Direct reaction of NAD(P)H with oxidants like singlet oxygen ( 1 O 2 ) has not yet been demonstrated in biological systems. We therefore chose different rhodamine derivatives (tetramethylrhodamine methyl ester, TMRM; 2,4,5,7-tetrabromorhodamine 123 bromide; and rhodamine 123; Rho 123) to selectively generate singlet oxygen within the NAD(P)H-rich mitochondrial matrix of cultured hepatocytes. In a cell-free system, photoactivation of all of these dyes led to the formation of 1 O 2 , which readily oxidized NAD(P)H to NAD(P)؉ . In hepatocytes loaded with the various dyes only TMRM and Rho 123 proved suited to generating 1 O 2 within the mitochondrial matrix space. Photoactivation of the intracellular dyes (TMRM for 5-10 s, Rho 123 for 60 s) led to a significant (29.6 ؎ 8.2 and 30.2 ؎ 5.2%) and rapid decrease in mitochondrial NAD(P)H fluorescence followed by a slow reincrease. Prolonged photoactivation (>15 s) of TMRMloaded cells resulted in even stronger NAD(P)H oxidation, the rapid onset of mitochondrial permeability transition, and apoptotic cell death. These results demonstrate that NAD(P)H is the primary target for 1 O 2 in hepatocyte mitochondria. Thus NAD(P)H may operate directly as an intracellular antioxidant, as long as it is regenerated. At cell-injurious concentrations of the oxidant, however, NAD(P)H depletion may be the event that triggers cell death.Pyridine nucleotides, i.e. NAD(H) and NADP(H), play a central role in metabolism; they are the most important coenzymes acting as hydride (hydrogen anion) donors of various cellular dehydrogenases (e.g. glutathione reductase), functioning as reducing/oxidizing equivalents in essential reactions such as energy supply (aerobic or anaerobic) and photosynthesis, and are required for DNA repair.The ability of an organism to counteract reactive oxygen species (ROS) 1 or reactive nitrogen species depends on its antioxidative capabilities, which involves destroying of both prooxidants (e.g. ROOH, H 2 O 2 , ONOOH) and oxidants (e.g. radicals and reactive intermediates like singlet oxygen, 1 O 2 ). Whereas pro-oxidants are typically degraded by enzymes (e.g. catalase, glutathione peroxidase, and superoxide dismutase), oxidants are scavenged by relatively small biomolecules (e.g. ascorbic acid, glutathione, and ␣-tocopherol); these are termed directly operating antioxidants. In this context, NAD(P)H is crucial to maintaining the cellular redox state and/or antioxidative capacity, because of its essential role as a coenzyme in the enzymatic re-reduction of directly operating antioxidants (1, 2). Consequently, NAD(P)H deficiencies are linked with an increased sensitivity to oxidative stress (2, 3).The capability of NAD(P)H to additionally act as a directly operating antioxidant, i.e. to donate only one electron, was sharply underestimated by various biochemical researchers, a fact that is probably because of the observation that a biochemical standard one-electron oxidant, [Fe(CN) The H 2 O 2 -consuming enzymes catalase and glutathione peroxidase (GPx) strongly limi...