FIG. 6.
Excess in NADH levels induces reductive stress. Under stressed states, such as exogenous addition of Cx I substrates, hypoxia, NNT reversal, NNT inactivation, and RET, mitochondrial NADH/NAD+ increases leading to one-electron reduction of oxygen to O2•− or/and two-electron reduction of oxygen into H2O2 at respiratory Cx I. Extensive reductive ROS levels result in reductive stress, which is detrimental to cellular function. Cx I, complex I; RET, reverse electron transfer.