Exchange of ATP and ADP across mitochondrial membrane replenishes the cytoplasm with newly synthesized ATP and provides the mitochondria with the substrate ADP for oxidative phosphorylation. The sole means of this exchange is the mitochondrial ADP/ATP carrier (AAC), a membrane protein that is suggested to cycle between two conformationally distinct states, cytosolic-open (c-state) and matrix-open (m-state), thereby shuttling nucleotides across the inner mitochondrial membrane. However, the c-state is the only structurally resolved state, and the binding site of ADP remains elusive. Here, we present Ϸ0.3 s of all-atom MD simulations of the c-state revealing rapid, spontaneous binding of ADP to deeply positioned binding sites within the AAC lumen. To our knowledge, a complete ligand-binding event has heretofore not been described in full atomic detail in unbiased simulations. The identified ADP-bound state and additional simulations shed light on key structural elements and the initial steps involved in conversion to the m-state. Electrostatic analysis of trajectories reveals the presence of an unusually strong positive electrostatic potential in the lumen of AAC that appears to be the main driving force for the observed spontaneous binding of ADP. We provide evidence that the positive electrostatic potential is likely a common attribute among the entire family of mitochondrial carriers. In addition to playing a key role in substrate recruitment and translocation, the electropositivity of mitochondrial carriers might also be critical for their binding to the negatively charged environment of the inner mitochondrial membrane.ADP/ATP carrier ͉ ligand binding ͉ mitochondrial carrier family ͉ molecular dynamics ͉ nucleotide translocation I n eukaryotic cells, adenosine triphosphate (ATP) is produced in the mitochondria from adenosine diphosphate (ADP) and inorganic phosphate and then exported to the cytosol, where its hydrolysis provides energy for a wide variety of cellular processes. Meanwhile, cytosolic ADP is recycled back into the mitochondria for ATP regeneration. The exchange of ADP/ATP across the inner mitochondrial membrane is achieved by a specialized membrane protein named ADP/ATP carrier (AAC) (1-9). AAC belongs to the mitochondrial carrier family (MCF), which is characterized by a tripartite structure with three homologous repeats of Ϸ100 aa, each containing a sequence motif named the MCF motif PX(D/E)XX(K/R) (10, 11). Additionally, AAC has a signature sequence, RRRMMM, which is absent in other MCF members (12).In the inner mitochondrial membrane, AAC forms six transmembrane helices with both the amino and carboxyl termini in the intermembrane space (IMS) of mitochondria (13,14). During an exchange cycle, AAC is suggested to undergo large conformational transitions between a cytosolic-open state (c-state), to which ADP binds from the cytoplasm, and a matrix-open state (m-state), where ATP needs to bind from the mitochondrial matrix (4, 6). Specific substrate binding to one state triggers the transition of...