We have investigated the regulation of the permeability transition pore (PTP), a cyclosporin A-sensitive channel, in rat skeletal muscle mitochondria. As is the case with mitochondria isolated from a variety of sources, skeletal muscle mitochondria can undergo a permeability transition following Ca 2؉ uptake in the presence of P i . We find that the PTP opening is dramatically affected by the substrates used for energization, in that much lower Ca 2؉ loads are required when electrons are provided to complex I rather than to complex II or IV. This increased sensitivity of PTP opening does not depend on differences in membrane potential, matrix pH, Ca 2؉ uptake, oxidation-reduction status of pyridine nucleotides, or production of H 2 O 2 , but is directly related to the rate of electron flow through complex I. Indeed, and with complex I substrates only, pore opening can be observed when depolarization is induced with uncoupler (increased electron flow) but not with cyanide (decreased electron flow). Consistent with pore regulation by electron flow, we find that PTP opening is inhibited by ubiquinone 0 at concentrations that partially inhibit respiration and do not depolarize the inner membrane. These data allow identification of a novel site of regulation of the PTP, suggest that complex I may be part of the pore complex, and open new perspectives for its pharmacological modulation in living cells.The permeability transition is an in vitro increase of the inner mitochondrial membrane permeability to solutes, which is favored by Ca 2ϩ uptake. This phenomenon is now interpreted as due to the opening of a proteinaceous but yet unidentified large conductance channel, the PTP.1 The PTP openclosed transitions are modulated by the transmembrane electrical potential, by matrix pH, by redox potential, by adenine nucleotides, and by Me 2ϩ . Finally, the permeability transition can be induced or inhibited by a variety of drugs (1-4). It has been proposed that the PTP may provide mitochondria with a fast Ca 2ϩ release channel (4), and recent evidence indeed indicates that transient PTP opening in a low conductance mode (i.e. a state permeable to ions but not to larger molecules such as sucrose) may contribute to physiological Ca 2ϩ signaling through amplification of inositol 1,4,5-trisphosphate-dependent Ca 2ϩ release (5). PTP opening in vitro leads to collapse of the proton-motive force, disruption of ionic homeostasis, mitochondrial swelling, and massive ATP hydrolysis by the F 0 F 1 ATPase. This sequence of events has drawn considerable attention to the permeability transition as a potential player in the cellular pathways to cell death through at least four mechanisms, i.e. decreased levels of cellular ATP (6, 7), increase of cytosolic Ca 2ϩ (6,8,9), release of apoptosis-inducing factor, a mitochondrial caspase (10), and release of cytochrome c (11,12).With the long term goal of defining the role of mitochondria in the pathways to muscle cell death, we carried out a characterization of PTP regulation in isolated skeletal ...