<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.2 20190208//EN"  "JATS-archivearticle1.dtd"><article article-type="research-article" dtd-version="1.2" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="nlm-ta">elife</journal-id><journal-id journal-id-type="publisher-id">eLife</journal-id><journal-title-group><journal-title>eLife</journal-title></journal-title-group><issn pub-type="epub" publication-format="electronic">2050-084X</issn><publisher><publisher-name>eLife Sciences Publications, Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">69312</article-id><article-id pub-id-type="doi">10.7554/eLife.69312</article-id><article-categories><subj-group subj-group-type="display-channel"><subject>Research Article</subject></subj-group><subj-group subj-group-type="heading"><subject>Structural Biology and Molecular Biophysics</subject></subj-group></article-categories><title-group><article-title>The mechanism of MICU-dependent gating of the mitochondrial Ca<sup>2+</sup>uniporter</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="author-234789"><name><surname>Garg</surname><given-names>Vivek</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-6940-5415</contrib-id><email>vgarg@som.umaryland.edu</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="other" rid="fund3"/><xref ref-type="fn" rid="con1"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-234790"><name><surname>Suzuki</surname><given-names>Junji</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="con2"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-234791"><name><surname>Paranjpe</surname><given-names>Ishan</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="con3"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-234792"><name><surname>Unsulangi</surname><given-names>Tiffany</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="fn" rid="con4"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-234793"><name><surname>Boyman</surname><given-names>Liron</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="con5"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-234794"><name><surname>Milescu</surname><given-names>Lorin S</given-names></name><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="fn" rid="con6"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" id="author-192379"><name><surname>Lederer</surname><given-names>W Jonathan</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="fn" rid="con7"/><xref ref-type="fn" rid="conf1"/></contrib><contrib contrib-type="author" corresp="yes" id="author-41555"><name><surname>Kirichok</surname><given-names>Yuriy</given-names></name><contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-7155-843X</contrib-id><email>yuriy.kirichok@ucsf.edu</email><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="other" rid="fund1"/><xref ref-type="other" rid="fund2"/><xref ref-type="fn" rid="con8"/><xref ref-type="fn" rid="conf1"/></contrib><aff id="aff1"><label>1</label><institution>Department of Physiology, University of California San Francisco</institution><addr-line><named-content content-type="city">San Francisco</named-content></addr-line><country>United States</country></aff><aff id="aff2"><label>2</label><institution>Department of Physiology, University of Maryland</institution><addr-line><named-content content-type="city">Baltimore</named-content></addr-line><country>United States</country></aff><aff id="aff3"><label>3</label><institution>Department of Biology, University of Maryland</institution><addr-line><named-content content-type="city">College Park</named-content></addr-line><country>United States</country></aff></contrib-group><contrib-group content-type="section"><contrib contrib-type="editor"><name><surname>Lewis</surname><given-names>Richard S</given-names></name><role>Reviewing Editor</role><aff><institution>Stanford University School of Medicine</institution><country>United States</country></aff></contrib><contrib contrib-type="senior_editor"><name><surname>Swartz</surname><given-names>Kenton J</given-names></name><role>Senior Editor</role><aff><institution>National Institute of Neurological Disorders and Stroke, National Institutes of Health</institution><country>United States</country></aff></contrib></contrib-group><pub-date date-type="publication" publication-format="electronic"><day>31</day><month>08</month><year>2021</year></pub-date><pub-date pub-type="collection"><year>2021</year></pub-date><volume>10</volume><elocation-id>e69312</elocation-id><history><date date-type="received" iso-8601-date="2021-04-11"><day>11</day><month>04</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-08-09"><day>09</day><month>08</month><year>2021</year></date></history><pub-history><event><event-desc>This manuscript was published as a preprint at bioRxiv.</event-desc><date date-type="preprint" iso-8601-date="2020-04-05"><day>05</day><month>04</month><year>2020</year></date><self-uri content-type="preprint" xlink:href="https://doi.org/10.1101/2020.04.04.025833"/></event></pub-history><permissions><copyright-statement>© 2021, Garg et al</copyright-statement><copyright-year>2021</copyright-year><copyright-holder>Garg et al</copyright-holder><ali:free_to_read/><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><ali:license_ref>http://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>This article is distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use and redistribution provided that the original author and source are credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="elife-69312-v2.pdf"/><abstract><p>Ca<sup>2+</sup> entry into mitochondria is through the mitochondrial calcium uniporter complex (MCU<sub>cx</sub>), a Ca<sup>2+</sup>-selective channel composed of five subunit types. Two MCU<sub>cx</sub> subunits (MCU and EMRE) span the inner mitochondrial membrane, while three Ca<sup>2+</sup>-regulatory subunits (MICU1, MICU2, and MICU3) reside in the intermembrane space. Here, we provide rigorous analysis of Ca<sup>2+</sup> and Na<sup>+</sup> fluxes via MCU<sub>cx</sub> in intact isolated mitochondria to understand the function of MICU subunits. We also perform direct patch clamp recordings of macroscopic and single MCU<sub>cx</sub> currents to gain further mechanistic insights. This comprehensive analysis shows that the MCU<sub>cx</sub> pore, composed of the EMRE and MCU subunits, is not occluded nor plugged by MICUs during the absence or presence of extramitochondrial Ca<sup>2+</sup> as has been widely reported. Instead, MICUs potentiate activity of MCU<sub>cx</sub> as extramitochondrial Ca<sup>2+</sup> is elevated. MICUs achieve this by modifying the gating properties of MCU<sub>cx</sub> allowing it to spend more time in the open state.</p></abstract><kwd-group kwd-group-type="author-keywords"><kwd>mouse embryonic fibroblasts</kwd><kwd>mitochondrial calcium uniporter</kwd><kwd>mitochondria</kwd><kwd>ion channels</kwd><kwd>patch clamp</kwd><kwd>calcium signaling</kwd></kwd-group><kwd-group kwd-group-type="research-organism"><title>Research organism</title><kwd>Mouse</kwd><kwd>Other</kwd></kwd-group><funding-group><award-group id="fund1"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R01GM134536</award-id><principal-award-recipient><name><surname>Kirichok</surname><given-names>Yuriy</given-names></name></principal-award-recipient></award-group><award-group id="fund2"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000002</institution-id><institution>National Institutes of Health</institution></institution-wrap></funding-source><award-id>R35GM136415</award-id><principal-award-recipient><name><surname>Kirichok</surname><given-names>Yuriy</given-names></name></principal-award-recipient></award-group><award-group id="fund3"><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000968</institution-id><institution>American Heart Association</institution></institution-wrap></funding-source><award-id>17SDG33660926</award-id><principal-award-recipient><name><surname>Garg</surname><given-names>Vivek</given-names></name></principal-award-recipient></award-group><funding-statement>The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.</funding-statement></funding-group><custom-meta-group><custom-meta specific-use="meta-only"><meta-name>Author impact statement</meta-name><meta-value>A comprehensive functional analysis of mitochondrial Ca<sup>2+</sup> uniporter (MCU) demonstrates that the auxiliary MICU subunits potentiate Ca<sup>2+</sup> transport via MCU.</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="s1" sec-type="intro"><title>Introduction</title><p>Mitochondrial Ca<sup>2+</sup> uptake regulates ATP production by modulating the activities of several dehydrogenases in the mitochondrial matrix primarily the pyruvate dehydrogenase and likely other control systems (<xref ref-type="bibr" rid="bib23">Glancy and Balaban, 2012</xref>; <xref ref-type="bibr" rid="bib48">McCormack et al., 1990</xref>; <xref ref-type="bibr" rid="bib49">McCormack and Denton, 1993</xref>; <xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>). Matrix Ca<sup>2+</sup> ([Ca<sup>2+</sup>]<sub>m</sub>) also plays a crucial role in influencing cell fate (<xref ref-type="bibr" rid="bib5">Bernardi, 1999</xref>; <xref ref-type="bibr" rid="bib6">Berridge et al., 2003</xref>; <xref ref-type="bibr" rid="bib23">Glancy and Balaban, 2012</xref>; <xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>). Physiological and pathological Ca<sup>2+</sup> signaling in mitochondria depend on Ca<sup>2+</sup> entry into the matrix (<xref ref-type="bibr" rid="bib31">Holmström et al., 2015</xref>; <xref ref-type="bibr" rid="bib40">Kwong et al., 2015</xref>; <xref ref-type="bibr" rid="bib45">Luongo et al., 2017</xref>) and its extrusion through the mitochondrial sodium-calcium exchanger (<xref ref-type="bibr" rid="bib8">Boyman et al., 2013</xref>; <xref ref-type="bibr" rid="bib44">Luongo et al., 2015</xref>; <xref ref-type="bibr" rid="bib53">Palty et al., 2010</xref>) and other mechanisms (<xref ref-type="bibr" rid="bib5">Bernardi, 1999</xref>; <xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>). Ca<sup>2+</sup> entry is mediated by the mitochondrial Ca<sup>2+</sup> uniporter holocomplex (MCU<sub>cx</sub>) (<xref ref-type="bibr" rid="bib5">Bernardi, 1999</xref>; <xref ref-type="bibr" rid="bib14">Deluca and Engstrom, 1961</xref>; <xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>), a Ca<sup>2+</sup>-selective channel that is regulated by the intracellular (extra-mitochondrial) [Ca<sup>2+</sup>] level ([Ca<sup>2+</sup>]<sub>i</sub>) (<xref ref-type="bibr" rid="bib19">Fieni et al., 2012</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). The MCU<sub>cx</sub> is composed of five distinct subunits types, two of which span the inner mitochondrial membrane (IMM) - MCU and EMRE - and two of the three MICU subunits (MICU1, MICU2, and MICU3) which reside in the intermembrane space (<xref ref-type="bibr" rid="bib4">Baughman et al., 2011</xref>; <xref ref-type="bibr" rid="bib13">De Stefani et al., 2011</xref>; <xref ref-type="bibr" rid="bib62">Sancak et al., 2013</xref>). MICU1 connects an EMRE subunit in the MCU<sub>cx</sub> with a second MICU subunit. Recent structural discoveries (<xref ref-type="bibr" rid="bib71">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>) suggest that the functioning channel is a dimer composed of two MCU/EMRE pores joined through the N-terminal of MCU subunits in the matrix, and MICU subunits in the intermembrane space.</p><p>For Ca<sup>2+</sup> to enter the matrix, Ca<sup>2+</sup> must first permeate the outer mitochondrial membrane (OMM) through the largely open VDAC (voltage-dependent ‘anion’ channel), a beta-barrel channel into the intermembrane space (IMS). From the IMS, Ca<sup>2+</sup> crosses the nearly impermeant inner mitochondrial membrane (IMM) in a highly regulated manner into the mitochondrial matrix through the small conductance, highly selective MCU<sub>cx</sub> (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>; <xref ref-type="bibr" rid="bib76">Williams et al., 2013</xref>). The recent dynamic and exciting body of work investigating Ca<sup>2+</sup> movement through the MCU<sub>cx</sub> has led to a number of controversial and perplexing reports (<xref ref-type="bibr" rid="bib12">Csordás et al., 2013</xref>; <xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>; <xref ref-type="bibr" rid="bib20">Foskett and Madesh, 2014</xref>; <xref ref-type="bibr" rid="bib24">Gottschalk et al., 2019</xref>; <xref ref-type="bibr" rid="bib30">Hoffman et al., 2013</xref>; <xref ref-type="bibr" rid="bib47">Mallilankaraman et al., 2012b</xref>; <xref ref-type="bibr" rid="bib50">Nemani et al., 2018</xref>; <xref ref-type="bibr" rid="bib58">Perocchi et al., 2010</xref>; <xref ref-type="bibr" rid="bib67">Tufi et al., 2019</xref>; <xref ref-type="supplementary-material" rid="supp1">Supplementary file 1a and b</xref>). These publications also provoke the possibility that the molecular components of MCU<sub>cx</sub> have additional broad actions in mitochondria which could complicate our understanding (<xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>; <xref ref-type="bibr" rid="bib24">Gottschalk et al., 2019</xref>; <xref ref-type="bibr" rid="bib67">Tufi et al., 2019</xref>). Here, we use an array of quantitative tools to directly examine the conductance of the MCU<sub>cx</sub> channel and how it is gated by MICU subunits. Our investigation provides reasons to question some of the published working hypotheses and suggest a new view of the molecular gating of MCU<sub>cx</sub>.</p></sec><sec id="s2" sec-type="results"><title>Results</title><sec id="s2-1"><title>Quantitative assessment of the MCU<sub>cx</sub> and its subunits</title><p>A whole mitoplast patch clamp method was used to measure whole IMM current to assess MCU<sub>cx</sub> function (<xref ref-type="bibr" rid="bib19">Fieni et al., 2012</xref>; <xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>) and determine how the subunits contribute to the measured MCU<sub>cx</sub> current. Mitochondria were isolated from DRP1 knockout (KO) mouse embryonic fibroblasts (MEFs) (<xref ref-type="bibr" rid="bib34">Ishihara et al., 2009</xref>). DRP1 is encoded by the <italic>Dnm1l</italic>. The DRP1-KO MEFs were used to prepare mitoplasts using a French Press. This cell line was chosen as the source for many experiments because it provided a significantly higher proportion of large isolated mitoplasts and enabled the recording of stable MCU<sub>cx</sub> currents with a favorable signal-to-noise ratio. We confirmed that this cell line expresses all principal subunits of the MCU complex (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1</xref>). Importantly, the MCU<sub>cx</sub> was intact in isolated mitoplasts, and its composition was the same as in intact mitochondria (<xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2F</xref>). We also generated gene knockouts for all principal subunits of the MCU complex (MCU, EMRE, and MICU1−3) using CRISPR-Cas9 in this cell line (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1</xref>). MCU, EMRE, and MICU1−3 are encoded by the <italic>Mcu</italic>, <italic>Smdt1</italic> and <italic>Micu1−3</italic> genes, respectively.</p><p><xref ref-type="fig" rid="fig1">Figure 1A</xref> shows the [Ca<sup>2+</sup>]<sub>i</sub> dependence of the MCU<sub>cx</sub> current in mitoplasts from WT DRP1-KO MEFs, and shows the absence of Ca<sup>2+</sup> current (<italic>I</italic><sub>Ca</sub>) in MCU-KO or EMRE-KO. Additionally, it shows an important feature of the MCU<sub>cx</sub>; in the absence of extramitochondrial Ca<sup>2+</sup> (control trace), there is outward current at positive potentials resulting from the efflux of Na<sup>+</sup> through the MCU<sub>cx</sub> due to the 110 mM Na<sup>+</sup> gluconate in the matrix from the patch pipette (<xref ref-type="fig" rid="fig1">Figure 1A</xref>, <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2D and E</xref>). When extramitochondrial Ca<sup>2+</sup> is present, Ca<sup>2+</sup> enters the selectivity filter of the MCU<sub>cx</sub> channel to block Na<sup>+</sup> permeation (<xref ref-type="bibr" rid="bib19">Fieni et al., 2012</xref>; <xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>) and no outward current is seen. Importantly, MCU<sub>cx</sub> currents can be rescued by the ectopic expression of the MCU and EMRE subunits in their corresponding knockout cell lines (<xref ref-type="fig" rid="fig1">Figure 1B and C</xref>, <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2G and H</xref>). From these results, the DRP1-KO MEFs recapitulate key findings in previous publications (<xref ref-type="bibr" rid="bib9">Chaudhuri et al., 2013</xref>; <xref ref-type="bibr" rid="bib19">Fieni et al., 2012</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>; <xref ref-type="bibr" rid="bib62">Sancak et al., 2013</xref>). We show an additional novel observation, important to our later experiments, that when Na<sup>+</sup> is used to replace Ca<sup>2+</sup> in the cytosolic compartment (i.e. the bath solution), an MCU-mediated Na<sup>+</sup> current (<italic>I</italic><sub>Na</sub>) is observed, and this current also depends on the presence of MCU and EMRE (<xref ref-type="fig" rid="fig1">Figure 1D and E</xref>, <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2D and E</xref>).</p><fig-group><fig id="fig1" position="float"><label>Figure 1.</label><caption><title>Characterization of MCU<sub>cx</sub> properties in isolated mitoplasts, intact cells, and isolated mitochondria from MEFs.</title><p>(<bold>A</bold>) Inward <italic>I</italic><sub>Ca</sub> elicited by a voltage ramp in WT, MCU-KO and EMRE-KO mitoplasts exposed to [Ca<sup>2+</sup>]<sub>i</sub> of 30 μM, 100 μM, and 1 mM. In WT, also note an outward Na<sup>+</sup> current via MCU at positive voltages in Ca<sup>2+</sup>-free bath solution (Control). Voltage protocol is indicated on the top. All superimposed current traces in a single panel are from the same mitoplast. (<bold>B</bold>) <italic>I</italic><sub>Ca</sub> is rescued by the recombinant expression of MCU and EMRE in their respective knockout cell lines. (<bold>C</bold>) <italic>I</italic><sub>Ca</sub> density measured at −160 mV at different [Ca<sup>2+</sup>]<sub>i</sub> in indicated cell lines; n = 4–5. (<bold>D</bold>) Representative <italic>I</italic><sub>Na</sub> in WT, MCU-KO and EMRE-KO mitoplasts at 110 mM [Na<sup>+</sup>]<sub>i</sub>. (<bold>E</bold>) <italic>I</italic><sub>Na</sub> density measured at −80 mV in WT, MCU-KO, and EMRE-KO mitoplasts; n = 3–20. (<bold>F and G</bold>) Representative [Ca<sup>2+</sup>]<sub>m</sub> (<italic>black</italic>, left ordinate) and [Ca<sup>2+</sup>]<sub>i</sub> (<italic>blue</italic>, right ordinate) in an individual cell with (<bold>F</bold>) WT MCU<sub>cx</sub>, and (<bold>G</bold>) MICU1 knockout before and after application of 300 nM thapsigargin (Tg, arrow). Dashed red lines indicate the [Ca<sup>2+</sup>]<sub>i</sub> at which the [Ca<sup>2+</sup>]<sub>m</sub> starts to increase (‘Threshold’). (<bold>H</bold>) [Ca<sup>2+</sup>]<sub>i</sub> threshold for [Ca<sup>2+</sup>]<sub>m</sub> elevation in WT and indicated knockout cell lines; n = 3–4 dishes, total cells = ~150 each group. Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test. Statistics was run on number of dishes. (<bold>I</bold>) Ca<sup>2+</sup> conductance (G) of the IMM plotted as a function of [Ca<sup>2+</sup>]<sub>i</sub>. Right panel shows the zoomed-in region for [Ca<sup>2+</sup>]<sub>i</sub> between 0 and 3 μM; n = 64–75 independent experiments, N = 4–7 independent preparations, all data is shown. All superimposed current traces in a single panel are from the same mitoplast. Data shown as mean ± SEM.</p><p><supplementary-material id="fig1sdata1"><label>Figure 1—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig1">Figure 1</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig1-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig1-v2.tif"/></fig><fig id="fig1s1" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 1.</label><caption><title>Generation of knockouts for various MCU<sub>cx</sub> subunits.</title><p>(<bold>A</bold>) A schematic arrangement of various subunits in the MCU<sub>cx</sub>. Four MCU and four EMRE subunits form the pore of the MCU<sub>cx</sub> (only two MCU and two EMRE subunits are shown for simplicity). EMRE also tethers MICU1 subunit to the pore on the cytosolic side of the IMM. MICU1 forms homodimers or hetero-dimerizes with MICU2. Each MICU subunit has two EF hands that bind cytosolic Ca<sup>2+</sup>. (<bold>B–F</bold>) CRISPR-mediated indels in various MCU<sub>cx</sub> genes and the resulting mutant alleles. The CRISPR binding sites (for sgRNA) are highlighted in <italic>yellow</italic>, and their PAM sequences are highlighted in <italic>green</italic>. The translational initiation codon (ATG) is shown in <italic>bold</italic> where applicable. (<bold>B</bold>) Overview of the <italic>Mcu</italic> gene and indels in the knockout. A sgRNA was used to target exon 3. The sequence of targeted region in <italic>Mcu</italic> gene is shown; exon 3 is underlined. Targeted sequencing indicates frame-shift indels (<italic>red</italic>) in both alleles (<italic>Al-</italic>1 and <italic>Al-</italic>2). (<bold>C</bold>) Overview of the <italic>Smdt1</italic> gene and the truncated region in the knockout. Two sgRNAs were used for CRISPR-Cas9–mediated deletion in the exon-2 (<italic>underlined</italic>) and the flanking region. Targeted sequencing indicates same 259 bp deletion (<italic>red</italic>) in both alleles. (<bold>D</bold>) Overview of the <italic>Micu1</italic> gene and the truncated region in the knockout. Two sgRNAs were used for CRISPR-Cas9–mediated deletion in the exon-3 (<italic>underlined</italic>) and the flanking region. Targeted sequencing indicates that almost all of exon-3 is deleted along with a portion of the flanking region (<italic>red</italic>) in both alleles (<italic>Al-</italic>1 and A<italic>l-</italic>2). (<bold>E</bold>) Overview of the <italic>Micu2</italic> gene and the truncated region in the knockout. Two sgRNAs were used for CRISPR-Cas9–mediated deletion in the exon-1 (<italic>underlined</italic>) and the flanking region. Targeted sequencing indicates that almost all of exon-1 is deleted (<italic>red</italic>) in both alleles. (<bold>F</bold>) Overview of the <italic>Micu3</italic> gene and the truncated region in the knockout. Two sgRNAs were used for CRISPR-Cas9-mediated deletion in the exon-1 (<italic>underlined</italic>). Targeted sequencing indicates a 73 bp deletion in the expected cut area (<italic>red</italic>) in both alleles. (<bold>G–I</bold>) Western blots show expression of various MCU<sub>cx</sub> subunits in the respective knockout cells. For MICU1 (<bold>G</bold>), samples were prepared without reducing agent, β-mercaptoethanol. The MICU1 band is near the expected molecular weight (~100 kDa) for the homo- or heterodimer (with MICU2 or 3). Multiple bands were observed with anti-MICU2 (<bold>H</bold>) and anti-MICU3 (<bold>I</bold>) antibodies, which were absent in knockout cell lines. This is likely due to the presence of different oligomeric states of the protein, as well as the mature and nascent (before truncation of the mitochondrial targeting signal) forms of the protein. Arrows mark the mature (<bold>m</bold>) and nascent (<bold>n</bold>) proteins near the expected molecular weight. (<bold>J</bold>) PCR showing the mRNA expression of various MCU subunits in <italic>Dnm1l<sup>-/-</sup></italic> MEFs. <italic>Hprt</italic> was used as the reference.</p><p><supplementary-material id="fig1s1sdata1"><label>Figure 1—figure supplement 1—source data 1.</label><caption><title>Raw western blot image for panel G.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp1-data1-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig1s1sdata2"><label>Figure 1—figure supplement 1—source data 2.</label><caption><title>Raw western blot image for panel H.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp1-data2-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig1s1sdata3"><label>Figure 1—figure supplement 1—source data 3.</label><caption><title>Raw western blot image for panel I.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp1-data3-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig1s1sdata4"><label>Figure 1—figure supplement 1—source data 4.</label><caption><title>Real time PCR (Ct) values for different genes.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig1-figsupp1-data4-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig1-figsupp1-v2.tif"/></fig><fig id="fig1s2" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 2.</label><caption><title>[Ca<sup>2+</sup>]<sub>m</sub> phenotype in cells deficient for various MCU<sub>cx</sub> subunits, patch clamp methodology, and protein expression of various MCU<sub>cx</sub> subunits in isolated mitoplasts and MEFs.</title><p>(<bold>A–C</bold>) Representative [Ca<sup>2+</sup>]<sub>m</sub> (<italic>black</italic>, left ordinate) and [Ca<sup>2+</sup>]<sub>i</sub> (<italic>blue</italic>, right ordinate) in an individual cell with WT MCU<sub>cx</sub> (<bold>A</bold>), MCU-KO (<bold>B</bold>), and EMRE-KO (<bold>C</bold>) before and after application of 300 nM Tg (arrow). (<bold>D</bold>) Diagram of patch-clamp recording from a vesicle of the whole IMM (mitoplast). After formation of a gigaohm seal between the patch pipette and the mitoplast, the IMM patch under the pipette is broken by applying short pulses of high voltage (200–500 mV, 2–8 ms), to gain access into the mitoplast through the pipette. In this configuration, called the ‘whole-IMM’ configuration, the interior of the mitoplast (mitochondrial matrix) is perfused with the pipette solution. The bath is also perfused to control the experimental solution on the cytosolic side of the IMM. The voltage across the IMM is set to the desired value (<italic>V</italic>), and the currents (<italic>I</italic>) are measured using the patch-clamp amplifier. Directions of currents flowing across the IMM: inward currents (flowing into the mitoplast) are negative, while outward currents are positive. (<bold>E</bold>) <italic>Left panel:</italic> Example MCU<sub>cx</sub> current traces recorded in the whole-IMM configuration. The voltage protocol used to elicit the currents is shown above. All indicated voltages are within the mitochondrial matrix relative to the bath (cytosol). The voltage of the bath solution is defined to be zero. The zero current level is shown by the dashed line and an arrow. The directions of the currents are indicated as negative (inward) and positive (outward). Control current (Ca<sup>2+</sup>-free bath solution) is shown in <italic>grey</italic>. In Control, the outward current at positive voltages is mediated by Na<sup>+</sup> ions permeating through MCU<sub>cx</sub> channel in the Ca<sup>2+</sup>-free bath solution (<italic>I</italic><sub>Na</sub>, pipette solution contains Na-gluconate). After application of 1 mM Ca<sup>2+</sup> on the cytosolic face of the IMM (bath), we observe an inward Ca<sup>2+</sup> current (<italic>I</italic><sub>Ca</sub>, <italic>blue</italic>) via MCU<sub>cx</sub>, while the outward <italic>I</italic><sub>Na</sub> is inhibited by the bath Ca<sup>2+</sup>. <italic>Right panel,</italic> When [Ca<sup>2+</sup>]<sub>i</sub> is brought to virtual zero by addition of Ca<sup>2+</sup> chelators (1 mM EGTA and 5 mM EDTA), we observe <italic>I</italic><sub>Na</sub> via MCU<sub>cx</sub> (<italic>red</italic>) in both inward and outward directions (both bath and pipette solution contain Na-gluconate). (<bold>F</bold>) Co-immunoprecipitation of the MCU<sub>cx</sub> proteins from mitochondrial and mitoplast fractions. Anti-FLAG beads were used to immunoprecipitate MCU-FLAG (expressed in MCU-KO cells) from mitochondrial and mitoplast fractions. Mitochondria isolated from WT cells (No FLAG tag) were used as negative control. Left three lanes are protein-complexes immunoprecipitated with anti-FLAG beads. Lane-1: immunoprecipitate (IP) from MCU-FLAG mitochondrial lysate, lane-2: IP from MCU-FLAG mitoplast lysate, lane-3: IP from WT mitochondrial lysate. Right three lanes correspond to samples from the flow-through fraction after immunoprecipitation. Lane-1*: mitochondrial lysate from MCU-FLAG, lane-2*: mitoplast lysate from MCU-FLAG, lane-3*: mitochondrial lysate from WT. Upper (MICU1, MCU, and EMRE) and lower (MICU2 and TOM20) boxes are from the same samples run on different gels. (<bold>G</bold>) Western blots of protein lysates from cells with WT MCU<sub>cx</sub> (WT), MCU-KO cells, and MCU-KO cells overexpressing MCU (MCU-OE) using anti-MCU and anti-TOM20 (the mitochondrial loading control) antibodies. (<bold>H</bold>) Western blots of protein lysates from WT cells, EMRE-KO cells, and EMRE-KO cells overexpressing EMRE (EMRE-OE) using anti-EMRE, anti-TOM20 and anti-HSP60 (the mitochondrial loading controls) antibodies.</p><p><supplementary-material id="fig1s2sdata1"><label>Figure 1—figure supplement 2—source data 1.</label><caption><title>Raw western blot image for panel F.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp2-data1-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig1s2sdata2"><label>Figure 1—figure supplement 2—source data 2.</label><caption><title>Raw western blot image for panel G.