
/