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marker for increased uncoupling (31,32), whereas the com-
bination of decreased TCA cycle flux with decreased ATP
synthesis rate has been presented as a lack of effect on
mitochondrial uncoupling (33). Thus, under pathophysio-
logical conditions like hypo- or hyperthyroidism, UCP3-
mediated uncoupling cannot be excluded.
Another condition in which UCP3 protein levels are
up-regulated is on consumption of high-fat diets. We re-
cently showed that supplying subjects isocaloric high-fat vs.
low-fat diets (60% of energy as fat vs. 30% of energy as fat
with identical protein levels) resulted in a significant in-
crease in UCP3 protein levels within the physiological
range within 7 days (34). After severe exhaustive ischemic
contractile activity, mitochondrial coupling was measured
in vivo by measuring creatine phosphate resynthesis rate
after blood flow was reinstated. We concluded that, despite
a 44% increase in UCP3 protein content and with all po-
tential physiological modulators of UCP3 activity present,
mitochondrial coupling was not affected (34), suggesting
that mitochondrial uncoupling may not be the principal
function of UCP3 in vivo.
Summary
To summarize, detailed examination of UCP3-tg and
UCP3-ko mice has revealed that the observed phenotype of
UCP3-tg mice, with characteristics apparently beneficial in
the treatment of obesity, is most likely caused by uncou-
pling. Because the uncoupling in UCP3-tg mice is nonin-
ducible, it is considered artificial, possibly because of mis-
folded UCP3 and/or UCP3 loosely imported into the inner
mitochondrial membrane. However, immunoelectron mi-
croscopy studies have shown that, in the UCP3-tg mice,
almost all UCP3 expressed is confined to the mitochondria,
in contrast to observations in yeast. The UCP3-ko mice lack
an apparent phenotype, and reports on proton leak are
inconsistent. These findings indicate that 1) the phenome-
non uncoupling per se (inducible or noninducible) may be
advantageous in the prevention or treatment of obesity; and
2) it is, however, unlikely that under physiological condi-
tions, human UCP3 is a major contributor to the basal
proton leak, possibly with an exception for T3-induced
thermogenesis. Therefore, based on these studies, a role for
UCP3 in energy metabolism would not be anticipated. Nev-
ertheless, many studies have examined the effect of physi-
ological interventions that alter energy metabolism on
UCP3 expression to unravel the role of UCP3 in human
physiology and possibly the regulation of body mass.
UCP3 Expression under Physiological
Conditions Affecting Energy Metabolism
Linkage and Association Studies
Shortly after the discovery of the UCP3 gene, the
genomic structure and chromosomal localization of hUCP3
were identified (35). It was shown that UCP3 was mapped
within 7 kb of the UCP2 gene on chromosome 11q13, a
region that has been linked to obesity and hyperinsulinemia
(5). Several polymorphisms in the UCP3 gene have been
identified (36 ­ 42) and related to markers of energy metab-
olism and obesity. We have recently reviewed the effect of
UCP3 polymorphisms known so far and concluded that the
effect on markers of obesity shows inconsistent results (43).
Nonetheless, one of the early detected and promising
observations was an exon 6-splice donor polymorphism,
resulting in an apparent null mutation of UCP3, reported in
Gullah-speaking African Americans with early onset severe
obesity (BMI
38 kg/m
2
) and type 2 diabetes (44). Inter-
estingly, carriers of the exon 6-splice donor mutation had a
significant (p
0.0188, n
24) 50% decrease in fat
oxidation (44). It was this observation that tempted the
authors to suggest that UCP3 may increase fat oxidation by
introducing fatty acids into the mitochondrial matrix (44)
and explain the declined fat oxidation in the carriers of the
polymorphism. In later studies in African Americans (45) or
in Danish whites (46), carriers of the exon 6-splice donor
mutation showed no changes in resting metabolic rate or
fuel partitioning.
Overall, the inconsistency in results linking UCP3 poly-
morphisms to obesity-related phenotypes does not favor a
significant role for UCP3 in the regulation of energy expen-
diture, although a role of UCP3 in substrate metabolism in
selected populations cannot be excluded.
UCP3 Expression after
-Adrenergic Stimulation
Another condition accompanied by increased thermogen-
esis is
-adrenergic stimulation. It was shown that ephed-
rine induced a 60% increase in oxygen consumption, and it
was estimated that
50% of this increase was accounted for
by muscular thermogenesis (47). Similar estimates of the
contribution of skeletal muscle to adrenalin-induced in-
creased energy expenditure were made (48). Given the
skeletal muscle­specific expression of UCP3, it is tempting
to relate the
-adrenergic increase in thermogenesis to
UCP3.
Intraperitoneal injections with the
3 adrenergic agonist
CL-316243 in rats induced a prominent increase in UCP3
mRNA in white adipose tissue and, to a lesser extent, in
skeletal muscle (8). Using the same compound, similar
observations were made in obese rats treated for 10 days
(49). This finding, however, could not be reproduced by
others using trecadrine as a
3-agonist (50). The observa-
tion in L6 myotubes that isoproterenol and salbutamol ( 2-
agonists) increased UCP3 mRNA levels, whereas propran-
olol (a
2-antagonist) blunted the observed increase (51),
suggests that UCP3 may play a role in -adrenergic activa-
tion-induced thermogenesis. However, observations of in-
creases in UCP3 after
-adrenergic stimulation are biased
by increased lipolysis and a concomitant rise in FFA levels,
UCP3 and Obesity, Hesselink, Mensink, and Schrauwen
1434
OBESITY RESEARCH Vol. 11 No. 12 December 2003


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