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp2-data2-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig1s2sdata3"><label>Figure 1—figure supplement 2—source data 3.</label><caption><title>Raw western blot image for panel H.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig1-figsupp2-data3-v2.pdf"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig1-figsupp2-v2.tif"/></fig><fig id="fig1s3" position="float" specific-use="child-fig"><label>Figure 1—figure supplement 3.</label><caption><title>Mitochondrial Ca<sup>2+</sup> uptake phenotype in cells and mitochondria deficient for MICU subunits.</title><p>(<bold>A and B</bold>) Representative [Ca<sup>2+</sup>]<sub>m</sub> (<italic>black</italic>, left ordinate) and [Ca<sup>2+</sup>]<sub>i</sub> (<italic>blue</italic>, right ordinate) in an individual cell with MICU2 (<bold>A</bold>) and MICU3 (<bold>B</bold>) knockouts before and after application of 300 nM Tg (arrow). Dashed red lines indicate the [Ca<sup>2+</sup>]<sub>i</sub> at which [Ca<sup>2+</sup>]<sub>m</sub> starts to increase (‘Threshold’). (<bold>C and D</bold>), Resting [Ca<sup>2+</sup>]<sub>i</sub> (<bold>C</bold>) and peak [Ca<sup>2+</sup>]<sub>i</sub> after addition of Tg (<bold>D</bold>) in WT and indicated knockout cell lines. Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test, n = 3–5 dishes, total = ~150 cells per group. (<bold>E</bold>) Net Ca<sup>2+</sup> flux (<italic>J</italic>) into mitochondria isolated from MEFs plotted as a function of [Ca<sup>2+</sup>]<sub>i</sub>. <italic>Right panel</italic> shows the zoomed-in region for [Ca<sup>2+</sup>]<sub>i</sub> between 0 and 3 μM; n = 64–75 independent experiments, N = 4–7 independent preparations, all data is shown.</p><p><supplementary-material id="fig1s3sdata1"><label>Figure 1—figure supplement 3—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig1s3">Figure 1—figure supplement 3</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig1-figsupp3-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig1-figsupp3-v2.tif"/></fig></fig-group><p>In intact WT cells, the [Ca<sup>2+</sup>]<sub>i</sub> increase (elicited by SERCA inhibitor thapsigargin) was followed, after a short delay, by [Ca<sup>2+</sup>]<sub>m</sub> elevation as detected by a genetically-encoded Ca<sup>2+</sup> indicator <italic>Cepia</italic> targeted to mitochondria (<xref ref-type="bibr" rid="bib64">Suzuki et al., 2014</xref>; <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2A</xref>). However, as expected, in MCU-KO or EMRE-KO cell lines that have no functional MCU<sub>cx</sub> (<xref ref-type="bibr" rid="bib4">Baughman et al., 2011</xref>; <xref ref-type="bibr" rid="bib13">De Stefani et al., 2011</xref>; <xref ref-type="bibr" rid="bib62">Sancak et al., 2013</xref>), no significant [Ca<sup>2+</sup>]<sub>m</sub> elevation was observed (<xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2B and C</xref>).</p><p>One of the controversial elements in previously published experiments is the explanation of the cause of the ‘threshold’ of the MCU<sub>cx</sub> Ca<sup>2+</sup> influx into the matrix (<xref ref-type="bibr" rid="bib12">Csordás et al., 2013</xref>; <xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>; <xref ref-type="bibr" rid="bib20">Foskett and Madesh, 2014</xref>; <xref ref-type="bibr" rid="bib30">Hoffman et al., 2013</xref>; <xref ref-type="bibr" rid="bib47">Mallilankaraman et al., 2012b</xref>; <xref ref-type="bibr" rid="bib58">Perocchi et al., 2010</xref>; <xref ref-type="bibr" rid="bib67">Tufi et al., 2019</xref>). It was noted initially (<xref ref-type="bibr" rid="bib47">Mallilankaraman et al., 2012b</xref>) that there is a cytosolic concentration of Ca<sup>2+</sup> ([Ca<sup>2+</sup>]<sub>i</sub>) below which there is no MCU<sub>cx</sub>-medicated Ca<sup>2+</sup> influx. <xref ref-type="fig" rid="fig1">Figure 1F</xref> shows that such a threshold for DRP1-KO WT MEF is indeed found at around 400 nM Ca<sup>2+</sup>. This threshold is largely gone in MICU1-KO cells (<xref ref-type="fig" rid="fig1">Figure 1G</xref>). In MICU2-KO and MICU3-KO cells, the changes in the threshold levels are shown in <xref ref-type="fig" rid="fig1">Figure 1H</xref>, and <xref ref-type="fig" rid="fig1s3">Figure 1—figure supplement 3A–D</xref>. Past studies of other investigators have used similar information from their MICU1-KO cells to argue that MICU1 forms a ‘plug’ or an occlusion in the channel pore. This implies that in MICU1-KO cells, the MCU<sub>cx</sub> conductance should be greater due to the removal of the plug. This conclusion, however, is challenged by the Ca<sup>2+</sup> conductance studies shown here in isolated mitochondria from WT MEFs shown in <xref ref-type="fig" rid="fig1">Figure 1I</xref> and <xref ref-type="fig" rid="fig1s3">Figure 1—figure supplement 3E</xref>. While the Figure shows increased conductance of MCU<sub>cx</sub> at low [Ca<sup>2+</sup>]<sub>i</sub> in the MICU1-KO mitochondria consistent with the removal of a putative MCU<sub>cx</sub>‘plug’, there is decreased conductance at high [Ca<sup>2+</sup>]<sub>i</sub> (~8 μM or higher), an observation that is inconsistent with the plug hypothesis (<xref ref-type="bibr" rid="bib47">Mallilankaraman et al., 2012b</xref>). Additional recent modifications of this hypothesis add the prediction that allosteric actions of MICU1 on MCU<sub>cx</sub> account for any inconsistencies or contradictions of the plug hypothesis (<xref ref-type="bibr" rid="bib12">Csordás et al., 2013</xref>). Moreover, new findings suggest that there may be broad actions of MICU1 on non-MCU<sub>cx</sub> targets within the mitochondria (<xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>; <xref ref-type="bibr" rid="bib24">Gottschalk et al., 2019</xref>; <xref ref-type="bibr" rid="bib67">Tufi et al., 2019</xref>). These findings and the unrefined and untested modifications of the plug hypothesis motivate additional investigations. We have carried out new quantitative experiments and analysis that may help us better understand how MICU1 works in the context of the MCU<sub>cx</sub> as is shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>.</p><fig-group><fig id="fig2" position="float"><label>Figure 2.</label><caption><title>MICUs are [Ca<sup>2+</sup>]<sub>i</sub>-dependent MCU<sub>cx</sub> potentiators.</title><p>(<bold>A</bold>) Inward <italic>I</italic><sub>Ca</sub> in WT, MICU1-KO, MICU2-KO, and MICU3-KO mitoplasts exposed to 10 μM, 100 μM and 1 mM [Ca<sup>2+</sup>]<sub>i</sub>. (<bold>B</bold>) <italic>I</italic><sub>Ca</sub> densities measured at −160 mV and [Ca<sup>2+</sup>]<sub>i</sub> of 10 μM, 100 μM, and 1 mM (<italic>upper</italic>), as well as 5 mM and 25 mM (<italic>lower</italic>). Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test, n = 8–17. (<bold>C</bold>) Representative <italic>I</italic><sub>Ca</sub> (<italic>blue</italic>) and <italic>I</italic><sub>Na</sub> (<italic>red</italic>) recorded from the same WT and MICU1-KO mitoplasts exposed to 1 mM [Ca<sup>2+</sup>]<sub>i</sub> or 110 mM [Na<sup>+</sup>]<sub>i</sub> in the absence of Ca<sup>2+</sup>. (<bold>D–F</bold>) Amplitudes of <italic>I</italic><sub>Na</sub> (<bold>D</bold>) and <italic>I</italic><sub>Ca</sub> (<bold>E</bold>), as well as the <italic>I</italic><sub>Ca</sub>/<italic>I</italic><sub>Na</sub> ratio (<bold>F</bold>) in the same WT and MICU1-KO mitoplasts. Currents were measured at −80 mV. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 18–27. (<bold>G and H</bold>) ΔΨ depolarization induced by application of 5 mM EDTA in suspension of isolated mitochondria from mouse liver (<bold>G</bold>) and MEF (<bold>H</bold>). The degree of depolarization is expressed as percentage of the full depolarization induced by 1 µM FCCP. Both WT and MCU-KO mitochondria were assessed. Data shown as mean ± SEM; one-way ANOVA with Tukey test, n = 4–9. (<bold>I</bold>) ΔΨ depolarization induced by application of 5 mM EDTA in suspension of isolated mitochondria from MEF with WT and MICU1-deficient MCU<sub>cx</sub>. WT data in panel I is the same as in panel H. The degree of depolarization is expressed as percentage of the full depolarization induced by 1 µM FCCP. Data shown as mean ± SEM; one-way ANOVA with Tukey test, n = 4–5. All superimposed current traces in a single panel are from the same mitoplast.</p><p><supplementary-material id="fig2sdata1"><label>Figure 2—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig2">Figure 2</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig2-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig2-v2.tif"/></fig><fig id="fig2s1" position="float" specific-use="child-fig"><label>Figure 2—figure supplement 1.</label><caption><title><italic>I</italic><sub>Ca</sub> in MICU1‒3 knockouts, and expression levels of various MCU subunits in MICU1-KO.</title><p>(<bold>A</bold>) <italic>I</italic><sub>Ca</sub> amplitude in WT and MICU1–3 knockouts measured at −160 mV using 10 μM [Ca<sup>2+</sup>]<sub>i</sub>. The data is same as in <xref ref-type="fig" rid="fig3">Figure 3B</xref>, but presented with an enlarged Y-axis. Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test, n = 8–13. (<bold>B</bold>) Representative inward <italic>I</italic><sub>Ca</sub> in WT, MICU1-KO, MICU2-KO, and MICU3-KO mitoplasts exposed to 5 mM, and 25 mM [Ca<sup>2+</sup>]<sub>i</sub>. All superimposed current traces in a single panel are from the same mitoplast. (<bold>C</bold>) <italic>I</italic><sub>Ca</sub> amplitude measured at −80 mV in WT, MICU1-KO, MICU2-KO, and MICU3-KO mitoplasts at 10 μM, 100 μM, and 1000 μM [Ca<sup>2+</sup>]<sub>i</sub> (<italic>Upper panel</italic>, for <italic>I</italic><sub>Ca</sub> traces see <xref ref-type="fig" rid="fig3">Figure 3A</xref>) and at 5 mM and 25 mM [Ca<sup>2+</sup>]<sub>i</sub> (<italic>Lower panel,</italic> for <italic>I</italic><sub>Ca</sub> traces see B). Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test, n = 8–14. (<bold>D–F</bold>) Western blots showing the expression levels of EMRE (<bold>D</bold>), MCU (<bold>E</bold>), and MCUb (<bold>F</bold>) in cells with WT MCU complex and MICU1-KO (n = three independent samples each). (<bold>G</bold>) <italic>Upper panel</italic>: Western blots showing EMRE protein level in WT and MICU1-KO (before and after EMRE overexpression). <italic>Lower panel</italic>: Bar-graph shows the quantification of EMRE protein levels normalized to TOM20. Data shown as mean ± SEM, one-way ANOVA with post-hoc Tukey test, n = four independent samples each. (<bold>H</bold>) Representative inward <italic>I</italic><sub>Ca</sub> in WT, MICU1-KO, and MICU1-KO with EMRE overexpression (MICU1-KO + EMRE) upon exposure to 100 μM and 1000 μM [Ca<sup>2+</sup>]<sub>i</sub>. All superimposed current traces in a single panel are from the same mitoplast. (<bold>I</bold>) <italic>I</italic><sub>Ca</sub> amplitudes measured at −160 mV in MICU1-KO with EMRE overexpression (MICU1-KO + EMRE) as well as in MICU1-KO and WT. WT and MICU1-KO data are the same as in <xref ref-type="fig" rid="fig3">Figure 3B</xref>. Data shown as mean ± SEM, one-way ANOVA with post-hoc Tukey test, n = 7–16.</p><p><supplementary-material id="fig2s1sdata1"><label>Figure 2—figure supplement 1—source data 1.</label><caption><title>Raw western blot image for panel D.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig2-figsupp1-data1-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig2s1sdata2"><label>Figure 2—figure supplement 1—source data 2.</label><caption><title>Raw western blot image for panel E.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig2-figsupp1-data2-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig2s1sdata3"><label>Figure 2—figure supplement 1—source data 3.</label><caption><title>Raw western blot image for panel F.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig2-figsupp1-data3-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig2s1sdata4"><label>Figure 2—figure supplement 1—source data 4.</label><caption><title>Raw western blot image for panel G.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig2-figsupp1-data4-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig2s1sdata5"><label>Figure 2—figure supplement 1—source data 5.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig2-figsupp1-data5-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig2-figsupp1-v2.tif"/></fig><fig id="fig2s2" position="float" specific-use="child-fig"><label>Figure 2—figure supplement 2.</label><caption><title>The sensitivity of <italic>I</italic><sub>Na</sub> to [Ca<sup>2+</sup>]<sub>i</sub> remains unchanged in MICU1-KO.</title><p>(<bold>A</bold>) Inward <italic>I</italic><sub>Na</sub> recorded in the absence of cytosolic Ca<sup>2+</sup> (<italic>blue</italic>) and subsequently at 2 nM [Ca<sup>2+</sup>]<sub>i</sub> (<italic>red</italic>) in WT (<italic>left</italic>) and MICU1-KO (<italic>right</italic>) mitoplasts exposed to 110 mM [Na<sup>+</sup>]<sub>i</sub>. All superimposed current traces in a single panel are from the same mitoplast. (<bold>B</bold>) Inhibition of <italic>I</italic><sub>Na</sub> by 2 nM [Ca<sup>2+</sup>]<sub>i</sub> in WT and MICU1-KO. Data shown as mean ± SEM, n = 4 each.</p><p><supplementary-material id="fig2s2sdata1"><label>Figure 2—figure supplement 2—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig2s2">Figure 2—figure supplement 2</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig2-figsupp2-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig2-figsupp2-v2.tif"/></fig><fig id="fig2s3" position="float" specific-use="child-fig"><label>Figure 2—figure supplement 3.</label><caption><title>DRP1 does not affect the currents mediated by the MCU<sub>cx</sub> or their phenotype in MICU1-KO.</title><p>(<bold>A</bold>) <italic>I</italic><sub>Ca</sub> amplitudes at −160 mV (<italic>left</italic>) and −80 mV (<italic>right</italic>) in mitoplasts from MEFs with DRP1 (<italic>Dnm1l<sup>+/+</sup></italic>) and without DRP1 (<italic>Dnm1l<sup>-/-</sup></italic>). Data shown as mean ± SEM, n = 17–19. (<bold>B</bold>) <italic>I</italic><sub>Na</sub> amplitudes at −160 mV (<italic>left</italic>) and −80 mV (<italic>right</italic>) in mitoplasts from MEFs with DRP1 (<italic>Dnm1l<sup>+/+</sup></italic>) and without DRP1 (<italic>Dnm1l<sup>-/-</sup></italic>). Data shown as mean ± SEM, n = 7–25. (<bold>C–F</bold>) Current phenotypes of MICU1-KO in mitoplasts isolated from MEFs with an intact DRP1. (<bold>C</bold>) Representative <italic>I</italic><sub>Ca</sub> (<italic>blue</italic>) and <italic>I</italic><sub>Na</sub> (<italic>red</italic>) recorded in the same WT and MICU1-KO mitoplasts exposed to 1 mM [Ca<sup>2+</sup>]<sub>i</sub> or 110 mM [Na<sup>+</sup>]<sub>i</sub>. All superimposed current traces in a single panel are from the same mitoplast. Amplitudes of <italic>I</italic><sub>Na</sub> (<bold>D</bold>) and <italic>I</italic><sub>Ca</sub> (<bold>E</bold>) measured at −80 mV. (<bold>F</bold>) Ratio between <italic>I</italic><sub>Ca</sub> and <italic>I</italic><sub>Na</sub> measured in the same mitoplast. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 7–12.</p><p><supplementary-material id="fig2s3sdata1"><label>Figure 2—figure supplement 3—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig2s3">Figure 2—figure supplement 3</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig2-figsupp3-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig2-figsupp3-v2.tif"/></fig></fig-group></sec><sec id="s2-2"><title>MICUs are [Ca<sup>2+</sup>]<sub>i</sub>-dependent MCU<sub>cx</sub> potentiators</title><p>To investigate how MICU1 works, <italic>I</italic><sub>Ca</sub> was measured in mitoplasts at five extramitochondrial [Ca<sup>2+</sup>]<sub>i</sub> levels, 10 μM, 100 μM, 1 mM, 5 mM, and 25 mM (<xref ref-type="fig" rid="fig2">Figure 2A and B</xref>, and <xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1A–C</xref>). WT mitoplasts show <italic>I</italic><sub>Ca</sub> records similar to the current density measurements from MICU2-KO and MICU3-KO mitoplasts. In contrast, WT mitoplasts have <italic>I</italic><sub>Ca</sub> current densities that are roughly twice the size of the current densities from the MICU1-KO mitoplasts. This finding is like the conductance measurements at elevated [Ca<sup>2+</sup>]<sub>i</sub> in <xref ref-type="fig" rid="fig1">Figure 1I</xref> and thus inconsistent with the plug hypothesis that posits that MICU1 is an obstructing plug of MCU<sub>cx</sub>.</p><p>The expression of EMRE protein (but not MCU) was significantly reduced in MICU1-KO (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1D–F</xref>), as was also shown previously (<xref ref-type="bibr" rid="bib42">Liu et al., 2016</xref>). However, the lower EMRE expression in MICU1-KO was not a limiting factor for <italic>I</italic><sub>Ca</sub>, because EMRE overexpression in MICU1-KO cells did not rescue the <italic>I</italic><sub>Ca</sub> reduction (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1G–I</xref>). Therefore, the <italic>I</italic><sub>Ca</sub> reduction in MICU1-KO was not caused by reduction in MCU or EMRE.</p><p>To better understand the role played by the MICU1 subunit in the function of the MCU<sub>cx</sub>, we used a novel test to characterize the MCU<sub>cx</sub> channel properties independent of Ca<sup>2+</sup> conductance. We used Na<sup>+</sup> current via MCU<sub>cx</sub> (<italic>I</italic><sub>Na</sub>) in the absence of both Ca<sup>2+</sup> and Mg<sup>2+</sup> (using EDTA) (<xref ref-type="bibr" rid="bib19">Fieni et al., 2012</xref>; <xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>), to calibrate <italic>I</italic><sub>Ca</sub> and characterize MCU<sub>cx</sub> as shown in <xref ref-type="fig" rid="fig2">Figure 2C–D</xref>. Here, it is shown that the Na<sup>+</sup> current through MCU<sub>cx</sub> is indistinguishable in magnitude when it is measured in WT and MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig2">Figure 2D</xref>). This provides evidence that the MCU<sub>cx</sub> conductance pathway is the same in WT and MICU1-KO. Nevertheless, when Ca<sup>2+</sup> permeates MCU<sub>cx</sub>, the <italic>I</italic><sub>Ca</sub> in WT is roughly twice that of the current through MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig2">Figure 2E</xref>). Also, the <italic>I</italic><sub>Ca</sub>/<italic>I</italic><sub>Na</sub> ratio as measured in the same mitoplast decreased approximately twice in MICU1-KO in comparison to WT (<xref ref-type="fig" rid="fig2">Figure 2F</xref>). Importantly, the reduction in <italic>I</italic><sub>Ca</sub>/<italic>I</italic><sub>Na</sub> ratio in MICU1-KO could not be explained by altered relative affinities for Ca<sup>2+</sup> and Na<sup>+</sup> binding in the selectivity filter, because <italic>I</italic><sub>Na</sub> was inhibited to the same extent by 2 nM [Ca<sup>2+</sup>]<sub>i</sub> in both WT and MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig2s2">Figure 2—figure supplement 2A and B</xref>). From this we conclude that the MICU1 subunit enhances the MCU current at high [Ca<sup>2+</sup>]<sub>i</sub> and does not occlude the MCU<sub>cx</sub> channel when [Ca<sup>2+</sup>]<sub>i</sub> is low.</p><p>We also reproduced these results in MEFs with intact DRP1 (<italic>Dnm1l<sup>+/+</sup></italic>). In these cells, the amplitudes of <italic>I</italic><sub>Ca</sub> and <italic>I</italic><sub>Na</sub> were the same as in <italic>Dnm1l<sup>-/-</sup></italic> MEFs (<xref ref-type="fig" rid="fig2s3">Figure 2—figure supplement 3A and B</xref>). Similar to MICU1 knockout in <italic>Dnm1l<sup>-/-</sup></italic> MEFs, MICU1 knockout in <italic>Dnm1l<sup>+/+</sup></italic> MEFs did not affect <italic>I</italic><sub>Na</sub> while markedly reduced <italic>I</italic><sub>Ca</sub> (<xref ref-type="fig" rid="fig2s3">Figure 2—figure supplement 3C–E</xref>). Additionally, MICU1-KO reduced the <italic>I</italic><sub>Ca</sub>/<italic>I</italic><sub>Na</sub> ratio, as measured in the same mitoplast, to the similar extent in <italic>Dnm1l<sup>+/+</sup></italic> MEFs (<xref ref-type="fig" rid="fig2s3">Figure 2—figure supplement 3F</xref>). Thus, as expected, Drp1 presence or absence does not affect currents mediated by the MCU complex or the MICU1-KO phenotypes.</p><p>The lack of the MCU<sub>cx</sub> occlusion by MICU1 at low [Ca<sup>2+</sup>]<sub>i</sub> was further tested in intact isolated mitochondria as shown in <xref ref-type="fig" rid="fig2">Figure 2G–I</xref>. In these experiments, we found that depletion of Ca<sup>2+</sup> and Mg<sup>2+</sup> using EDTA enables a Na<sup>+</sup> influx via MCU<sub>cx</sub> that depolarizes ΔΨ<sub>m</sub> (<xref ref-type="fig" rid="fig2">Figure 2G and H</xref>). As shown in <xref ref-type="fig" rid="fig2">Figure 2I</xref>, this influx depolarizes ΔΨ<sub>m</sub> to the same extent whether MICU1 was expressed or not, again showing the lack of MCU<sub>cx</sub> occlusion by MICUs.</p><p>Since in MICU1-KO, all MICUs are removed from the MCU<sub>cx</sub> complex, we conclude that MICUs do not plug the MCU<sub>cx</sub> channel when [Ca<sup>2+</sup>]<sub>i</sub> is low. Instead, the function of MICUs is to potentiate MCU<sub>cx</sub> activity at elevated [Ca<sup>2+</sup>]<sub>i</sub>.</p></sec><sec id="s2-3"><title>Role of the Ca<sup>2+</sup>-binding EF hands of MICUs</title><p>The Ca<sup>2+</sup>-dependent potentiation of MCU<sub>cx</sub> imparted by the MICU subunits is likely to be mediated by Ca<sup>2+</sup> binding to their EF hands. To test this hypothesis, we recombinantly expressed MICU1–3 or MICU1–3 with mutated EF hands (mut-EF-MICU, to disable Ca<sup>2+</sup> binding <xref ref-type="bibr" rid="bib35">Kamer et al., 2017</xref>) in their respective knockout cell lines [<xref ref-type="fig" rid="fig3">Figure 3A</xref>] and examined the changes in <italic>I</italic><sub>Ca</sub>. Expression levels of both the recombinant WT and mut-EF-MICU proteins were significantly higher as compared to endogenous MICUs expression in each case (<xref ref-type="fig" rid="fig3">Figure 3A</xref>).</p><fig-group><fig id="fig3" position="float"><label>Figure 3.</label><caption><title>Effects of MICU subunits and their EF hands on the amplitude, kinetics and rectification of <italic>I</italic><sub>Ca</sub>.</title><p>(<bold>A</bold>) Western blots showing overexpression of MICU subunits or MICU subunits with non-functional EF hands (mut-EF-MICU) in their respective knockout background (<italic>left</italic>, MICU1-KO; <italic>middle</italic>, MICU2-KO and; <italic>right</italic>, MICU3-KO). For MICU1 (<italic>left panel</italic>), samples were prepared without reducing agent, β-mercaptoethanol. The MICU1 band is near the expected molecular weight for the homo- or heterodimer (with MICU2 or 3). (<bold>B–D</bold>) <italic>Upper panels: I</italic><sub>Ca</sub> in MICU1-KO (<bold>B</bold>), MICU2-KO (<bold>C</bold>), and MICU3-KO (<bold>D</bold>) before and after overexpression of a corresponding MICU subunit or its EF hand mutant, as compared to WT. Representative <italic>I</italic><sub>Ca</sub> traces recorded from the mitoplasts of different backgrounds in 1 mM [Ca<sup>2+</sup>]<sub>i</sub> are shown together in a single panel. <italic>Lower panels:</italic> quantification of <italic>I</italic><sub>Ca</sub> amplitudes from the upper panel at −160 mV. The same WT and knockout data were used as in <xref ref-type="fig" rid="fig2">Figure 2B</xref>. All superimposed current traces in a panel are compiled from multiple mitoplasts. Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test. n = 7–26. (<bold>E</bold>) <italic>Left panel: I</italic><sub>Ca</sub> measured at a holding voltage of −100 mV while [Ca<sup>2+</sup>]<sub>i</sub> was rapidly (τ ~0.4 ms, see Materials and methods) switched from virtual zero to 1 mM and then back to virtual zero in WT (<italic>gray</italic>) and MICU1-KO (<italic>purple</italic>) mitoplasts. <italic>Right panel, I</italic><sub>Ca</sub> kinetics within ~10 ms after the fast [Ca<sup>2+</sup>]<sub>i</sub> elevation and subsequent decrease in WT (<italic>gray</italic>) and MICU1-KO (<italic>purple</italic>) mitoplasts from the left panel. <italic>I</italic><sub>Ca</sub> traces were normalized to the maximal amplitude to facilitate comparison of kinetics in WT and MICU1-KO. (<bold>F</bold>) <italic>Left: I</italic><sub>Ca</sub> activation time constant (<italic>τ<sub>activation</sub></italic>) in WT and MICU1-KO; <italic>Right: I</italic><sub>Ca</sub> deactivation time constant (<italic>τ<sub>deactivation</sub></italic>) in WT and MICU1-KO. Data shown as mean ± SEM, n = 3. (<bold>G</bold>) <italic>I</italic><sub>Ca</sub> at [Ca<sup>2+</sup>]<sub>m</sub> = 2 mM and indicated [Ca<sup>2+</sup>]<sub>i</sub> in WT and MICU1-KO. Black arrows point out where the amplitude of outward <italic>I</italic><sub>Ca</sub> was measured. Bar-graph shows the amplitude of outward <italic>I</italic><sub>Ca</sub> measured at +80 mV. All superimposed current traces in a single panel are from the same mitoplast. Data shown as mean ± SEM, n = 3, each [Ca<sup>2+</sup>]<sub>i</sub>.</p><p><supplementary-material id="fig3sdata1"><label>Figure 3—source data 1.</label><caption><title>Raw western blot image for panel A.</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig3-data1-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig3sdata2"><label>Figure 3—source data 2.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig3">Figure 3</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig3-data2-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig3-v2.tif"/></fig><fig id="fig3s1" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 1.</label><caption><title>Matrix Ca<sup>2+</sup> does not regulate <italic>I</italic><sub>Ca</sub>.</title><p>(<bold>A</bold>) Western blots showing the expression levels of MICU1 (<italic>upper panel</italic>), as well as MCU, MICU3, and EMRE (<italic>lower panel</italic>) in WT and MICU2-KO cells. For detection of MICU1 near the expected molecular weight for a dimer (with or without MICU2), samples were prepared in Laemmli buffer without β-mercaptoethanol. n = 3–6 independent samples. (<bold>B</bold>) <italic>I</italic><sub>Ca</sub> amplitudes at 0, 400 nM or 400 μM [Ca<sup>2+</sup>]<sub>m</sub>. <italic>I</italic><sub>Ca</sub> was measured at −160 mV, and in different [Ca<sup>2+</sup>]<sub>i</sub> as indicated. Data shown as mean ± SEM; one-way ANOVA with post-hoc Tukey test, n = 3–5. (<bold>C</bold>) Inward <italic>I</italic><sub>Ca</sub> in the presence of 0 (<italic>left</italic>), 400 nM (<italic>middle</italic>), and 400 μM (<italic>right</italic>) [Ca<sup>2+</sup>]<sub>m</sub> (pipette solution). [Ca<sup>2+</sup>]<sub>i</sub> was 100 μM, 1 mM, or 5 mM. All superimposed current traces in a single panel are from the same mitoplast.</p><p><supplementary-material id="fig3s1sdata1"><label>Figure 3—figure supplement 1—source data 1.</label><caption><title>Raw western blot image for panel A (<italic>Upper</italic>).</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig3-figsupp1-data1-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata2"><label>Figure 3—figure supplement 1—source data 2.</label><caption><title>Raw western blot image for panel A (<italic>Lower</italic>).</title></caption><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-fig3-figsupp1-data2-v2.pdf"/></supplementary-material></p><p><supplementary-material id="fig3s1sdata3"><label>Figure 3—figure supplement 1—source data 3.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig3-figsupp1-data3-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig3-figsupp1-v2.tif"/></fig><fig id="fig3s2" position="float" specific-use="child-fig"><label>Figure 3—figure supplement 2.</label><caption><title>Fast solution stepping with the solution exchange system.</title><p>Changes in current when the solution perfusing the mouth of an open patch pipette (filled with 1M KCl) is switched from 20 mM NaCl (low ionic strength) to a solution with 100 mM NaCl (high ionic strength). These solutions were perfused via adjacent barrels of a thinly pulled theta style capillary tubing. The time constant for the change in current amplitude is of the order of 0.4 ms.</p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig3-figsupp2-v2.tif"/></fig></fig-group><p>In MICU1-KO, expression of MICU1 was able to restore <italic>I</italic><sub>Ca</sub> to the WT level, but mut-EF-MICU1 expression failed to do so (<xref ref-type="fig" rid="fig3">Figure 3B</xref>). This confirms our hypothesis that Ca<sup>2+</sup> binding to the EF hands of MICU1 is indispensable for the <italic>I</italic><sub>Ca</sub> potentiation.