25Mitochondrial respiratory complexes assemble into different forms of supercomplexes 26 (SC). In particular, SC III2+IV require the SCAF1 protein. However, the structural role of this 27 factor in the formation of the respirasome (I+III2+IV) and the physiological role of SCs are 28 controversial. Here, we study C57BL/6J mice harbouring either non-functional SCAF1, the full 29 knock-out for SCAF1 or the wild-type version of the protein and found a growth and exercise 30 phenotype due to the lack of functional SCAF1. By combining quantitative data-independent 31 proteomics, high resolution 2D Blue Native Gel Electrophoresis and functional analysis of 32 enriched respirasome fractions, we show that SCAF1 confers structural attachment between III2 33 and IV within the respirasome, increases NADH-dependent respiration and reduces ROS 34 production. Furthermore, through the expression of AOX in cells and mice we confirm that CI-35 CIII superassembly segments the CoQ in two pools and modulates CI-NADH oxidative capacity. 36These data demonstrate that SC assembly, regulated by SCAF1, modulates the functionality of 37 the electron transport chain. 38