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High fat diet causes mitochondrial dysfunction as a result of impaired ADP sensitivity

Paula M Miotto1*, Paul J LeBlanc2, and Graham P Holloway1*

1Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, N1G 2W1 Ontario, Canada

2Department of Health Sciences, Brock University, St. Catharines, Ontario, Canada

Running head: High fat diet and mitochondrial dysfunction

Abstract word count (198)

Manuscript word count (1998)

* Denotes corresponding author: Graham P Holloway, Email: [email protected] Paula M Miotto, Email: [email protected] Human Health and Nutritional Sciences, University of Guelph, 491 Gordon Street, Guelph, ON, N1G 2W1, Canada

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Key words: , skeletal muscle , high fat diet, , reactive species, mitochondrial dysfunction, regulated membrane transport, ADP sensitivity.

Abbreviations: High fat (HF), voltagedependent anion channel (VDAC), adeninenucleotide translocase (ANT), uncoupling 3 (UCP3), palmitoylCoA (PCoA), malonylCoA (M

CoA), mitochondrial creatine kinase (MiCK), control (CON), permeabilized muscle fibres

(PMFs), respiratory control ratio (RCR), cytosolic creatine kinase (MMCK), superoxide dismutase2 (SOD2), area under the curve (AUC), tolerance test (GTT), insulin tolerance test (ITT).

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Abstract

While molecular approaches altering mitochondrial content have implied a direct relationship

between mitochondrial bioenergetics and insulin sensitivity, paradoxically, consumption of a

high fat (HF) diet increases mitochondrial content while inducing insulinresistance. We

hypothesized that despite the induction of mitochondrial biogenesis, consumption of a HF diet

would impair mitochondrial ADP sensitivity in skeletal muscle of mice, and therefore manifest

in mitochondrial dysfunction in the presence of ADP concentrations indicative of skeletal muscle

. We found that HF consumption increased mitochondrial protein expression, however

absolute mitochondrial respiration and ADP sensitivity were impaired across a range of

biologically relevant ADP concentrations. In addition, HF consumption attenuated the ability of

ADP to suppress mitochondrial H2O2 emission, further suggesting impairments in ADP

sensitivity. The abundance of ADP transport were not altered, while the sensitivity to

carboxyatractylosidemediated inhibition was attenuated following HF consumption, implicating

alterations in adenine nucleotide translocase (ANT) ADP sensitivity in these observations.

Moreover, palmitoylCoA is known to inhibit ANT, and modelling intramuscular palmitoylCoA

concentrations that occur following HF consumption exacerbated the deficiency in ADP

sensitivity. Altogether, these data suggest that a HF diet induces mitochondrial dysfunction

secondary to an intrinsic impairment in mitochondrial ADP sensitivity that is magnified by

palmitoylCoA.

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Introduction

While the etiology of type 2 diabetes is poorly defined, chronic consumption of a highfat (HF) diet is a major contributor to whole body glucoseintolerance (1) and insulinresistance (2; 3).

Although the molecular explanation for these responses are not fully understood, mitochondrial dysfunction within skeletal muscle has received attention as a potential contributor, as mitochondrial content is reduced in most reports of insulin resistant/obese human skeletal muscle

(4; 5). Moreover, in various models, the induction of mitochondrial biogenesis protects against the development of insulinresistance (2; 6), and genetic approaches that decrease mitochondrial content predispose animals to HF dietinduced insulinresistance (7). While these data suggest changes in mitochondrial content are related to insulinsensitivity, reductions in mitochondrial oxidative capacity are not uniformly reported in the literature with insulinresistance (8; 9), and

HF feeding has been shown to induce glucoseintolerance and insulinresistance despite increasing mitochondrial content (1012). Together, these data suggest reductions in mitochondrial respiratory capacity are not required for the development of insulinresistance.

Although shortterm HF experiments challenge the notion that mitochondrial dysfunction contributes to insulinresistance development, these data are difficult to rectify with molecular approaches that alter mitochondrial content and highlight a strong association with insulin sensitivity. An important consideration in this respect is that previous examinations of mitochondrial function have been performed in the presence of saturating ADP concentrations, which may not reflect the biological environment. It has been postulated that an increase in mitochondrial content improves the sensitivity of oxidative metabolism to ADP (13; 14), and therefore ADP responsiveness may represent a key process in cellular homeostasis that is not

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recapitulated in experiments conducted in the presence or absence of saturating ADP.

