Recent evidence has implicated
succinate-driven reverse electron transport (RET) through complex I as a major source of damaging
reactive oxygen species (ROS) underlying
reperfusion injury after prolonged cardiac
ischemia. However, this explanation may be incomplete, because RET on reperfusion is self-limiting and therefore transient. RET can only generate ROS when mitochondria are well polarized, and it ceases when permeability transition pores (PTP) open during reperfusion. Because prolonged
ischemia/reperfusion also damages electron transport complexes, we investigated whether such damage could lead to ROS production after PTP opening has occurred. Using isolated cardiac mitochondria, we demonstrate a novel mechanism by which
antimycin-inhibited
complex III generates significant amounts of ROS in the presence of Mg2+ and NAD+ and the absence of exogenous substrates upon inner membrane pore formation by
alamethicin or Ca2+-induced PTP opening. We show that H2O2 production under these conditions is related to Mg2+-dependent
NADH generation by malic
enzyme. H2O2 production is blocked by
stigmatellin, indicating its origin from
complex III, and by piericidin, demonstrating the importance of
NADH-related
ubiquinone reduction for ROS production under these conditions. For maximal ROS production, the rate of
NADH generation has to be equal or below that of
NADH oxidation, as further increases in [
NADH] elevate
ubiquinol-related
complex III reduction beyond the optimal range for ROS generation. These results suggest that if
complex III is damaged during
ischemia, PTP opening may result in
succinate/
malate-fueled ROS production from
complex III due to activation of malic
enzyme by increases in matrix [Mg2+], [
NAD+], and [
ADP].