</p><p>In MICU2-KO, <italic>I</italic><sub>Ca</sub> was not significantly affected (<xref ref-type="fig" rid="fig3">Figure 3C</xref>, and <xref ref-type="fig" rid="fig2">Figure 2A and B</xref>), because the loss of MICU2 appeared to be compensated with increased MICU1 expression and formation of MICU1 homodimers (<xref ref-type="bibr" rid="bib56">Patron et al., 2014</xref>; <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1A</xref>). Therefore, overexpression of recombinant MICU2 in the knockout background only reverted the MICU1 homodimer back to heterodimer without any change in the <italic>I</italic><sub>Ca</sub> amplitude (<xref ref-type="fig" rid="fig3">Figure 3C</xref>). In contrast, mut-EF-MICU2 overexpression displaced MICU1 from the homodimers in favor of MICU1/mut-EF-MICU2 heterodimer, leading to a decrease in the total number of functional EF hands in the heterodimer. This results in a significant decrease in MICU-dependent <italic>I</italic><sub>Ca</sub> potentiation (<xref ref-type="fig" rid="fig3">Figure 3C</xref>). These functional data, combined with biochemical/structural evidence for preferential formation of MICU1/MICU2 heterodimers (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib56">Patron et al., 2014</xref>; <xref ref-type="bibr" rid="bib59">Petrungaro et al., 2015</xref>; <xref ref-type="bibr" rid="bib71">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="bib72">Wang et al., 2020a</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>; <xref ref-type="bibr" rid="bib78">Xing et al., 2019</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>), suggest that MICU2, along with MICU1, is responsible for allosteric potentiation of MCU upon binding of cytosolic Ca<sup>2+</sup> to their EF hands.</p><p>The composition of MICU dimers can also be affected by MICU3 that, similar to MICU2, was proposed to interact and form heterodimers with MICU1 (<xref ref-type="bibr" rid="bib57">Patron et al., 2019</xref>; <xref ref-type="bibr" rid="bib60">Plovanich et al., 2013</xref>). MICU3 is a minor protein as compared to MICU1 and 2 in the majority of tissues and cell lines (<xref ref-type="bibr" rid="bib57">Patron et al., 2019</xref>), which also appears to be the case in our system (<xref ref-type="fig" rid="fig3">Figure 3A</xref>). Accordingly, <italic>I</italic><sub>Ca</sub> was not affected in MICU3-KO mitoplasts, and overexpression of recombinant MICU3 or mut-EF-MICU3 in MICU3-KO also had no effect on <italic>I</italic><sub>Ca</sub> (<xref ref-type="fig" rid="fig3">Figure 3D</xref>). MICU3 is profoundly expressed in neurons where it was shown to increase the efficiency of mitochondrial Ca<sup>2+</sup> uptake in axons (<xref ref-type="bibr" rid="bib2">Ashrafi et al., 2020</xref>).</p><p>Ca<sup>2+</sup> binding to the EF hands of MICU subunits and a subsequent conformational change that potentiates the MCU<sub>cx</sub> activity require a finite time and may delay <italic>I</italic><sub>Ca</sub> activation/deactivation in response to rapid changes in [Ca<sup>2+</sup>]<sub>i</sub>. Therefore, we examined <italic>I</italic><sub>Ca</sub> activation and deactivation kinetics in response to rapid changes in [Ca<sup>2+</sup>]<sub>i</sub> and tested whether they depend on MICUs. <italic>I</italic><sub>Ca</sub> activation upon rapid elevation of [Ca<sup>2+</sup>]<sub>i</sub> from virtually Ca<sup>2+</sup>-free to 1 mM was immediate, with kinetics comparable to the rate of solution exchange (τ ~0.4 ms) achieved by our fast application system (<xref ref-type="fig" rid="fig3">Figure 3E</xref>, and <xref ref-type="fig" rid="fig3s2">Figure 3—figure supplement 2</xref>). Importantly, the kinetics of the <italic>I</italic><sub>Ca</sub> rapid response was not altered in MICU1-KO (<xref ref-type="fig" rid="fig3">Figure 3E and F</xref>). The deactivation kinetics was similarly fast and not dependent on MICU1 (<xref ref-type="fig" rid="fig3">Figure 3E and F</xref>). The result of these experiments correspond to the previous observation that EF hands of calmodulin bind Ca<sup>2+</sup> with a µs time constant (<xref ref-type="bibr" rid="bib16">Faas et al., 2011</xref>). The conclusion from these experiments is that the kinetics of Ca<sup>2+</sup> binding to the MICU’s EF hands, and the resultant conformational change in the MCU<sub>cx</sub>, are fast enough that MICUs and mitochondria will rapidly track changes in [Ca<sup>2+</sup>]<sub>i</sub>.</p><p>The MCU<sub>cx</sub> is an inward rectifying Ca<sup>2+</sup> channel (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). However, it remains unclear if the MICUs contribute to this feature. To examine this possibility, we measured <italic>I</italic><sub>Ca</sub> in the presence of 2 mM [Ca<sup>2+</sup>]<sub>m</sub> (pipette solution). Under these conditions, no outward <italic>I</italic><sub>Ca</sub> was observed either before or after [Ca<sup>2+</sup>]<sub>i</sub> elevation in either WT or MICU1-KO. However, as expected, 1 mM [Ca<sup>2+</sup>]<sub>i</sub> induced a robust inward <italic>I</italic><sub>Ca</sub> (<xref ref-type="fig" rid="fig3">Figure 3G</xref>). Thus, the MICUs do not appear to be responsible for the inward rectification of MCU<sub>cx</sub>, and the inward rectification is an inherent property of the pore proteins.</p><p>Recently published work suggested that MCU<sub>cx</sub> might be inhibited by matrix [Ca<sup>2+</sup>] (<xref ref-type="bibr" rid="bib68">Vais et al., 2016</xref>; <xref ref-type="bibr" rid="bib69">Vais et al., 2020</xref>), specifically at [Ca<sup>2+</sup>]<sub>m</sub> ~400 nM. However, as shown in <xref ref-type="fig" rid="fig3s1">Figure 3—figure supplement 1B–C</xref>, <italic>I</italic><sub>Ca</sub> amplitude is unchanged when [Ca<sup>2+</sup>]<sub>m</sub> was set at either Ca<sup>2+</sup>-free, or 400 nM, or 400 µM. Thus, the MCU<sub>cx</sub> is not regulated by matrix Ca<sup>2+</sup>, and MICUs only impart the regulation of the MCU<sub>cx</sub> by cytosolic Ca<sup>2+</sup>.</p><p>Taken together, these data indicate that binding of cytosolic Ca<sup>2+</sup> to EF hands of MICU subunits allosterically potentiates MCU<sub>cx</sub> currents.</p></sec><sec id="s2-4"><title>MICUs regulate the open state probability of MCU<sub>cx</sub> channel</title><p>To investigate the mechanism by which Ca<sup>2+</sup>-bound MICU subunits potentiate <italic>I</italic><sub>Ca</sub>, we examined the activity of single MCU<sub>cx</sub> channels in inside-out (matrix-side out) IMM patches (<xref ref-type="fig" rid="fig4">Figure 4</xref>). Because the unitary MCU<sub>cx</sub> current (<italic>i</italic><sub>Ca</sub> via a single MCU<sub>cx</sub> channel) is very small if measured in physiological [Ca<sup>2+</sup>]<sub>i</sub>, it must be recorded at high [Ca<sup>2+</sup>]<sub>i</sub> = 105 mM to enable proper resolution (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). As desired for this experiment, using this [Ca<sup>2+</sup>]<sub>i</sub>, the EF hand domains of the MICU subunits are fully saturated with Ca<sup>2+</sup>.</p><fig id="fig4" position="float"><label>Figure 4.</label><caption><title>Open probability of the MCU channel in the presence of cytosolic Ca<sup>2+</sup> is decreased in MICU1-KO.</title><p>(<bold>A and B</bold>) MCU single-channel Ca<sup>2+</sup> currents (<italic>i</italic><sub>Ca</sub>) from inside-out IMM patches in WT (<bold>A</bold>) and MICU1-KO (<bold>B</bold>), recorded at indicated potentials in symmetrical 105 mM Ca<sup>2+</sup>, and low-pass filtered at 0.3 kHz for display purposes. Arrows indicate closed-state level, and downward deflections are the open-state events. Multiple subconductance levels are clearly visible at −80 and −120 mV. (<bold>C–E</bold>) Single-channel amplitudes (<bold>C</bold>), open probability (<italic>P</italic><sub>o</sub>) (<bold>D</bold>), and time-averaged unitary current (<bold>E</bold>) (see Methods) in WT and MICU1-KO at indicated potentials. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 5–6.</p><p><supplementary-material id="fig4sdata1"><label>Figure 4—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig4">Figure 4</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig4-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig4-v2.tif"/></fig><p>MCU<sub>cx</sub> exhibits multiple levels of single channel conductance (<xref ref-type="fig" rid="fig4">Figure 4A–C</xref>; <xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). The sub-conductances can be observed at all tested voltages (−40,–80, and −120 mV), but their resolution improves as the transmembrane voltage, and the amplitude of single-channel currents increase. It is clear that the open probability (<italic>P</italic><sub>o</sub>) of the MCU<sub>cx</sub> is increased by the hyperpolarization of the IMM as was also shown previously (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). At −120 mV there are full-sized stochastic openings of MCU<sub>cx</sub> as well as sub-conductance openings at ~80% and ~60% of the amplitude of the fully open <italic>i</italic><sub>Ca</sub> (<xref ref-type="fig" rid="fig4">Figure 4A–C</xref>). Because similar amplitude levels were observed in all the patches, we conclude that these events represent genuine sub-conductances in the MCU<sub>cx</sub> channel.</p><p>There was no difference in the single channel amplitude between control and MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig4">Figure 4C</xref>). However, we found that the single-channel open probability (<italic>P</italic><sub>o</sub>) was significantly decreased ~2–3 fold in MICU1-KO versus WT mitoplasts, depending on the transmembrane voltage (<xref ref-type="fig" rid="fig4">Figure 4D</xref>). As a result, the time-averaged current contributed by a single MCU<sub>cx</sub> channel differs significantly between control and MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig4">Figure 4E</xref>), thus mirroring and explaining the effect of MICU1 knockout on the amplitude of the whole mitoplast <italic>I</italic><sub>Ca</sub> (<xref ref-type="fig" rid="fig2">Figure 2B</xref>).</p><p>We next recorded MCU<sub>cx</sub> single channel activity using Na<sup>+</sup> as the permeating ion (<italic>i</italic><sub>Na</sub>), in nominally Ca<sup>2+</sup>-free conditions (MICUs in Ca<sup>2+</sup>-free state) (<xref ref-type="fig" rid="fig5">Figure 5A and B</xref>). Similar to our findings with Ca<sup>2+</sup> as the permeant ion, there were multiple conductance states (i.e. sub-conductances) when Na<sup>+</sup> was the permeant ion. These sub-conductance states were the same in WT and MICU1-KO (<xref ref-type="fig" rid="fig5">Figure 5C</xref>). However, in contrast to <italic>i</italic><sub>Ca</sub>, there were no significant differences in the open probability of <italic>i</italic><sub>Na</sub> between WT and MICU1-KO when Na<sup>+</sup> was the permeating ion (<xref ref-type="fig" rid="fig5">Figure 5D</xref>). Accordingly, there was no difference in the time-averaged currents contributed by a single MCU<sub>cx</sub> channel in control and MICU1-KO mitoplasts (<xref ref-type="fig" rid="fig5">Figure 5E</xref>). This correlates well with the absence of differences in amplitude of the whole mitoplast MCU currents when Na<sup>+</sup> was the permeant ion for these two genotypes (<xref ref-type="fig" rid="fig2">Figure 2D</xref>).</p><fig id="fig5" position="float"><label>Figure 5.</label><caption><title>Open probability of the MCU channel in the absence of Ca<sup>2+</sup> remains unchanged in MICU1-KO.</title><p>(<bold>A and B</bold>) MCU single-channel Na<sup>+</sup> currents (<italic>i</italic><sub>Na</sub>) from inside-out IMM patches in WT (<bold>A</bold>) and MICU1-KO (<bold>B</bold>), recorded at indicated potentials in symmetrical 150 mM Na<sup>+</sup>, and low-pass filtered at 0.3 kHz for display purposes. Arrows indicate closed-state level, and downward deflections are the open-state events. Multiple subconductance levels are clearly visible at all potentials. (<bold>C–E</bold>) Single-channel amplitudes (<bold>C</bold>), open probability (<italic>P</italic><sub>o</sub>) (<bold>D</bold>), and time-averaged unitary current (<bold>E</bold>) (see Methods) in WT and MICU1-KO at indicated potentials. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 6–7.</p><p><supplementary-material id="fig5sdata1"><label>Figure 5—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig5">Figure 5</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig5-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig5-v2.tif"/></fig><p>These results demonstrate that in the Ca<sup>2+</sup>-bound state, the MICUs potentiate MCU current by increasing the open probability of the MCU/EMRE pore. In the absence of Ca<sup>2+</sup>, the MICUs do not appear to affect the pore activity.</p></sec><sec id="s2-5"><title>MCU<sub>cx</sub> Mn<sup>2+</sup> conductance</title><p>While manganese (Mn<sup>2+</sup>) is essential for the proper function of several mitochondrial enzymes, its excessive accumulation inhibits oxidative phosphorylation and causes toxicity (<xref ref-type="bibr" rid="bib27">Gunter and Pfeiffer, 1990</xref>). MCU<sub>cx</sub> appears to be the primary entry pathway for Mn<sup>2+</sup> entry into mitochondria (<xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>). Recently, it has been suggested that MICU1 is responsible for the relatively low permeability of MCU<sub>cx</sub> for Mn<sup>2+</sup> as compared to Ca<sup>2+</sup>, and when MICU1 deficiency or loss-of-function occurs, it can lead to excessive mitochondrial Mn<sup>2+</sup> accumulation and cellular toxicity (<xref ref-type="bibr" rid="bib36">Kamer et al., 2018</xref>; <xref ref-type="bibr" rid="bib75">Wettmarshausen et al., 2018</xref>).</p><p>We recorded the current carried by Mn<sup>2+</sup> through MCU<sub>cx</sub> (<italic>I</italic><sub>Mn</sub>) in the presence of 5 mM [Mn<sup>2+</sup>]<sub>i</sub>. <italic>I</italic><sub>Mn</sub> disappeared in MCU-KO and EMRE-KO, confirming that Mn<sup>2+</sup> current was solely mediated by MCU<sub>cx</sub> (<xref ref-type="fig" rid="fig6">Figure 6A–C</xref>). <italic>I</italic><sub>Mn</sub> was significantly smaller (~7-fold) than <italic>I</italic><sub>Ca</sub> via MCU<sub>cx</sub>, as was also shown previously (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>; <xref ref-type="fig" rid="fig6">Figure 6D and E</xref>). Interestingly, in MICU1-KO, <italic>I</italic><sub>Mn</sub> and <italic>I</italic><sub>Ca</sub> were reduced to a similar extent (<xref ref-type="fig" rid="fig6">Figure 6F–H</xref>). Moreover, even the ratio between <italic>I</italic><sub>Mn</sub> and <italic>I</italic><sub>Ca</sub> calculated from the same mitoplast (<italic>I</italic><sub>Mn</sub>/<italic>I</italic><sub>Ca</sub>) was not affected in MICU1-KO (<xref ref-type="fig" rid="fig6">Figure 6I</xref>). Two important conclusions follow from these observations. First, MICU1 does not differentially regulate <italic>I</italic><sub>Mn</sub> and <italic>I</italic><sub>Ca</sub>. Second, MICU1 potentiates MCU<sub>cx</sub> in the presence of both Mn<sup>2+</sup> and Ca<sup>2+</sup>. These results are in contrast to a popular model in which MICUs occlude MCU<sub>cx</sub>, and that this occlusion is relieved only by Ca<sup>2+</sup> but not by Mn<sup>2+</sup> (<xref ref-type="bibr" rid="bib36">Kamer et al., 2018</xref>; <xref ref-type="bibr" rid="bib75">Wettmarshausen et al., 2018</xref>). However, our results are in agreement with important earlier studies which found that cytosolic Mn<sup>2+</sup> allosterically stimulates mitochondrial Ca<sup>2+</sup> uptake just like Ca<sup>2+</sup> (<xref ref-type="bibr" rid="bib1">Allshire et al., 1985</xref>; <xref ref-type="bibr" rid="bib32">Hughes and Exton, 1983</xref>; <xref ref-type="bibr" rid="bib39">Kröner, 1986</xref>; <xref ref-type="bibr" rid="bib70">Vinogradov and Scarpa, 1973</xref>).</p><fig id="fig6" position="float"><label>Figure 6.</label><caption><title><italic>I</italic><sub>Mn</sub> is reduced in MICU1-KO to the similar extent as <italic>I</italic><sub>Ca</sub>.</title><p>(<bold>A and B</bold>) Representative inward <italic>I</italic><sub>Mn</sub> in WT (<bold>A</bold>), MCU-KO (<italic>upper panel</italic>) and EMRE-KO (<italic>lower panel</italic>, <bold>B</bold>) mitoplasts at 5 mM [Mn<sup>2+</sup>]<sub>i</sub>. All superimposed current traces in a single panel are from the same mitoplast. (<bold>C</bold>) <italic>I</italic><sub>Mn</sub> measured at −160 mV from WT, MCU-KO and EMRE-KO mitoplasts. Data shown as mean ± SEM. (n = 3–6). (<bold>D</bold>) MCU current amplitude (<italic>I</italic><sub>MCU</sub>) in the presence of 5 mM [Ca<sup>2+</sup>]<sub>i</sub> and 5 mM [Mn<sup>2+</sup>]<sub>i</sub> in WT mitoplasts. Currents were measured at −160 mV. Data shown as mean ± SEM; unpaired t-test, two-tailed. n = 6–14. (<bold>E and F</bold>) Representative <italic>I</italic><sub>Ca</sub> (<italic>blue</italic>, [Ca<sup>2+</sup>]<sub>I</sub> = 1 mM), <italic>I</italic><sub>Mn</sub> (<italic>green</italic>, [Mn<sup>2+</sup>]<sub>I</sub> = 5 mM) and inhibition of <italic>I</italic><sub>Ca</sub> by Mn<sup>2+</sup> (<italic>red</italic>, [Ca<sup>2+</sup>]<sub>I</sub> = 1 mM and [Mn<sup>2+</sup>]<sub>I</sub> = 1 mM) as recorded from the same mitoplast in WT (<bold>E</bold>) and MICU1-KO (<bold>F</bold>). All superimposed current traces in a single panel are from the same mitoplast. (<bold>G–J</bold>) <italic>I</italic><sub>Mn</sub> (<bold>G</bold>), <italic>I</italic><sub>Ca</sub> (<bold>H</bold>), <italic>I</italic><sub>Mn</sub>/<italic>I</italic><sub>Ca</sub> ratio (I, measured in the same mitoplast), and inhibition of <italic>I</italic><sub>Ca</sub> by 1 mM [Mn<sup>2+</sup>]<sub>i</sub> (<bold>J</bold>) in WT and MICU1-KO. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 3–11. (<bold>K</bold>) Proposed model of the MCU complex gating and the role of MICU subunits in Ca<sup>2+</sup>-dependent potentiation of the MCU current. The MCU complex is a constitutively active channel and the level of its activity is determined by the probability of open state (<italic>P</italic><sub>o</sub>). At resting [Ca<sup>2+</sup>]<sub>i</sub>, <italic>P</italic><sub>o</sub> is low. As [Ca<sup>2+</sup>]<sub>i</sub> is increased and Ca<sup>2+</sup> binds to the EF hands of MICU subunits, MICUs increase <italic>P</italic><sub>o</sub>, resulting in the increase in the MCU activity.</p><p><supplementary-material id="fig6sdata1"><label>Figure 6—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig6">Figure 6</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig6-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig6-v2.tif"/></fig><p>We further sought to explain why <italic>I</italic><sub>Mn</sub> via MCU<sub>cx</sub> is smaller than <italic>I</italic><sub>Ca</sub>. In the presence of Mn<sup>2+</sup>, <italic>I</italic><sub>Ca</sub> was decreased (<xref ref-type="fig" rid="fig6">Figure 6E</xref>). This decrease was the same in MICU1-KO demonstrating that it was a pore effect (<xref ref-type="fig" rid="fig6">Figure 6F and J</xref>). This suggests that Mn<sup>2+</sup> slows down Ca<sup>2+</sup> permeation simply because it dwells in the pore longer than Ca<sup>2+</sup> due to tighter binding (<xref ref-type="bibr" rid="bib41">Lansman et al., 1986</xref>). The higher affinity of Mn<sup>2+</sup> to the pore and the longer dwell time also explains why <italic>I</italic><sub>Mn</sub> is smaller than <italic>I</italic><sub>Ca</sub>.</p><p>Thus, the <italic>I</italic><sub>Ca</sub> and <italic>I</italic><sub>Mn</sub> phenotypes of MICU1-KO are the same, and MICU1 does not determine the preference of MCU<sub>cx</sub> for Ca<sup>2+</sup> over Mn<sup>2+</sup>. Permeation of both Ca<sup>2+</sup> and Mn<sup>2+</sup> is enhanced, rather than inhibited by MICU1.</p></sec><sec id="s2-6"><title>Mg<sup>2+</sup> occludes the MCU<sub>cx</sub> pore independently of MICU1</title><p>Mg<sup>2+</sup>, the most abundant cytosolic divalent ion, is an important negative regulator of MCU<sub>cx</sub>-mediated mitochondrial Ca<sup>2+</sup> uptake (<xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>; <xref ref-type="bibr" rid="bib33">Hutson et al., 1976</xref>). However, the mechanism of the inhibitory action of Mg<sup>2+</sup> on MCU<sub>cx</sub> is poorly understood. Our previous study suggested that in Ca<sup>2+</sup>-free conditions, Mg<sup>2+</sup> occludes the MCU<sub>cx</sub> pore for Na<sup>+</sup> permeation (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). Here, we investigate how Mg<sup>2+</sup> affects Ca<sup>2+</sup> conduction through MCU<sub>cx</sub>.</p><p>We first studied how cytosolic Mg<sup>2+</sup> affects activation of <italic>I</italic><sub>Ca</sub> by [Ca<sup>2+</sup>]<sub>i</sub> (<xref ref-type="fig" rid="fig7">Figure 7A and B</xref>). The results of these experiments clearly demonstrated that <italic>I</italic><sub>Ca</sub> is inhibited in the presence of Mg<sup>2+</sup>, and that this inhibition was primarily prominent in the lower range of micromolar [Ca<sup>2+</sup>]<sub>i</sub> (<xref ref-type="fig" rid="fig7">Figure 7B</xref>). Thus, we specifically tested the effect of [Mg<sup>2+</sup>]<sub>i</sub> in this range of [Ca<sup>2+</sup>]<sub>i</sub> by recording <italic>I</italic><sub>Ca</sub> at 30 μM [Ca<sup>2+</sup>]. In these experiments, we found that <italic>I</italic><sub>Ca</sub> in the WT MCU<sub>cx</sub> remains about double the <italic>I</italic><sub>Ca</sub> in MICU1-KO whether [Mg<sup>2+</sup>] is 200 μM or 0 (<xref ref-type="fig" rid="fig7">Figure 7C</xref>). Thus, these data suggest that the potentiating effect that MICU1 exerts on MCU<sub>cx</sub> does not depend on [Mg<sup>2+</sup>]. Furthermore, as shown in <xref ref-type="fig" rid="fig7">Figure 7D</xref>, Mg<sup>2+</sup> inhibits <italic>I</italic><sub>Ca</sub> with similar <italic>IC</italic><sub>50</sub> in WT (149 ± 20 μM) and MICU1-KO (156 ± 20 μM). Taken together, these findings indicate that Mg<sup>2+</sup> exerted its inhibitory effect at the MCU<sub>cx</sub> pore (<xref ref-type="fig" rid="fig7">Figure 7C and D</xref>) and not through the MICUs. The pronounced competitive nature of the Mg<sup>2+</sup> inhibition (<xref ref-type="fig" rid="fig7">Figure 7B</xref>) suggests that Mg<sup>2+</sup> binds within the MCU<sub>cx</sub> selectivity filter formed by Asp and Glu residues (<xref ref-type="bibr" rid="bib3">Baradaran et al., 2018</xref>; <xref ref-type="bibr" rid="bib17">Fan et al., 2018</xref>; <xref ref-type="bibr" rid="bib51">Nguyen et al., 2018</xref>; <xref ref-type="bibr" rid="bib79">Yoo et al., 2018</xref>). Mg<sup>2+</sup> is a smaller divalent cation than Ca<sup>2+</sup>, and it is more difficult for Mg<sup>2+</sup> to shed its hydration shell to fit into a narrow high-affinity Ca<sup>2+</sup> binding site formed by Glu (site 2). However, Mg<sup>2+</sup> could bind to the outermost and wider Asp binding site (site 1) of the selectivity filter even with a hydration shell. Such Mg<sup>2+</sup> binding would not allow Mg<sup>2+</sup> permeation, but would occlude the pore.</p><fig id="fig7" position="float"><label>Figure 7.</label><caption><title>The inhibitory effect of Mg<sup>2+</sup> on MCU<sub>cx</sub> does not depend on MICU1.</title><p>(<bold>A</bold>) Inward <italic>I</italic><sub>Ca</sub> elicited at indicated [Ca<sup>2+</sup>]<sub>i</sub> in the presence of 0 (<italic>left</italic>) and 1000 μM (<italic>right</italic>) [Mg<sup>2+</sup>]<sub>i</sub> in WT mitoplasts. (<bold>B</bold>) <italic>I</italic><sub>Ca</sub> elicited at indicated [Ca<sup>2+</sup>]<sub>i</sub> in the presence of 0 and 1000 μM [Mg<sup>2+</sup>]<sub>i</sub>. <italic>I</italic><sub>Ca</sub> amplitudes were measured at −160 mV in WT mitoplasts and normalized per <italic>I</italic><sub>Ca</sub> at [Mg<sup>2+</sup>]<sub>i</sub> = 0. Mean ± SEM; unpaired t-test, two-tailed. (<bold>C</bold>) Quantification of <italic>I</italic><sub>Ca</sub> elicited at 30 μm [Ca<sup>2+</sup>]<sub>i</sub> in the presence of 0 and 200 μM [Mg<sup>2+</sup>]<sub>i</sub> in WT and MICU1-KO. Currents were measured at −160 mV. Data shown as mean ± SEM; unpaired t-test, two-tailed, n = 5–6. (<bold>D</bold>) Dose-response curve of <italic>I</italic><sub>Ca</sub> inhibition by [Mg<sup>2+</sup>]<sub>i</sub> in WT (<italic>IC</italic><sub>50</sub> = 149 ± 20 μM, <italic>n</italic><sub>H</sub> = 0.9 ± 0.1; n = 5) and MICU1-KO (<italic>IC</italic><sub>50</sub> = 156 ± 21 μM, <italic>n</italic><sub>H</sub> = 0.7 ± 0.1; n = 4). Mean ± SEM; unpaired t-test, two-tailed.</p><p><supplementary-material id="fig7sdata1"><label>Figure 7—source data 1.</label><caption><title>Dataset values for <xref ref-type="fig" rid="fig7">Figure 7</xref>.</title></caption><media mime-subtype="xlsx" mimetype="application" xlink:href="elife-69312-fig7-data1-v2.xlsx"/></supplementary-material></p></caption><graphic mime-subtype="tiff" mimetype="image" xlink:href="elife-69312-fig7-v2.tif"/></fig><p>In conclusion, Mg<sup>2+</sup> is an MCU<sub>cx</sub> pore blocker that at the resting [Ca<sup>2+</sup>]<sub>i</sub>, would strongly compete with Ca<sup>2+</sup> for binding to the selectivity filter, limiting Ca<sup>2+</sup> permeation. The Mg<sup>2+</sup> occlusion of the MCU<sub>cx</sub> pore can at least partially explain low mitochondrial Ca<sup>2+</sup> uptake at resting [Ca<sup>2+</sup>]<sub>i</sub>.</p></sec></sec><sec id="s3" sec-type="discussion"><title>Discussion</title><p>In summary, we demonstrate that the primary function of MICU subunits is to potentiate the activity of the MCU<sub>cx</sub> as cytosolic Ca<sup>2+</sup> is elevated and binds to MICU’s EF hands. This potentiation would result in efficient stimulation of the mitochondrial ATP production in response to cytosolic Ca<sup>2+</sup> signaling events, when energy demand is increased as shown in neurons (<xref ref-type="bibr" rid="bib2">Ashrafi et al., 2020</xref>) and heart (<xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>). Although at low [Ca<sup>2+</sup>]<sub>i</sub>, MICU1-KO mitochondria appear to have higher Ca<sup>2+</sup> uptake in comparison to WT, we find no evidence of a plug that blocks ion permeation via MCU<sub>cx</sub>. On the other hand, at high [Ca<sup>2+</sup>]<sub>i</sub>, the uptake was lower in MICU1-KO, which we demonstrate by the patch clamp analysis is due to loss of MICU-mediated potentiation of MCU<sub>cx</sub>. Mechanistically, at low [Ca<sup>2+</sup>]<sub>i</sub> the MCU<sub>cx</sub> channel is open in a lower open probability mode, but as [Ca<sup>2+</sup>]<sub>i</sub> is elevated, MICUs increase MCU<sub>cx</sub> open state probability, potentiating its activity (<xref ref-type="fig" rid="fig6">Figure 6K</xref>). MICUs are likely to achieve this effect by interacting with EMRE that is predicted to control the gating of the MCU pore (<xref ref-type="bibr" rid="bib71">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). We also show that the inward rectification property of MCU<sub>cx</sub> is independent of MICUs. Lastly, in contrast to the previous report (<xref ref-type="bibr" rid="bib68">Vais et al., 2016</xref>), we found no evidence for the regulation of MCU<sub>cx</sub> activity by matrix [Ca<sup>2+</sup>].</p><sec id="s3-1"><title>Regulation of MCU<sub>cx</sub> function by cytosolic [Ca<sup>2+</sup>]</title><p>Assuming that <italic>K</italic><sub>d</sub> for Ca<sup>2+</sup> binding to MICU EF hands is ~600 nM (<xref ref-type="bibr" rid="bib35">Kamer et al., 2017</xref>), MICUs would exert their potentiating effect over a broad range of physiological [Ca<sup>2+</sup>]<sub>i</sub> that range from resting to low micromolar. By doing so, MICUs can help the MCU<sub>cx</sub> to overcome the mitochondrial Ca<sup>2+</sup> efflux machinery and to elevate [Ca<sup>2+</sup>]<sub>m</sub> to achieve adequate stimulation of the mitochondrial ATP production. In previous reports, there has been significant inconsistency as to the proposed effect of MICU1 on mitochondrial Ca<sup>2+</sup> uptake at high [Ca<sup>2+</sup>]<sub>i</sub> (<xref ref-type="supplementary-material" rid="supp1">Supplementary file 1a and b</xref>). For example, mitochondrial Ca<sup>2+</sup> uptake rate appears to be decreased in isolated liver mitochondria from mice following siRNA-mediated knockdown of MICU1 or MICU2 in an earlier study (<xref ref-type="bibr" rid="bib60">Plovanich et al., 2013</xref>). Another study (<xref ref-type="bibr" rid="bib12">Csordás et al., 2013</xref>) also showed decreased uptake rates when MICU1 was knocked down in HeLa cells and hepatocytes leading authors to propose that MICU1 contributes to the cooperative activation of MCU<sub>cx</sub>, but the effect was mild and it disappeared in the absence of Mg<sup>2+</sup>. On the other hand, many reports (<xref ref-type="bibr" rid="bib36">Kamer et al., 2018</xref>; <xref ref-type="bibr" rid="bib43">Logan et al., 2014</xref>; <xref ref-type="bibr" rid="bib46">Mallilankaraman et al., 2012a</xref>; <xref ref-type="bibr" rid="bib68">Vais et al., 2016</xref>) showed no change in MCU activity upon MICU1 loss at high [Ca<sup>2+</sup>]<sub>i</sub> but only alteration in the threshold for mitochondrial Ca<sup>2+</sup> uptake. However, a recent study again showed a decrease in Ca<sup>2+</sup> uptake in isolated liver mitochondria in MICU1-KO mouse relative to WT (<xref ref-type="bibr" rid="bib42">Liu et al., 2016</xref>). This correlates well with our data showing direct potentiation of the MCU<sub>cx</sub> activity by MICU1. Thus, the potentiating effect of MICUs on the MCU<sub>cx</sub> was discernible in the previous research but was largely rejected due to the predominant view that the primary function of MICUs is to occlude the MCU<sub>cx</sub> pore.</p><p>Our data is incompatible with the model in which MICUs occlude the MCU pore at low [Ca<sup>2+</sup>]<sub>i</sub> and impart a [Ca<sup>2+</sup>]<sub>i</sub> activation threshold on the MCU<sub>cx</sub>. This model explains the increase of mitochondrial Ca<sup>2+</sup> accumulation at resting [Ca<sup>2+</sup>]<sub>i</sub> in MICU1-KO to ‘unblocking’ of MCU<sub>cx</sub>. However, in this concentration range, the MCU<sub>cx</sub> activity is so slow that the mitochondrial Ca<sup>2+</sup> accumulation is definitely influenced by many other factors. Among other possibilities, one can speculate that mitochondrial Ca<sup>2+</sup> efflux, matrix Ca<sup>2+</sup> buffering, matrix pH and permeability of the outer mitochondrial membrane might be altered in MICU1-KO to facilitate mitochondrial Ca<sup>2+</sup> accumulation at low [Ca<sup>2+</sup>]<sub>i</sub>.