Recently, we showed that the major species of -naphthoflavone-inducible rat liver mitochondrial P450MT2 consists of N-terminal truncated microsomal P4501A1 (؉33/1A1) and that the truncated enzyme exhibits different substrate specificity as compared with intact P4501A1. The results of the present study show that P450MT2 targeted to COS cell mitochondria by transient transfection of P4501A1 cDNA is localized inside the mitochondrial inner membrane in a membrane-extrinsic orientation. Co-expression with wild type P4501A1 and adrenodoxin (Adx) cDNAs resulted in 5-7-fold higher erythromycin N-demethylation (ERND) in the mitochondrial fraction but minimal changes in the microsomal fraction of transfected cells. Erythromycin, a potent inhibitor of bacterial and mitochondrial protein synthesis, caused 8 -12-fold higher accumulation of CYP1A1 mRNA, preferential accumulation of P450MT2, and 5-6-fold higher ERND activity in the mitochondrial compartment of rat C6 glioma cells. Consistent with the increased mitochondrial ERND activity, co-expression with P4501A1 and Adx in COS cells rendered complete protection against erythromycin-mediated mitochondrial translation inhibition. Mutations that specifically affect the mitochondrial targeting of P4501A1 also abolished protection against mitochondrial translation inhibition. These results for the first time suggest a physiological function for the xenobiotic inducible cytochrome P4501A1 against drug-mediated mitochondrial toxicity.Mitochondria in mammalian organisms are important subcellular targets for a variety of xenobiotics including drugs, carcinogens, and environmental contaminants (1-6). Structurally diverse chemicals and pharmacologically important drugs, which alter mitochondrial membrane properties and affect mitochondrial enzyme complexes or gene expression, are thought to be contributing factors in a variety of human disorders (3,(5)(6)(7)(8). Efforts in our laboratory have been focused on the characterization of mitochondrial class I and class II drug metabolizing enzymes to determine their roles in modulating the toxic effects of various xenobiotic chemicals on the mitochondrial genetic system. Our studies showed the presence of five different xenobiotic-inducible P450 1 monooxygenases in rat liver mitochondria, which cross-react with antibodies to similarly induced microsomal P450 isoforms (9 -14). Enzyme reconstitution and immunochemical studies also showed the presence of several P450 isoforms, resembling the liver mitochondrial forms, in induced rat brain and human brain mitochondria (15-17). Additionally, reports from various groups have shown the occurrence of different isoforms of glutathione S-transferases in the mitochondrial membrane compartment of rat liver, brain, and lung (18 -21), suggesting the existence of both class I and class II enzymes in mitochondria.Recent studies in our laboratory showed that the two BNFinducible hepatic mitochondrial P450s, designated as P450MT2A and MT2B, are derived by differential proteolytic processing of the similarly...