BackgroundThe molecular mechanisms of the pronounced between subject variation in human resting metabolic rate (RMR) remains elusive. The terminal enzyme of the mitochondrial respiratory chain, Cytochrome C oxidase (COX) plays a key role in the control of mitochondrial respiration. There are a number of regulatory mechanisms controlling COX activity and proton pump efficiency. A shift of COX subunit composition may also be a part of the regulation of the enzyme. Recent in vitro studies of COX IV‐2 has implicated this isoform in the cellular response to hypoxia and oxidative stress. The aim of this study was to investigate whether COX IV‐2 is involved in the regulation of respiration in vivo and explains the pronounced individual variations in resting RMR.MethodsIndirect calorimetry was used to measure resting metabolic rate in healthy subjects. Skeletal muscle biopsies were extracted from vastus lateralis for isolation of myogenic satellite cells and protein analysis. Myotubes were transfected with an expression vector in order to achieve over expression of COX IV‐2 and with siRNA for knocking down COX IV‐1 (COX IV‐1−/2+). The control cells were transfected with a control vector and siRNA respectively. Respirometric measurements and hydrogen peroxide production were assessed simultaneously in an oxygraph (O2‐K, Oroboros) equipped with a spectrofluorometer by using the fluorophore Amplex®UltraRed.ResultsHere we show that COX IV‐2 protein is expressed in skeletal muscle harvested from healthy humans with a large inter‐individual difference in the COX IV‐2/COX IV‐1 ratio. A strong inverse correlation was found between the COX IV‐2/COX IV‐1 ratio and RMR measured in the same individuals. The same pattern was observed in the primary human skeletal myotubes overexpressing COX IV‐2 with knocked down COX IV‐1, showing a >60% lower basal cell respiration and a >50% reduction in LEAK respiration. The latter suggests either a lower proton conductance or a reduction in proton slip at COX. In addition, reduced cellular H2O2 production was observed both during LEAK and basal cell respiration.ConclusionThese results suggest an important role of the mitochondrial subunit isoform COX IV‐2 in control of energy expenditure and mitochondrial reactive oxygen species homeostasis in humans.Support or Funding InformationThis study was supported by grants from the Swedish Research Council, Swedish Heart and Lung Foundation, Stockholm City Council (ALF), Swedish National Centre for Research in Sports and funds for the Karolinska Institutet.
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