Stimulation of hepatocytes with vasopressin evokes increases in cytoso
lic free Ca2+ ([Ca2+](c)) that are relayed into the mitochondria, wher
e the resulting mitochondrial Ca2+ ([Ca2+](m)) increase regulates intr
amitochondrial Ca2+-sensitive targets. To understand how mitochondria
integrate the [Ca2+](c) signals into a final metabolic response, we st
imulated hepatocytes with high vasopressin doses that generate a susta
ined increase in [Ca2+](c). This elicited a synchronous, single spike
of [Ca2+](m) and consequent NAD(P)H formation, which could be related
to changes in the activity state of pyruvate dehydrogenase (PDH) measu
red in parallel. The vasopressin-induced [Ca2+](m) spike evoked a tran
sient increase in NAD(P)H that persisted longer than the [Ca2+](m) inc
rease. In contrast, PDH activity increased biphasically, with an initi
al rapid phase accompanying the rise in [Ca2+](m), followed by a susta
ined secondary activation phase associated with a decline in cellular
ATP. The decline of NAD(P)H in the face of elevated PDH activity occur
red as a result of respiratory chain activation, which was also manife
st in a calcium-dependent increase in the membrane potential and pH gr
adient components of the proton motive force (PMF). This is the first
direct demonstration that Ca2+-mobilizing hormones increase the PMF in
intact cells, Thus, Ca2+ plays an important role in signal transducti
on from cytosol to mitochondria, with a single [Ca2+](m) spike evoking
a complex series of changes to activate mitochondrial oxidative metab
olism.