Bioenergy is efficiently produced in the mitochondria by the respiratory system consisting of complexes I-V. In various organisms, complex I can be replaced by the alternative NADH-quinone oxidoreductase (NDH-2), which catalyzes the transfer of an electron from NADH via FAD to quinone, without proton pumping. The Ndi1 protein from Saccharomyces cerevisiae is a monotopic membrane protein, directed to the matrix. A number of studies have investigated the potential use of Ndi1 as a therapeutic agent against complex I disorders, and the NDH-2 enzymes have emerged as potential therapeutic targets for treatments against the causative agents of malaria and tuberculosis. Here we present the crystal structures of Ndi1 in its substrate-free, NAD + -and ubiquinone-(UQ2) complexed states. The structures reveal that Ndi1 is a peripheral membrane protein forming an intimate dimer, in which packing of the monomeric units within the dimer creates an amphiphilic membrane-anchor domain structure. Crucially, the structures of the Ndi1-NAD + and Ndi1-UQ2 complexes show overlapping binding sites for the NAD + and quinone substrates.alternative complex I | structural biology B ioenergy is efficiently produced in the mitochondria by the respiratory system consisting of complexes I-V. The first of these complexes, NDH-1 (complex I, proton pumping NADH-Q oxidoreductase) serves as the major entry point into the respiratory chain, for electrons derived from metabolic processes. In various organisms, complex I can be replaced by the alternative NADH-quinone oxidoreductase (NDH-2), which catalyzes the transfer of an electron from NADH via FAD to quinone, without proton pumping (1). The NDH-2 enzymes are found in bacteria and the mitochondria of plants and fungi, but crucially, not in mammalian mitochondria. Plant and fungal mitochondria possess two types of NDH-2: one is directed to the matrix and catalyzes NADH oxidation in the matrix (designated the internal NADH dehydrogenase or Ndi), and the other faces the intermembrane space and oxidizes NADH in the cytoplasmic space (designated the external NADH dehydrogenase or Nde).