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Updated: May 3, 2026

Assessment of Open Probability of the Mitochondrial Permeability Transition Pore in the Setting of Coenzyme Q Excess
Published on: June 1, 2022
CKMT1 regulates the mitochondrial permeability transition pore in a process that provides evidence for alternative
Christoph Datler1, Evangelos Pazarentzos, Anne-Laure Mahul-Mellier
1Division of Experimental Medicine, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 0NN, UK.
Abstract:
The permeability transition pore (PT-pore) mediates cell death through the dissipation of the mitochondrial membrane potential (ΔΨm). Because the exact composition of the PT-pore is controversial, it is crucial to investigate the actual molecular constituents and regulators of this complex. We found that mitochondrial creatine kinase-1 (CKMT1) is a universal and functionally necessary gatekeeper of the PT-pore, as its depletion induces mitochondrial depolarization and apoptotic cell death. This can be inhibited efficiently by bongkrekic acid, a compound that is widely used to inhibit the PT-pore. However, when the 'classical' PT-pore subunits cyclophilin D and VDAC1 are pharmacologically inhibited or their expression levels reduced, mitochondrial depolarization by CKMT1 depletion remains unaffected. At later stages of drug-induced apoptosis, CKMT1 levels are reduced, suggesting that CKMT1 downregulation acts to reinforce the commitment of cells to apoptosis. A novel high-molecular-mass CKMT1 complex that is distinct from the known CKMT1 octamer disintegrates upon treatment with cytotoxic drugs, concomitant with mitochondrial depolarization. Our study provides evidence that CKMT1 is a key regulator of the PT-pore through a complex that is distinct from the classical PT-pore.
Insights
Mitochondrial creatine kinase-1 (CKMT1) acts as a gatekeeper for the permeability transition pore (PT-pore), controlling cell death. Its novel complex, not the classical subunits, regulates this critical cell death pathway.
Area of Science:
- Cell Biology
- Biochemistry
- Molecular Biology
Background:
- The permeability transition pore (PT-pore) regulates mitochondrial membrane potential (ΔΨm) and is implicated in cell death.
- The precise molecular composition and regulation of the PT-pore remain subjects of debate.
- Understanding PT-pore components is crucial for elucidating cell death mechanisms.
Purpose of the Study:
- To identify the molecular constituents and regulators of the PT-pore.
- To investigate the role of mitochondrial creatine kinase-1 (CKMT1) in PT-pore function.
- To characterize the regulatory mechanisms of CKMT1 in apoptosis.
Main Methods:
- Depletion of CKMT1 to assess its effect on mitochondrial depolarization and cell death.
- Pharmacological inhibition and genetic reduction of cyclophilin D and VDAC1.
- Analysis of CKMT1 complex integrity and its correlation with mitochondrial depolarization.
- Assessment of CKMT1 levels during drug-induced apoptosis.
Main Results:
- CKMT1 depletion induces mitochondrial depolarization and apoptotic cell death, inhibited by bongkrekic acid.
- Inhibition or reduction of cyclophilin D and VDAC1 does not affect CKMT1 depletion-induced depolarization.
- CKMT1 levels decrease during later stages of drug-induced apoptosis, reinforcing cell commitment to death.
- A novel high-molecular-mass CKMT1 complex disintegrates upon cytotoxic drug treatment, coinciding with mitochondrial depolarization.
Conclusions:
- CKMT1 is a universal and essential gatekeeper of the PT-pore.
- CKMT1 regulates the PT-pore through a novel complex distinct from classical subunits like cyclophilin D and VDAC1.
- CKMT1 downregulation contributes to the commitment of cells to apoptosis.
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