Oxidative phosphorylationElectron transport chain
The oxygen-using process in mitochondria that produces most of the body's ATP.
Oxidative phosphorylation is the final stage of aerobic energy production, and the one that produces most of the ATP you use. It happens on the inner membrane of the mitochondria, where the electron carriers generated by earlier stages hand their electrons to a chain of protein complexes.
As electrons pass along that chain, protons are pumped across the membrane, building up an electrical and chemical gradient. Those protons then flow back through an enzyme called ATP synthase, and that flow physically turns part of the enzyme like a molecular waterwheel, attaching phosphate to ADP and regenerating ATP.
Oxygen's role is to be the last acceptor in the chain. It takes the spent electrons and becomes water. That is the actual reason you breathe: not to fuel a fire, but to keep the end of the electron chain clear so the whole line can keep moving.
It matters because this pathway is what endurance training is ultimately improving. More mitochondria, more inner membrane surface area and more of these complexes means more ATP regenerated aerobically at any given pace, and less reliance on the fast anaerobic routes that fatigue quickly.
It also explains a scale of energy. Complete aerobic breakdown of one glucose molecule yields roughly fifteen times as much ATP as breaking it down without oxygen, and fat can only be used through this route at all, which is why the aerobic system is the one that supports hours of work.
The process leaks a small proportion of electrons, producing reactive oxygen species. Those act as signals as well as potential damage, which is part of why blanket high dose antioxidant supplementation around training has repeatedly failed to help and sometimes blunts adaptation.
In practice, nothing you swallow improves this pathway the way training does. Aerobic volume, sustained over months, is the intervention.