340 METABOLIC PATHWAYS INSIDE MITOCHONDRIA
The channel can be opened when Ca
2+
is accumulated in the matrix by
exposure of mitochondria to high concentrations of Ca
2+
(generally above
physiological levels), and the sensitivity to Ca
2+
is heightened under various
conditions including oxidative stress, adenine nucleotide depletion, elevated
phosphate concetrations, and low membrane potenial, ΔΨ ? The role of
nucleotides points to an involvement of ANT, but a more direct indication is
the effect of inhibitors of ANT on the MPT. Inhibitors that stabilize the “ c ”
conformation of ANT (e.g., atractyloside) favor the MPT, while inhibitors
stabilizing the “ m ” conformation (e.g., bongkrekic acid) also inhibit pore
opening. A high ΔΨ or a low pH prevents the transition (88) . Of special inter-
est was the observation that submicromolar concentrations of cyclosporin A
are very effective in keeping the pore from opening. The target for cyclosporin
is the matrix peptidyl - proline cis – trans isomerase, a member of the cyclophilin
family. One interpretation was that the (soluble) matrix isomerase may inter-
act with an integral membrane protein, and when triggered by Ca
2+
, the pore
opening is induced. Cyclosporin A would interfere with this required interac-
tion. A further speculation was that the relevant IMP was the ANT (89) . The
idea was supported by the observed attachment of cyclophilin to the inner
membrane under certain conditions (oxidative stress, thiol reagents, increased
matrix volume), which favor or enhance pore opening (90, 91) . Even though
the MPT makes an appearance in a large fraction of publications related
to apoptosis, necrosis, oxidative stress, and other pathologies, there is still no
clear distinction between the “ MPT ” and the “ MTP. ” The fi rst describes a
phenomenon, while the second implies the existence of a structure that has
never been isolated and whose composition is hypothesized on the basis of
indirect studies with various inhibitors. The suggestion has even been made
that the “ pore ” is constituted of unfolded integral membrane proteins damaged
by ROS (e.g., oxidation of sulfhydryls, etc.) (92) .
The combined observations have served to support a variety of potential
functions for the MTP, which may not be exclusive (87) : (1) a voltage sensor,
(2) a matrix pH sensor, (3) a divalent cation sensor (role in calcium homeo-
stasis (e.g., 93 )), (4) a sensor of adenine nucleotide concentrations, (5) a sensor
of the redox state of the pyridine nucleotide pool, and (6) a thiol sensor (redox
status of glutathione). The context in which the MPT is most commonly
encountered is the triggering and progression of apoptosis, a subject that will
be expanded in a following chapter.
It is clear that a prolonged opening of a number of pores, or the simultane-
ous opening of many pores, would deenergize and inactivate mitochondria
rapidly, and it may be that such an event is associated with the irreversible
breakdown of ΔΨ observed in the course of apoptosis (see Chapter 8 ).
However, at this time it is still a matter of much speculation as to whether the
MTP makes a signifi cant contribution to mitochondrial activities under phy-
siological conditions. It could be imagined as a safety valve under stressfull
conditions, but the lack of specifi city for any small - molecular - weight solute
precludes any fi ne - tuning for specifi c ions or solutes.