</p><p>Because these multiple factors can be affected by MICU1-KO differently in different experimental system and conditions, the change in the threshold can vary from one system to another. In <italic>Trypanosoma cruzi</italic>, where the composition of the MCU complex (including EMRE and MICU1) is similar to mammals, MICU1 knockout causes an increase in the Ca<sup>2+</sup> uptake ‘threshold’ and a marked decrease in Ca<sup>2+</sup> uptake capacity at all [Ca<sup>2+</sup>]<sub>i</sub> (<xref ref-type="bibr" rid="bib7">Bertolini et al., 2019</xref>). A recent report also found no apparent [Ca<sup>2+</sup>]<sub>i</sub> threshold for MCU in isolated mitochondria from heart and skeletal muscle (<xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>). Similarly sympathetic neurons lack a discernible threshold and mitochondria were shown to accumulate small amount of Ca<sup>2+</sup> at [Ca<sup>2+</sup>]<sub>i</sub> levels as low as 200 nM (<xref ref-type="bibr" rid="bib10">Colegrove et al., 2000a</xref>; <xref ref-type="bibr" rid="bib11">Colegrove et al., 2000b</xref>). Finally, interpretation of the MICU1-KO phenotypes can be further complicated by possible functional roles of MICU1 outside of the MCU complex (<xref ref-type="bibr" rid="bib24">Gottschalk et al., 2019</xref>; <xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>; <xref ref-type="bibr" rid="bib67">Tufi et al., 2019</xref>). In particular, MICU1 was proposed to interact with the MICOS complex, affecting the cristae structure (<xref ref-type="bibr" rid="bib66">Tomar et al., 2019</xref>).</p></sec><sec id="s3-2"><title>Examination of the conduction pathway of the MCU<sub>CX</sub></title><p>To circumvent the problem of isolating the MCU<sub>cx</sub> activity from the other mitochondrial Ca<sup>2+</sup> homeostatic mechanisms, we leveraged the capacity of MCU<sub>cx</sub> to conduct Na<sup>+</sup>. The Na<sup>+</sup> permeation via MCU<sub>cx</sub> is observed not only in isolated mitoplasts but also in intact mitochondria. Na<sup>+</sup> permeates via MCU<sub>cx</sub> because Ca<sup>2+</sup> and Na<sup>+</sup> ions have the same ionic diameter, and Na<sup>+</sup> can pass through Ca<sup>2+</sup> channels when Ca<sup>2+</sup> is removed from the selectivity filter (<xref ref-type="bibr" rid="bib29">Hess and Tsien, 1984</xref>; <xref ref-type="bibr" rid="bib28">Hess et al., 1986</xref>; <xref ref-type="bibr" rid="bib65">Tang et al., 2014</xref>). Ca<sup>2+</sup> binds to the MCU<sub>cx</sub> selectivity filter with an exceptionally high affinity (<italic>K</italic><sub>d</sub> ≤2 nM) (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>), and re-addition of cytosolic Ca<sup>2+</sup> leads to <italic>I</italic><sub>Na</sub> inhibition upon Ca<sup>2+</sup> binding to this site. Importantly, MICUs are not involved in this inhibition, as it is not affected by MICU1-KO (<xref ref-type="fig" rid="fig2s2">Figure 2—figure supplement 2</xref>). In intact mitochondria, Na<sup>+</sup> uptake via WT or MICU1-deficient MCU<sub>cx</sub> causes the same ΔΨ depolarization, demonstrating that at low [Ca<sup>2+</sup>]<sub>i</sub> MCU<sub>cx</sub> is not occluded regardless of its association with MICUs. Moreover, using mitochondrial patch-clamp under Ca<sup>2+</sup>-free conditions, we recorded a robust <italic>I</italic><sub>Na</sub> via MCU, and the amplitude of this <italic>I</italic><sub>Na</sub> was not affected in MICU1-KO. This demonstrates that MCU pore is not occluded by MICUs at low [Ca<sup>2+</sup>]<sub>i</sub>.</p><p>The complexity of the MCU<sub>cx</sub> presents formidable difficulties even for the direct electrophysiological analysis. The electrophysiological phenotypes observed may be associated with altered expression levels of other subunits rather than the loss of MICU1. We not only analyzed the expression levels of all MCU complex subunits (<xref ref-type="fig" rid="fig2s1">Figure 2—figure supplement 1D–F</xref>) but also measured <italic>I</italic><sub>Ca</sub>/<italic>I</italic><sub>Na</sub> ratio in the same mitoplast (<xref ref-type="fig" rid="fig2">Figure 2C–F</xref>) to ensure that we correctly capture the role of MICU1 in the MCU complex.</p></sec><sec id="s3-3"><title>Cryo-EM studies and the dynamic function of MICUs</title><p>Recently, cryo-EM structures of the MCU<sub>cx</sub> holocomplex reveal that it is composed of two conjoined MCU/EMRE pores with a MICU1/MICU2 heterodimer attached to each of them (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). Based on molecular weight of the MCU<sub>cx</sub> as observed on the Blue native PAGE (<xref ref-type="bibr" rid="bib62">Sancak et al., 2013</xref>), this structure likely represents the complete MCU<sub>cx</sub> of intact mitochondria. This is the primary structural form of MCU<sub>cx</sub> in the mitochondrial inner membrane.</p><p>However, in addition to this complete MCU<sub>cx</sub>, the cryo-EM analysis also reported structures of a monomeric MCU/EMRE pore with a single MICU1/MICU2 heterodimer. Although this does not appear to be the predominant state of the native MCU<sub>cx</sub>, it was primarily used for the analysis of the interaction between the pore and the MICU1/MICU2 dimer. Based on this analysis, a conclusion was made that in the absence of Ca<sup>2+</sup>, MICU1/MICU2 dimer occluded the MCU<sub>cx</sub> pore. Wang et al. (<xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>) observed occlusion of the dimeric complex, but such MICU1-occluded dimeric complex represented only ~10% of the total number of analyzed particles in the absence of Ca<sup>2+</sup>. The low prevalence of the dimeric complexes can be purely due to the experimental limitations, but a more thorough analysis of occlusion in this native form of MCU<sub>cx</sub> is warranted. At the same time, another work that analyzed the complete MCU<sub>cx</sub> with two pores and two MICU1/MICU2 heterodimers, did not show any occlusion (<xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). In this structure, the two MICU1/MICU2 heterodimers interact between each other, leaving both pores unoccluded (<xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). As more MCU<sub>cx</sub> structural data appear in the future, it is important to take into consideration the completeness of the complex and the new functional data on the MICU subunits presented here.</p><p>We are at the very beginning of the structural characterization of MCU<sub>cx</sub>. As this crucial work continues, selection of the experimental conditions is key to understanding how the channel works under physiological conditions. As we emphasize here, the direct inhibitory effect of Mg<sup>2+</sup> on the MCU pore is important but has not yet been taken into consideration. In fact, Mg<sup>2+</sup> was omitted in all structural studies of MCU<sub>cx</sub> holocomplex (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). As we discussed before, Mg<sup>2+</sup> is likely to bind to the same Asp ring of the selectivity filter where MICU1 was predicted to bind and, may therefore significantly affect conformational states of MCU<sub>cx</sub>. Thus, to determine how MICU1 interacts with the MCU<sub>cx</sub> pore, structural studies should be performed under conditions that include physiological concentrations of Mg<sup>2+</sup>. Furthermore, occlusion of the MCU/EMRE pore by MICUs in the absence of Ca<sup>2+</sup> was observed when the cryoEM particles were obtained in a solution that had ionic strength ~three times lower than physiological (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>). In contrast, the unoccluded state was observed at the physiological ionic strength (<xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). This difference is critical, because the occlusion of the MCU pore by MICU1 strongly depends on ionic interactions (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>). Another important consideration is the presence of cardiolipin in MCU<sub>cx</sub> structures, likely affected by the type of detergent used during purification. Interestingly, the occluded state was observed in the structures that contained no cardiolipin (<xref ref-type="bibr" rid="bib18">Fan et al., 2020</xref>; <xref ref-type="bibr" rid="bib73">Wang et al., 2020b</xref>), while the unoccluded MCU<sub>cx</sub> structure contained cardiolipin (<xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>). This point is important as cardiolipin interacts with the MCU complex (<xref ref-type="bibr" rid="bib22">Ghosh et al., 2020</xref>; <xref ref-type="bibr" rid="bib80">Zhuo et al., 2021</xref>) and may regulate MICU function (<xref ref-type="bibr" rid="bib37">Kamer and Mootha, 2014</xref>).</p><p>In conclusion, we find no evidence for the occlusion of the MCU<sub>cx</sub> pore by MICUs at resting [Ca<sup>2+</sup>]<sub>i</sub>. Instead, under these conditions MCU<sub>cx</sub>-mediated uptake is limited by the low concentration of the conducting ion and by the Mg<sup>2+</sup> block. A slow mitochondrial Ca<sup>2+</sup> uptake at resting [Ca<sup>2+</sup>]<sub>i</sub> is likely at balance with the Ca<sup>2+</sup> efflux mechanisms, which prevents mitochondrial Ca<sup>2+</sup> overload (<xref ref-type="bibr" rid="bib52">Nicholls, 2005</xref>). On the other hand, the phenomenon of allosteric potentiation of MCU<sub>cx</sub> has been known for many decades (<xref ref-type="bibr" rid="bib26">Gunter et al., 2010</xref>; <xref ref-type="bibr" rid="bib39">Kröner, 1986</xref>), and this work provides its clear mechanistic explanation.</p></sec></sec><sec id="s4" sec-type="materials|methods"><title>Materials and methods</title><table-wrap id="keyresource" position="anchor"><label>Key resources table</label><table frame="hsides" rules="groups"><thead><tr><th valign="top">Reagent type (species) or resource</th><th valign="top">Designation</th><th valign="top">Source or reference</th><th valign="top">Identifiers</th><th valign="top">Additional information</th></tr></thead><tbody><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">DRP1-KO (<italic>Dnm1l<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top"><xref ref-type="bibr" rid="bib34">Ishihara et al., 2009</xref></td><td valign="top"/><td valign="top">Cell line maintained in D. Chan and K. Mihara lab; <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">WT (<italic>Dnm1l<sup>+/+</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top"><xref ref-type="bibr" rid="bib42">Liu et al., 2016</xref></td><td valign="top"/><td valign="top">Cell line maintained in T. Finkel lab; <italic>Dnm1l<sup>+/+</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">MICU1-KO (<italic>Micu1<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top"><xref ref-type="bibr" rid="bib42">Liu et al., 2016</xref></td><td valign="top"/><td valign="top">Cell line maintained in T. Finkel lab; <italic>Dnm1l<sup>+/+</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">MCU-KO <break/>(<italic>Mcu<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Cell line maintained in Y. Kirichok and V. Garg lab. <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">EMRE-KO (<italic>Smdt1<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Cell line maintained in Y. Kirichok and V. Garg lab. <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">MICU1-KO (<italic>Micu1<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Cell line maintained in Y. Kirichok and V. Garg lab. <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">MICU2-KO (<italic>Micu2<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Cell line maintained in Y. Kirichok and V. Garg lab. <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Cell line (<italic>M. musculus</italic>)</td><td valign="top">MICU3-KO (<italic>Micu3<sup>-/-</sup></italic>) (Mouse embryonic fibroblast)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Cell line maintained in Y. Kirichok and V. Garg lab. <italic>Dnm1l<sup>-/-</sup></italic> background</td></tr><tr><td valign="top">Strain, strain background <break/>(<italic>M. musculus</italic>)</td><td valign="top">MCU-KO <break/>(<italic>Mcu<sup>-/-</sup></italic>) mouse</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Mouse line maintained in T. Finkel lab</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Mcu</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Smdt1</italic> (alias <italic>Emre</italic>) (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Micu1</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Micu2</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Micu3</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>mut-EF-Micu1</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>mut-EF-Micu2</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>mut-EF-Micu3</italic> (plasmid)</td><td valign="top">This paper</td><td valign="top"/><td valign="top">Lentiviral <break/>Construct (Y. Kirichok and V. Garg lab)</td></tr><tr><td valign="top">Recombinant DNA <break/>Reagent</td><td valign="top"><italic>Cepia2mt</italic> (plasmid)</td><td valign="top"><xref ref-type="bibr" rid="bib64">Suzuki et al., 2014</xref>. Lentiviral construct was made in this paper.</td><td valign="top"/><td valign="top">Lentiviral construct</td></tr><tr><td valign="top">Antibody</td><td valign="top">MCU antibody (rabbit polyclonal)</td><td valign="top">Sigma</td><td valign="top">HPA016480; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_2071893">AB_2071893</ext-link></td><td valign="top">WB (1:2000)</td></tr><tr><td valign="top">Antibody</td><td valign="top">EMRE antibody (mouse monoclonal)</td><td valign="top">Santa Cruz</td><td valign="top">sc-86337; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_2250685">AB_2250685</ext-link></td><td valign="top">WB (1:200)</td></tr><tr><td valign="top">Antibody</td><td valign="top">MICU1 antibody <break/>(rabbit polyclonal)</td><td valign="top">Cell Signalling</td><td valign="top">D4P8Q (12524S); RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_2797943">AB_2797943</ext-link></td><td valign="top">WB (1:2000)</td></tr><tr><td valign="top">Antibody</td><td valign="top">MICU2 antibody (mouse monoclonal)</td><td valign="top">Bethyl laboratories</td><td valign="top">A300-BL19212</td><td valign="top">WB (1:500)</td></tr><tr><td valign="top">Antibody</td><td valign="top">MICU3 antibody (mouse monoclonal)</td><td valign="top">Sigma</td><td valign="top">HPA024779; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_1848023">AB_1848023</ext-link></td><td valign="top">WB (1:1000)</td></tr><tr><td valign="top">Antibody</td><td valign="top">VDAC antibody (rabbit monoclonal)</td><td valign="top">Santa Cruz</td><td valign="top">ab15895; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_2214787">AB_2214787</ext-link></td><td valign="top">WB (1:1000)</td></tr><tr><td valign="top">Antibody</td><td valign="top">TOM20 antibody (rabbit polyclonal)</td><td valign="top">Santa Cruz</td><td valign="top">sc-11415; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_2207533">AB_2207533</ext-link></td><td valign="top">WB (1:2000)</td></tr><tr><td valign="top">Antibody</td><td valign="top">HSP60 antibody (rabbit polyclonal)</td><td valign="top">Santa Cruz</td><td valign="top">sc-1052; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_631683">AB_631683</ext-link></td><td valign="top">WB (1:3000)</td></tr><tr><td valign="top">Chemical compound, drug</td><td valign="top">ANTI-FLAG M2 Affinity Gel</td><td valign="top">Sigma-Aldrich</td><td valign="top">Cat# A2220; RRID:<ext-link ext-link-type="uri" xlink:href="https://scicrunch.org/resolver/AB_10063035">AB_10063035</ext-link></td><td valign="top"/></tr><tr><td valign="top">Software, algorithm</td><td valign="top">PClamp 10</td><td valign="top">Molecular Devices</td><td valign="top"/><td valign="top"><ext-link ext-link-type="uri" xlink:href="https://www.moleculardevices.com/systems/conventional-patch-clamp/pclamp-10-software">https://www.moleculardevices.com/systems/conventional-patch-clamp/pclamp-10-software</ext-link></td></tr><tr><td valign="top">Software, algorithm</td><td valign="top">Origin 7.5</td><td valign="top">OriginLab</td><td valign="top"/><td valign="top"><ext-link ext-link-type="uri" xlink:href="http://www.originlab.com/">http://www.originlab.com/</ext-link></td></tr><tr><td valign="top">Software, algorithm</td><td valign="top">ImageJ Software</td><td valign="top">ImageJ</td><td valign="top"/><td valign="top"><ext-link ext-link-type="uri" xlink:href="https://imagej.net/">https://imagej.net/</ext-link></td></tr><tr><td valign="top">Software, algorithm</td><td valign="top">[Ca<sup>2+</sup>]<sub>m</sub> threshold detection algorithm</td><td valign="top">Custom-made</td><td valign="top"/><td valign="top"><ext-link ext-link-type="uri" xlink:href="https://github.com/ishanparanjpe/upstroke">https://github.com/ishanparanjpe/upstroke</ext-link> (<xref ref-type="bibr" rid="bib55">Paranjpe et al., 2019</xref>)</td></tr></tbody></table></table-wrap><sec id="s4-1"><title>Contact for reagent and resource sharing</title><p>Further information and requests for reagents may be directed to and will be fulfilled by Lead Contact Yuriy Kirichok (yuriy.kirichok@ucsf.edu).</p></sec><sec id="s4-2"><title>Experimental model</title><sec id="s4-2-1"><title>Cell culture and recombinant gene expression</title><p>All mouse embryonic fibroblast (MEF) cells with (<xref ref-type="bibr" rid="bib42">Liu et al., 2016</xref>) or without Drp1 (<xref ref-type="bibr" rid="bib34">Ishihara et al., 2009</xref>), and all knockout clones were grown in low glucose (5.6 mM) Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% FBS, 100 U/ml penicillin, and 100 U/ml streptomycin at 37°C, 5% CO<sub>2</sub>. Cells were maintained by splitting every 48–72 hr at a ratio of 1:5 to 1:10. The MEF cell lines were authenticated by short tandem repeat profiling conducted by Labcorp. The cell lines were free of mycoplasma as determined by PCR based detection (<xref ref-type="bibr" rid="bib15">Dreolini et al., 2020</xref>).</p><p>We used third-generation lentiviral (bi-cistronic) vectors containing the ORF for gene of interest with or without a selection marker (EGFP, mCherry or puromycin). The vectors were generated by VectorBuilder, Inc (Chicago, IL, USA), and their sequences were confirmed independently by the company and by us. Recombinant cDNA expressing cells were enriched using multiple rounds of FACS or antibiotic selection. In some cases, EGFP was targeted to mitochondria (using a mitochondrial targeting sequence from COX8) to identify mitoplasts expressing the recombinant protein of interest during patch clamp experiments.</p></sec></sec><sec id="s4-3"><title>Animals</title><p>Mice were maintained on a standard rodent chow diet under 12 hr light and dark cycles. All animal experiments were performed with male mice (2–5 month old) according to procedures approved by the UCSF Institutional Animal Care and Use Committee and adhered to NIH standards. C57BL/6J were obtained from the Jackson laboratory. MCU-KO mice were obtained from Dr. Torren Finkel and have been used previously (<xref ref-type="bibr" rid="bib54">Pan et al., 2013</xref>).</p></sec><sec id="s4-4"><title>Method details</title><p>Gene expression analysis (qRT-PCR) qPCR was performed by Syd Labs (Natick, MA, USA). Total RNA was isolated from cells using the RNAeasy Minikit (QIAGEN), and reverse transcribed using the First Strand cDNA Synthesis Kit (Syd Labs). qPCR reactions were performed with the following gene-specific primers (generated by Integrated DNA Technologies):</p><list list-type="simple"><list-item><p><italic>Hprt</italic>, Forward Primer 5'-<named-content content-type="sequence">GTCCCAGCGTCGTGATTAGC</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5'-<named-content content-type="sequence">GTGATGGCCTCCCATCTCCT</named-content>-3'</p></list-item><list-item><p><italic>Mcu</italic>, Forward Primer 5’-<named-content content-type="sequence">AAGGGCTTAGCGAGTCTTGTC</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5’- <named-content content-type="sequence">GGGTGCTGGTGTGTTAGTGT</named-content> −3'</p></list-item><list-item><p><italic>Mcub</italic>, Forward Primer 5’-<named-content content-type="sequence">CCACACCCCAGGTTTTATGTATG</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5’-<named-content content-type="sequence">ATGGCAGAGTGAGGGTTACCA</named-content>-3'</p></list-item><list-item><p><italic>Smdt1</italic>, Forward Primer 5’-<named-content content-type="sequence">ATTTTGCCCAAGCCGGTGAA</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5’-<named-content content-type="sequence">CCTCAAGCAGAGCAGCGAAG</named-content>-3'</p></list-item><list-item><p><italic>Micu1</italic>, Forward Primer 5'-<named-content content-type="sequence">CTTAACACCCTTTCTGCGTTGG</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5'-<named-content content-type="sequence">AGCATCAATCTTCGTTTGGTCT</named-content>-3'</p></list-item><list-item><p><italic>Micu2</italic>, Forward Primer 5'-<named-content content-type="sequence">CTCCGCAAACAGCGGTTCAT</named-content>-3'</p></list-item><list-item><p>Reverse Primer 5'-<named-content content-type="sequence">TGCCAGCTTCTTGACCAGTG</named-content>-3'</p></list-item><list-item><p><italic>Micu3</italic>, Forward Primer 5’-<named-content content-type="sequence">GTAAGGTCAGAGCACGCAGAA-3</named-content>'</p></list-item><list-item><p>Reverse Primer 5’-<named-content content-type="sequence">TTTCCTGTTGGACGCTGACAA</named-content> −3'</p></list-item></list><p>cDNA (100 ng, calculated from initial RNA) samples were pre-amplified for 12 cycles using ABsolute qPCR SYBR Green Low ROX Mix (ThermoFisher). qPCR reactions were performed using an Agilent MX3000 (Fluidigm) with 40 cycles of amplification (15 s at 95°C, 5 s at 70°C, and 60 s at 60°C). Ct values were calculated by the Real-Time PCR Analysis Software (Fluidigm). Relative gene expression was determined by the ΔCt method. <italic>Hprt</italic> was selected as the reference gene.</p></sec><sec id="s4-5"><title>Generation of knockout cell lines by the CRISPR/Cas9 method</title><p>Knockout MEF cell lines were generated using the CRISPR/Cas9 method (<xref ref-type="bibr" rid="bib61">Ran et al., 2013</xref>). All knockouts (except the MCU-KO line) were generated by Alstem LLC (Richmond, CA, USA). Either one sgRNA or a pair of two adjacent sgRNAs were used to create a point indel or a truncate indel, respectively (Figure S1).</p><list list-type="simple"><list-item><p><italic>Mcu</italic>, <named-content content-type="sequence">TGGCAGCGCTCGCGTCGAGA GGG</named-content></p> </list-item><list-item><p><italic>Smdt1</italic>, <named-content content-type="sequence">GAGTGTCCCGACATAGAGAA AGG</named-content></p> </list-item><list-item><p><named-content content-type="sequence">CTTACACTCCCACTAGGTTA AGG</named-content></p> </list-item><list-item><p><italic>Micu1</italic>, <named-content content-type="sequence">TCACTTTTAGATGCTGCCGG TGG</named-content></p> </list-item><list-item><p><named-content content-type="sequence">CTGCAAGTACCGGTCTCCTG TGG</named-content></p> </list-item><list-item><p><italic>Micu2</italic>, <named-content content-type="sequence">CGTTCGGGAGCCCTCGCGCG CGG</named-content></p> </list-item><list-item><p><named-content content-type="sequence">GGGCGCTTCCGCAAAGATGG CGG</named-content></p> </list-item><list-item><p><italic>Micu3</italic>, <named-content content-type="sequence">GGGCGAGCTGAGCATCGCGG CGG</named-content></p> </list-item><list-item><p><named-content content-type="sequence">CCGGGGCCGCTAGCTCCGAG GGG</named-content></p> </list-item></list><p>MEFs were transfected with the Cas9 gRNA vector (Addgene: PX459) via electroporation (Invitrogen Neon transfection system) using the following parameters: 1×10<sup>6</sup> cells and 1 µg of two different gRNA-Cas9 plasmids. Puromycin was used for enrichment of transfected cells, and serial dilution was performed to select single-cell clones. A stable homozygous knockout cell line was confirmed by PCR amplification of the targeted region, cloning into a pUC19 vector, and sequencing showing that either a frameshift or large deletion had occurred in the targeted region of the gene (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1</xref>). All knockout clones were further validated by western blotting (<xref ref-type="fig" rid="fig1s1">Figure 1—figure supplement 1</xref>). The primers used for amplification of genomic sites and cloning into pUC19 sequencing vector were as follows:</p><list list-type="simple"><list-item><p><italic>Mcu</italic>, Forward Primer <named-content content-type="sequence">TAGAAGCTTTCCACTGCTCTGATTGATCTTG</named-content></p> </list-item><list-item><p>Reverse Primer <named-content content-type="sequence">ATGTGAATTCGAGCTGCTTTGGAATGAGAC</named-content></p> </list-item><list-item><p><italic>Smdt1</italic>, Forward Primer <named-content content-type="sequence">GTGAAGCTTGGGATCAGTAGTCCATTGGAGG</named-content></p> </list-item><list-item><p>Reverse Primer <named-content content-type="sequence">AGGAGAATTCAGTGAGAGTTCCTGTGGTATG</named-content></p> </list-item><list-item><p><italic>Micu1</italic>, Forward Primer <named-content content-type="sequence">TTTAAGCTTGATTCCTTTGAGTTATAAGTAG</named-content></p> </list-item><list-item><p>Reverse Primer <named-content content-type="sequence">CAAAGAATTCAGCAAAGAAATTCTGATGTA</named-content></p> </list-item><list-item><p><italic>Micu2</italic>, Forward Primer <named-content content-type="sequence">ACCAAGCTTGAACGTCGAGGAAGCAGCCAC</named-content></p> </list-item><list-item><p>Reverse Primer <named-content content-type="sequence">AGGAGAATTCTCCATCCACCAGGTGGGCAG</named-content></p> </list-item><list-item><p><italic>Micu3</italic>, Forward Primer <named-content content-type="sequence">CGCAAGCTTCTCGCGAGATTTCGGCCCGCC</named-content></p> </list-item><list-item><p>Reverse Primer <named-content content-type="sequence">AGGAGAATTCTCCATCCACCAGGTGGGCAG</named-content></p> </list-item></list></sec><sec id="s4-6"><title>Isolation of mitochondria and mitoplasts</title><p>Mitoplasts were isolated from MEFs using methodology previously described (<xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>). Briefly, MEFs were homogenized in ice-cold medium (Initial medium) containing 250 mM sucrose, 10 mM HEPES, 1 mM EGTA, and 0.1% bovine serum albumin (BSA) (pH adjusted to 7.2 with Trizma base) using a glass grinder with six slow strokes of a Teflon pestle rotating at 280 rpm. The homogenate was centrifuged at 700× g for 10 min to create a pellet of nuclei and unbroken cells. The first nuclear pellet was resuspended in the fresh Initial medium and homogenized again to increase the mitochondrial yield. Mitochondria were collected by centrifugation of the supernatant at 8500× g for 10 min.</p><p>Mitoplasts were produced from mitochondria using a French press. Mitochondria were suspended in a hypertonic solution containing 140 mM sucrose, 440 mM D-mannitol, 5 mM HEPES, and 1 mM EGTA (pH adjusted to 7.2 with Trizma base) and then subjected to a French press at 1200–2000 psi to rupture the outer membrane. Mitoplasts were pelleted at 10,500× g for 15 min and resuspended for storage in 0.5–1 ml of solution containing 750 mM KCl, 100 mM HEPES, and 1 mM EGTA (pH adjusted to 7.2 with Trizma base). Mitoplasts prepared and stored with this method contained the same amount of auxiliary MICU1 and MICU2 subunits as compared to intact mitochondria (<xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2F</xref>, see TCo-immunoprecipitation section below).</p><p>Mitochondria and mitoplasts were prepared at 0–4°C and stored on ice for up to 5 hr. Immediately before the electrophysiological experiments, 15–50 μl of the mitoplast suspension was added to 500 μl solution containing 150 mM KCl, 10 mM HEPES, and 1 mM EGTA (pH adjusted to 7.0 with Trizma base) plating on 5 mm coverslips pretreated with 0.1% gelatin to reduce mitoplast adhesion.</p></sec><sec id="s4-7"><title>Patch-clamp recording</title><p>Whole mitoplast currents were measured as described previously (<xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>). Gigaohm seals with mitoplasts were formed in the bath solution containing 150 mM KCl, 10 mM HEPES and 1 mM EGTA, pH 7.2 (adjusted with KOH). Voltage steps of 350–500 mV for 2–8 ms were applied to rupture the IMM and obtain the whole-mitoplast conFiguration. Typically, pipettes had resistances of 20–40 MΩ, and the access resistance was 35–65 MΩ. The membrane capacitances of mitoplasts range from 0.2 to 0.6 pF.</p><p>All indicated voltages are on the matrix side of the IMM (pipette solution), relative to the cytosolic side (bath solution, <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2D</xref>; <xref ref-type="fig" rid="fig1s2">Figure 1—figure supplement 2E</xref>; <xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>). Currents were normally induced by a voltage ramp from −160 mV to +80 mV (interval between pulses was 5 s) to cover all physiological voltages across the IMM, but other voltage protocols were also used as indicated in the Figures. All whole-IMM recordings were performed under continuous perfusion of the bath solution. Currents were normalized per membrane capacitance to obtain current densities (pA/pF). Currents flowing into mitochondria are shown as negative, while those flowing out are positive. Membrane capacitance transients <italic>observed</italic> upon application of voltage steps were removed from current traces.