Which lipid is unique to mitochondria?
Cardiolipin, diphosphatidylglycerol, uniquely contains two phosphatidic acid moieties linked by central glycerol bridge, resulting in four acyl chains, typically tetralinoleoyl 18:2 in cardiac tissue conferring fluidity, and small headgroup with two negative charges at physiological pH. Synthesized in mitochondria by condensation of phosphatidylglycerol and CDP-diacylglycerol catalyzed by cardiolipin synthase CRLS1 on matrix side of inner membrane followed by remodeling via tafazzin transacylase exchanging chains to mature unsaturated form. Its conical shape with large hydrophobic volume imposes negative curvature crucial for tight folds of cristae membranes, while anionic headgroup binds to respiratory supercomplexes I/III2/IV, ADP/ATP carrier AAC, phosphate carrier, and Complex V dimerization interface stabilizing oxidative phosphorylation efficiency and reducing electron leak and reactive oxygen species. During apoptosis and mitophagy, oxidized cardiolipin translocates to outer membrane where it interacts with LC3 autophagy protein and cytochrome c release machinery triggering cell death. Barth syndrome due to TAZ mutation demonstrates cardiomyopathy from defective remodeling, highlighting organelle-specific requirement absent from plasma membrane.
Ref: Lehninger Principles of Biochemistry, 8th ed., Chapter 19: Cardiolipin, Mitochondrial Signature Lipid.