The mitochondrion is the main organelle of oxidative stress in cells. Increased permeability of the inner mitochondrial membrane is a key phenomenon in cell death. Changes in membrane permeability result from the opening of the mitochondrial permeability transition pore (mPTP), a large-conductance channel that forms after the overload of mitochondria with Ca 2+ or in response to oxidative stress. The ketocarotenoid astaxanthin (AST) is a potent antioxidant that is capable of maintaining the integrity of mitochondria by preventing oxidative stress. In the present work, the effect of AST on the functioning of mPTP was studied. It was found that AST was able to inhibit the opening of mPTP, slowing down the swelling of mitochondria by both direct addition to mitochondria and administration. AST treatment changed the level of mPTP regulatory proteins in isolated rat heart mitochondria. Consequently, AST can protect mitochondria from changes in the induced permeability of the inner membrane. AST inhibited serine/threonine protein kinase B (Akt)/cAMP-responsive element-binding protein (CREB) signaling pathways in mitochondria, which led to the prevention of mPTP opening. Since AST improves the resistance of rat heart mitochondria to Ca 2+ -dependent stress, it can be assumed that after further studies, this antioxidant will be considered an effective tool for improving the functioning of the heart muscle in general under normal and medical conditions. membrane, which leads to the formation of mPTP in mitochondria, may be the cause of mitochondrial dysfunction and cell death. The composition of pore is not yet clearly established; therefore, by convention, the supposed structural components of mPTP are considered to be pore regulators. Among these are the voltage-dependent anion channel (VDAC) and the translocation protein (TSPO), which are localized in the outer mitochondrial membrane; adenine nucleotide translocase (ANT) of the inner membrane; cyclophilin D (CyP-D) and the phosphate carrier in the matrix; creatine kinase, localized in the intermembrane space; and hexokinase, localized in the cytosol [6]. We previously detected a protein in nonsynaptic, purified mitochondria from rat brains, which was identified as 2 ,3 -cyclic nucleotide-3 -phosphodiesterase (CNPase). CNPase is a myelin protein, which is also found in non-myelin-forming tissues [7][8][9]. We have shown that CNPase participates in the regulation of mPTP opening. Moreover, CNPase is colocalized with CyP-D, VDAC, ANT, and α-tubulin [8]. Subunit c, the mitochondrial (N,N-dicyclohexylcarbodiimide (DCCD)-binding proteolipid [10], also known as subunit 9 F 0 c, forms in cooperation with subunit a, the proton channel of F o F 1 -ATPase [11]. In mammals, subunit c of F o F 1 -ATP synthase has three isoforms (P1, P2, and P3), encoded by ATP5G1, ATPG2, and ATPG3 genes [12]. Recently, we showed that subunit c of F o F 1 -ATPase might be a structural and/or regulatory component of the mPTP complex, whose activity might be modulated by calcium-dependent phosphorylat...