</p><p>Typically, pipettes were filled with one of the following three solutions (<xref ref-type="bibr" rid="bib21">Garg and Kirichok, 2019</xref>) (tonicity was adjusted to ∼350 mmol/kg with sucrose).</p><p><italic>Solution A</italic> was used to measure Ca<sup>2+</sup> currents and contained: 110 mM Na-gluconate, 40 mM HEPES, 10 mM EGTA and 2 mM MgCl<sub>2</sub> (pH 7.0 with NaOH).</p><p><italic>Solution B</italic> was used to measure Na<sup>+</sup> or Mn<sup>2+</sup> currents and contained: 110 Na-gluconate, 40 HEPES, 1 EGTA, 5 EDTA, and 2 mM NaCl (pH 7.0 with Tris base).</p><p><italic>Solution C</italic> was used to measure outward Ca<sup>2+</sup> currents (the MCU rectification experiments) and contained: 130 mM tetramethylammonium hydroxide (TMA), 100 mM HEPES and 2 mM CaCl<sub>2</sub> (pH 7.0 with D-gluconic acid).</p><p>To measure whole-mitoplast Ca<sup>2+</sup> currents, the bath solution was formulated to contain only 150 mM HEPES (pH 7.0 with Tris base, tonicity ∼300 mmol/kg with sucrose) and different dilutions of CaCl<sub>2</sub> from a 1 M stock (Sigma) (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). The control solution contained: 150 mM HEPES, 80 mM sucrose and 1 mM EGTA (pH 7.0 with Tris base, tonicity ∼300 mmol/kg with sucrose). The bath solution used for measuring Na<sup>+</sup> current contained: 110 mM Na-gluconate, 40 mM HEPES, 1 mM EGTA and 5 mM EDTA (pH 7.0 with Tris base, tonicity ∼300 mmol/kg with sucrose). The bath solution for measuring inhibition of Na<sup>+</sup> current by cytosolic Ca<sup>2+</sup> contained: 110 mM Na-gluconate, 40 mM HEPES, and 10 mM EDTA (pH 8.0 with Tris, tonicity ∼380 mmol/kg with sucrose) and varying amounts of CaCl<sub>2</sub> were added to the bath solution to achieve the free [Ca<sup>2+</sup>] calculated using the MaxChelator program (C. Patton, Stanford University).</p><p>A rapid exchange of [Ca<sup>2+</sup>]<sub>i</sub> from virtual zero (control solution) to 1 mM was achieved using a commercially available fast solution exchange system (Warner Instruments, SF-77B perfusion fast step system). It was interfaced with our pClamp acquisition software in order to precisely time the steps during solution change. The timing (τ ~0.4 ms) for solution exchange was judged by the current changes because of a junction potential difference using solutions with different ionic strengths.</p><p>Currents were recorded using an Axopatch 200B amplifier (Molecular Devices). Data acquisition and analyses were performed using PClamp 10 (Molecular Devices) and Origin 9.6 (OriginLab). All data were acquired at 10 kHz and filtered at 1 kHz.</p></sec><sec id="s4-8"><title>Single-channel recordings and analysis</title><p>All single-channel data were acquired from inside–out patches excised from isolated mitoplasts (<xref ref-type="bibr" rid="bib38">Kirichok et al., 2004</xref>). For Ca<sup>2+</sup> single channel (<italic>i</italic><sub>Ca</sub>) recordings, patches were excised in a bath solution containing 150 mM KCl, 10 mM HEPES and 1 mM EGTA, pH 7.2 (adjusted with KOH). Recordings were performed under symmetrical conditions (the same bath and pipette solutions): 105 mM CaCl<sub>2</sub> and 40 mM HEPES, pH 7.0 with Tris base. Signals were sampled at 50 kHz and low-pass filtered at 1 kHz. Fire-polished, borosilicate pipettes (Sutter QF-150–75) coated with Silguard (Dow Corning Corp., Midland, MI) and having a tip resistance of 50–70 MΩ were used for low noise recordings.</p><p>For Na<sup>+</sup> single channel (<italic>i</italic><sub>Na</sub>) recordings, patches were excised in a bath solution containing 150 mM Na-gluconate, 10 mM HEPES, 1 mM EGTA and 1 mM MgCl<sub>2</sub>, pH 7.2 (adjusted with NaOH). Pipette solution contained 150 mM Na-gluconate, 10 mM HEPES, 1 mM EGTA, 1 mM EDTA, and 2 mM NaCl, pH 7.2 (adjusted with NaOH). Signals were sampled at 50 kHz and low-pass filtered at 1 kHz.</p><p>To characterize the single-channel conductance and subconductance levels and their occupancy probabilities, we used the MLab version of the QuB software, freely available from the Milescu lab at: <ext-link ext-link-type="uri" xlink:href="https://milesculabs.biology.missouri.edu/QuB_Downloads.html">https://milesculabs.biology.missouri.edu/QuB_Downloads.html</ext-link>. The data were first resampled at 2.5 kHz and then were idealized with the Baum-Welch and Viterbi algorithms, as implemented in QuB, which classify each point in the data to a conductance level and produce estimates of current amplitudes and occupancy probabilities. The time-averaged single-channel current can be calculated as the product between occupancy probability and current amplitude, summated over all conductance levels (main open state and substates).</p></sec><sec id="s4-9"><title>Time-lapse Ca<sup>2+</sup> imaging in intact cells</title><p>For imaging experiments, MEFs were plated on collagen type-I-coated glass-bottom 35 mm dishes (P35G-1.5–14 C, Matek), 48–72 hr before imaging. Cells were imaged at the interval of 3 s on a Nikon Ti-E microscope using a 40× objective (NA 1.30, oil, CFI Plan Fluor, Nikon), Lambda 421 LED light source (Sutter) and ORCA Flash 4.0 CMOS camera (Hamamatsu Photonics) at room temperature (25°C). The following excitation/emission filter settings were used: 340±13/525±25 nm and 389±19/510±40 nm for cytosolic Ca<sup>2+</sup> imaging using fura-2 (<italic>K</italic><sub>d</sub>=224 nM) and 480±40/525±15 nm for mitochondrially targeted <italic>cepia2</italic> (<italic>CEPIA2mt, K</italic><sub>d</sub>=160 nM (<xref ref-type="bibr" rid="bib64">Suzuki et al., 2014</xref>), cloned into a lentiviral vector). Cells were loaded with 3 μM fura-2 AM (Life Tech., USA) in DMEM/FBS at room temperature for 30 min. After three washes with physiological salt solution (PSS) containing (in mM) 150 NaCl, 4 KCl, 2 CaCl<sub>2</sub>, 1 MgCl<sub>2</sub>, 5.6 glucose, and 25 HEPES (pH 7.4), each dish was placed on the stage for imaging. Imaging was performed in PSS within 1 hr of dye staining. Baseline fluorescence was taken for 1–2 min after which thapsigargin (Tg) (final [Tg] = 300 nM) was added while imaging was continued for another 10–15 min.</p><sec id="s4-9-1"><title>Fura-2 calibration</title><p>Baseline measurements were taken, and cells were incubated in PSS (No CaCl<sub>2</sub>) containing 3 mM EGTA, 1 μM ionomycin and 1 μM Tg for 5–10 min. After 2–3 washes with PSS (No CaCl<sub>2</sub>) containing 0.3 mM EGTA, cells were imaged for 5 min (average of last 10 frames was used for calculation) to obtain the R<sub>min</sub> and F<sub>380max</sub> values. Finally, PSS containing 10 mM CaCl<sub>2</sub> (no EGTA), 1 μM ionomycin and 1 μM Tg was added and cells were imaged for 10 min. After the signal reached saturation (~3 min), the average value from 10 frames was used to calculate R<sub>max</sub> and F<sub>380min</sub> values. Using these obtained values, the fura-2 ratio was calibrated by the following equation (<xref ref-type="bibr" rid="bib25">Grynkiewicz et al., 1985</xref>):<disp-formula id="equ1"><mml:math id="m1"><mml:mstyle displaystyle="true" scriptlevel="0"><mml:mrow><mml:mo stretchy="false">[</mml:mo><mml:msup><mml:mrow><mml:mi mathvariant="normal">C</mml:mi><mml:mi mathvariant="normal">a</mml:mi></mml:mrow><mml:mrow><mml:msup><mml:mn>2</mml:mn><mml:mo>+</mml:mo></mml:msup></mml:mrow></mml:msup><mml:msub><mml:mo stretchy="false">]</mml:mo><mml:mrow><mml:mi>f</mml:mi><mml:mi>r</mml:mi><mml:mi>e</mml:mi><mml:mi>e</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:msub><mml:mrow><mml:mi mathvariant="normal">K</mml:mi></mml:mrow><mml:mrow><mml:mrow><mml:mi mathvariant="normal">d</mml:mi></mml:mrow></mml:mrow></mml:msub><mml:mrow><mml:mo>∗</mml:mo></mml:mrow><mml:mrow><mml:mo>(</mml:mo><mml:mfrac><mml:mrow><mml:mo>[</mml:mo><mml:mrow><mml:mrow><mml:mi mathvariant="normal">R</mml:mi></mml:mrow><mml:mo>−</mml:mo><mml:msub><mml:mrow><mml:mi mathvariant="normal">R</mml:mi></mml:mrow><mml:mrow><mml:mi mathvariant="normal">m</mml:mi><mml:mi mathvariant="normal">i</mml:mi><mml:mi mathvariant="normal">n</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mo>]</mml:mo></mml:mrow><mml:mrow><mml:mo>[</mml:mo><mml:msub><mml:mrow><mml:mi mathvariant="normal">R</mml:mi></mml:mrow><mml:mrow><mml:mi mathvariant="normal">m</mml:mi><mml:mi mathvariant="normal">a</mml:mi><mml:mi mathvariant="normal">x</mml:mi></mml:mrow></mml:msub><mml:mo>]</mml:mo></mml:mrow></mml:mfrac><mml:mo>)</mml:mo></mml:mrow><mml:mrow><mml:mo>∗</mml:mo></mml:mrow><mml:mrow><mml:mo>(</mml:mo><mml:mrow><mml:msub><mml:mrow><mml:mi mathvariant="normal">F</mml:mi></mml:mrow><mml:mrow><mml:mn>380</mml:mn><mml:mi>m</mml:mi><mml:mi>a</mml:mi><mml:mi>x</mml:mi></mml:mrow></mml:msub><mml:mrow><mml:mo>/</mml:mo></mml:mrow><mml:msub><mml:mrow><mml:mi mathvariant="normal">F</mml:mi></mml:mrow><mml:mrow><mml:mn>380</mml:mn><mml:mi>m</mml:mi><mml:mi>i</mml:mi><mml:mi>n</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mo>)</mml:mo></mml:mrow></mml:mrow></mml:mstyle></mml:math></disp-formula></p><p>All image analyses were done with ImageJ (NIH). Briefly, mitochondrial and cytosolic regions were manually determined for each cell. The average fluorescence intensity in the regions was measured and the background intensity was subtracted. For analysis of the <italic>cepia2</italic> signal, we normalized the fluorescence intensity by the baseline fluorescence. For analysis of the fura-2 signal, we calculated the fluorescence ratio (F<sub>340</sub>/F<sub>380</sub> for fura-2).</p><p>The time point for increase in mitochondrial [Ca<sup>2+</sup>] (upstroke) was detected using a script written in Python and manually checked afterwards. Briefly, the fluorescence signal was smoothed by applying a second-order zero phase digital Butterworth filter with an optimal cutoff frequency as previously described (<xref ref-type="bibr" rid="bib77">Winter, 2009</xref>). From the smoothed signal, the upstroke frame was defined as the earliest point between the baseline and signal peak that was greater than 80% of the maximal time derivative. The time-point for change in mitochondrial signal was time-matched with the fura-2 reading to determine the threshold [Ca<sup>2+</sup>]<sub>i</sub>.</p></sec></sec><sec id="s4-10"><title>Measurements of mitochondrial Ca<sup>2+</sup> influx in isolated mitochondria</title><p>Briefly, mitochondria were isolated from MEF cells using differential centrifugation as described above. The mitochondrial pellet was resuspended in resuspension buffer (RB) supplemented with 2 mM EGTA and 2 μM of Fura-2-acetoxymethyl ester (Fura-2 AM) and kept at room temperature for 10 min to allow loading of Fura-2 into the mitochondrial matrix. The RB buffer contained: 100 mM KCl, 50 mM MOPS, 1 mM MgCl<sub>2</sub>. Mitochondria were pelleted at 3200 g, and further incubated on ice for 50 min to allow de-esterification of Fura-2 AM in RB supplemented with 2 mM EGTA. Mitochondria were pelleted at 3200 g and resuspended in RB supplemented with 10 μM EGTA. Mitochondria were further pelleted and resuspended twice in RB supplemented with 40 μM Fluo-4 pentapotassium salt (for measurements carried out below 3 μM [Ca<sup>2+</sup>]<sub>i</sub>), or RB supplemented with 40 μM EGTA (for measurements carried out above 3 μM [Ca<sup>2+</sup>]<sub>i</sub>). After final centrifugation step at 3200 g, protein concentration was determined by Lowry assay.</p><p>Measurements of mitochondrial Ca<sup>2+</sup> influx were carried out using a BMG LABTECH CLARIOstar plate reader as described before (<xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>). Experiments were carried out with mitochondria (0.5 mg/ml) in an uptake assay buffer (uAB) that contained: 130 mM KCl, 20 mM HEPES, 1 mM MgCl<sub>2</sub>, 1 mM K<sub>2</sub>HPO<sub>4</sub>, pH 7.2 (with KOH), supplemented with energetic substrates (glutamate, malate and succinate, each 5 mM), and 1 μM TMRM. The uAB and all the stock solutions were made with analytical-grade deionized water (OmniSolv LC–MS, Sigma Aldrich) and contained less than 50 nM of residual [Ca<sup>2+</sup>] (measured daily). After 3 min of incubation with substrates, assays were initiated by injection of 100 μl of Ca<sup>2+</sup> stock to bring the final volume to 200 μl. TMRM (ex: 546 ± 4 nm and 573 ± 5 nm, em: 619 ± 15 nm) and Fura-2 (ex: 335 ± 6 nm and 380 ± 6 nm, em: 490 ± 15 nm) fluorescence were measured, along with Fluo-4 or Fluo4-FF (ex: 485 nm, em: 520–542 nm) within the same well for 35 s. To measure MCU Ca<sup>2+</sup> flux (<italic>J</italic><sub>MCU</sub>), two protocols were used. Protocol 1 ([Ca<sup>2+</sup>] range ≤ 3 μM): here, Fluo-4 (3 μM) is the single significant buffer of extra-mitochondrial Ca<sup>2+</sup> (i.e., [Ca<sup>2+</sup>]<sub>i</sub>). Protocol 2 ([Ca<sup>2+</sup>] range from 4 μM to 25 μM): here mitochondria were suspended in 40 μM EGTA and 1 μM Fluo4-FF was used. Total Ca<sup>2+</sup> influx (<italic>J</italic>) is taken as the first derivative of the linear fit to the measured total extramitochondrial [Ca<sup>2+</sup>] over the first 20 s of each experiment. The total Ca<sup>2+</sup> conductance of the IMM (<italic>G</italic>) was obtained from the simultaneous measurements of <italic>J</italic>, [Ca<sup>2+</sup>]<sub>i</sub>, [Ca<sup>2+</sup>]<sub>m</sub> and ΔΨ<sub>m</sub> according to the typical Hodgkin–Huxley model (<xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>):</p><p><italic>I</italic> = <italic>G</italic> (ΔΨ<sub>m</sub> – <italic>E<sub>C</sub></italic><sub>a</sub><sup>2+</sup>) where <italic>E<sub>C</sub></italic><sub>a</sub><sup>2+</sup> is the Nernst reversal potential for Ca<sup>2+</sup> obtained from simultaneously measured [Ca<sup>2+</sup>]<sub>i</sub>, and [Ca<sup>2+</sup>]<sub>m</sub>. Measured <italic>J</italic> was converted to <italic>I</italic> using the Faraday constant (<xref ref-type="bibr" rid="bib74">Wescott et al., 2019</xref>).</p></sec><sec id="s4-11"><title>Measurements of mitochondrial Na<sup>+</sup> influx in isolated mitochondria</title><p>Membrane potentials in intact mitochondria were evaluated with TMRE using previously described method (<xref ref-type="bibr" rid="bib63">Scaduto and Grotyohann, 1999</xref>). Mitochondria isolated from mouse liver or MEF cells were suspended in ice-cold initial medium. These mitochondria were mixed in 50–100 μl of an uptake assay buffer (liver: 150 mM NaCl, 10 mM HEPES, 1 mM EGTA, 2 mM glutamate, 2 mM malate, and 2 mM succinate, pH 7.2 with Trizma base; MEF: 30 mM NaCl, 120 mM TrisCl, 10 mM HEPES, 1 mM EGTA, 1 μM MgCl<sub>2</sub>, 5 mM glutamate, 5 mM malate, and 5 mM succinate, pH 7.2 with Trizma base) with 200 nM TMRE. Mitochondrial concentration in the assay buffer was 0.25 mg/ml. TMRE fluorescence were measured at 550/570 nm and 570/589 nm (excitation/emission, 9 nm band width) with using a Biotek Synergy H4 plate reader, and the fluorescence ratio between two fluorescence was calculated. After 5 min incubation of mitochondria in the assay medium, assays were initiated by injection of 0.5–1 μl of EDTA (5 mM final), RuR (1–3 μM final) or FCCP (1 μM final), and the ratio change within 5 min after the injection was evaluated. The ratio change induced by EDTA and/or RuR was normalized with that by FCCP.</p></sec><sec id="s4-12"><title>Co-immunoprecipitation</title><p>Mitochondria or mitoplasts were isolated from MEFs deficient in the MCU subunit but stably expressing Flag-tagged MCU. Mitochondrial fraction from wild type cells (without MCU-FLAG) was used as negative control. Isolated mitoplasts (but not mitochondria) were incubated in 750 mM KCl for 30 min before solubilization. Briefly, 300 µg of protein lysate was solubilized with 500 µl of lysis buffer (50 mM HEPES pH 7.4, 150 mM NaCl, 1 mM EGTA, 0.2% DDM and Halt protease inhibitor cocktail [Thermo Fisher]) for 30 min at 4°C. Lysates were cleared by spinning at 20,000× g for 10 min at 4°C. Cleared lysates were incubated with anti-Flag M2 affinity gel (Sigma A2220) for 2 hr at 4°C. Immunoprecipitates were washed with 1 ml of lysis buffer three times and boiled in 20 μl of Laemmli buffer (without β-mercaptoethanol). One-third of the immunoprecipitate was loaded onto a 4–20% gradient SDS-PAGE gel for detection of the indicated proteins by Western blotting. Flow-through fraction was also collected and analyzed in the same gel.</p></sec><sec id="s4-13"><title>Immunoblots</title><p>For western blot analysis, MEFs or isolated mitochondria/mitoplasts were lysed in radioimmunoprecipitation assay (RIPA) buffer (1% IGEPAL, 0.1% sodium dodecyl sulfate, 0.5% sodium deoxycholate, 150 mM NaCl, 1 mM EDTA, 50 mM Tris-HCl (pH 7.4) and a cocktail of proteases inhibitors). Lysates were resolved by SDS-PAGE; transferred to PVDF membrane (Millipore); and probed with anti-MCU (Sigma, HPA016480, 1:2000), anti-EMRE (Santa Cruz, sc-86337, 1:200), anti-HSP60 (Santa Cruz, sc-1052, 1:3000), anti-VDAC (Abcam, ab15895, 1:2000), anti-MICU1 (Cell Signaling Technology, 12524S, 1:2000), anti-MICU2 (Bethyl, A300-BL19212, 1:500), anti-MICU3 (Sigma, HPA024779, 1:1000), and anti-TOM20 (Santa Cruz, sc-11415, 1:2000). Anti-MICU1 antibody produced a non-specific band near its monomeric molecular weight (~50 kDa), so samples were prepared in Laemmli buffer without β-mercaptoethanol to detect MICU1 homo- or heterodimers (~100 kDa).</p></sec><sec id="s4-14"><title>Statistical analysis</title><p>Data are presented as mean ± standard error of the mean (SEM), as specified in the Figure legend. Statistical analysis was completed in Excel or Origin 9.6. All experiments were performed in triplicate or more. Statistical significance at an exact p<italic>-value</italic> was determined with the methods as indicated in the corresponding Figure legends.</p></sec></sec></body><back><ack id="ack"><title>Acknowledgements</title><p>We thank Drs. Katsuyoshi Mihara (Kyushu University, Japan) and David C. Chan (Caltech, USA) for sending us DRP1-KO MEFs, and Dr. Toren Finkel (University of Pittsburgh, USA) for sending the MEFs with intact DRP1 (WT and MICU1-KO MEFs) and the MCU-KO mice. We thank the Nikon Microscopy Core (DeLaine Larsen, Kari Herrington) and Lab for Cell Analysis (Sarah Elms) at UCSF for help with use of microscopy and FACS equipment. We thank all members of the YK lab for helpful discussions. This work was supported by American Heart Association Scientist Development Grant 17SDG33660926 (VG) and NIH grant 5R01GM107710 (YK) and R35GM136415 (YK).</p></ack><sec id="s5" sec-type="additional-information"><title>Additional information</title><fn-group content-type="competing-interest"><title>Competing interests</title><fn fn-type="COI-statement" id="conf1"><p>No competing interests declared</p></fn></fn-group><fn-group content-type="author-contribution"><title>Author contributions</title><fn fn-type="con" id="con1"><p>Conceptualization, Resources, Software, Formal analysis, Supervision, Funding acquisition, Validation, Investigation, Visualization, Methodology, Writing - original draft, Project administration, Writing - review and editing</p></fn><fn fn-type="con" id="con2"><p>Formal analysis, Investigation, Visualization, Methodology</p></fn><fn fn-type="con" id="con3"><p>Software, Investigation</p></fn><fn fn-type="con" id="con4"><p>Investigation</p></fn><fn fn-type="con" id="con5"><p>Investigation, Methodology, Writing - review and editing</p></fn><fn fn-type="con" id="con6"><p>Software- Formal analysis</p></fn><fn fn-type="con" id="con7"><p>Resources, Supervision, Methodology, Writing - review and editing</p></fn><fn fn-type="con" id="con8"><p>Conceptualization, Resources, Data curation, Supervision, Funding acquisition, Methodology, Writing - original draft, Project administration, Writing - review and editing</p></fn></fn-group><fn-group content-type="ethics-information"><title>Ethics</title><fn fn-type="other"><p>Animal experimentation: All animal experiments were performed according to procedures approved by the UCSF Institutional Animal Care and Use Committee (approval # AN183460-02A) and adhered to NIH standards.</p></fn></fn-group></sec><sec id="s6" sec-type="supplementary-material"><title>Additional files</title><supplementary-material id="supp1"><label>Supplementary file 1.</label><caption><title>MICU1 effect on MCU<sub>cx</sub>.</title><p>(a) MICU1 effect on MCU<sub>cx</sub> as determined by previous electrophysiological experiments. (b) MICU1 effect on MCU<sub>cx</sub> as determined by previous Ca<sup>2+</sup> imaging experiments.</p></caption><media mime-subtype="docx" mimetype="application" xlink:href="elife-69312-supp1-v2.docx"/></supplementary-material><supplementary-material id="transrepform"><label>Transparent reporting form</label><media mime-subtype="pdf" mimetype="application" xlink:href="elife-69312-transrepform-v2.pdf"/></supplementary-material></sec><sec id="s7" sec-type="data-availability"><title>Data availability</title><p>Due to the size of the dataset, raw electrophysiology traces are available on request to the corresponding author. All information has been extracted from the raw electrophysiological traces and is available to download as source data files. All the codes or software used in analyzing the data and their sources are listed in the Key Resources Table.</p></sec><ref-list><title>References</title><ref id="bib1"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Allshire</surname> <given-names>A</given-names></name><name><surname>Bernardi</surname> <given-names>P</given-names></name><name><surname>Saris</surname> <given-names>NE</given-names></name></person-group><year iso-8601-date="1985">1985</year><article-title>Manganese stimulates calcium flux through the mitochondrial uniporter</article-title><source>Biochimica Et Biophysica Acta (BBA) - Bioenergetics</source><volume>807</volume><fpage>202</fpage><lpage>209</lpage><pub-id pub-id-type="doi">10.1016/0005-2728(85)90123-9</pub-id><pub-id pub-id-type="pmid">3978095</pub-id></element-citation></ref><ref id="bib2"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ashrafi</surname> <given-names>G</given-names></name><name><surname>de Juan-Sanz</surname> <given-names>J</given-names></name><name><surname>Farrell</surname> <given-names>RJ</given-names></name><name><surname>Ryan</surname> <given-names>TA</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Molecular tuning of the axonal mitochondrial Ca<sup>2+ </sup>uniporter ensures metabolic flexibility of neurotransmission</article-title><source>Neuron</source><volume>105</volume><fpage>678</fpage><lpage>687</lpage><pub-id pub-id-type="doi">10.1016/j.neuron.2019.11.020</pub-id><pub-id pub-id-type="pmid">31862210</pub-id></element-citation></ref><ref id="bib3"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baradaran</surname> <given-names>R</given-names></name><name><surname>Wang</surname> <given-names>C</given-names></name><name><surname>Siliciano</surname> <given-names>AF</given-names></name><name><surname>Long</surname> <given-names>SB</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Cryo-EM structures of fungal and metazoan mitochondrial calcium uniporters</article-title><source>Nature</source><volume>559</volume><fpage>580</fpage><lpage>584</lpage><pub-id pub-id-type="doi">10.1038/s41586-018-0331-8</pub-id><pub-id pub-id-type="pmid">29995857</pub-id></element-citation></ref><ref id="bib4"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baughman</surname> <given-names>JM</given-names></name><name><surname>Perocchi</surname> <given-names>F</given-names></name><name><surname>Girgis</surname> <given-names>HS</given-names></name><name><surname>Plovanich</surname> <given-names>M</given-names></name><name><surname>Belcher-Timme</surname> <given-names>CA</given-names></name><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Bao</surname> <given-names>XR</given-names></name><name><surname>Strittmatter</surname> <given-names>L</given-names></name><name><surname>Goldberger</surname> <given-names>O</given-names></name><name><surname>Bogorad</surname> <given-names>RL</given-names></name><name><surname>Koteliansky</surname> <given-names>V</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2011">2011</year><article-title>Integrative genomics identifies MCU as an essential component of the mitochondrial calcium uniporter</article-title><source>Nature</source><volume>476</volume><fpage>341</fpage><lpage>345</lpage><pub-id pub-id-type="doi">10.1038/nature10234</pub-id><pub-id pub-id-type="pmid">21685886</pub-id></element-citation></ref><ref id="bib5"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bernardi</surname> <given-names>P</given-names></name></person-group><year iso-8601-date="1999">1999</year><article-title>Mitochondrial transport of cations: channels, exchangers, and permeability transition</article-title><source>Physiological Reviews</source><volume>79</volume><fpage>1127</fpage><lpage>1155</lpage><pub-id pub-id-type="doi">10.1152/physrev.1999.79.4.1127</pub-id><pub-id pub-id-type="pmid">10508231</pub-id></element-citation></ref><ref id="bib6"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berridge</surname> <given-names>MJ</given-names></name><name><surname>Bootman</surname> <given-names>MD</given-names></name><name><surname>Roderick</surname> <given-names>HL</given-names></name></person-group><year iso-8601-date="2003">2003</year><article-title>Calcium signalling: dynamics, homeostasis and remodelling</article-title><source>Nature Reviews. Molecular Cell Biology</source><volume>4</volume><fpage>517</fpage><lpage>529</lpage><pub-id pub-id-type="doi">10.1038/nrm1155</pub-id><pub-id pub-id-type="pmid">12838335</pub-id></element-citation></ref><ref id="bib7"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bertolini</surname> <given-names>MS</given-names></name><name><surname>Chiurillo</surname> <given-names>MA</given-names></name><name><surname>Lander</surname> <given-names>N</given-names></name><name><surname>Vercesi</surname> <given-names>AE</given-names></name><name><surname>Docampo</surname> <given-names>R</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>MICU1 and MICU2 play an essential role in mitochondrial Ca<sup>2+</sup> uptake, growth, and infectivity of the human pathogen Trypanosoma cruzi</article-title><source>mBio</source><volume>10</volume><elocation-id>e00348-19</elocation-id><pub-id pub-id-type="doi">10.1128/mBio.00348-19</pub-id><pub-id pub-id-type="pmid">31064825</pub-id></element-citation></ref><ref id="bib8"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Boyman</surname> <given-names>L</given-names></name><name><surname>Williams</surname> <given-names>GS</given-names></name><name><surname>Khananshvili</surname> <given-names>D</given-names></name><name><surname>Sekler</surname> <given-names>I</given-names></name><name><surname>Lederer</surname> <given-names>WJ</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>NCLX: the mitochondrial sodium calcium exchanger</article-title><source>Journal of Molecular and Cellular Cardiology</source><volume>59</volume><fpage>205</fpage><lpage>213</lpage><pub-id pub-id-type="doi">10.1016/j.yjmcc.2013.03.012</pub-id><pub-id pub-id-type="pmid">23538132</pub-id></element-citation></ref><ref id="bib9"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chaudhuri</surname> <given-names>D</given-names></name><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name><name><surname>Clapham</surname> <given-names>DE</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>MCU encodes the pore conducting mitochondrial calcium currents</article-title><source>eLife</source><volume>2</volume><elocation-id>e00704</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.00704</pub-id><pub-id pub-id-type="pmid">23755363</pub-id></element-citation></ref><ref id="bib10"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Colegrove</surname> <given-names>SL</given-names></name><name><surname>Albrecht</surname> <given-names>MA</given-names></name><name><surname>Friel</surname> <given-names>DD</given-names></name></person-group><year iso-8601-date="2000">2000a</year><article-title>Dissection of mitochondrial Ca<sup>2+</sup> uptake and release fluxes in situ after depolarization-evoked [Ca<sup>2+</sup>]<sub>i</sub> elevations in sympathetic neurons</article-title><source>The Journal of General Physiology</source><volume>115</volume><fpage>351</fpage><lpage>370</lpage><pub-id pub-id-type="doi">10.1085/jgp.115.3.351</pub-id><pub-id pub-id-type="pmid">10694263</pub-id></element-citation></ref><ref id="bib11"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Colegrove</surname> <given-names>SL</given-names></name><name><surname>Albrecht</surname> <given-names>MA</given-names></name><name><surname>Friel</surname> <given-names>DD</given-names></name></person-group><year iso-8601-date="2000">2000b</year><article-title>Quantitative analysis of mitochondrial Ca<sup>2+</sup> uptake and release pathways in sympathetic neurons: reconstruction of the recovery after depolarization-evoked [Ca<sup>2+</sup>]<sub>i</sub> elevations</article-title><source>The Journal of General