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Review
Human Uncoupling Protein-3 and Obesity:
An Update
Matthijs K.C. Hesselink,* Marco Mensink, and Patrick Schrauwen
Abstract
HESSELINK, MATTHIJS K.C., MARCO MENSINK,
AND PATRICK SCHRAUWEN. Human uncoupling
protein-3 and obesity: an update. Obes Res. 2003;11:
1429 ­1443.
The cloning of the uncoupling protein (UCP)1 homologs
UCP2 and UCP3 has raised considerable interest in the
mechanism. The expression of UCP3 mainly in skeletal
muscle mitochondria and the potency of the skeletal muscle
as a thermogenic organ made UCP3 an attractive target for
studies toward manipulation of energy expenditure to fight
disorders such as obesity and type 2 diabetes. Overexpress-
ing UCP3 in mice resulted in lean, hyperphagic mice. How-
ever, the lack of an apparent phenotype in mice lacking
UCP3 triggered the search for alternative functions of
UCP3. The observation that fatty acid levels significantly
affect UCP3 expression has given UCP3 a position in fatty
acid handling and/or oxidation. Emerging data indicate that
the primary physiological role of UCP3 may be the mito-
chondrial handling of fatty acids rather than the regulation
of energy expenditure through thermogenesis. It has been
proposed that UCP3 functions to export fatty acid anions
away from the mitochondrial matrix. In doing so, fatty acids
are exchanged with protons, explaining the uncoupling ac-
tivity of UCP3. The exported fatty acid anions may origi-
nate from hydrolysis of fatty acid esters by a mitochondrial
thioesterase, or they may have entered the mitochondria as
nonesterified fatty acids by incorporating into and flip-
flopping across the mitochondrial inner membrane. Regard-
less of the origin of the fatty acid anions, this putative
function of UCP3 might be of great importance in protect-
ing mitochondria against fatty acid accumulation and may
help to maintain muscular fat oxidative capacity.
Key words: uncoupling protein 3, fatty acid metabolism,
energy expenditure, reactive oxygen species, lipotoxicity
Introduction
In all living systems, combustion of nutrients to carbon
dioxide and water is the main pathway for releasing the
energy needed to fuel cellular processes like ion pumping,
muscular contraction, protein synthesis, and degradation of
nutrients in the digestive tract. In all these processes, hy-
drolysis of adenosine triphosphate (ATP),
1
the universal
phosphor donor, liberates the energy needed. Therefore, it is
of utmost importance that ATP levels are maintained, even
under conditions of severe energy stress. The vast majority
of ATP is synthesized in a process referred to as mitochon-
drial oxidative phosphorylation. Degradation of nutrients
like proteins, carbohydrates, and lipids ultimately results in
the production of the co-enzymes nicotinamide adenine
dinucleotide and flavin adenine dinucleotide, which can, in
turn, be oxidized to nicotinamide adenine dinucleotide
(NAD ) and flavin adenine dinucleotide and H
in ex-
change for an electron. This process, referred to as the
electron transfer or respiratory chain, is located in the inner
mitochondrial membrane. According to the chemiosmotic
theory defined by Mitchell and Moyle (1), the electron
transfer chain results in a net proton gradient across the
inner mitochondrial membrane. If the proton gradient is
high enough, the protons may flow back to the mitochon-
drial matrix through the F
0
-F
1
-ATPase, releasing the energy
needed to phosphorylate adenosine diphosphate (ADP) and
generate ATP (oxidative phosphorylation). In tightly cou-
pled mitochondria, there is no proton leak across the inner
mitochondrial membrane, and all the energy built up in the
respiratory chain can be used for (is coupled to) generation
of ATP.
Received for review June 3, 2003.
Accepted in final form October 3, 2003.
*Department of Movement Sciences and Department of Human Biology, Nutrition and
Toxicology Research Institute Maastricht, Maastricht University, Maastricht, The Nether-
lands.
Address correspondence to Matthijs K.C. Hesselink, Department of Movement Sciences,
Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
E-mail: matthijs.hesselink@bw.unimaas.nl
Copyright © 2003 NAASO
1
Nonstandard abbreviations: ATP, adenosine triphosphate; ADP, adenosine diphosphate;
BAT, brown adipose tissue; UCP, uncoupling protein; GDP, guanosine diphosphate;
hUCP3, human uncoupling protein-3; ROS, reactive oxygen species; FFA, free fatty acid;
31
P-NMR,
31
P-labeled nuclear magnetic resonance; TCA, tricarboxylic acid; acylCoA,
acyl-coenzyme A; CAT, carnitine acyltransferase; MTE1, mitochondrial thioesterase;
PPAR, peroxisome proliferator-activated receptor.
OBESITY RESEARCH Vol. 11 No. 12 December 2003
1429


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