RT Journal Article T1 Mitochondrial Na+ controls oxidative phosphorylation and hypoxic redox signalling A1 Hernansanz Agustín, Pablo A1 Choya Foces, Carmen A1 Carregal Romero, Susana A1 Ramos, Elena A1 Oliva, Tamara A1 Villa Piña, Tamara A1 Moreno, Laura A1 Izquierdo Alvarez, Alicia A1 Cabrera Garcia, J.Daniel A1 Cortés, Ana A1 Lechuga Vieco, Ana Victoria A1 Jadiya, Pooja A1 Navarro, Elisa A1 Parada, Esther A1 Palomino Antolín, Alejandra A1 Tello, Daniel A1 Acín Pérez, Rebeca A1 Rodríguez Aguilera, Juan Carlos A1 Navas, Plácido A1 Cogolludo, Angel A1 López Montero, Iván A1 Martínez del Pozo, Álvaro A1 Egea, Javier A1 López, Manuela G. A1 Elrod, John W. A1 Ruiz Cabello, J. A1 Bogdanova, Anna A1 Enríquez, José Antonio A1 Martínez Ruiz, Antonio AB All metazoans depend on O2 delivery and consumption by the mitochondrial oxidative phosphorylation (OXPHOS) system to produce energy. A decrease in O2 availability (hypoxia) leads to profound metabolic rewiring. In addition, OXPHOS uses O2 to produce reactive oxygen species (ROS) that can drive cell adaptations through redox signalling, but also trigger cell damage1–4, and both phenomena occur in hypoxia4–8. However, the precise mechanism by which acute hypoxia triggers mitochondrial ROS production is still unknown. Ca2+ is one of the best known examples of an ion acting as a second messenger9, yet the role ascribed to Na+ is to serve as a mere mediator of membrane potential and collaborating in ion transport10. Here we show that Na+ acts as a second messenger regulating OXPHOS function and ROS production by modulating fluidity of the inner mitochondrial membrane (IMM). We found that a conformational shift in mitochondrial complex I during acute hypoxia11 drives the acidification of the matrix and solubilization of calcium phosphate precipitates. The concomitant increase in matrix free-Ca2+ activates the mitochondrial Na+/Ca2+ exchanger (NCLX), which imports Na+ into the matrix. Na+ interacts with phospholipids reducing IMM fluidity and mobility of free ubiquinone between complex II and complex III, but not inside supercomplexes. As a consequence, superoxide is produced at complex III, generating a redox signal. Inhibition of mitochondrial Na+ import through NCLX is sufficient to block this pathway, preventing adaptation to hypoxia. These results reveal that Na+ import into the mitochondrial matrix controls OXPHOS function and redox signalling through an unexpected interaction with phospholipids, with profound consequences in cellular metabolism. PB Nature Research SN 0028-0836 YR 2020 FD 2020-07-29 LK https://hdl.handle.net/20.500.14352/6576 UL https://hdl.handle.net/20.500.14352/6576 LA spa NO Unión Europea. FP7 NO Ministerio de Economía y Competitividad (MINECO)/FEDER NO Comunidad de Madrid NO Centro de Excelencia Severo Ochoa NO Unidad de Excelencia Maria de Maeztu DS Docta Complutense RD 2 sept 2024