Importantly, the movement of ADP into the , and the subsequent binding of

ADP to F1F0 ATP synthase, decreases and H2O2 production while

simultaneously increasing substrate oxidation (15). In this manner, ADP sensitivity may

represent a key biological process influenced by changing mitochondrial content, as it can

influence both balance and reactive accumulation. Intriguingly, mitochondrial ADP

sensitivity is externally regulated and inhibited by reactivelipid accumulation (i.e. palmitoyl

CoA), however surprisingly, it is not currently known how mitochondrial ADP sensitivity is

affected by HF consumption. We hypothesized that mitochondrial ADP sensitivity would be

impaired following a HF diet, independent of reductions in mitochondrial content. If accurate,

this hypothesis would rectify a prominent discrepancy in the literature regarding the notion that

mitochondrial dysfunction occurs in parallel with the development of insulinresistance.

Research design and methods

Animals and ethics

All experimental procedures were approved by the Animal Care Committee at the University of

Guelph, and conformed to the guide for the care and use of laboratory animals as indicated by

the US National Institutes of Health. Male (1012 weeks of age) mice on a C57Bl6J background

were fed either a control (CON; 10% lard) or high fat (HF; 60% lard) diet ad libitum for 4 weeks.

All animals were anesthetized with an intraperitoneal injection of sodium pentobarbital

(60mg/kg; MTC Pharmaceuticals, Cambridge, ON) prior to redgastrocnemius extraction for

subsequent analyses.

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Verification of high fat diet induced glucose and insulin-intolerance

Intraperitoneal glucose and insulintolerance tests were performed on separate days as previously

reported (16). On a separate day, animals were anesthetised, and the redgastrocnemius muscles

removed before or 15 minutes after an intravenous injection of 1U/kg body weight of insulin

(Novorapid). The area under the curve (AUC) calculations were adjusted to account for baseline blood glucose values.

Resting whole-body metabolic measurements

Resting oxygen consumption (VO2) and carbon dioxide production (VCO2) were monitored in

metabolic caging (Columbus Instruments, Columbus, OH) and used to calculate total

and fat oxidation, and energy expenditure as previously reported (17).

Mitochondrial bioenergetics

Respiration in redgastrocnemius permeabilized muscle fibres was measured using high

resolution respirometry (Oroboros Oxygraph2 K, Innsbruck, Austria) at 37ºC as previously

reported (13). Briefly, ADP (012000; M) was titrated in the presence of pyruvate (10mM) and

malate (5mM), followed by glutamate (10mM) and succinate (10mM), in the presence or

absence of PCoA (20 or 60M). In separate experiments, PCoA was titrated in the presence of

Lcarnitine (2mM), malate (5mM), and ADP (5mM), and in the absence or presence of malonyl

CoA (MCoA; 7M). Carboxyatractyloside (0.21.6M) was used to inhibit ADPsupported

respiration to investigate changes in adenine nucleotide translocase (ANT) substrate sensitivity.

Cytochrome c (10M) did not stimulate respiration during experiments (data not shown).

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Succinatesupported (20mM) H2O2 emission was determined fluorometrically in the absence and

presence of ADP (100M) as previously reported (13).

Citrate synthase activity

Frozen redgastrocnemius (610mg) was homogenized in Tris buffer (100mM, pH 8.3), freeze

thawed to lyse mitochondria, and activity was measured spectrophotometrically

as previously reported (18).

Western blot analysis

The redgastrocnemius was homogenized and Western blotting was performed as previously

reported (17). See supplemental Figure 1 for a complete list of antibodies.

Statistical analyses

MichaelisMenton kinetics were determined by plotting data points in GraphPad Prism 5

software to estimate the apparent Km as previously described (19). Unpaired twotailed student’s

ttests were used to analyse data between CON and HF fed mice, and oneway ANOVA’s were

used for PCoAADP sensitivity comparisons followed by Student Newman Keuls post-hoc

analyses where appropriate. Statistical significance was determined at P < 0.05. Data are

expressed as mean ± standard error of the mean (SEM).

