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However, it has long been recognized that, even in the
absence of ADP, isolated mitochondria do show respiration.
Obviously, in this condition, the potential energy of the
proton gradient is not used for phosphorylation of ADP,
indicating that there is proton transfer across the inner
mitochondrial membrane that is not coupled to phosphory-
lation of ADP (referred to as proton leak or mitochondrial
uncoupling). This process, called state 4 respiration (Figure
1), indicates that uncoupling of mitochondria is an existing
phenomenon that occurs in mitochondria derived from nu-
merous tissues [e.g., brown adipose tissue (BAT), skeletal
muscle, and hepatocytes]. For most tissues, the physiolog-
ical significance of uncoupling is still unknown, but much is
learned from the mitochondrial uncoupling that occurs in
BAT. This tissue plays a recognized role in adaptive ther-
mogenesis, when the energy generated in the electron trans-
fer chain is released as heat rather than used for phosphor-
ylation of ADP, thereby allowing adaptation to cold.
Conversely, during hibernation, when preservation of en-
ergy is essential, BAT mitochondria become more tightly
coupled, attenuating energy expenditure and saving energy
stores. Moreover, only in BAT has the protein responsible
for mitochondrial uncoupling been identified and named
thermogenin [now called uncoupling protein-1 (UCP1)] (2).
Thus, this protein is responsible for adaptive thermogenesis
and, therefore, the regulation of energy balance in rodents.
As the amount of BAT in adult humans is scarce, it could
be argued that proton leak and its concomitant increase in
basal metabolic rate are trivial processes in adult humans. It
should be noted, however, that computations have been
made indicating that in vivo proton leak in liver and skeletal
muscle mitochondria may account for
20% of the basal
metabolic rate (3). In addition to this, it was shown that in
contracting skeletal muscle, proton leak makes up 15% of
basal metabolic rate (4). Whereas these studies clearly un-
derscore the impact of proton leak on basal metabolic rate,
the protein(s) responsible for the proton leak had not been
identified. Not surprisingly, the discovery of the UCP1
homologs UCP2 (5) and UCP3 (6) in 1997 was warmly
welcomed.
The ubiquitous expression of UCP2, the expression of
UCP3 in skeletal muscle, and their homology with the
"true" (7) uncoupling protein UCP1 made UCP2 and UCP3
attractive targets for interventions aimed at manipulating
energy expenditure. Extensive research toward the regula-
tion and the putative functions of these novel uncoupling
proteins has resulted in a vast amount of publications in the
last 6 years. Notwithstanding the overwhelming number of
studies published, there seems to be no consensus on a
possible role for these novel uncoupling proteins in the
regulation of energy expenditure and obesity. In fact, the
primary function of UCP2 and UCP3 is still under debate.
Because UCP3 is expressed almost exclusively in skeletal
muscle, which makes up
40% of the body mass in lean
individuals and is responsible for the majority of the basal
metabolic rate, the pioneering studies focused mainly on
Figure 1: Typical recording of oxygen uptake of mitochondria in vitro. In the presence of substrate, inorganic phosphate, and oxygen, with
ATP hydrolysis blocked, mitochondria start respiring at a relatively high rate (state 3 respiration). Under state 3 conditions, oxygen is
consumed and coupled to phosphorylation of ADP to ATP, which is driven by the energy liberated in the electron transfer chain (coupled
respiration). On depletion of ADP (because all ADP has been phosphorylated and ATP hydrolysis is blocked), mitochondria continue
respiration at a much lower rate, referred to as state 4 respiration. Because the energy generated in the electron transfer cannot be coupled
to oxidative phosphorylation (because ADP is depleted), this is uncoupled respiration. If uncoupling agents like dinitrophenol (DNP) or
p-trifluoromethoxy carbonyl cyanide phenyl hydrazone (FCCP) are added to the medium, the rate of uncoupled respiration is increased
(fully uncoupled respiration), as indicated by the rapid depletion of oxygen from the medium (dotted line). Note that uncoupled respiration
is an intrinsic trait of mitochondria (also of "normal healthy" mitochondria).
UCP3 and Obesity, Hesselink, Mensink, and Schrauwen
1430
OBESITY RESEARCH Vol. 11 No. 12 December 2003


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