We had previously shown that Ant1 is strongly expressed in mouse skeletal muscle, heart, and brain [
5,
12]; and have now determined the regional expression of Ant1 in the brain and confirmed that Ant1 is strongly expressed in neurons. Even so, while inactivation of
Ant1 in mouse [
12] and
ANT1 in humans [
31] results in severe muscle and heart pathology, neither mice of humans show an overt neurological phenotype. This is particularly remarkable since Ant1-deficiency in the mouse cortical and hippocampal neurons results in a 1/5 and 2/3 reduction in ATP levels, respectively. This reduction in cellular ATP levels is not a product of reduced OXPHOS coupling, since the mitochondrial inner membrane potential of Ant1-deficient mitochondria is significantly higher than that found in wild type mitochondria, a result consistent with our previous observation that Ant1 makes a significant contribution to the mitochondrial inner membrane basal proton leak which inactivation Ant1 blocks [
30].
The Ant1-deficient mouse is also significantly more resistant to KA-induced neuronal excitotoxicity and death than wild type mice, and Ant1-deficient cortical and hippocampal neurons are more resistance to glutamate and KA induced excititoxic cell death as well as etoposide-induced cell death. Isolated Ant1-deficient brain mitochondria are also significantly more resistance to Ca
++ induced mtPTP permeability transition than controls [
21,
32–
35]. Since both etoposide-induced cell death and Ca
++-induced permeability transition of cultured rodent embryonic neurons has been shown to be inhibited by cyclosporin A [
36] and ectoposide induced cell death shown to be associated with increased cell reactivity to annexin V [
36], it would seem that Ant1 is important in excitotoxic Ca
++-induced mtPTP permeability transition leading to cell death by apoptosis.
These observations lead to the question, why are Ant1-deficient brains resistance to excitotoxic insult? We have previously shown that Ant1, but not Ant2, is induced by brain trauma, medicated by TGFβ and the Smad pathway [
26,
27]. Furthermore, it has been reported that increased expression of Ant1 achieved by transfection of cultured cells is pro-apoptotic [
37]. Therefore, we might hypothesize that Ant1 is bi-functional in the brain. Under normal circumstances, Ant1 functions to export mitochondrial ATP into the nucleus-cytsol compartment. When the brain is stressed, TGFβ and the Smads are activated, inducing Ant1 to transport out more mitochondrial ATP to the nuclear-cytosol to facilitate repair and recovery. However, if the damage to the cell is sufficient to compromise mitochondrial ATP production, then induction of Ant1 can not increase ATP levels and does not resolve the cellular problem. Since the accumulation of such energetically defective cells would erode organ function, the continued induction of Ant1 ultimately activates the mtPTP, resulting in the elimination of the defective cell by apoptosis. While this is an optimal strategy at the individual cell level, generalized brain insults such as those resulting from KA excitotoxicity or ischemic stroke can result in pan-neuronal apoptosis, causing destruction of the brain function and death. Inactivation of Ant1 or inhibition of the mtPTP [
38] may then block this catastrophic outcome.