RT Journal Article T1 Reversal of mitochondrial malate dehydrogenase 2 enables anaplerosis via redox rescue in respiration-deficient cells. A1 Altea-Manzano, Patricia A1 Vandekeere, Anke A1 Edwards-Hicks, Joy A1 Roldan, Mar A1 Abraham, Emily A1 Lleshi, Xhordi A1 Guerrieri, Ania Naila A1 Berardi, Domenica A1 Wills, Jimi A1 Junior, Jair Marques A1 Pantazi, Asimina A1 Acosta, Juan Carlos A1 Sanchez-Martin, Rosario M A1 Fendt, Sarah-Maria A1 Martin-Hernandez, Miguel A1 Finch, Andrew J K1 anaplerosis K1 cancer K1 cancer metabolism K1 metabolism K1 mitochondrion K1 redox K1 redox transfer K1 respiration AB Inhibition of the electron transport chain (ETC) prevents the regeneration of mitochondrial NAD+, resulting in cessation of the oxidative tricarboxylic acid (TCA) cycle and a consequent dependence upon reductive carboxylation for aspartate synthesis. NAD+ regeneration alone in the cytosol can rescue the viability of ETC-deficient cells. Yet, how this occurs and whether transfer of oxidative equivalents to the mitochondrion is required remain unknown. Here, we show that inhibition of the ETC drives reversal of the mitochondrial aspartate transaminase (GOT2) as well as malate and succinate dehydrogenases (MDH2 and SDH) to transfer oxidative NAD+ equivalents into the mitochondrion. This supports the NAD+-dependent activity of the mitochondrial glutamate dehydrogenase (GDH) and thereby enables anaplerosis-the entry of glutamine-derived carbon into the TCA cycle and connected biosynthetic pathways. Thus, under impaired ETC function, the cytosolic redox state is communicated into the mitochondrion and acts as a rheostat to support GDH activity and cell viability. YR 2022 FD 2022-11-02 LK http://hdl.handle.net/10668/22394 UL http://hdl.handle.net/10668/22394 LA en DS RISalud RD Apr 6, 2025