rHR activates a noncanonical UPRmt pathways. (A and B) rHR triggers noncanonical UPRmt pathways. BeWo cells were subjected to rHR for 24 and 48 h. Western blot was used for measurement expression of UPRmt molecular markers CLPP, paraplegin, TID1, HSP60, GRP75, and CS. Data were normalized to CS and are expressed as mean ± SEM, n = 5. *P < 0.05; **P < 0.01 (2-tailed paired t test at either 24 h or 48 h). (C–E) No increase in cellular expression but decreased nuclear translocation of ATF5 under rHR. Cells were exposed to 48 h of rHR. Western blot was used to quantify ATF5 while immunocytochemistry and subcellular fractionation was used to show its cellular localization. Data are presented as mean ± SEM, n = 3 to 4. *P < 0.05; **P < 0.01 (2-way ANOVA with Sidak’s multiple comparisons test). Magnification, 200×. (Scale bar: 200 μm.) (F) Potential conformation change of ETC complexes. Isolated mitochondria were subjected to immunoprecipitation with conformation-sensitive mitoprofile complex II antibody to pull out complex II before resolving in SDS/PAGE gel. Silver staining was used to reveal 4 subunits of complex II. The 20 N indicates cells were incubated under normoxic conditions with 20% O2 for 24 or 48 h; 1/20 HR indicates cells were exposed to a 6-h cyclic pattern of 1% and 20% O2 for 24 or 48 h.