Physiology</source><volume>115</volume><fpage>371</fpage><lpage>388</lpage><pub-id pub-id-type="doi">10.1085/jgp.115.3.371</pub-id><pub-id pub-id-type="pmid">10694264</pub-id></element-citation></ref><ref id="bib12"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Csordás</surname> <given-names>G</given-names></name><name><surname>Golenár</surname> <given-names>T</given-names></name><name><surname>Seifert</surname> <given-names>EL</given-names></name><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Perocchi</surname> <given-names>F</given-names></name><name><surname>Moffat</surname> <given-names>C</given-names></name><name><surname>Weaver</surname> <given-names>D</given-names></name><name><surname>Perez</surname> <given-names>SF</given-names></name><name><surname>Bogorad</surname> <given-names>R</given-names></name><name><surname>Koteliansky</surname> <given-names>V</given-names></name><name><surname>Adijanto</surname> <given-names>J</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name><name><surname>Hajnóczky</surname> <given-names>G</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>MICU1 controls both the threshold and cooperative activation of the mitochondrial Ca²⁺ uniporter</article-title><source>Cell Metabolism</source><volume>17</volume><fpage>976</fpage><lpage>987</lpage><pub-id pub-id-type="doi">10.1016/j.cmet.2013.04.020</pub-id><pub-id pub-id-type="pmid">23747253</pub-id></element-citation></ref><ref id="bib13"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>De Stefani</surname> <given-names>D</given-names></name><name><surname>Raffaello</surname> <given-names>A</given-names></name><name><surname>Teardo</surname> <given-names>E</given-names></name><name><surname>Szabò</surname> <given-names>I</given-names></name><name><surname>Rizzuto</surname> <given-names>R</given-names></name></person-group><year iso-8601-date="2011">2011</year><article-title>A forty-kilodalton protein of the inner membrane is the mitochondrial calcium uniporter</article-title><source>Nature</source><volume>476</volume><fpage>336</fpage><lpage>340</lpage><pub-id pub-id-type="doi">10.1038/nature10230</pub-id><pub-id pub-id-type="pmid">21685888</pub-id></element-citation></ref><ref id="bib14"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deluca</surname> <given-names>HF</given-names></name><name><surname>Engstrom</surname> <given-names>GW</given-names></name></person-group><year iso-8601-date="1961">1961</year><article-title>Calcium uptake by rat kidney mitochondria</article-title><source>PNAS</source><volume>47</volume><fpage>1744</fpage><lpage>1750</lpage><pub-id pub-id-type="doi">10.1073/pnas.47.11.1744</pub-id><pub-id pub-id-type="pmid">13885269</pub-id></element-citation></ref><ref id="bib15"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dreolini</surname> <given-names>L</given-names></name><name><surname>Cullen</surname> <given-names>M</given-names></name><name><surname>Yung</surname> <given-names>E</given-names></name><name><surname>Laird</surname> <given-names>L</given-names></name><name><surname>Webb</surname> <given-names>JR</given-names></name><name><surname>Nelson</surname> <given-names>BH</given-names></name><name><surname>Hay</surname> <given-names>KA</given-names></name><name><surname>Balasundaram</surname> <given-names>M</given-names></name><name><surname>Kekre</surname> <given-names>N</given-names></name><name><surname>Holt</surname> <given-names>RA</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>A rapid and sensitive Nucleic Acid Amplification Technique for <italic>Mycoplasma</italic> screening of cell therapy products</article-title><source>Molecular Therapy. Methods &amp; Clinical Development</source><volume>17</volume><fpage>393</fpage><lpage>399</lpage><pub-id pub-id-type="doi">10.1016/j.omtm.2020.01.009</pub-id><pub-id pub-id-type="pmid">32128343</pub-id></element-citation></ref><ref id="bib16"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Faas</surname> <given-names>GC</given-names></name><name><surname>Raghavachari</surname> <given-names>S</given-names></name><name><surname>Lisman</surname> <given-names>JE</given-names></name><name><surname>Mody</surname> <given-names>I</given-names></name></person-group><year iso-8601-date="2011">2011</year><article-title>Calmodulin as a direct detector of Ca<sup>2+</sup> signals</article-title><source>Nature Neuroscience</source><volume>14</volume><fpage>301</fpage><lpage>304</lpage><pub-id pub-id-type="doi">10.1038/nn.2746</pub-id><pub-id pub-id-type="pmid">21258328</pub-id></element-citation></ref><ref id="bib17"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname> <given-names>C</given-names></name><name><surname>Fan</surname> <given-names>M</given-names></name><name><surname>Orlando</surname> <given-names>BJ</given-names></name><name><surname>Fastman</surname> <given-names>NM</given-names></name><name><surname>Zhang</surname> <given-names>J</given-names></name><name><surname>Xu</surname> <given-names>Y</given-names></name><name><surname>Chambers</surname> <given-names>MG</given-names></name><name><surname>Xu</surname> <given-names>X</given-names></name><name><surname>Perry</surname> <given-names>K</given-names></name><name><surname>Liao</surname> <given-names>M</given-names></name><name><surname>Feng</surname> <given-names>L</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>X-ray and cryo-EM structures of the mitochondrial calcium uniporter</article-title><source>Nature</source><volume>559</volume><fpage>575</fpage><lpage>579</lpage><pub-id pub-id-type="doi">10.1038/s41586-018-0330-9</pub-id><pub-id pub-id-type="pmid">29995856</pub-id></element-citation></ref><ref id="bib18"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname> <given-names>M</given-names></name><name><surname>Zhang</surname> <given-names>J</given-names></name><name><surname>Tsai</surname> <given-names>CW</given-names></name><name><surname>Orlando</surname> <given-names>BJ</given-names></name><name><surname>Rodriguez</surname> <given-names>M</given-names></name><name><surname>Xu</surname> <given-names>Y</given-names></name><name><surname>Liao</surname> <given-names>M</given-names></name><name><surname>Tsai</surname> <given-names>MF</given-names></name><name><surname>Feng</surname> <given-names>L</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Structure and mechanism of the mitochondrial Ca<sup>2+</sup> uniporter holocomplex</article-title><source>Nature</source><volume>582</volume><fpage>129</fpage><lpage>133</lpage><pub-id pub-id-type="doi">10.1038/s41586-020-2309-6</pub-id><pub-id pub-id-type="pmid">32494073</pub-id></element-citation></ref><ref id="bib19"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fieni</surname> <given-names>F</given-names></name><name><surname>Lee</surname> <given-names>SB</given-names></name><name><surname>Jan</surname> <given-names>YN</given-names></name><name><surname>Kirichok</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>Activity of the mitochondrial calcium uniporter varies greatly between tissues</article-title><source>Nature Communications</source><volume>3</volume><elocation-id>1317</elocation-id><pub-id pub-id-type="doi">10.1038/ncomms2325</pub-id><pub-id pub-id-type="pmid">23271651</pub-id></element-citation></ref><ref id="bib20"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Foskett</surname> <given-names>JK</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Regulation of the mitochondrial Ca<sup>2+</sup> uniporter by MICU1 and MICU2</article-title><source>Biochemical and Biophysical Research Communications</source><volume>449</volume><fpage>377</fpage><lpage>383</lpage><pub-id pub-id-type="doi">10.1016/j.bbrc.2014.04.146</pub-id><pub-id pub-id-type="pmid">24792178</pub-id></element-citation></ref><ref id="bib21"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garg</surname> <given-names>V</given-names></name><name><surname>Kirichok</surname> <given-names>YY</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Patch-Clamp Analysis of the Mitochondrial Calcium Uniporter</article-title><source>Methods in Molecular Biology</source><volume>1925</volume><fpage>75</fpage><lpage>86</lpage><pub-id pub-id-type="doi">10.1007/978-1-4939-9018-4_7</pub-id><pub-id pub-id-type="pmid">30674018</pub-id></element-citation></ref><ref id="bib22"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ghosh</surname> <given-names>S</given-names></name><name><surname>Basu Ball</surname> <given-names>W</given-names></name><name><surname>Madaris</surname> <given-names>TR</given-names></name><name><surname>Srikantan</surname> <given-names>S</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name><name><surname>Gohil</surname> <given-names>VM</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>An essential role for cardiolipin in the stability and function of the mitochondrial calcium uniporter</article-title><source>PNAS</source><volume>117</volume><fpage>16383</fpage><lpage>16390</lpage><pub-id pub-id-type="doi">10.1073/pnas.2000640117</pub-id><pub-id pub-id-type="pmid">32601238</pub-id></element-citation></ref><ref id="bib23"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Glancy</surname> <given-names>B</given-names></name><name><surname>Balaban</surname> <given-names>RS</given-names></name></person-group><year iso-8601-date="2012">2012</year><article-title>Role of mitochondrial Ca<sup>2+</sup> in the regulation of cellular energetics</article-title><source>Biochemistry</source><volume>51</volume><fpage>2959</fpage><lpage>2973</lpage><pub-id pub-id-type="doi">10.1021/bi2018909</pub-id><pub-id pub-id-type="pmid">22443365</pub-id></element-citation></ref><ref id="bib24"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gottschalk</surname> <given-names>B</given-names></name><name><surname>Klec</surname> <given-names>C</given-names></name><name><surname>Leitinger</surname> <given-names>G</given-names></name><name><surname>Bernhart</surname> <given-names>E</given-names></name><name><surname>Rost</surname> <given-names>R</given-names></name><name><surname>Bischof</surname> <given-names>H</given-names></name><name><surname>Madreiter-Sokolowski</surname> <given-names>CT</given-names></name><name><surname>Radulović</surname> <given-names>S</given-names></name><name><surname>Eroglu</surname> <given-names>E</given-names></name><name><surname>Sattler</surname> <given-names>W</given-names></name><name><surname>Waldeck-Weiermair</surname> <given-names>M</given-names></name><name><surname>Malli</surname> <given-names>R</given-names></name><name><surname>Graier</surname> <given-names>WF</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>MICU1 controls cristae junction and spatially anchors mitochondrial Ca<sup>2+</sup> uniporter complex</article-title><source>Nature Communications</source><volume>10</volume><elocation-id>3732</elocation-id><pub-id pub-id-type="doi">10.1038/s41467-019-11692-x</pub-id><pub-id pub-id-type="pmid">31427612</pub-id></element-citation></ref><ref id="bib25"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Grynkiewicz</surname> <given-names>G</given-names></name><name><surname>Poenie</surname> <given-names>M</given-names></name><name><surname>Tsien</surname> <given-names>RY</given-names></name></person-group><year iso-8601-date="1985">1985</year><article-title>A new generation of Ca<sup>2+</sup> indicators with greatly improved fluorescence properties</article-title><source>The Journal of Biological Chemistry</source><volume>260</volume><fpage>3440</fpage><lpage>3450</lpage><pub-id pub-id-type="pmid">3838314</pub-id></element-citation></ref><ref id="bib26"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gunter</surname> <given-names>TE</given-names></name><name><surname>Gerstner</surname> <given-names>B</given-names></name><name><surname>Lester</surname> <given-names>T</given-names></name><name><surname>Wojtovich</surname> <given-names>AP</given-names></name><name><surname>Malecki</surname> <given-names>J</given-names></name><name><surname>Swarts</surname> <given-names>SG</given-names></name><name><surname>Brookes</surname> <given-names>PS</given-names></name><name><surname>Gavin</surname> <given-names>CE</given-names></name><name><surname>Gunter</surname> <given-names>KK</given-names></name></person-group><year iso-8601-date="2010">2010</year><article-title>An analysis of the effects of Mn<sup>2+</sup> on oxidative phosphorylation in liver, brain, and heart mitochondria using state 3 oxidation rate assays</article-title><source>Toxicology and Applied Pharmacology</source><volume>249</volume><fpage>65</fpage><lpage>75</lpage><pub-id pub-id-type="doi">10.1016/j.taap.2010.08.018</pub-id><pub-id pub-id-type="pmid">20800605</pub-id></element-citation></ref><ref id="bib27"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gunter</surname> <given-names>TE</given-names></name><name><surname>Pfeiffer</surname> <given-names>DR</given-names></name></person-group><year iso-8601-date="1990">1990</year><article-title>Mechanisms by which mitochondria transport calcium</article-title><source>The American Journal of Physiology</source><volume>258</volume><fpage>C755</fpage><lpage>C786</lpage><pub-id pub-id-type="doi">10.1152/ajpcell.1990.258.5.C755</pub-id><pub-id pub-id-type="pmid">2185657</pub-id></element-citation></ref><ref id="bib28"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hess</surname> <given-names>P</given-names></name><name><surname>Lansman</surname> <given-names>JB</given-names></name><name><surname>Tsien</surname> <given-names>RW</given-names></name></person-group><year iso-8601-date="1986">1986</year><article-title>Calcium channel selectivity for divalent and monovalent cations. Voltage and concentration dependence of single channel current in ventricular heart cells</article-title><source>The Journal of General Physiology</source><volume>88</volume><fpage>293</fpage><lpage>319</lpage><pub-id pub-id-type="doi">10.1085/jgp.88.3.293</pub-id><pub-id pub-id-type="pmid">2428919</pub-id></element-citation></ref><ref id="bib29"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hess</surname> <given-names>P</given-names></name><name><surname>Tsien</surname> <given-names>RW</given-names></name></person-group><year iso-8601-date="1984">1984</year><article-title>Mechanism of ion permeation through calcium channels</article-title><source>Nature</source><volume>309</volume><fpage>453</fpage><lpage>456</lpage><pub-id pub-id-type="doi">10.1038/309453a0</pub-id><pub-id pub-id-type="pmid">6328315</pub-id></element-citation></ref><ref id="bib30"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hoffman</surname> <given-names>NE</given-names></name><name><surname>Chandramoorthy</surname> <given-names>HC</given-names></name><name><surname>Shamugapriya</surname> <given-names>S</given-names></name><name><surname>Zhang</surname> <given-names>X</given-names></name><name><surname>Rajan</surname> <given-names>S</given-names></name><name><surname>Mallilankaraman</surname> <given-names>K</given-names></name><name><surname>Gandhirajan</surname> <given-names>RK</given-names></name><name><surname>Vagnozzi</surname> <given-names>RJ</given-names></name><name><surname>Ferrer</surname> <given-names>LM</given-names></name><name><surname>Sreekrishnanilayam</surname> <given-names>K</given-names></name><name><surname>Natarajaseenivasan</surname> <given-names>K</given-names></name><name><surname>Vallem</surname> <given-names>S</given-names></name><name><surname>Force</surname> <given-names>T</given-names></name><name><surname>Choi</surname> <given-names>ET</given-names></name><name><surname>Cheung</surname> <given-names>JY</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>MICU1 motifs define mitochondrial calcium uniporter binding and activity</article-title><source>Cell Reports</source><volume>5</volume><fpage>1576</fpage><lpage>1588</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2013.11.026</pub-id><pub-id pub-id-type="pmid">24332854</pub-id></element-citation></ref><ref id="bib31"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Holmström</surname> <given-names>KM</given-names></name><name><surname>Pan</surname> <given-names>X</given-names></name><name><surname>Liu</surname> <given-names>JC</given-names></name><name><surname>Menazza</surname> <given-names>S</given-names></name><name><surname>Liu</surname> <given-names>J</given-names></name><name><surname>Nguyen</surname> <given-names>TT</given-names></name><name><surname>Pan</surname> <given-names>H</given-names></name><name><surname>Parks</surname> <given-names>RJ</given-names></name><name><surname>Anderson</surname> <given-names>S</given-names></name><name><surname>Noguchi</surname> <given-names>A</given-names></name><name><surname>Springer</surname> <given-names>D</given-names></name><name><surname>Murphy</surname> <given-names>E</given-names></name><name><surname>Finkel</surname> <given-names>T</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>Assessment of cardiac function in mice lacking the mitochondrial calcium uniporter</article-title><source>Journal of Molecular and Cellular Cardiology</source><volume>85</volume><fpage>178</fpage><lpage>182</lpage><pub-id pub-id-type="doi">10.1016/j.yjmcc.2015.05.022</pub-id><pub-id pub-id-type="pmid">26057074</pub-id></element-citation></ref><ref id="bib32"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hughes</surname> <given-names>BP</given-names></name><name><surname>Exton</surname> <given-names>JH</given-names></name></person-group><year iso-8601-date="1983">1983</year><article-title>Effect of micromolar concentrations of manganese ions on calcium-ion cycling in rat liver mitochondria</article-title><source>The Biochemical Journal</source><volume>212</volume><fpage>773</fpage><lpage>782</lpage><pub-id pub-id-type="doi">10.1042/bj2120773</pub-id><pub-id pub-id-type="pmid">6192809</pub-id></element-citation></ref><ref id="bib33"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hutson</surname> <given-names>SM</given-names></name><name><surname>Pfeiffer</surname> <given-names>DR</given-names></name><name><surname>Lardy</surname> <given-names>HA</given-names></name></person-group><year iso-8601-date="1976">1976</year><article-title>Effect of cations and anions on the steady state kinetics of energy-dependent Ca<sup>2+</sup> transport in rat liver mitochondria</article-title><source>The Journal of Biological Chemistry</source><volume>251</volume><fpage>5251</fpage><lpage>5258</lpage><pub-id pub-id-type="pmid">783158</pub-id></element-citation></ref><ref id="bib34"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ishihara</surname> <given-names>N</given-names></name><name><surname>Nomura</surname> <given-names>M</given-names></name><name><surname>Jofuku</surname> <given-names>A</given-names></name><name><surname>Kato</surname> <given-names>H</given-names></name><name><surname>Suzuki</surname> <given-names>SO</given-names></name><name><surname>Masuda</surname> <given-names>K</given-names></name><name><surname>Otera</surname> <given-names>H</given-names></name><name><surname>Nakanishi</surname> <given-names>Y</given-names></name><name><surname>Nonaka</surname> <given-names>I</given-names></name><name><surname>Goto</surname> <given-names>Y</given-names></name><name><surname>Taguchi</surname> <given-names>N</given-names></name><name><surname>Morinaga</surname> <given-names>H</given-names></name><name><surname>Maeda</surname> <given-names>M</given-names></name><name><surname>Takayanagi</surname> <given-names>R</given-names></name><name><surname>Yokota</surname> <given-names>S</given-names></name><name><surname>Mihara</surname> <given-names>K</given-names></name></person-group><year iso-8601-date="2009">2009</year><article-title>Mitochondrial fission factor Drp1 is essential for embryonic development and synapse formation in mice</article-title><source>Nature Cell Biology</source><volume>11</volume><fpage>958</fpage><lpage>966</lpage><pub-id pub-id-type="doi">10.1038/ncb1907</pub-id><pub-id pub-id-type="pmid">19578372</pub-id></element-citation></ref><ref id="bib35"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Grabarek</surname> <given-names>Z</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>High-affinity cooperative Ca<sup>2+</sup> binding by MICU1-MICU2 serves as an on-off switch for the uniporter</article-title><source>EMBO Reports</source><volume>18</volume><fpage>1397</fpage><lpage>1411</lpage><pub-id pub-id-type="doi">10.15252/embr.201643748</pub-id><pub-id pub-id-type="pmid">28615291</pub-id></element-citation></ref><ref id="bib36"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Fomina</surname> <given-names>Y</given-names></name><name><surname>Meisel</surname> <given-names>JD</given-names></name><name><surname>Chaudhuri</surname> <given-names>D</given-names></name><name><surname>Grabarek</surname> <given-names>Z</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>MICU1 imparts the mitochondrial uniporter with the ability to discriminate between Ca<sup>2+</sup> and Mn<sup>2+</sup></article-title><source>PNAS</source><volume>115</volume><fpage>E7960</fpage><lpage>E7969</lpage><pub-id pub-id-type="doi">10.1073/pnas.1807811115</pub-id><pub-id pub-id-type="pmid">30082385</pub-id></element-citation></ref><ref id="bib37"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>MICU1 and MICU2 play nonredundant roles in the regulation of the mitochondrial calcium uniporter</article-title><source>EMBO Reports</source><volume>15</volume><fpage>299</fpage><lpage>307</lpage><pub-id pub-id-type="doi">10.1002/embr.201337946</pub-id><pub-id pub-id-type="pmid">24503055</pub-id></element-citation></ref><ref id="bib38"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kirichok</surname> <given-names>Y</given-names></name><name><surname>Krapivinsky</surname> <given-names>G</given-names></name><name><surname>Clapham</surname> <given-names>DE</given-names></name></person-group><year iso-8601-date="2004">2004</year><article-title>The mitochondrial calcium uniporter is a highly selective ion channel</article-title><source>Nature</source><volume>427</volume><fpage>360</fpage><lpage>364</lpage><pub-id pub-id-type="doi">10.1038/nature02246</pub-id><pub-id pub-id-type="pmid">14737170</pub-id></element-citation></ref><ref id="bib39"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kröner</surname> <given-names>H</given-names></name></person-group><year iso-8601-date="1986">1986</year><article-title>Ca<sup>2+</sup> ions, an allosteric activator of calcium uptake in rat liver mitochondria</article-title><source>Archives of Biochemistry and Biophysics</source><volume>251</volume><fpage>525</fpage><lpage>535</lpage><pub-id pub-id-type="doi">10.1016/0003-9861(86)90360-7</pub-id><pub-id pub-id-type="pmid">3800383</pub-id></element-citation></ref><ref id="bib40"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kwong</surname> <given-names>JQ</given-names></name><name><surname>Lu</surname> <given-names>X</given-names></name><name><surname>Correll</surname> <given-names>RN</given-names></name><name><surname>Schwanekamp</surname> <given-names>JA</given-names></name><name><surname>Vagnozzi</surname> <given-names>RJ</given-names></name><name><surname>Sargent</surname> <given-names>MA</given-names></name><name><surname>York</surname> <given-names>AJ</given-names></name><name><surname>Zhang</surname> <given-names>J</given-names></name><name><surname>Bers</surname> <given-names>DM</given-names></name><name><surname>Molkentin</surname> <given-names>JD</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>The mitochondrial calcium uniporter selectively matches metabolic output to acute contractile stress in the heart</article-title><source>Cell Reports</source><volume>12</volume><fpage>15</fpage><lpage>22</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2015.06.002</pub-id><pub-id pub-id-type="pmid">26119742</pub-id></element-citation></ref><ref id="bib41"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lansman</surname> <given-names>JB</given-names></name><name><surname>Hess</surname> <given-names>P</given-names></name><name><surname>Tsien</surname> <given-names>RW</given-names></name></person-group><year iso-8601-date="1986">1986</year><article-title>Blockade of current through single calcium channels by Cd<sup>2+</sup>, Mg<sup>2+</sup>, and Ca<sup>2+</sup>. Voltage and concentration dependence of calcium entry into the pore</article-title><source>The Journal of General Physiology</source><volume>88</volume><fpage>321</fpage><lpage>347</lpage><pub-id pub-id-type="doi">10.1085/jgp.88.3.321</pub-id><pub-id pub-id-type="pmid">2428920</pub-id></element-citation></ref><ref id="bib42"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>JC</given-names></name><name><surname>Liu</surname> <given-names>J</given-names></name><name><surname>Holmström</surname> <given-names>KM</given-names></name><name><surname>Menazza</surname> <given-names>S</given-names></name><name><surname>Parks</surname> <given-names>RJ</given-names></name><name><surname>Fergusson</surname> <given-names>MM</given-names></name><name><surname>Yu</surname> <given-names>ZX</given-names></name><name><surname>Springer</surname> <given-names>DA</given-names></name><name><surname>Halsey</surname> <given-names>C</given-names></name><name><surname>Liu</surname> <given-names>C</given-names></name><name><surname>Murphy</surname> <given-names>E</given-names></name><name><surname>Finkel</surname> <given-names>T</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>MICU1 serves as a molecular gatekeeper to prevent in vivo mitochondrial calcium overload</article-title><source>Cell Reports</source><volume>16</volume><fpage>1561</fpage><lpage>1573</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2016.07.011</pub-id><pub-id pub-id-type="pmid">27477272</pub-id></element-citation></ref><ref id="bib43"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Logan</surname> <given-names>CV</given-names></name><name><surname>Szabadkai</surname> <given-names>G</given-names></name><name><surname>Sharpe</surname> <given-names>JA</given-names></name><name><surname>Parry</surname> <given-names>DA</given-names></name><name><surname>Torelli</surname> <given-names>S</given-names></name><name><surname>Childs</surname> <given-names>AM</given-names></name><name><surname>Kriek</surname> <given-names>M</given-names></name><name><surname>Phadke</surname> <given-names>R</given-names></name><name><surname>Johnson</surname> <given-names>CA</given-names></name><name><surname>Roberts</surname> <given-names>NY</given-names></name><name><surname>Bonthron</surname> <given-names>DT</given-names></name><name><surname>Pysden</surname> <given-names>KA</given-names></name><name><surname>Whyte</surname> <given-names>T</given-names></name><name><surname>Munteanu</surname> <given-names>I</given-names></name><name><surname>Foley</surname> <given-names>AR</given-names></name><name><surname>Wheway</surname> <given-names>G</given-names></name><name><surname>Szymanska</surname> <given-names>K</given-names></name><name><surname>Natarajan</surname> <given-names>S</given-names></name><name><surname>Abdelhamed</surname> <given-names>ZA</given-names></name><name><surname>Morgan</surname> <given-names>JE</given-names></name><name><surname>Roper</surname> <given-names>H</given-names></name><name><surname>Santen</surname> <given-names>GW</given-names></name><name><surname>Niks</surname> <given-names>EH</given-names></name><name><surname>van der Pol</surname> <given-names>WL</given-names></name><name><surname>Lindhout</surname> <given-names>D</given-names></name><name><surname>Raffaello</surname> <given-names>A</given-names></name><name><surname>De Stefani</surname> <given-names>D</given-names></name><name><surname>den Dunnen</surname> <given-names>JT</given-names></name><name><surname>Sun</surname> <given-names>Y</given-names></name><name><surname>Ginjaar</surname> <given-names>I</given-names></name><name><surname>Sewry</surname> <given-names>CA</given-names></name><name><surname>Hurles</surname> <given-names>M</given-names></name><name><surname>Rizzuto</surname> <given-names>R</given-names></name><name><surname>Duchen</surname> <given-names>MR</given-names></name><name><surname>Muntoni</surname> <given-names>F</given-names></name><name><surname>Sheridan</surname> <given-names>E</given-names></name><collab>UK10K Consortium</collab></person-group><year iso-8601-date="2014">2014</year><article-title>Loss-of-function mutations in MICU1 cause a brain and muscle disorder linked to primary alterations in mitochondrial calcium signaling</article-title><source>Nature Genetics</source><volume>46</volume><fpage>188</fpage><lpage>193</lpage><pub-id pub-id-type="doi">10.1038/ng.2851</pub-id><pub-id pub-id-type="pmid">24336167</pub-id></element-citation></ref><ref id="bib44"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Luongo</surname> <given-names>TS</given-names></name><name><surname>Lambert</surname> <given-names>JP</given-names></name><name><surname>Yuan</surname> <given-names>A</given-names></name><name><surname>Zhang</surname> <given-names>X</given-names></name><name><surname>Gross</surname> <given-names>P</given-names></name><name><surname>Song</surname> <given-names>J</given-names></name><name><surname>Shanmughapriya</surname> <given-names>S</given-names></name><name><surname>Gao</surname> <given-names>E</given-names></name><name><surname>Jain</surname> <given-names>M</given-names></name><name><surname>Houser</surname> <given-names>SR</given-names></name><name><surname>Koch</surname> <given-names>WJ</given-names></name><name><surname>Cheung</surname> <given-names>JY</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name><name><surname>Elrod</surname> <given-names>JW</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>The