Lipolysis drives oxidative metabolism in white adipocytes. Stimulation of lipolysis has been previously reported to increase the rate of oxidative metabolism in white adipocytes9,10,14. Treatment of 3T3-L1 adipocytes with the β-3 adrenergic receptor agonist CL-316,243 increased oxidative metabolism (Fig. 1a). This increase in oxidative metabolism was dependent on lipolysis, as treatment with the adipose tissue TG lipase (ATGL) inhibitor atglistatin blocked this effect. Moreover, primary adipocyte precursor cells differentiated in vitro exhibited an even more robust increase in oxidative metabolism in response to CL-316,243 (Fig. 1b). While the maximal respiratory capacity of both types of adipocytes is comparable, primary adipocytes are more lipolytically active than 3T3-L1 adipocytes (Fig. 1c). Primary adipocytes reached maximal respiratory capacity 20 minutes after lipolytic stimulation (Fig. 1b). Atglistatin treatment inhibits both stimulated and basal lipolysis in primary adipocytes (Fig. 1d and e). Primary adipocytes also exhibit atglistatin-sensitive oxygen consumption without lipolytic stimulation, attributable to basal rates of lipolysis (Fig. 1b). The increase in lipolysis-driven oxidative metabolism and oxygen consumption was observed with a variety of lipolytic activators, including the non-specific β-adrenergic agonists isoproterenol and norepinephrine as well as the adenylyl cyclase activator forskolin (Fig. 1f and g). The induction of oxygen consumption was dose-dependent, corresponding to the rate of lipolysis (Fig. 1h-j). As expected, insulin attenuated lipolysis and the induction of oxidative metabolism (Fig. 1k and l).
Intracellular fatty acid levels drive oxidative metabolism
After activation to fatty-acyl CoA, fatty acids can either be esterified via the glycerol lipid synthesis pathway that produces TGs or undergo β-oxidation. Addition of albumin to the media sequesters fatty acids reducing intracellular levels, while in its absence all fatty acids are taken back up by the adipocytes (Fig. 2a). The rate of lipolysis is increased with media BSA (Fig. 2b), due to feedback inhibition of lipolysis by long-chain fatty acids when not buffered by BSA sequestration13,17–20. Fatty acid sequestration by BSA in the media modulates the released fatty acid to glycerol ratio (Fig. 2c). Despite increasing lipolytic rates, BSA dose dependently reduces oxidative metabolism during lipolytic stimulation (Fig. 2d), demonstrating that intracellular fatty acid levels drive oxidative metabolism.
Fatty acid re-esterification suppresses fatty acid oxidation. To examine the interplay between re-esterification and oxidative metabolism, we inhibited TG synthesis with the diacylglycerol acyltransferase 1 (DGAT1) inhibitor PF-04620110, effectively blocking TG cycling. Interestingly, inhibition of DGAT1 increased oxygen consumption even in the absence of lipolytic stimulation (Fig. 2e), showing that ATP demand for TG cycling is not the driver of oxidative metabolism. These results suggest that when adipocytes are overburdened with fatty acids that cannot be stored as TGs, fatty acid oxidation is increased, consistent with previous observations10,21. Further supporting this notion, sequestration of excess fatty acids by BSA in the media pre-empts the positive impact of DGAT1 inhibition on oxidative metabolism (Fig. 2f). Importantly, DGAT1 inhibition did not affect the rate of basal or stimulated lipolysis, although fatty acid release during stimulated lipolysis was slightly higher (Fig. 2g and h). White adipocytes do not express glycerol kinase but rather derive glycerol-3-phosphate for esterification from glucose metabolism22,23. Thus, we also investigated the impact of removing glucose from the media as a means of limiting re-esterification. Lipolysis-driven oxidative metabolism was significantly higher in no glucose media (Fig. 2i), consistent with diversion of fatty acids from re-esterification to oxidative metabolism.
