We report on the loss of mitochondrial nicotinamide adenine dinucleotides in human cultured cells along with cell culture and acidification of the culture medium. This was established both by the direct measurement of the decrease in the mitochondrial NAD content and by the alteration of the oxidative properties of the mitochondria. In situ, this loss could be reversed in less than 2 h by changing the culture medium or by readjusting the pH of the medium at physiological pH values.By studying the oxidative properties of intact, but NAD-depleted, mitochondria in digitonin-permeabilized cells, we found that a rapid influx of NAD could replenish the mitochondrial NAD pool. This allowed the restoration of an active NAD ؉ -dependent substrate oxidation. Depletion of mitochondrial NAD in cells grown under quiescent conditions was further confirmed by fluorimetric measurement of mitochondrial NAD, as was the influx of NAD ؉ into the mitochondrial matrix. These data constitute the first evidence of rapid fluxes of NAD through mitochondrial membranes in animal cells. They also point to the possible confusion between a loss of mitochondrial NAD and a defect of respiratory chain complex I in the context of screening procedures for respiratory chain disorder in human.The way exogenous NAD ϩ affects substrate oxidation differs between animal and plant mitochondria. In intact plant mitochondria, substrate oxidation by matrix NAD ϩ -dependent dehydrogenases (malate dehydrogenase, NAD ϩ -malic enzyme, ␣-ketoglutarate dehydrogenase, etc.) is often strongly stimulated by exogenous NAD ϩ (1-3). Although no definitive proof of the occurrence of a specific NAD translocator has been provided, NAD ϩ has been shown to be actively accumulated from the external medium (1), uptake being concentration-dependent, exhibiting Michaelis-Menten kinetics, and specifically inhibited by an azido derivative of NAD ϩ (4). On the other hand, a slow passive diffusion of NAD ϩ between intact isolated plant mitochondria and the suspending medium has been shown to gradually lead to NAD ϩ -depleted organelles (1, 4). So far, unlike their plant counterparts, animal mitochondria are considered to be impermeable to pyridine nucleotides (5, 6). Accordingly, no stimulation by exogenous NAD ϩ of matrix NAD ϩ -dependent dehydrogenases or oxidation of exogenous NADH can be observed in isolated liver, heart, or muscle mitochondria. Thus, any influx of NAD has simply to be explained by the use of either improperly prepared mitochondria or osmotically unbalanced assay medium.In this paper, we report on the following: (i) the decrease of intact cell respiration and of NAD ϩ -linked substrate oxidation in digitonin-permeabilized cells during human B-lymphoblastoid cell line culture, concomitant with a decrease of the NAD ϩ content of the mitochondria; (ii) the in vitro restoration of an active oxidation of NAD ϩ -linked substrates by exogenous NAD ϩ , associated with an influx of NAD ϩ into the mitochondrial matrix; and (iii) the role of the culture medium pH in contr...