Acid-sensing ion channel 1a (ASIC1a) is the key proton receptor in nervous systems, mediating acidosis-induced neuronal injury in many neurological disorders, such as ischemic stroke. Up to now, functional ASIC1a has been found exclusively on the plasma membrane. Here, we show that ASIC1a proteins are also present in mitochondria of mouse cortical neurons where they are physically associated with adenine nucleotide translocase. Moreover, purified mitochondria from ASIC1a À / À mice exhibit significantly enhanced Ca 2 þ retention capacity and accelerated Ca 2 þ uptake rate. When challenged with hydrogen peroxide (H 2 O 2 ), ASIC1a À / À neurons are resistant to cytochrome c release and inner mitochondrial membrane depolarization, suggesting an impairment of mitochondrial permeability transition (MPT) due to ASIC1a deletion. Consistently, H 2 O 2 -induced neuronal death, which is MPT dependent, is reduced in ASIC1a À / À neurons. Additionally, significant increases in mitochondrial size and oxidative stress levels are detected in ASIC1a À / À mouse brain, which also displays marked changes (42-fold) in the expression of mitochondrial proteins closely related to reactive oxygen species signal pathways, as revealed by two-dimensional difference gel electrophoresis followed by mass spectrometry analysis. Our data suggest that mitochondrial ASIC1a may serve as an important regulator of MPT pores, which contributes to oxidative neuronal cell death. The acid-sensing ion channels (ASICs) represent a subfamily of degenerin/epithelial Na þ channels that are activated by extracellular protons. 1 Homomeric ASIC1a channels are expressed throughout central and peripheral nervous systems and are implicated in learning/memory, pain sensation and neuronal death. 1-8 Among all these functions, mediating ischemic neuronal death was one of the most prominent pathological features of ASIC1a channels. [5][6][7] Although it has been established that severe extracellular acidosis in ischemic brain overactivated ASIC1a and caused neuronal death, 5,6 the death mechanisms remained largely unknown particularly considering that ASIC1a channels completely desensitize within a few seconds during persistent acidosis. 9 Thus, under such ischemic conditions, there might be other ASIC1a-associated mechanism(s) than acidosisinduced channel activation to explain the prominent effect against ischemic insult in the ASIC1a gene deletion mutant. 5 Indeed, ischemic neuronal death is a consequence of numerous ionic, biochemical and cellular events. 10,11 Multiple causes have been identified for neuronal demise such as excitotoxicity, acidotoxicity, oxidative stress and inflammation. [10][11][12] The ASIC1a channels may be involved in one or more of these mechanisms.Mitochondria are the key death executors in the cell, playing a central role in neuronal damages associated with neurological disorders such as ischemic stroke and neurodegenerative diseases. 13 Mitochondrial permeability transition (MPT) is a key event that occurs in most forms of cell demise ...