The effect of the ADP/ATP-antiporter inhibitor carboxyatractylate on t
he inner mitochondrial membrane permeability was studied. Carboxyatrac
tylate was found to induce two uncoupling pathways: the Ca2+-dependent
permeability transition pore and another system which is sensitive to
the inhibitor of the Ca2+ uniporter Ruthenium Red (apparently involvi
ng Ca2+ recycling). The level of Ca2+-recycling induction correlates w
ith the size of the fraction of the mitochondrial population that has
undergone permeabilization-resealing; prevention of permeabilization b
y cyclosporin A results in inhibition of induction of Ca2+-recycling.
This suggests that the primary effect of carboxyatractylate binding to
mitochondria is the induction of the permeability transition pore, an
d Ca2+-recycling is induced as a consequence. Both pathways are induce
d by carboxyatractylate concentrations specific for the ADP/ATP-antipo
rter. The data suggest that the ADP/ATP-antiporter is directly involve
d in the formation of the permeability transition pore of the mitochon
drial inner membrane.