The suppression of re-esterification and diversion of fatty acids into the oxidative pathways is achieved via STAT3 mediated inhibition of GPAT3, the first and rate limiting step in glycerol lipid synthesis10. Stat3 KO adipocytes treated with CL-316,243 showed less lipolysis-driven oxidative metabolism and a significantly lower rate of oxygen consumption compared to wild-type (WT) adipocytes (Fig. 2j and k). Sequestration of fatty acids by BSA eliminated the impact of STAT3 on lipolysis-driven oxidative metabolism (Fig. 2j and l). Importantly, STAT3 did not impact the rate of lipolysis, only the fate of fatty acids within adipocytes (Fig. 2m and n). Together these data demonstrate that when intracellular fatty acid levels are elevated and re-esterification is blocked in white adipocytes, oxidative metabolism increases. This occurs during lipolysis due to flooding of white adipocytes with fatty acids and suppression of glycerol lipid synthesis by STAT3.
White adipocyte mitochondria are uncoupled by fatty acids during lipolysis. Mitochondrial membrane potential decreased drastically upon lipolytic activation, as determined by staining with the membrane potential-dependent dye tetramethylrhodamine methyl ester perchlorate (TMRM) (Fig. 3a, Extended data 1). The loss of membrane potential requires lipolysis and was blocked by ATGL inhibition (Fig. 3b). Although slower than stimulated cells, vehicle control cells also lost membrane potential over time in an ATGL-dependent manner. While membrane potential was dissipated, oxygen consumption rates increased (Fig. 3b and c). This rapid dissipation of the proton motive force is suggestive of uncoupled respiration. Consistent with uncoupling, lipolysis-driven oxidative metabolism was insensitive to the ATP synthase inhibitor oligomycin (Fig. 3c). Norepinephrine also induced a lipolysis-dependent loss of mitochondrial membrane potential (Fig. 2d). Sequestration of fatty acids by BSA in the media attenuated the loss of membrane potential and reduced the rate of oxygen consumption (Fig. 3e and f). These data suggest that the elevation in intracellular fatty acids mediates mitochondrial depolarization in lipolytic adipocytes.
During coupled respiration, ATP synthase utilizes the proton motive force to drive ATP production. To investigate the role of ATP synthase in the loss of proton motive force, we pretreated cells with oligomycin to inhibit ATP synthesis. Inhibition of ATP synthase slowed the loss of membrane potential (Fig. 3g). Pretreatment with oligomycin also reduced the rate of lipolysis (Fig. 3h and i), as previously observed24. Thus, it is not clear if ATP synthesis contributes to the loss of membrane potential or if the reduction in fatty acid load slowed the loss of membrane potential. Nevertheless, significant membrane depolarization was observed in the presence of oligomycin, strongly indicating a proton leak and uncoupled respiration (Fig. 3g). We also investigated the effect of oligomycin pretreatment on lipolysis-driven oxidative metabolism. As expected, oligomycin reduced baseline oxygen consumption; however, oxygen consumption rapidly increased upon CL-316,243 stimulation in the oligomycin-treated adipocytes, catching up with the CL-316,243-treated control adipocytes (Fig. 3j). This suggests that ATP utilization is not the driving force behind the increase in oxidative metabolism, but rather a proton-leak-dependent reduction in membrane potential that facilitates electron transport, increased oxygen consumption and upstream substrate utilization.
What is the mechanism of uncoupling in white adipocytes? In brown adipocytes, uncoupled respiration occurs due to activation of UCP1 by fatty acids25–28. Although Ucp1 expression in primary white adipocytes is quite low, we used high concentrations of GDP to inhibit any possible UCP1 activity. The basal oxygen consumption rate was lower in the presence of GDP (Extended Data 2a). Upon stimulation, the oxygen consumption rate increased rapidly, reaching CL-316,243 control levels. The effect of GDP was similar to oligomycin, consistent with inhibition of ATP synthase29. To investigate the specific effect of GDP on uncoupled respiration, we examined its effect in combination with oligomycin. GDP attenuated the loss of membrane potential, but the effect was less than that of oligomycin, and GDP had no additional impact on membrane potential in the context of oligomycin treatment (Extended Data 2b). These findings are consistent with previous reports that fatty acid mediated uncoupling in lipolytic adipocytes is independent of UCP114.
The permeability transition pore (PTP) is a large multiprotein complex in the mitochondrial inner membrane that is defined by the presence of cyclophilin D30–32. PTP opening can result in cytochrome C release, mitochondrial swelling, and cell death. However, transient opening of the PTP also occurs physiologically33,34, and is a potential mechanism by which uncoupling could occur in lipolytic white adipocytes9. Inhibition of cyclophilin D with cyclosporin A (CSA) 35 attenuates the loss of membrane potential and the increase in lipolysis-driven oxidative metabolism but does not impact the rate of lipolysis (Fig. 4a-d). While significant, the effect of CSA was small, and membrane potential dropped while oxygen consumption increased. The PTP is activated by calcium signalling, thus we investigated the impact of ruthenium red, which blocks mitochondrial calcium flux36. Ruthenium red had only a small impact on membrane potential loss and did not impact oxygen consumption (Extended Data 2c and d).
