Release of cytochrome c, a decrease of membrane potential (⌬ m ), and a reduction of cardiolipin (CL) of rat brain mitochondria occurred upon incubation in the absence of respiratory substrates. Since CL is critical for mitochondrial functioning, CL enrichment of mitochondria was achieved by fusion with CL liposomes. Fusion was triggered by potassium phosphate at concentrations producing mitochondrial permeability transition pore opening but not cytochrome c release, which was observed only at >10 mM. Cyclosporin A inhibited phosphate-induced CL fusion, whereas Pronase pretreatment of mitochondria abolished it, suggesting that mitochondrial permeability transition pore and protein(s) are involved in the fusion process. Phosphate-dependent fusion was enhanced in respiratory state 3 and influenced by phospholipid classes in the order CL > phosphatidylglycerol (PG) > phosphatidylserine. The probe 10-nonylacridine orange indicated that fused CL had migrated to the inner mitochondrial membrane. In state 3, CL enrichment of mitochondria resulted in a pH decrease in the intermembrane space. Cytofluorimetric analysis of mitochondria stained with 3,3-diexyloxacarbocyanine iodide and 5,5,6,6-tetrachloro-1,1,3,3-tetraethylbenzymidazolylcarbocyanine iodide showed ⌬ m increase upon fusion with CL or PG. In contrast, phosphatidylserine fusion required ⌬ m consumption, suggesting that ⌬ m is the driving force in mitochondrial phospholipid importation. Moreover, enrichment with CL and PG brought the low energy mitochondrial population to high ⌬ m values and prevented phosphate-dependent cytochrome c release.The role of mitochondria in neurodegenerative disease has been increasingly supported (1). Mitochondrial dysfunction can lead to deleterious cell injury due to free radical generation, intracellular calcium concentration imbalance, and activation of mitochondrial permeability transition pore (mPTP) 1 (2). In apoptosis, a caspase cascade often mediates cell death (3). Despite the complexity of the mechanisms involved, mitochondria appear to provide a link between the initiator caspases and the downstream effector caspases. Mitochondria release apoptosis-inducing factors that trigger DNA fragmentation of isolated nuclei (4, 5). In addition, Bax acts on mPTP, causing the release of cytochrome c into the cytosol (3, 6). Released cytochrome c binds to Apaf-1, thus initiating activation of caspase-1 and of downstream processes, leading to nuclear DNA fragmentation. Cytochrome c release is also stimulated by Bid (7, 8), whereas Bcl2 prevents it (9). The mechanism responsible for signaling molecule release from mitochondria is under extensive study. It is known that these molecules are bound to the inner mitochondrial membrane, whose integrity appears to be essential for mitochondrial functions. Cardiolipin (CL) is present only within the inner mitochondrial membrane, strictly associated to mitochondrial electron transport complexes and transporters (10). The specific requirement of heart cytochrome c oxidase for CL has been demonst...