The inner membrane of rat liver mitochondria contains a reversible Ca2+-dependent pore, opening of which is largely blocked by cyclosporin A. Analyses of [3H]cyclosporin binding to rat liver mitochondria demonstrate two classes of high-affinity binding site with capacities of < 5 pmol and approximately 60 pmol cyclosporin . mg mitochondrial protein-' in addition to partitioning into membrane phospholipids (0.03 pmol . mg mitochondrial protein . nM-'). Direct measurement [ ''C]sucrose entry into the matrix space indicates that cyclosporin A inhibits pore opening by interacting with the low-capacity sites. The same low-capacity sites (Kd cyclosporin, 8 nM) are possibly attributable to peptidylprolyl cis-trans-isomerase, although investigation of pore state interconversion from the rapid kinetics of [14C]sucrose entrapment in the matrix space does not indicate that cyclosporin-sensitive prolyl isomerization occurs at the actual step of pore opening/closure. It is suggested that the low-capacity cyclosporin-binding component may stabilize the open pore state; this is supported by the observations that Ca2 + decreases cyclosporin binding to this component and that cyclosporin brings about closure of the pre-opened pore. The implications for the possible number of functional pores in mitochondria are discussed.It is well established that tissue reperfusion injury after a period of ischaemia is associated with oxidative stress, with increased tissue Pi arising from adenine nucleotide breakdown, and with deranged Ca2+ metabolism leading to tissue Ca2+ overload; there is considerable evidence that these changes are critical in the pathogenesis of this form of injury [I -41. It has also become evident that mitochondrial energy transduction is susceptible to the very same factors. Studies with isolated mitochondria indicate that the specific lesion is an inner membrane pore which is normally closed but which opens under the synergistic influence of high intramitochondrial Ca2+, oxidative stress and Pi [5 -111, when cellular ATP is sufficiently depleted [12]. Pore opening is fully reversed on Ca2+ removal [7,13] and this has enabled the development of rapid-mixing (pulsed-flow) solute entrapment techniques to investigate pore properties from radiolabelled solute fluxes [lo]. These have shown, from the relative permeabilities to solutes of varying size, that the open pore is a large structure of about 2 nm internal diameter and that pore closure occurs rapidly (< 60 ms) when matrix Ca2+ is chelated [ll]. Since pore opening completely uncouples mitochondrial energy transduction and allows nonspecific permeation of low-molecular-mass solutes, the consequences of pore opening for cell viability would be severe. One hypothesis of reperfusion injury is that increase in resting cytosolic free Ca2+ after prolonged ischaemia leads to excessive mitochondrial Ca2 + uptake and pore opening on reperfusion (reoxygenation); the consequent impairment of cellular ATP synthesis prevents reestablishment of Ca2+ homeostasis so that irreversibl...