Cell function depends on the distribution of cytosolic and mitochondrial factors across the outer mitochondrial membrane (OMM). Passage of metabolites through the OMM has been attributed to the voltage-dependent anion-selective channel (VDAC),2؉ may facilitate the cation and ATP transport across the OMM. Thus, the VDAC gating is dependent on the physiological concentrations of cations, allowing the OMM to control the passage of ions and some small molecules. The OMM barrier is likely to decrease during the calcium signal.Mitochondria were recognized first as the main source of cellular ATP production, but over recent years their role has also been established in many aspects of cell physiology and pathophysiology (1). For example, to regulate cell survival, mitochondria retain proteins that induce apoptosis upon release to the cytosol (2-5) and participate in calcium signaling by rapidly accumulating and releasing Ca 2ϩ (6 -9). Tight control of the transport of small molecules and ions across the inner mitochondrial membrane (IMM) 2 has been established, whereas, based on early studies of isolated mitochondria, the outer mitochondrial membrane (OMM) was perceived to form a barrier only for large molecules.The voltage-dependent anion-selective channel (VDAC)/mitochondrial porin is the most abundant protein of the OMM. When reconstituted in artificial membrane systems, such as liposomes and planar bilayer membranes (black lipid membrane (BLM)), the VDAC commonly appears as a large channel. At low potentials (Ͻ30 mV), the VDAC was found to be mostly fully open (ϳ4.5-nanosiemens conductance in 1 M KCl) and weakly anion-selective, whereas at high potentials, the VDAC showed a switch to cationic selectivity and closed to approximately half of the original conductance (classical "closed" states) (10 -13). Since the molecular cut-off of the VDAC is Ͼ3,000 Da in the fully open state, the common belief was that the OMM is freely permeable to small molecules and ions. However, during the past decade, several lines of evidence raised questions about the large size pore-forming activity of the VDAC in natural membranes and the consequent high permeability of the OMM (14). Patch clamp measurements of OMM fractions and intracellular patch clamping of native mitochondria did not show high conductance channel activity (15, 16) unless ionic strength or [Ca 2ϩ ] was elevated to supraphysiological levels (17). Within a cell, the OMM may form a barrier against the transport of some small molecules (e.g. ADP (18, 19)). Furthermore, in certain apoptosis models, the OMM permeability has been shown to be restricted for metabolites (20). Recently, selective permeabilization of the OMM by tBid, a proapoptotic protein (21), and by overexpression of VDAC (22) permeability could limit rapid Ca 2ϩ uptake to the mitochondria during physiological calcium signals. Furthermore, using targeted enhanced yellow fluorescence protein, lower pH was recorded in the mitochondrial intermembrane space (IMS) than that in the cytosol (23). A possible expl...