RT Journal Article SR Electronic T1 MICS1 is the Ca2+/H+ antiporter of mammalian mitochondria JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.11.11.468204 DO 10.1101/2021.11.11.468204 A1 Shane Austin A1 Ronald Mekis A1 Sami E. M. Mohammed A1 Mariafrancesca Scalise A1 Christina Pfeiffer A1 Michele Galluccio A1 Tamara Borovec A1 Katja Parapatics A1 Dijana Vitko A1 Nora Dinhopl A1 Keiryn L. Bennett A1 Cesare Indiveri A1 Karin Nowikovsky YR 2021 UL http://biorxiv.org/content/early/2021/11/12/2021.11.11.468204.abstract AB Mitochondrial Ca2+ ions are crucial regulators of bioenergetics, cell death pathways and cytosolic Ca2+ homeostasis. Mitochondrial Ca2+ content strictly depends on Ca2+ transporters. In recent decades, the major players responsible for mitochondrial Ca2+ uptake and release have been identified, except the mitochondrial Ca2+/H+ exchanger (CHE). Originally identified as the mitochondrial K+/H+ exchanger, LETM1 was also considered as a candidate for the mitochondrial CHE. Defining the mitochondrial interactome of LETM1, we identified MICS1, the only mitochondrial member of the TMBIM family. Applying cell-based and cell-free biochemical assays, here we demonstrate that MICS1 is responsible for the Na+- and permeability transition pore-independent mitochondrial Ca2+ release and identify MICS1 as the long-sought mitochondrial CHE. This finding provides the final piece of the puzzle of mitochondrial Ca2+ transporters and opens the door to exploring its importance in health and disease, and to developing drugs modulating Ca2+ exchange.Competing Interest StatementThe authors have declared no competing interest.