Molecular oxygen (O2) is central to mitochondrial physiology and disease - it is the driving force for oxidative phosphorylation and required for many biochemical reactions within the mitochondria, but can also combine with electrons leaked from the respiratory chain to form damaging species, or directly inhibit oxygen-sensitive processes. Recent work has shown that hypoxia (11% oxygen) is an effective treatment for a mouse model of Leigh Syndrome that carries a deletion in Ndufs4 encoding a subunit of Complex I. However the precise molecular mechanism underlying the rescue by hypoxia remains elusive, and it is unknown whether hypoxia rescue will extend to other mitochondrial mutants and disease models. Here, we establish that hypoxia can rescue a Complex I mutant in C. elegans, as
nduf-7(
et19) animals benefit from 1% oxygen, displaying increased growth rate and reduced expression the mitochondrial stress reporter
hsp-6::gfp. We also extend this finding to frataxin/FRH-1, a mitochondrial protein thought to be required for iron sulfur (Fe-S) cluster biosynthesis and classified as an essential gene. Loss of frataxin in humans underlies Friedreich's ataxia, for which there are no proven therapies. We show that C. elegans carrying a deletion in
frh-1 are viable when propagated at 1% oxygen. Remarkably, when grown in hypoxia,
frh-1(
tm5913) mutants are competent for Fe-S cluster biosynthesis, while animals lacking other Fe-S cluster biosynthesis components, namely NFS-1 and ISCU-1, are not viable in any oxygen tension. These results extend to human cell culture and yeast, and we show that hypoxia is able to increase bioavailable iron in cells as well as directly promote frataxin-independent Fe-S synthesis in vitro. Both
frh-1 and
nduf-7 mutants are exquisitely sensitive to hyperoxia (50% oxygen), and in ongoing work we have identified genetic suppressors which may shed light on the mechanisms underlying hypoxia's beneficial effects, as well as provide new candidates for therapeutic pathways.