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bilayer. Once incorporated, these fatty acids exist as both
ionized and unionized species, and the unionized species
crosses the membrane rapidly by flip-flop (83). In adipo-
cytes, it was shown that entry of fatty acids occurred at high
and low concentrations of fatty acids after kinetics of simple
diffusion (83). This implies that if the load of fatty acids to
the mitochondria is very high (e.g., after high-fat feeding,
infusion of lipids, or acute exercise in the fasting state), a
noteworthy portion of the fatty acids may enter the mito-
chondria through flip-flop in their nonesterified form. As
fatty acids reach the mitochondrial matrix, they will be
deprotonated because of the high pH, accumulating nones-
terified fatty acid anions within the mitochondrial matrix.
Because mitochondria lack long-chain fatty acylCoA syn-
thetase, these fatty acid anions cannot be esterified and,
therefore, cannot be diverted toward
-oxidation; neither
can they flip-flop back because of the proton gradient. Thus,
prolonged exposure of mitochondria to fatty acids in levels
high enough to exceed the oxidative capacity, either by
limitations in the carnitine shuttle system or by defects more
downstream, may result in redundant accumulation of fatty
acid anions within the mitochondrial matrix. Here they may
exert deleterious effects on mitochondrial function and may
damage mitochondrial DNA. Mitochondrial DNA is more
sensitive to damage than nuclear DNA and can be less
efficiently repaired, underscoring the need to avoid the
deleterious effects of increased levels of nonesterified fatty
acid anions within the mitochondrial matrix. With respect to
this hypothesis, it is of interest to note that UCP3 has been
associated with a modulating role in oxidative stress by
lowering production of ROS (23), thus lowering the risk of
mitochondrial DNA damage. Because transport of fatty acid
anions seems to be an accepted property of uncoupling
proteins (24,84,85), this has led us to hypothesize that UCP3
may function as a fatty acid anion exporter in exchange for
a proton (Figure 3). Thus, UCP3 may primarily function as
part of the mitochondrial defense mechanism against an
excess load of fatty acids (71). It should be noted that by
outward transport of fatty acid anions, the mitochondrial
proton gradient is lowered and UCP3 might, as a conse-
quence, possess mild uncoupling as a side effect.
Shortly after we submitted the paper describing this al-
ternative role of UCP3 (71), a paper with a similar hypoth-
esis was published (86). In this paper, Himms-Hagen and
Harper propose that, once inside the mitochondrial matrix in
their esterified form, not all fatty acylCoA esters are di-
verted toward
-oxidation, but that some may be hydro-
lyzed by a mitochondrial thioesterase (MTE1), resulting in
fatty acids and coenzyme A. Again, because of the lack of
fatty acylCoA synthetase within the mitochondrial matrix,
outward transport of the fatty acid is preferred, and UCP3 is
the protein hypothesized to be responsible. The authors
suggest that the energy needed to esterify the fatty acids
before entering the mitochondrial matrix (two ATP per fatty
Figure 3: Schematic model of UCP3's putative function. UCP3 functions to export fatty acid anions from the mitochondrial matrix. These
fatty acid anions might be derived either from entry of long-chain nonesterified fatty acids that entered the mitochondrial matrix by flip-flop
across the mitochondrial innermembrane or by hydrolysis of fatty acid esters by an MTE1. Please note that by exporting fatty acid anions,
UCP3 might still affect mitochondrial uncoupling. OMM, outer mitochondrial membrane; IMM, inner mitochondrial membrane; ACS,
long-chain fatty acylCoA synthetase.
UCP3 and Obesity, Hesselink, Mensink, and Schrauwen
1438
OBESITY RESEARCH Vol. 11 No. 12 December 2003


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