A common component of the PTP is AAC33. Like UCP1, AAC nucleotide binding can be outcompeted by fatty acids leading to a proton leak15,16. Given that lipolysis-driven uncoupling appears to be mediated by fatty acids, we investigated the impact of inhibiting AAC with bongkrekic acid (BKA) 37. Treatment with BKA had no significant impact on the rate of lipolysis, but blocked membrane depolarization (Fig. 4e-g). Since AAC activity is required to provide ADP for ATP synthesis, BKA inhibited basal oxygen consumption to the same extent as oligomycin, and the two inhibitors together had no additive effect on basal respiration (Fig. 4h). However, upon lipolytic stimulation, BKA treatment blocked the increase in oxygen consumption (Fig. 4h and i). Even in the presence of oligomycin, BKA significantly reduced lipolysis-stimulated oxidative metabolism (Fig. 4h). The effect of BKA to attenuate the induction of oxidative metabolism was dose-dependent (Fig. 4j). BKA efficiently blocked the loss of mitochondrial membrane potential at all concentrations tested (Fig. 4k). These data suggest that fatty acid binding to AAC is responsible for the proton leak that leads to the loss of mitochondrial membrane potential and drives oxidative metabolism. Colour
Uncoupled respiration has greater thermogenic potential than TG cycling. All metabolism generates heat in order to be thermodynamically favourable. Full β-oxidation of fatty acids is about 40% efficient (producing ATP), while the remaining chemical energy is converted to heat. Thermogenic reactions produce heat via futile cycles that drive upstream metabolic pathways. In the white adipose tissue futile TG cycling consumes 7 ATP per cycle. We propose that uncoupled oxidation of fatty acids in lipolytic adipocytes is an additional thermogenic pathway. Six of the seven ATP consumed by TG cycling are used to convert fatty acids into fatty acyl-CoAs, which is also required for β-oxidation. When coupled, full oxidation of palmitoyl-CoA generates 131 ATP. Uncoupling via AAC would be predicted to waste up to 399 ATP (3 x 131 + 6) per TG. Thus, thermogenesis in white adipocytes during lipolysis could be driven more robustly by uncoupled fatty acid oxidation than TG cycling.
To test this concept, we investigated cold tolerance in adipocyte-specific Stat3 knockout (SAKO) mice, which, due to the loss of STAT3 mediated inhibition of GPAT3, exhibit more TG cycling and less β-oxidation during lipolysis in white adipocytes10. Normal diet SAKO mice were found to have normal cold tolerance and energy expenditure at both 22 °C and 5 °C (Extended Data 3). However, when placed on a high-fat diet, SAKO mice were cold-sensitive as compared to their littermate controls (Fig. 5a). To further focus on the specific metabolic contributions of white adipocytes, we adapted the mice to thermoneutrality, inactivating their brown adipose tissue. The obese thermoneutral-adapted SAKO mice had increased body weight due to increased adiposity (Fig. 5b and c), as was previously observed in diet induced obese mice housed at room temperature10. The cold sensitivity of the SAKO mice was enhanced by thermoneutral adaptation, resulting in a survival defect in the SAKO mice (p-value = 0.003) (Fig. 5d). Initially, oxygen consumption increased in both genotypes, likely due to shivering. However, over time the SAKO mice failed to maintain this increased oxidative rate and the oxygen consumption dropped lower than in SAWT controls (Fig. 5e). The same pattern of carbon dioxide production was observed (Fig. 5f). No differences in respiratory exchange ratio, activity or food intake were observed (Extended Data 4). Taken together these data indicate that obese thermoneutral-adapted SAKO mice exhibit increased sensitivity to acute cold exposure, failing to mount the respiratory response required for survival in these conditions.
