Mitochondrial carriers link biochemical pathways in the cytosol and mitochondrial matrix by transporting substrates across the inner mitochondrial membrane. Substrate recognition is specific for each carrier, but sequence similarities suggest the carriers have similar structures and mechanisms of substrate translocation. By considering conservation of amino acids, distance and chemical constraints, and by modeling family members on the known structure of the ADP͞ATP translocase, we have identified a common substrate binding site. It explains substrate selectivity and proton coupling and provides a mechanistic link to carrier opening by substrate-induced perturbation of the salt bridges that seal the pathway to and from the mitochondrial matrix. It enables the substrate specificity of uncharacterized mitochondrial carriers to be predicted.comparative modeling ͉ membrane protein ͉ sequence alignment M embers of the mitochondrial carrier family are located in the inner mitochondrial membrane and allow exchange of substrates between the cytosol and the mitochondrial matrix (1). The family is exclusive to eukaryotes, and its members are unrelated to other transporter families, including the major facilitator superfamily and the ABC transporters. Their substrates include nucleotides, amino acids, cofactors, carboxylic acids, and inorganic anions required by the organelle for oxidative phosphorylation, gluconeogenesis, synthesis and degradation of amino and fatty acids, macromolecular synthesis of proteins and nucleic acids, sterol metabolism, and thermogenesis (1). Mutations of the carriers are associated with diseases, including progressive external opthalmoplegia, adult-and neonatal-onset type II citrullinaemia, Amish-type microcephaly, hyperornithinemia-hyperammonia-homocitrullinuria, carnitineacylcarnitine translocase deficiency, neonatal myoclonic epilepsy, severe obesity, and type II diabetes (1).The mitochondrial carriers have three tandem repeats of Ϸ100 aa, each containing two transmembrane ␣-helices linked by a large loop (2) and a conserved signature motif P-X-[DE]-X-X-[RK] (3). The carriers exist in two distinct conformational states: the cytoplasmic state (c-state) in which the carrier accepts its substrate from the cytoplasm, and the matrix state in which it accepts a substrate from the mitochondrial matrix. For the ADP͞ATP carrier, the inhibitor carboxyatractyloside (CATR) is known to bind to the carrier in the c-state only and prevent the binding of ADP. In the atomic model of the ADP͞ATP carrier 1 from Bos taurus (BtAAC1) in complex with CATR (4), the six-transmembrane ␣-helices form a barrel that has pseudo-3-fold symmetry. CATR is bound in the internal aqueous cavity (see Fig. 4, which is published as supporting information on the PNAS web site), which is open to the cytosol and closed to the mitochondrial matrix, consistent with the structure representing the c-state. The prolines of the signature motif kink the transmembrane helices, bringing their C-terminal ends together at the base of the cavit...