Mitochondrial oxidative damage contributes significantly to a range of huma
n disorders, including neurodegenerative diseases, ischaemia-reperfusion in
jury and ageing associated dysfunction. To prevent this damage we have deli
vered a molecule containing the active antioxidant moiety of vitamin E to m
itochondria. This was carried out by covalently coupling the antioxidant mo
iety to a lipophilic triphenylphosphonium cation. This mitochondrially targ
eted antioxidant, 2-[2-(triphenylphosphonio)ethyl]-3,4-dihydro-2,5,7,8-tetr
amethyl-2H-1-benzopyran-6-ol bromide (TPPB), accumulated several-hundred fo
ld within the mitochondrial matrix, driven by the organelle's large membran
e potential. When cells were incubated with micromolar concentrations of TP
PB, they accumulated millimolar concentrations within their mitochondria. T
he amount of TPPB taken up by mitochondria was approximate to 80-fold great
er than endogenous levels of vitamin E. Consequently the targeted derivativ
e of vitamin E protected mitochondrial function from oxidative damage far m
ore effectively than vitamin E itself. The mitochondrially targeted antioxi
dant TPPB has potential as an antioxidant therapy for disorders involving m
itochondrial oxidative damage. It also suggests a new family of mitochondri
ally targeted antioxidants, redox-active and pharmacologically active molec
ules designed to prevent damage or manipulate mitochondrial function.