“…Briefly stated, chemicals that inhibit the electron transport chain can do so either by direct binding to the complexes of the electron transport chain or ATP synthase or by acting as an alternative electron acceptor. ,, The inhibition of electron flow along the electron transport chain by both of these mechanisms induces the formation of reactive oxygen species, resulting in oxidative stress. ,, Uncouplers of oxidative phosphorylation induce mitochondrial toxicity by shuttling protons into the mitochondrial matrix, via the inner mitochondrial membrane, bypassing ATP synthase. This assisted transport of protons back into the matrix dissipates the electrochemical potential, resulting in the loss of ATP production and, ultimately, cell death. ,,,,− Induction of the membrane permeability transition increases the permeability of the inner mitochondrial membrane to low molecular weight solutes (<1500 Da), leading to a disruption of the electron transport chain, loss of membrane potential, and swelling of both the inner and outer mitochondrial membranes. , Inhibition of β-oxidation of mitochondrial fatty acids reduces the amount of NADH and FADH 2 available for oxidative phosphorylation that, in turn, reduces ATP production . Mitochondrial DNA encodes 13 components of the electron transport chain; damage that occurs to mitochondrial DNA can have a variety of downstream effects depending upon where it occurs. , It should be noted, however, that there is the potential that multiple, competing, mechanisms could initiate mitochondrial toxicity observed for a single (group of) chemical(s), i.e., one chemical may induce several MIEs.…”