mitochondrial calcium uniporter matches energetic supply with cardiac workload during stress and modulates permeability transition</article-title><source>Cell Reports</source><volume>12</volume><fpage>23</fpage><lpage>34</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2015.06.017</pub-id><pub-id pub-id-type="pmid">26119731</pub-id></element-citation></ref><ref id="bib45"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Luongo</surname> <given-names>TS</given-names></name><name><surname>Lambert</surname> <given-names>JP</given-names></name><name><surname>Gross</surname> <given-names>P</given-names></name><name><surname>Nwokedi</surname> <given-names>M</given-names></name><name><surname>Lombardi</surname> <given-names>AA</given-names></name><name><surname>Shanmughapriya</surname> <given-names>S</given-names></name><name><surname>Carpenter</surname> <given-names>AC</given-names></name><name><surname>Kolmetzky</surname> <given-names>D</given-names></name><name><surname>Gao</surname> <given-names>E</given-names></name><name><surname>van Berlo</surname> <given-names>JH</given-names></name><name><surname>Tsai</surname> <given-names>EJ</given-names></name><name><surname>Molkentin</surname> <given-names>JD</given-names></name><name><surname>Chen</surname> <given-names>X</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name><name><surname>Houser</surname> <given-names>SR</given-names></name><name><surname>Elrod</surname> <given-names>JW</given-names></name></person-group><year iso-8601-date="2017">2017</year><article-title>The mitochondrial Na<sup>+</sup>/Ca<sup>2+</sup> exchanger is essential for Ca<sup>2+</sup> homeostasis and viability</article-title><source>Nature</source><volume>545</volume><fpage>93</fpage><lpage>97</lpage><pub-id pub-id-type="doi">10.1038/nature22082</pub-id></element-citation></ref><ref id="bib46"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mallilankaraman</surname> <given-names>K</given-names></name><name><surname>Cárdenas</surname> <given-names>C</given-names></name><name><surname>Doonan</surname> <given-names>PJ</given-names></name><name><surname>Chandramoorthy</surname> <given-names>HC</given-names></name><name><surname>Irrinki</surname> <given-names>KM</given-names></name><name><surname>Golenár</surname> <given-names>T</given-names></name><name><surname>Csordás</surname> <given-names>G</given-names></name><name><surname>Madireddi</surname> <given-names>P</given-names></name><name><surname>Yang</surname> <given-names>J</given-names></name><name><surname>Müller</surname> <given-names>M</given-names></name><name><surname>Miller</surname> <given-names>R</given-names></name><name><surname>Kolesar</surname> <given-names>JE</given-names></name><name><surname>Molgó</surname> <given-names>J</given-names></name><name><surname>Kaufman</surname> <given-names>B</given-names></name><name><surname>Hajnóczky</surname> <given-names>G</given-names></name><name><surname>Foskett</surname> <given-names>JK</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2012">2012a</year><article-title>MCUR1 is an essential component of mitochondrial Ca<sup>2+</sup> uptake that regulates cellular metabolism</article-title><source>Nature Cell Biology</source><volume>14</volume><fpage>1336</fpage><lpage>1343</lpage><pub-id pub-id-type="doi">10.1038/ncb2622</pub-id><pub-id pub-id-type="pmid">23178883</pub-id></element-citation></ref><ref id="bib47"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mallilankaraman</surname> <given-names>K</given-names></name><name><surname>Doonan</surname> <given-names>P</given-names></name><name><surname>Cárdenas</surname> <given-names>C</given-names></name><name><surname>Chandramoorthy</surname> <given-names>HC</given-names></name><name><surname>Müller</surname> <given-names>M</given-names></name><name><surname>Miller</surname> <given-names>R</given-names></name><name><surname>Hoffman</surname> <given-names>NE</given-names></name><name><surname>Gandhirajan</surname> <given-names>RK</given-names></name><name><surname>Molgó</surname> <given-names>J</given-names></name><name><surname>Birnbaum</surname> <given-names>MJ</given-names></name><name><surname>Rothberg</surname> <given-names>BS</given-names></name><name><surname>Mak</surname> <given-names>DO</given-names></name><name><surname>Foskett</surname> <given-names>JK</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2012">2012b</year><article-title>MICU1 is an essential gatekeeper for MCU-mediated mitochondrial Ca<sup>2+</sup> uptake that regulates cell survival</article-title><source>Cell</source><volume>151</volume><fpage>630</fpage><lpage>644</lpage><pub-id pub-id-type="doi">10.1016/j.cell.2012.10.011</pub-id><pub-id pub-id-type="pmid">23101630</pub-id></element-citation></ref><ref id="bib48"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McCormack</surname> <given-names>JG</given-names></name><name><surname>Halestrap</surname> <given-names>AP</given-names></name><name><surname>Denton</surname> <given-names>RM</given-names></name></person-group><year iso-8601-date="1990">1990</year><article-title>Role of calcium ions in regulation of mammalian intramitochondrial metabolism</article-title><source>Physiological Reviews</source><volume>70</volume><fpage>391</fpage><lpage>425</lpage><pub-id pub-id-type="doi">10.1152/physrev.1990.70.2.391</pub-id><pub-id pub-id-type="pmid">2157230</pub-id></element-citation></ref><ref id="bib49"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McCormack</surname> <given-names>JG</given-names></name><name><surname>Denton</surname> <given-names>RM</given-names></name></person-group><year iso-8601-date="1993">1993</year><article-title>Mitochondrial Ca<sup>2+</sup> transport and the role of intramitochondrial Ca<sup>2+</sup> in the regulation of energy metabolism</article-title><source>Developmental Neuroscience</source><volume>15</volume><fpage>165</fpage><lpage>173</lpage><pub-id pub-id-type="doi">10.1159/000111332</pub-id><pub-id pub-id-type="pmid">7805568</pub-id></element-citation></ref><ref id="bib50"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nemani</surname> <given-names>N</given-names></name><name><surname>Shanmughapriya</surname> <given-names>S</given-names></name><name><surname>Madesh</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Molecular regulation of MCU: Implications in physiology and disease</article-title><source>Cell Calcium</source><volume>74</volume><fpage>86</fpage><lpage>93</lpage><pub-id pub-id-type="doi">10.1016/j.ceca.2018.06.006</pub-id><pub-id pub-id-type="pmid">29980025</pub-id></element-citation></ref><ref id="bib51"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nguyen</surname> <given-names>NX</given-names></name><name><surname>Armache</surname> <given-names>JP</given-names></name><name><surname>Lee</surname> <given-names>C</given-names></name><name><surname>Yang</surname> <given-names>Y</given-names></name><name><surname>Zeng</surname> <given-names>W</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name><name><surname>Cheng</surname> <given-names>Y</given-names></name><name><surname>Bai</surname> <given-names>XC</given-names></name><name><surname>Jiang</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Cryo-EM structure of a fungal mitochondrial calcium uniporter</article-title><source>Nature</source><volume>559</volume><fpage>570</fpage><lpage>574</lpage><pub-id pub-id-type="doi">10.1038/s41586-018-0333-6</pub-id><pub-id pub-id-type="pmid">29995855</pub-id></element-citation></ref><ref id="bib52"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nicholls</surname> <given-names>DG</given-names></name></person-group><year iso-8601-date="2005">2005</year><article-title>Mitochondria and calcium signaling</article-title><source>Cell Calcium</source><volume>38</volume><fpage>311</fpage><lpage>317</lpage><pub-id pub-id-type="doi">10.1016/j.ceca.2005.06.011</pub-id><pub-id pub-id-type="pmid">16087232</pub-id></element-citation></ref><ref id="bib53"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Palty</surname> <given-names>R</given-names></name><name><surname>Silverman</surname> <given-names>WF</given-names></name><name><surname>Hershfinkel</surname> <given-names>M</given-names></name><name><surname>Caporale</surname> <given-names>T</given-names></name><name><surname>Sensi</surname> <given-names>SL</given-names></name><name><surname>Parnis</surname> <given-names>J</given-names></name><name><surname>Nolte</surname> <given-names>C</given-names></name><name><surname>Fishman</surname> <given-names>D</given-names></name><name><surname>Shoshan-Barmatz</surname> <given-names>V</given-names></name><name><surname>Herrmann</surname> <given-names>S</given-names></name><name><surname>Khananshvili</surname> <given-names>D</given-names></name><name><surname>Sekler</surname> <given-names>I</given-names></name></person-group><year iso-8601-date="2010">2010</year><article-title>NCLX is an essential component of mitochondrial Na<sup>+</sup>/Ca<sup>2+</sup> exchange</article-title><source>PNAS</source><volume>107</volume><fpage>436</fpage><lpage>441</lpage><pub-id pub-id-type="doi">10.1073/pnas.0908099107</pub-id><pub-id pub-id-type="pmid">20018762</pub-id></element-citation></ref><ref id="bib54"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname> <given-names>X</given-names></name><name><surname>Liu</surname> <given-names>J</given-names></name><name><surname>Nguyen</surname> <given-names>T</given-names></name><name><surname>Liu</surname> <given-names>C</given-names></name><name><surname>Sun</surname> <given-names>J</given-names></name><name><surname>Teng</surname> <given-names>Y</given-names></name><name><surname>Fergusson</surname> <given-names>MM</given-names></name><name><surname>Rovira</surname> <given-names>II</given-names></name><name><surname>Allen</surname> <given-names>M</given-names></name><name><surname>Springer</surname> <given-names>DA</given-names></name><name><surname>Aponte</surname> <given-names>AM</given-names></name><name><surname>Gucek</surname> <given-names>M</given-names></name><name><surname>Balaban</surname> <given-names>RS</given-names></name><name><surname>Murphy</surname> <given-names>E</given-names></name><name><surname>Finkel</surname> <given-names>T</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>The physiological role of mitochondrial calcium revealed by mice lacking the mitochondrial calcium uniporter</article-title><source>Nature Cell Biology</source><volume>15</volume><fpage>1464</fpage><lpage>1472</lpage><pub-id pub-id-type="doi">10.1038/ncb2868</pub-id><pub-id pub-id-type="pmid">24212091</pub-id></element-citation></ref><ref id="bib55"><element-citation publication-type="software"><person-group person-group-type="author"><name><surname>Paranjpe</surname> <given-names>I</given-names></name><name><surname>Garg</surname> <given-names>V</given-names></name><name><surname>Kirichok</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2019">2019</year><data-title>upstroke</data-title><source>GitHub</source><version designator="a21ed00">a21ed00</version><ext-link ext-link-type="uri" xlink:href="https://github.com/ishanparanjpe/upstroke">https://github.com/ishanparanjpe/upstroke</ext-link></element-citation></ref><ref id="bib56"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Patron</surname> <given-names>M</given-names></name><name><surname>Checchetto</surname> <given-names>V</given-names></name><name><surname>Raffaello</surname> <given-names>A</given-names></name><name><surname>Teardo</surname> <given-names>E</given-names></name><name><surname>Vecellio Reane</surname> <given-names>D</given-names></name><name><surname>Mantoan</surname> <given-names>M</given-names></name><name><surname>Granatiero</surname> <given-names>V</given-names></name><name><surname>Szabò</surname> <given-names>I</given-names></name><name><surname>De Stefani</surname> <given-names>D</given-names></name><name><surname>Rizzuto</surname> <given-names>R</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>MICU1 and MICU2 finely tune the mitochondrial Ca<sup>2+</sup> uniporter by exerting opposite effects on MCU activity</article-title><source>Molecular Cell</source><volume>53</volume><fpage>726</fpage><lpage>737</lpage><pub-id pub-id-type="doi">10.1016/j.molcel.2014.01.013</pub-id><pub-id pub-id-type="pmid">24560927</pub-id></element-citation></ref><ref id="bib57"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Patron</surname> <given-names>M</given-names></name><name><surname>Granatiero</surname> <given-names>V</given-names></name><name><surname>Espino</surname> <given-names>J</given-names></name><name><surname>Rizzuto</surname> <given-names>R</given-names></name><name><surname>De Stefani</surname> <given-names>D</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>MICU3 is a tissue-specific enhancer of mitochondrial calcium uptake</article-title><source>Cell Death and Differentiation</source><volume>26</volume><fpage>179</fpage><lpage>195</lpage><pub-id pub-id-type="doi">10.1038/s41418-018-0113-8</pub-id><pub-id pub-id-type="pmid">29725115</pub-id></element-citation></ref><ref id="bib58"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Perocchi</surname> <given-names>F</given-names></name><name><surname>Gohil</surname> <given-names>VM</given-names></name><name><surname>Girgis</surname> <given-names>HS</given-names></name><name><surname>Bao</surname> <given-names>XR</given-names></name><name><surname>McCombs</surname> <given-names>JE</given-names></name><name><surname>Palmer</surname> <given-names>AE</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2010">2010</year><article-title>MICU1 encodes a mitochondrial EF hand protein required for Ca<sup>2+</sup> uptake</article-title><source>Nature</source><volume>467</volume><fpage>291</fpage><lpage>296</lpage><pub-id pub-id-type="doi">10.1038/nature09358</pub-id><pub-id pub-id-type="pmid">20693986</pub-id></element-citation></ref><ref id="bib59"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Petrungaro</surname> <given-names>C</given-names></name><name><surname>Zimmermann</surname> <given-names>KM</given-names></name><name><surname>Küttner</surname> <given-names>V</given-names></name><name><surname>Fischer</surname> <given-names>M</given-names></name><name><surname>Dengjel</surname> <given-names>J</given-names></name><name><surname>Bogeski</surname> <given-names>I</given-names></name><name><surname>Riemer</surname> <given-names>J</given-names></name></person-group><year iso-8601-date="2015">2015</year><article-title>The Ca<sup>2+</sup>-dependent release of the Mia40-induced MICU1-MICU2 dimer from MCU regulates mitochondrial Ca<sup>2+</sup> uptake</article-title><source>Cell Metabolism</source><volume>22</volume><fpage>721</fpage><lpage>733</lpage><pub-id pub-id-type="doi">10.1016/j.cmet.2015.08.019</pub-id><pub-id pub-id-type="pmid">26387864</pub-id></element-citation></ref><ref id="bib60"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Plovanich</surname> <given-names>M</given-names></name><name><surname>Bogorad</surname> <given-names>RL</given-names></name><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Strittmatter</surname> <given-names>L</given-names></name><name><surname>Li</surname> <given-names>AA</given-names></name><name><surname>Girgis</surname> <given-names>HS</given-names></name><name><surname>Kuchimanchi</surname> <given-names>S</given-names></name><name><surname>De Groot</surname> <given-names>J</given-names></name><name><surname>Speciner</surname> <given-names>L</given-names></name><name><surname>Taneja</surname> <given-names>N</given-names></name><name><surname>Oshea</surname> <given-names>J</given-names></name><name><surname>Koteliansky</surname> <given-names>V</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>MICU2, a paralog of MICU1, resides within the mitochondrial uniporter complex to regulate calcium handling</article-title><source>PLOS ONE</source><volume>8</volume><elocation-id>e55785</elocation-id><pub-id pub-id-type="doi">10.1371/journal.pone.0055785</pub-id><pub-id pub-id-type="pmid">23409044</pub-id></element-citation></ref><ref id="bib61"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ran</surname> <given-names>FA</given-names></name><name><surname>Hsu</surname> <given-names>PD</given-names></name><name><surname>Wright</surname> <given-names>J</given-names></name><name><surname>Agarwala</surname> <given-names>V</given-names></name><name><surname>Scott</surname> <given-names>DA</given-names></name><name><surname>Zhang</surname> <given-names>F</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Genome engineering using the CRISPR-Cas9 system</article-title><source>Nature Protocols</source><volume>8</volume><fpage>2281</fpage><lpage>2308</lpage><pub-id pub-id-type="doi">10.1038/nprot.2013.143</pub-id><pub-id pub-id-type="pmid">24157548</pub-id></element-citation></ref><ref id="bib62"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sancak</surname> <given-names>Y</given-names></name><name><surname>Markhard</surname> <given-names>AL</given-names></name><name><surname>Kitami</surname> <given-names>T</given-names></name><name><surname>Kovács-Bogdán</surname> <given-names>E</given-names></name><name><surname>Kamer</surname> <given-names>KJ</given-names></name><name><surname>Udeshi</surname> <given-names>ND</given-names></name><name><surname>Carr</surname> <given-names>SA</given-names></name><name><surname>Chaudhuri</surname> <given-names>D</given-names></name><name><surname>Clapham</surname> <given-names>DE</given-names></name><name><surname>Li</surname> <given-names>AA</given-names></name><name><surname>Calvo</surname> <given-names>SE</given-names></name><name><surname>Goldberger</surname> <given-names>O</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>EMRE is an essential component of the mitochondrial calcium uniporter complex</article-title><source>Science</source><volume>342</volume><fpage>1379</fpage><lpage>1382</lpage><pub-id pub-id-type="doi">10.1126/science.1242993</pub-id><pub-id pub-id-type="pmid">24231807</pub-id></element-citation></ref><ref id="bib63"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Scaduto</surname> <given-names>RC</given-names></name><name><surname>Grotyohann</surname> <given-names>LW</given-names></name></person-group><year iso-8601-date="1999">1999</year><article-title>Measurement of mitochondrial membrane potential using fluorescent rhodamine derivatives</article-title><source>Biophysical Journal</source><volume>76</volume><fpage>469</fpage><lpage>477</lpage><pub-id pub-id-type="doi">10.1016/S0006-3495(99)77214-0</pub-id><pub-id pub-id-type="pmid">9876159</pub-id></element-citation></ref><ref id="bib64"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Suzuki</surname> <given-names>J</given-names></name><name><surname>Kanemaru</surname> <given-names>K</given-names></name><name><surname>Ishii</surname> <given-names>K</given-names></name><name><surname>Ohkura</surname> <given-names>M</given-names></name><name><surname>Okubo</surname> <given-names>Y</given-names></name><name><surname>Iino</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Imaging intraorganellar Ca<sup>2+</sup> at subcellular resolution using CEPIA</article-title><source>Nature Communications</source><volume>5</volume><elocation-id>4153</elocation-id><pub-id pub-id-type="doi">10.1038/ncomms5153</pub-id><pub-id pub-id-type="pmid">24923787</pub-id></element-citation></ref><ref id="bib65"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname> <given-names>L</given-names></name><name><surname>Gamal El-Din</surname> <given-names>TM</given-names></name><name><surname>Payandeh</surname> <given-names>J</given-names></name><name><surname>Martinez</surname> <given-names>GQ</given-names></name><name><surname>Heard</surname> <given-names>TM</given-names></name><name><surname>Scheuer</surname> <given-names>T</given-names></name><name><surname>Zheng</surname> <given-names>N</given-names></name><name><surname>Catterall</surname> <given-names>WA</given-names></name></person-group><year iso-8601-date="2014">2014</year><article-title>Structural basis for Ca<sup>2+</sup> selectivity of a voltage-gated calcium channel</article-title><source>Nature</source><volume>505</volume><fpage>56</fpage><lpage>61</lpage><pub-id pub-id-type="doi">10.1038/nature12775</pub-id><pub-id pub-id-type="pmid">24270805</pub-id></element-citation></ref><ref id="bib66"><element-citation publication-type="preprint"><person-group person-group-type="author"><name><surname>Tomar</surname> <given-names>D</given-names></name><name><surname>Thomas</surname> <given-names>M</given-names></name><name><surname>Garbincius</surname> <given-names>JF</given-names></name><name><surname>Kolmetzky</surname> <given-names>DW</given-names></name><name><surname>Salik</surname> <given-names>O</given-names></name><name><surname>Jadiya</surname> <given-names>P</given-names></name><name><surname>Carpenter</surname> <given-names>AC</given-names></name><name><surname>Elrod</surname> <given-names>JW</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>MICU1 regulates mitochondrial cristae structure and function independent of the mitochondrial calcium uniporter channel</article-title><source>bioRxiv</source><pub-id pub-id-type="doi">10.1101/803213</pub-id></element-citation></ref><ref id="bib67"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tufi</surname> <given-names>R</given-names></name><name><surname>Gleeson</surname> <given-names>TP</given-names></name><name><surname>von Stockum</surname> <given-names>S</given-names></name><name><surname>Hewitt</surname> <given-names>VL</given-names></name><name><surname>Lee</surname> <given-names>JJ</given-names></name><name><surname>Terriente-Felix</surname> <given-names>A</given-names></name><name><surname>Sanchez-Martinez</surname> <given-names>A</given-names></name><name><surname>Ziviani</surname> <given-names>E</given-names></name><name><surname>Whitworth</surname> <given-names>AJ</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Comprehensive genetic characterization of mitochondrial Ca<sup>2+</sup> uniporter components reveals their different physiological requirements in vivo</article-title><source>Cell Reports</source><volume>27</volume><fpage>1541</fpage><lpage>1550</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2019.04.033</pub-id><pub-id pub-id-type="pmid">31042479</pub-id></element-citation></ref><ref id="bib68"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vais</surname> <given-names>H</given-names></name><name><surname>Mallilankaraman</surname> <given-names>K</given-names></name><name><surname>Mak</surname> <given-names>DD</given-names></name><name><surname>Hoff</surname> <given-names>H</given-names></name><name><surname>Payne</surname> <given-names>R</given-names></name><name><surname>Tanis</surname> <given-names>JE</given-names></name><name><surname>Foskett</surname> <given-names>JK</given-names></name></person-group><year iso-8601-date="2016">2016</year><article-title>EMRE Is a matrix Ca<sup>2+</sup> sensor that governs gatekeeping of the mitochondrial Ca<sup>2+</sup> uniporter</article-title><source>Cell Reports</source><volume>14</volume><fpage>403</fpage><lpage>410</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2015.12.054</pub-id><pub-id pub-id-type="pmid">26774479</pub-id></element-citation></ref><ref id="bib69"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vais</surname> <given-names>H</given-names></name><name><surname>Payne</surname> <given-names>R</given-names></name><name><surname>Paudel</surname> <given-names>U</given-names></name><name><surname>Li</surname> <given-names>C</given-names></name><name><surname>Foskett</surname> <given-names>JK</given-names></name></person-group><year iso-8601-date="2020">2020</year><article-title>Coupled transmembrane mechanisms control MCU-mediated mitochondrial Ca<sup>2+</sup> uptake</article-title><source>PNAS</source><volume>117</volume><fpage>21731</fpage><lpage>21739</lpage><pub-id pub-id-type="doi">10.1073/pnas.2005976117</pub-id><pub-id pub-id-type="pmid">32801213</pub-id></element-citation></ref><ref id="bib70"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vinogradov</surname> <given-names>A</given-names></name><name><surname>Scarpa</surname> <given-names>A</given-names></name></person-group><year iso-8601-date="1973">1973</year><article-title>The initial velocities of calcium uptake by rat liver mitochondria</article-title><source>The Journal of Biological Chemistry</source><volume>248</volume><fpage>5527</fpage><lpage>5531</lpage><pub-id pub-id-type="pmid">4768910</pub-id></element-citation></ref><ref id="bib71"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Y</given-names></name><name><surname>Nguyen</surname> <given-names>NX</given-names></name><name><surname>She</surname> <given-names>J</given-names></name><name><surname>Zeng</surname> <given-names>W</given-names></name><name><surname>Yang</surname> <given-names>Y</given-names></name><name><surname>Bai</surname> <given-names>XC</given-names></name><name><surname>Jiang</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Structural mechanism of EMRE-dependent gating of the human mitochondrial calcium uniporter</article-title><source>Cell</source><volume>177</volume><elocation-id>e1213</elocation-id><pub-id pub-id-type="doi">10.1016/j.cell.2019.03.050</pub-id><pub-id pub-id-type="pmid">31080062</pub-id></element-citation></ref><ref id="bib72"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>C</given-names></name><name><surname>Jacewicz</surname> <given-names>A</given-names></name><name><surname>Delgado</surname> <given-names>BD</given-names></name><name><surname>Baradaran</surname> <given-names>R</given-names></name><name><surname>Long</surname> <given-names>SB</given-names></name></person-group><year iso-8601-date="2020">2020a</year><article-title>Structures reveal gatekeeping of the mitochondrial Ca<sup>2+</sup> uniporter by MICU1-MICU2</article-title><source>eLife</source><volume>9</volume><elocation-id>e59991</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.59991</pub-id><pub-id pub-id-type="pmid">32667285</pub-id></element-citation></ref><ref id="bib73"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Y</given-names></name><name><surname>Han</surname> <given-names>Y</given-names></name><name><surname>She</surname> <given-names>J</given-names></name><name><surname>Nguyen</surname> <given-names>NX</given-names></name><name><surname>Mootha</surname> <given-names>VK</given-names></name><name><surname>Bai</surname> <given-names>XC</given-names></name><name><surname>Jiang</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2020">2020b</year><article-title>Structural insights into the Ca<sup>2+</sup>-dependent gating of the human mitochondrial calcium uniporter</article-title><source>eLife</source><volume>9</volume><elocation-id>e60513</elocation-id><pub-id pub-id-type="doi">10.7554/eLife.60513</pub-id><pub-id pub-id-type="pmid">32762847</pub-id></element-citation></ref><ref id="bib74"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wescott</surname> <given-names>AP</given-names></name><name><surname>Kao</surname> <given-names>JPY</given-names></name><name><surname>Lederer</surname> <given-names>WJ</given-names></name><name><surname>Boyman</surname> <given-names>L</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Voltage-energized calcium-sensitive ATP production by mitochondria</article-title><source>Nature Metabolism</source><volume>1</volume><fpage>975</fpage><lpage>984</lpage><pub-id pub-id-type="doi">10.1038/s42255-019-0126-8</pub-id><pub-id pub-id-type="pmid">31950102</pub-id></element-citation></ref><ref id="bib75"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wettmarshausen</surname> <given-names>J</given-names></name><name><surname>Goh</surname> <given-names>V</given-names></name><name><surname>Huang</surname> <given-names>KT</given-names></name><name><surname>Arduino</surname> <given-names>DM</given-names></name><name><surname>Tripathi</surname> <given-names>U</given-names></name><name><surname>Leimpek</surname> <given-names>A</given-names></name><name><surname>Cheng</surname> <given-names>Y</given-names></name><name><surname>Pittis</surname> <given-names>AA</given-names></name><name><surname>Gabaldón</surname> <given-names>T</given-names></name><name><surname>Mokranjac</surname> <given-names>D</given-names></name><name><surname>Hajnóczky</surname> <given-names>G</given-names></name><name><surname>Perocchi</surname> <given-names>F</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>MICU1 confers protection from MCU-dependent manganese toxicity</article-title><source>Cell Reports</source><volume>25</volume><fpage>1425</fpage><lpage>1435</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2018.10.037</pub-id><pub-id pub-id-type="pmid">30403999</pub-id></element-citation></ref><ref id="bib76"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Williams</surname> <given-names>GS</given-names></name><name><surname>Boyman</surname> <given-names>L</given-names></name><name><surname>Chikando</surname> <given-names>AC</given-names></name><name><surname>Khairallah</surname> <given-names>RJ</given-names></name><name><surname>Lederer</surname> <given-names>WJ</given-names></name></person-group><year