STAT3 is required for thermogenesis in UCP1-null adipocytes. Stat3 is knocked out in all adipocytes by Adipoq-CRE. To investigate the contribution of classic thermogenic adipocytes, we utilized a Ucp1 promoter-driven CRE to knock Stat3 out in brown adipocytes (SBKO mice). Like SAKO mice, normal diet room temperature housed SBKO mice exhibited no defect in cold-induced energy expenditure (Extended Data 5a and b). However, while obese thermoneutral-adapted SAKO mice exhibit cold sensitivity, SBKO mice have normal cold tolerance and energy expenditure (Extended Data 5c-f). Obese thermoneutral-adapted SBKO mice did not exhibit the increase in adiposity observed in SAKO mice (Fig. 5g). To compare the SAKO and SBKO phenotypes we generated a large cohort with both genotypes and their corresponding controls. In an acute cold tolerance test, the SAWT and SBWT control mice defended their core temperature similarly, while the core temperature of the SAKO mice dropped significantly lower than the SAWT and SBKO animals (Fig. 5h). Furthermore, SBKO mice did not exhibit a survival defect as compared to the SBWT controls (p-value = 0.86), unlike the SAKO versus SAWT mice (p-value = 0.0004) (Fig. 5i). During acute cold exposure, oxygen consumption in SBKO mice was not significantly different from their SBWT littermate controls, while oxygen consumption in SAKO mice was significantly lower than both SAWT and SBKO mice (Fig. 5j). Carbon dioxide production in the SBKO mice dropped lower than the SBWT controls; however, the rate in the SAKO mice dropped earlier and was significantly lower than in the SBKO mice (Fig. 5k). There were no differences in respiratory exchange ratio or physical activity between the genotypes (Extended Data 6). Additionally, there were no significant differences in thermogenic gene expression in inguinal white or epididymal white adipose tissue (Extended Data 7). Overall, these data indicate that Stat3 knockout in white adipocytes causes increased sensitivity to cold in obese thermoneutral-adapted mice, which is associated with a defect in energy expenditure in the cold. Knockout of Stat3 in brown adipocytes had no impact on thermogenesis regardless of body composition or housing temperature.
Lipolysis-driven thermogenesis is independent of physical activity. Physical activity generates heat, and shivering contributes to energy expenditure during acute cold exposure. To isolate the effect of lipolysis-driven uncoupled respiration on thermogenesis, we blocked muscle activity in addition to thermoneutral housing and a high fat diet. Even at 30 °C, when mice are immobilized with pentobarbital their core body temperature declines dramatically before it levels off at 32–33 °C (Fig. 6a). Core body temperature and energy expenditure dropped equally in SAWT and SAKO mice upon immobilization (Fig. 6a and b). Injection of CL-316,243 after immobilization protects core body temperature in obese thermoneutral-adapted mice (Fig. 6c). While core body temperature was significantly higher in SAWT CL-316,243-injected mice as compared to vehicle controls, CL-316,243 did not have a significant impact on temperature in the SAKO mice, whose temperature was significantly lower than the SAWT CL-316,243-treated mice (Fig. 6c). Importantly, the lipolytic response to CL-316,243 in the SAKO mice was not defective; serum fatty acid levels were increased equally in the SAWT and SAKO mice treated with CL-316,243 (Fig. 6d). Female mice were placed on a high-fat diet for 30 weeks to achieve weight gain comparable to males (Fig. 6e). A defect in CL-316,243-induced thermogenesis was also observed in female SAKO mice relative to SAWT controls (Fig. 6f). The thermogenic defect in the SAKO mice was corrected by pretreatment with the DGAT1 inhibitor PF-04620110 (Fig. 6g), consistent with STAT3-mediated repression of esterification as the mechanism of induction of oxidative metabolism and thermogenesis.
A thermal probe was implanted into a cohort of SAWT and SAKO mice to obtain simultaneous core temperature and energy expenditure readings. After pentobarbital injection, core temperature and oxidative metabolism were reduced similarly in SAWT and SAKO mice (Fig. 6h-j). However, the two genotypes diverged upon CL-316,243 injection, which resulted in significantly higher core body temperature, oxygen consumption, and carbon dioxide production in the SAWT compared to the SAKO mice (Fig. 6h-j). These data suggest that the thermogenic effect of CL-316,243 in obese thermoneutral-adapted mice is dependent on adipocyte STAT3 but independent of muscle activity, consistent with a thermogenic effect of lipolysis-driven oxidative metabolism in white adipocytes.