The primary role of mitochondria is to generate adenosine triphosphate (ATP). Emerging functions, such as behaving as Ca
2+ sinks, must allow the organelles to fulfill the energy demands of the cell. With this premise in mind, it is not surprising that Ca
2+ influx coordinates the demand for ATP by the contractile apparatus with the supply of ATP by aerobic metabolism.
37 To accomplish this, the Ca
2+ sensitivity of these disparate processes must be similar.
38 For the extraocular muscles, rapid mitochondrial Ca
2+ uptake appears to serve three complementary functions. First, it couples metabolic supply to demand; increases in mitochondrial Ca
2+ stimulate the activity of enzyme systems that exert strong control on substrate oxidation: pyruvate dehydrogenase, 2-oxoglutarate dehydrogenase, isocitrate dehydrogenase, and glycerol 3-phosphate dehydrogenase.
39 The combined activity of these enzymes sustains NADH/NAD
+ and maximizes the driving force for oxidative phosphorylation. ATP synthase and adenine nucleotide translocator may also be activated by Ca
2+.
40 In addition, Ca
2+ cycling across the mitochondrial membrane increases proton leak.
39 Second, by limiting the [Ca
2+]
i increase during contractions in response to submaximum stimulation frequencies, mitochondria widen the dynamic range of the extraocular muscles. As shown in
Figure 3A , the amplitude of the [Ca
2+]
i and force transients during a submaximum tetanus increased when Ca
2+ flux into mitochondria was impeded with CCCP. Therefore, the capacity of extraocular muscles to produce force is spread over a wider stimulation frequency range, increasing the fine control of the effector arm of the ocular motor system. Coincidentally, this may explain why the force-Ca
2+ sensitivity of mechanically skinned extraocular muscle fibers is not different from that in limb muscle fibers.
41 The third role for mitochondrial Ca
2+ influx is to serve as a positive feedback signal and sustain mitochondrial volume density as presented herein.
33 The first two roles serve to match metabolic demand and supply instantaneously. This last proposed function for mitochondrial Ca
2+ would maintain the highly aerobic phenotype characteristic of the extraocular muscles.