iso-8601-date="2013">2013</year><article-title>Mitochondrial calcium uptake</article-title><source>PNAS</source><volume>110</volume><fpage>10479</fpage><lpage>10486</lpage><pub-id pub-id-type="doi">10.1073/pnas.1300410110</pub-id><pub-id pub-id-type="pmid">23759742</pub-id></element-citation></ref><ref id="bib77"><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Winter</surname> <given-names>DA</given-names></name></person-group><year iso-8601-date="2009">2009</year><source>Biomechanics and Motor Control of Human Movement</source><publisher-loc>Hoboken</publisher-loc><publisher-name>Wiley</publisher-name><pub-id pub-id-type="doi">10.1002/9780470549148</pub-id></element-citation></ref><ref id="bib78"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xing</surname> <given-names>Y</given-names></name><name><surname>Wang</surname> <given-names>M</given-names></name><name><surname>Wang</surname> <given-names>J</given-names></name><name><surname>Nie</surname> <given-names>Z</given-names></name><name><surname>Wu</surname> <given-names>G</given-names></name><name><surname>Yang</surname> <given-names>X</given-names></name><name><surname>Shen</surname> <given-names>Y</given-names></name></person-group><year iso-8601-date="2019">2019</year><article-title>Dimerization of MICU proteins controls Ca<sup>2+</sup>Influx through the mitochondrial Ca<sup>2+</sup> uniporter</article-title><source>Cell Reports</source><volume>26</volume><fpage>1203</fpage><lpage>1212</lpage><pub-id pub-id-type="doi">10.1016/j.celrep.2019.01.022</pub-id><pub-id pub-id-type="pmid">30699349</pub-id></element-citation></ref><ref id="bib79"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yoo</surname> <given-names>J</given-names></name><name><surname>Wu</surname> <given-names>M</given-names></name><name><surname>Yin</surname> <given-names>Y</given-names></name><name><surname>Herzik</surname> <given-names>MA</given-names></name><name><surname>Lander</surname> <given-names>GC</given-names></name><name><surname>Lee</surname> <given-names>SY</given-names></name></person-group><year iso-8601-date="2018">2018</year><article-title>Cryo-EM structure of a mitochondrial calcium uniporter</article-title><source>Science</source><volume>361</volume><fpage>506</fpage><lpage>511</lpage><pub-id pub-id-type="doi">10.1126/science.aar4056</pub-id><pub-id pub-id-type="pmid">29954988</pub-id></element-citation></ref><ref id="bib80"><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhuo</surname> <given-names>W</given-names></name><name><surname>Zhou</surname> <given-names>H</given-names></name><name><surname>Guo</surname> <given-names>R</given-names></name><name><surname>Yi</surname> <given-names>J</given-names></name><name><surname>Zhang</surname> <given-names>L</given-names></name><name><surname>Yu</surname> <given-names>L</given-names></name><name><surname>Sui</surname> <given-names>Y</given-names></name><name><surname>Zeng</surname> <given-names>W</given-names></name><name><surname>Wang</surname> <given-names>P</given-names></name><name><surname>Yang</surname> <given-names>M</given-names></name></person-group><year iso-8601-date="2021">2021</year><article-title>Structure of intact human MCU supercomplex with the auxiliary MICU subunits</article-title><source>Protein &amp; Cell</source><volume>12</volume><fpage>220</fpage><lpage>229</lpage><pub-id pub-id-type="doi">10.1007/s13238-020-00776-w</pub-id><pub-id pub-id-type="pmid">32862359</pub-id></element-citation></ref></ref-list></back><sub-article article-type="decision-letter" id="sa1"><front-stub><article-id pub-id-type="doi">10.7554/eLife.69312.sa1</article-id><title-group><article-title>Decision letter</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Lewis</surname><given-names>Richard S</given-names></name><role>Reviewing Editor</role><aff><institution>Stanford University School of Medicine</institution><country>United States</country></aff></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Jiang</surname><given-names>Youxing</given-names> </name><role>Reviewer</role><aff><institution>University of Texas Southwestern Medical Center</institution><country>United States</country></aff></contrib></contrib-group></front-stub><body><boxed-text><p>Our editorial process produces two outputs: (i) <ext-link ext-link-type="uri" xlink:href="https://sciety.org/articles/activity/10.1101/2020.04.04.025833">public reviews</ext-link> designed to be posted alongside <ext-link ext-link-type="uri" xlink:href="https://www.biorxiv.org/content/10.1101/2020.04.04.025833v3">the preprint</ext-link> for the benefit of readers; (ii) feedback on the manuscript for the authors, including requests for revisions, shown below. We also include an acceptance summary that explains what the editors found interesting or important about the work.</p></boxed-text><p><bold>Acceptance summary:</bold></p><p>This paper examines the roles and mechanisms of how subunits of the mitochondrial calcium uniporter complex (MCU<sub>cx</sub>) regulate calcium uptake by mitochondria, a process that serves to match the rate of ATP generation to cellular metabolic needs. Based on direct electrophysiological recordings of MCU<sub>cx</sub>, the authors find that the MICU1 subunit potentiates channel activity in a calcium-dependent manner but does not block the channel at low calcium levels, challenging current models of MCU regulation. This work will be of significant interest to biophysicists and cell biologists interested in mitochondrial biology, bioenergetics, and ion channel and calcium signaling mechanisms.</p><p><bold>Decision letter after peer review:</bold></p><p>Thank you for submitting your article &quot;The Mechanism of MICU-Dependent Gating of the Mitochondrial Ca<sup>2+</sup> Uniporter&quot; for consideration by <italic>eLife</italic>. Your article has been reviewed by 3 peer reviewers, one of whom is a member of our Board of Reviewing Editors, and the evaluation has been overseen by Kenton Swartz as the Senior Editor. The following individual involved in review of your submission has agreed to reveal their identity: Youxing Jiang (Reviewer #3).</p><p>The reviewers have discussed their reviews with one another, and the Reviewing Editor has drafted this to help you prepare a revised submission.</p><p>Essential revisions:</p><p>1. A major conclusion of the paper is that MICU1 does not block the MCU pore at low levels of Ca<sup>2+</sup>. This is supported by Na<sup>+</sup> flux through MCU under conditions of 0 Ca<sup>2+</sup> and Mg<sup>2+</sup> to allow Na<sup>+</sup> permeation (Figure 2C-I and Figure 5). However, Ca<sup>2+</sup> uptake at low levels of Ca<sup>2+</sup> is apparently higher in MICU1<sup>-/-</sup> cells compared to WT cells (Figure 1F-1I), consistent with the idea that MICU1 does inhibit MCU<sub>cx</sub> at resting intracellular Ca<sup>2+</sup>. A weakness of the manuscript is that no mechanism is investigated or proposed for this effect of MICU1. Rather, this result is explained away by vague arguments that MICU1 KO might change Ca<sup>2+</sup> efflux, buffering, pH, or OMM permeability (lines 365-7). A more serious attempt should be made to understand the basis of this effect; new experimental evidence or a more detailed mechanism based on published work should be presented to explain how MICU1 could prevent the rise of free mitochondrial Ca<sup>2+</sup> in the presence of low rate of influx. A potential plausible mechanism is that one particular EF hand is responsible for this low Ca<sup>2+</sup> blocking effect while another mediates the high Ca<sup>2+</sup>- dependent potentiation of MCU<sub>cx</sub> open probability.</p><p>Also, the authors imply that structural evidence for MICU1 blocking the pore was only obtained for the monomeric complex, and that the more natural dimeric complex did not show block (l. 408-418). This is not strictly true (see Wang et al. 2020b). Also, while it is possible that low ionic strength could lead to artifactual plugging in the structures (l. 421-3), to be fair it should also be noted that the plug model is consistent with increased Ca<sup>2+</sup> uptake by mutations predicted to disrupt electrostatic interactions in the plug structure (Fan et al. 2020).</p><p>2. Strong evidence in mitoplasts and intact mitochondria shows that MICU1 does not affect Na<sup>+</sup> flux through MCU in the absence of Ca<sup>2+</sup> and Mg<sup>2+</sup>, arguing against its function as a pore blocker (Figure 2C-I and Figure 5). However, it is possible that the removal of all divalent cations to permit Na<sup>+</sup> permeation prevents MICU1 from plugging the pore (the use of EDTA to remove Mg<sup>2+</sup> should be noted in the text, rather than stating only that Ca<sup>2+</sup> was removed). Given the number of previous functional and structural studies that support a blocking role for MICU1, it is important to rule out a possible dependence on Mg<sup>2+</sup>. If Na<sup>+</sup> can permeate in the presence of Mg<sup>2+</sup>, then the Na<sup>+</sup> current measurements or mitochondrial depolarization experiments could be repeated with Mg<sup>2+</sup> present. If this is not possible, then Mg<sup>2+</sup> could be removed in the Ca<sup>2+</sup> uptake experiments (Figure 1F-I) to see whether 0 Mg<sup>2+</sup> phenocopies the MICU1 KO effect on uptake at low Ca<sup>2+</sup>.</p><p>3. Interpretation of mut-EF-MICU2 data (Figure 3C). Authors indicate dominant negative effect of mut-EF-MICU2 is due to displacement of MICU1 from MICU1 homodimers. Presumably, WT MICU2 also displaces the MICU1 from MICU1 homodimers. The results provided suggest that MICU1 homodimers are functionally equivalent to MICU1/MICU2 heterodimers. It is shown that MICU2 knockout increases MICU1 homodimers. What happens with MICU2 expression in MICU1 knockout? Is the ~100 kDa band in the MICU2 blot (Figure S1H) actually representative of MICU1/MICU2 heterodimer?</p><p>4. The experiments on kinetics of the MICU1 potentiation (l. 227-230, Figure 3E) need a clearer interpretation.</p><p>a) The kinetics of Ca<sup>2+</sup> current on addition of Ca<sup>2+</sup> are not affected by MICU1. Rather than describing potentiation as &quot;instantaneous&quot; (it must have a finite response time after all, which simply cannot be detected with the perfusion method), it may be more meaningful to describe the result in a physiological context; e.g., potentiation is fast enough that MICU1 and mitochondria will faithfully track changes in cytosolic [Ca<sup>2+</sup>] which are typically quite slow (order of tens-hundreds of msec).</p><p>b) The interpretation of Figure 3E depends on the solution switching speed not being rate-limiting relative to the current response. The SF-77B perfusion system is described as piezoelectric (l. 748-753), but to my knowledge this is driven by a stepper motor, and it is not clear how you could get such a fast switching time (tau = 0.4 ms) from this system. Thus, it might be rate-limiting for the response. It may be helpful to show the time course of solution exchange superimposed on the traces in Figure 3E. If the solution exchange is rate-limiting for these responses, then one cannot draw any conclusions about the speed of MICU1 potentiation response.</p><p>5. The lack of outward flux through MCU supports the conclusion that it is a one-way portal (l. 241, Figure 3G), but alternatives should also be considered. Is it possible that outward flux through MCU requires prolonged depolarization such as would occur in vivo? This could be easily tested in whole-mitoplast recordings using a holding potential that mimics the depolarized voltages used in the previous cited studies.</p><p>6. The conclusions that MCU is not regulated by matrix Ca<sup>2+</sup> and the MICU does not plug the channel assume that whole-mitoplast recordings preserve the normal regulation of the channel. It is likely that diffusible molecules are lost by dialysis into the recording pipette. The authors should discuss whether and why they think this is not a problem.</p></body></sub-article><sub-article article-type="reply" id="sa2"><front-stub><article-id pub-id-type="doi">10.7554/eLife.69312.sa2</article-id><title-group><article-title>Author response</article-title></title-group></front-stub><body><disp-quote content-type="editor-comment"><p>Essential revisions:</p><p>1. A major conclusion of the paper is that MICU1 does not block the MCU pore at low levels of Ca<sup>2+</sup>. This is supported by Na<sup>+</sup> flux through MCU under conditions of 0 Ca<sup>2+</sup> and Mg<sup>2+</sup> to allow Na<sup>+</sup> permeation (Figure 2C-I and Figure 5). However, Ca<sup>2+</sup> uptake at low levels of Ca<sup>2+</sup> is apparently higher in MICU1<sup>-/-</sup> cells compared to WT cells (Figure 1F-1I), consistent with the idea that MICU1 does inhibit MCU<sub>cx</sub> at resting intracellular Ca<sup>2+</sup>. A weakness of the manuscript is that no mechanism is investigated or proposed for this effect of MICU1. Rather, this result is explained away by vague arguments that MICU1 KO might change Ca<sup>2+</sup> efflux, buffering, pH, or OMM permeability (lines 365-7). A more serious attempt should be made to understand the basis of this effect; new experimental evidence or a more detailed mechanism based on published work should be presented to explain how MICU1 could prevent the rise of free mitochondrial Ca<sup>2+</sup> in the presence of low rate of influx. A potential plausible mechanism is that one particular EF hand is responsible for this low Ca<sup>2+</sup> blocking effect while another mediates the high Ca<sup>2+</sup>- dependent potentiation of MCU<sub>cx</sub> open probability.</p><p>Also, the authors imply that structural evidence for MICU1 blocking the pore was only obtained for the monomeric complex, and that the more natural dimeric complex did not show block (l. 408-418). This is not strictly true (see Wang et al. 2020b). Also, while it is possible that low ionic strength could lead to artifactual plugging in the structures (l. 421-3), to be fair it should also be noted that the plug model is consistent with increased Ca<sup>2+</sup> uptake by mutations predicted to disrupt electrostatic interactions in the plug structure (Fan et al. 2020).</p></disp-quote><p>The reviewers raise an important question, why there is an apparent discrepancy between the findings of two methodological approaches. Why at low levels of cytosolic [Ca<sup>2+</sup>], measurements of mitochondrial Ca<sup>2+</sup> uptake do not detect a Ca<sup>2+</sup> influx, while electrophysiological measurements find no evidence for conduction occlusion of MCU<sub>cx</sub> by MICUs. Our short answer is that measurements of mitochondrial Ca<sup>2+</sup> uptake do not exclusively measure conductance by the MCU<sub>cx</sub> while the electrophysiological recording presented here do. We examined MCU currents, a direct measurement, and provide new evidence that could partially explain why the net uptake (uptake minus efflux) is low. In newly added experiments (Figure 7) we now show that the conduction pathway of MCU<sub>cx</sub> is not plugged by MICU1-- even at physiological levels of [Mg<sup>2+</sup>]. Instead, Mg<sup>2+</sup> strongly blocks the selectivity filter of the pore. In addition, the unitary conductance of an open MCU<sub>cx</sub> channel at 100 nM [Ca<sup>2+</sup>] is extremely low. The MCU<sub>cx</sub> flux is thus limited not only because of the low concentration of the conducting ion but also because of Mg<sup>2+</sup> block. This allows Ca<sup>2+</sup> efflux machinery to effectively compete with MCU<sub>cx</sub><sup>-</sup>mediated Ca<sup>2+</sup> uptake at low cytosolic [Ca<sup>2+</sup>] to reduce net Ca<sup>2+</sup> accumulation to nearly zero.</p><p>“Why does knocking out MICU1 tends to increase the net mitochondrial Ca<sup>2+</sup> uptake at low levels of [Ca<sup>2+</sup>]?” This is a question that our study does not directly examine. However, we can speculate -- based on recent other studies (see Gottschalk et al., 2019; Tomar et al., 2019; Tufi et al., 2019) -- that knocking out MICU1 affects multiple mitochondrial systems and not only the MCU<sub>cx</sub>. Here, we investigated the specific role that MICU1 play as part of the channel complex and do this by directly examining the MCU<sub>cx</sub> current. We see no evidence that supports the hypothesis that MICU1 acts as a plug of the pore. Instead, our work shows that at elevated levels of [Ca<sup>2+</sup>], Ca<sup>2+</sup> binding to the EF hands of the MICU1 works to double the open probability of MCU<sub>cx</sub>. The binding of Ca<sup>2+</sup> to the EF hands of MICUs, or any consequential effects of this binding occur at levels of [Ca<sup>2+</sup>] that are higher than 100 nM. Indeed, the available titration data demonstrates that the affinity of the MICUs for Ca<sup>2+</sup> is not high enough for EF hands occupancy to occur at 100 nM. Even for MICU1, which has the highest affinity for Ca<sup>2+</sup> of all MICUs, no significant binding occurs at 100 nM (resting cytosolic Ca<sup>2+</sup>), and complete saturation of binding would only occur around 3-6 μM (Kamer et al., 2017) (Figures 1E, 1G, 2F, 2H, 2J and 3H). Thus, the quantitative evidence also suggests that Ca<sup>2+</sup> occupancy of the EF hands at resting cytosolic Ca<sup>2+</sup> is too low to explain any profound occlusion.</p><p>We agree with the reviewers comment that Wang et al., 2020b showed the possibility of the occlusion in the native dimeric form of the MCU<sub>cx</sub>. However, the occluded dimeric complex represented only ~10% of the total number of analyzed particles in the absence of Ca<sup>2+</sup>. The low prevalence of the dimeric complexes can be purely due to the experimental limitations, but, regardless, a more thorough analysis of occlusion in this native form of MCU<sub>cx</sub> is needed. Also, such structural analysis should be performed in the presence of physiological concentrations of Mg<sup>2+</sup>, while so far Mg<sup>2+</sup> was absent in all structural studies of the MCU<sub>cx</sub> holocomplex. We have rewritten the section discussing MCU<sub>cx</sub> structures to reflect these changes.</p><p>Although the occlusion model appears to be consistent with some of the mutations that disrupt electrostatic interactions in the plug structure, all such studies were performed using indirect assessment of MCU function. Such mutations can cause MICUs loss-of-function effects (that is not necessarily loss of occlusion) and could lead to activation of compensatory mechanisms that create an appearance of “the loss of the threshold”, similar to that observed in MICU1 knockout. To interpret the structures correctly, reliable direct functional data is much preferred, as it has always has been the case in the ion channel field.</p><disp-quote content-type="editor-comment"><p>2. Strong evidence in mitoplasts and intact mitochondria shows that MICU1 does not affect Na<sup>+</sup> flux through MCU in the absence of Ca<sup>2+</sup> and Mg<sup>2+</sup>, arguing against its function as a pore blocker (Figure 2C-I and Figure 5). However, it is possible that the removal of all divalent cations to permit Na<sup>+</sup> permeation prevents MICU1 from plugging the pore (the use of EDTA to remove Mg<sup>2+</sup> should be noted in the text, rather than stating only that Ca<sup>2+</sup> was removed). Given the number of previous functional and structural studies that support a blocking role for MICU1, it is important to rule out a possible dependence on Mg<sup>2+</sup>. If Na<sup>+</sup> can permeate in the presence of Mg<sup>2+</sup>, then the Na<sup>+</sup> current measurements or mitochondrial depolarization experiments could be repeated with Mg<sup>2+</sup> present. If this is not possible, then Mg<sup>2+</sup> could be removed in the Ca<sup>2+</sup> uptake experiments (Figure 1F-I) to see whether 0 Mg<sup>2+</sup> phenocopies the MICU1 KO effect on uptake at low Ca<sup>2+</sup>.</p></disp-quote><p>We have added a set of new electrophysiological experiments to address the effect of Mg<sup>2+</sup> on Ca<sup>2+</sup> currents to answer this question. Please see the new Figure 7. These experiments examine how Mg<sup>2+</sup> affects the Ca<sup>2+</sup> conduction through MCU<sub>cx</sub>. There are two main conclusions. First, Mg<sup>2+</sup> interacts with the selectivity filter within the pore of MCU<sub>cx</sub> to occlude Ca<sup>2+</sup> permeation. This effect is completely MICU-independent. Second, the Ca<sup>2+</sup>-dependent potentiating effect of MICUs on I<sub>Ca</sub> does not depend on Mg<sup>2+</sup>.</p><p>We would also like to reemphasize that in this study we did not center our investigation on the net mitochondrial Ca<sup>2+</sup> uptake, but focus specifically on MCU<sub>cx</sub> activity. The increase in net mitochondrial Ca<sup>2+</sup> uptake in MICU1-KO vs WT was observed both in the presence (Csordas et al., 2013) or absence of Mg<sup>2+</sup> (Mallilankaraman et al., 2012). Thus, the putative occlusion of the MCU pore by MICUs, if it exists, would be a Mg<sup>2+</sup>-independent phenomenon.</p><p>With these new results included in the manuscript, we revised the results and the Discussion sections. We now highlight the impact that physiological Mg<sup>2+</sup> block has, in limiting MCU<sub>cx</sub> flux at low Ca<sup>2+</sup>. We also emphasize the importance of reevaluating the structure of MCU holocomplex in the Mg<sup>2+</sup> bound conformation. We thank the reviewers for prompting this addition.</p><p>Per reviewers’ request, we now clearly indicate in the text that the use of EDTA removes not only Ca<sup>2+</sup> but also Mg<sup>2+</sup>.</p><disp-quote content-type="editor-comment"><p>3. Interpretation of mut-EF-MICU2 data (Figure 3C). Authors indicate dominant negative effect of mut-EF-MICU2 is due to displacement of MICU1 from MICU1 homodimers. Presumably, WT MICU2 also displaces the MICU1 from MICU1 homodimers. The results provided suggest that MICU1 homodimers are functionally equivalent to MICU1/MICU2 heterodimers. It is shown that MICU2 knockout increases MICU1 homodimers. What happens with MICU2 expression in MICU1 knockout? Is the ~100 kDa band in the MICU2 blot (Figure S1H) actually representative of MICU1/MICU2 heterodimer?</p></disp-quote><p>MICU1 is the primary subunit responsible for tethering of other MICUs (MICU2 and MICU3) to the MCU/EMRE pore. In the absence of MICU1, MICU2 cannot bind to the pore. This has been shown in many previous studies both biochemically and structurally. MICU2 expression remains unchanged or a significant amount gets degraded in the absence of MICU1 (Kamer and Mootha, 2014; Patron et al., 2014; Payne et al., 2017).</p><p>The 100 kDa band in the Figure 1—figure supplement 1H (previously, Figure S1H) represents MICU2 in the MICU1/MICU2 heterodimer. Although the protein samples in the Figure 1—figure supplement 1H were prepared under the reducing conditions (i.e. with β-mercaptoethanol), we observed bands near the molecular weights corresponding to both the monomeric and heterodimeric forms. For detection of MICU1, the samples were prepared under non-reducing conditions, so the band was always observed at the molecular weight corresponding to the dimeric form. This is mentioned in the Methods section and in the corresponding legends.</p><disp-quote content-type="editor-comment"><p>4. The experiments on kinetics of the MICU1 potentiation (l. 227-230, Figure 3E) need a clearer interpretation.</p><p>a) The kinetics of Ca<sup>2+</sup> current on addition of Ca<sup>2+</sup> are not affected by MICU1. Rather than describing potentiation as &quot;instantaneous&quot; (it must have a finite response time after all, which simply cannot be detected with the perfusion method), it may be more meaningful to describe the result in a physiological context; e.g., potentiation is fast enough that MICU1 and mitochondria will faithfully track changes in cytosolic [Ca<sup>2+</sup>] which are typically quite slow (order of tens-hundreds of msec).</p><p>b) The interpretation of Figure 3E depends on the solution switching speed not being rate-limiting relative to the current response. The SF-77B perfusion system is described as piezoelectric (l. 748-753), but to my knowledge this is driven by a stepper motor, and it is not clear how you could get such a fast switching time (tau = 0.4 ms) from this system. Thus, it might be rate-limiting for the response. It may be helpful to show the time course of solution exchange superimposed on the traces in Figure 3E. If the solution exchange is rate-limiting for these responses, then one cannot draw any conclusions about the speed of MICU1 potentiation response.</p></disp-quote><p>(a) Thank you for the suggestion. We have modified the manuscript to describe the results in a physiological context as was suggested by the reviewers.</p><p>(b) Thank you for pointing it out. We acknowledge the error in describing the system. SF77B is a stepper motor. We now show the time-course for the solution exchange in the supplementary Figure 3—figure supplement 2. The time constant of solution exchange was ~0.4 ms. The solution exchange was performed using a thinly-pulled glass theta tubing (double-barreled tube). The mitoplasts (which are much smaller than a cell) were very close to the perfusion. Because mitoplasts are comparable in size to the tip of the pipette, the rate of solution exchange in actual experiments will be similar.</p><disp-quote content-type="editor-comment"><p>5. The lack of outward flux through MCU supports the conclusion that it is a one-way portal (l. 241, Figure 3G), but alternatives should also be considered. Is it possible that outward flux through MCU requires prolonged depolarization such as would occur in vivo? This could be easily tested in whole-mitoplast recordings using a holding potential that mimics the depolarized voltages used in the previous cited studies.</p></disp-quote><p>MCU is a highly inwardly rectifying channel. Previous single and multichannel inside-out recordings (with 105 mM matrix Ca<sup>2+</sup>) at positive potentials (&gt; 0 mV) show rapid flickering of the outward unitary currents as compared to unoccluded square openings in the inward directions (Figure 4a, 4d, and S2a) (Kirichok et al., 2004). However, these recordings demonstrate that efflux of Ca<sup>2+</sup> via MCU<sub>cx</sub> is possible, at least at 105 mM Ca<sup>2+</sup> on the matrix side of the IMM. Importantly, these single-channel recording also showed that the Ca<sup>2+</sup> efflux via MCU<sub>cx</sub> does not change with time during prolonged depolarizations. In the whole-mitoplasts experiments presented in the current manuscript, we could not use 105 mM Ca<sup>2+</sup> on the matrix side of the IMM (pipette solution), and even 2 mM Ca<sup>2+</sup> is barely tolerated, as the membrane integrity is compromised. We cannot exclude a possibility that at 2 mM matrix Ca<sup>2+</sup> the outward current via MCU<sub>cx</sub> is so small that the patch-clamp electrophysiology is unable to resolve it. So, as reviewer implied, we should not claim that Ca<sup>2+</sup> efflux via MCU<sub>cx</sub> is impossible. We now rewrite this part of the manuscript to reflect this.</p><p>That said, the data as presented still show a dramatic inward rectification of MCU, and that MICUs are not the cause of this rectification. Again, we rewrote this section of the manuscript to modify our interpretation of these data.</p><disp-quote content-type="editor-comment"><p>6. The conclusions that MCU is not regulated by matrix Ca<sup>2+</sup> and the MICU does not plug the channel assume that whole-mitoplast recordings preserve the normal regulation of the channel. It is likely that diffusible molecules are lost by dialysis into the recording pipette. The authors should discuss whether and why they think this is not a problem.</p></disp-quote><p>The manuscript specifically addresses the current model of MICU-dependent occlusion of MCU<sub>cx</sub>, and this model does not require any matrix regulators for the occlusion to happen. Importantly, the cryo-EM structures that suggest the MCU pore is occluded by MICU1 also do not require any diffusible matrix molecules. Using patch clamp methodology, one group (Vais et al., 2016; Vais et al., 2020) suggested that there is a biphasic regulation of MCU<sub>cx</sub> by matrix Ca<sup>2+</sup> ions and this regulation is MICU-dependent. We addressed this possibility but saw no regulation of MCU<sub>cx</sub> activity by matrix Ca<sup>2+</sup> within the physiological range. Regulation of MICU function by matrix Ca<sup>2+</sup> appeared plausible at the time when it was still not clear whether MICUs are located on the cytosolic or matrix side of the IMM. Now that the structural data clearly showed MICUs location on the cytosolic face of the IMM, regulation of MICU function by matrix Ca<sup>2+</sup> is poorly justified.</p><p>MCU<sub>cx</sub> is a large complex and could potentially be regulated by some diffusible matrix molecules. However, these are unlikely to affect MICUs function as MICU proteins are located on the cytosolic face of the IMM.</p></body></sub-article></article>