“…The Chemiosmotic Theory (Mitchell, 1961) as it was formulated is a process that can only take place in organelle possessing double membrane systems forming closed compartments to entrap protons, such as mitochondrial cristae, bacteria and thylakoids. Here, for the sake of simplicity, we have considered the mitochondrial inner membrane, even though in recent years, it has been shown that the oxidative phosphorylation (OXPHOS), coupled to aerobic ATP synthesis, also occurs in extra-mitochondrial districts, as rod outer segment (OS ) disks (Calzia et al, 2014) (Calzia et al, 2013) (Bianchini et al, 2008) (Panfoli et al, 2009), myelin sheath (Ravera et al, 2009) (Ravera et al, 2011b) (Morelli et al, 2011) (Ravera et al, 2015), plasma membrane (Mangiullo et al, 2008) (Arakaki et al, 2003) (Arakaki et al, 2007 (Adriano et al, 2011) (Chang et al, 2012) (Lee et al, 2016) (Taurino & Gnoni, 2018) (Taurino et al, 2016) (Gao et al, 2017) extracellular vesicles shedding form cells, such as exosomes and microvesicles, which seem to carry an unsuspected metabolic signature (Panfoli et al, 2016). In particular, recent data indicate an active extramitochondrial OXPHOS in the endoplasmic reticulum of platelets which both have elevated ATP need but possess very little mitochondria (Ravera et al, 2018).…”