“…Metformin, a widely used drug for type 2 diabetes ( 7 ), is known to inhibit complex I, and the anthelmintic reagent nafuredin also targets complex I ( 8 ). A range of complex I inhibitors have also been investigated and developed as anticancer compounds, including BAY 87-2243 ( 9 ), IACS-010759 ( 10 ), mubritinib ( 11 ), carboxyamidotriazole ( 11 ), deguelin ( 12 ), hydroxylated rotenoids ( 13 ), and quinazoline diones ( 14 ), although often with limited knowledge about their modes of actions. At the same time, complex I is also a major contributor to drug-induced mitochondrial dysfunction, for example, by antipsychotics ( 15 ), through increased oxidative stress, impaired ATP synthesis, or imbalances in the NADH/NAD + ratio ( 16 ).…”