Results

Verification of HF diet-induced glucose-intolerance and insulin-resistance

We first verified the expected HF diet responses on body mass and insulinresistance. HF

consumption resulted in greater body weight (CON: 31 ± 1.78; HF: 38.6 ± 0.95; g, P<0.05),

greater epididymal fat mass (CON: 1.2g ± 0.24; HF: 2.9 ± 0.15; g, P <0.05), greater AUC in

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response to a GTT and ITT (Figure 1A), and lower skeletal muscle insulinstimulated AKT phosphorylation (Figure 1B). Moreover, although mice exhibited the expected diurnal changes in

fuel metabolism (Figures 1CF), consumption of a HF diet resulted in lower carbohydrate

oxidation (Figure 1C), higher fat oxidation (Figure 1D), lower RER (Figure 1E), and greater

energy expenditure (Figure 1F), further confirming the HF diet model.

Maximal coupled respiration rates

With regards to potential mitochondrial changes influenced by HF consumption, we first

examined markers of mitochondrial content. HF consumption increased PGC1α and several

markers of the electron transport chain, total electron transport chain abundance, and PDHE1α,

without altering CPTI, ATP synthase, and a subunit of c (Figure 2A).

Moreover, HF consumption increased citrate synthase activity in support of a greater oxidative

capacity (Figure 2B). Despite the apparent HF dietinduced mitochondrial biogenesis, HF

consumption did not alter state 2 respiration, maximal ADPstimulated respiration, or RCR

values (Figure 2C). Similarly, HF consumption did not affect maximal CPTI dependent PCoA

supported respiration (Figure 2D) or PCoA sensitivity (Figure 2E). Moreover, while the CPTI

inhibitor MCoA attenuated PCoA sensitivity, this was not affected by HF consumption (Figure

2F). While these data strongly suggest the absence of mitochondrial respiratory dysfunction

following HF consumption, given that skeletal muscle contains submaximal ADP concentrations,

we next examined mitochondrial respiration at physiological concentrations and ADP sensitivity.

Submaximal ADP-stimulated respiration rates and ADP sensitivity

Given the absence of changes in maximal ADPstimulated respiration, we next examined

mitochondrial respiration across a range of ADP concentrations. While a HF diet did not impair

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respiration in the presence of >2000 µM ADP, strikingly, respiration was attenuated ~30% at all

biologically relevant ADP concentrations (i.e., 1001000 µM ADP; Figure 3A). In addition,

mitochondrial ADP sensitivity was decreased ~25% following HF consumption (i.e., greater

apparent Km value) (Figure 3B). Combined, despite the induction of mitochondrial biogenesis,

these data strongly suggest the development of mitochondrial dysfunction with a HF diet

secondary to impaired ADP sensitivity.

Given that ADP binding to F1F0 ATP synthase is known to suppress H2O2 emission rates

(15), we also examined mitochondrial H2O2 emissions in the absence and presence of ADP to

further solidify this relationship. While the maximal capacity for H2O2 emission did not change

following a HF diet (Figure 3C), mice fed a HF diet had an impaired ability to suppress H2O2

emission rates via ADP transport into the mitochondria; as indicated by H2O2 production in the

presence of ADP that was approaching significance (Figure 3D) and a lower % suppression of

H2O2 emission rates by ADP (Figure 3E). Further, mice fed a HF diet had greater

expression (catalase and SOD2) and 4HNE adducts than mice fed a CON diet (Figure 3F),

supporting an increase in oxidative stress/damage and stimulation of antioxidant adaptation

during HF consumption. The impairment in ADP sensitivity occurred independent of changes in

protein expression of ADP transporters (i.e., VDAC and ANT), MiCK, MMCK, and UCP3

(Figure 3F). We therefore examined the ability of carboxyatractyloside to inhibit ADP

stimulated respiration to gain insight into the possibility that posttranslational modifications on

ANT contribute to the attenuated ADP responsiveness following a HF diet. While 1.6M

carboxyatractyloside inhibited respiration ~90% regardless of diet (data not shown), respiration

was higher following a HF diet in the presence of 0.2M carboxyatractyloside (Figure 3G),

suggesting a decreased ability for carboxyatractyloside to interact with the ADP binding motif on

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ANT. Altogether, these data suggest a HF diet attenuates ANT sensitivity to ADP, likely contributing to the apparent induction in mitochondrial dysfunction.

P-CoA-mediated inhibition on ADP sensitivity

While these data strongly suggest impaired ADP responsiveness following a HF diet, these experiments are conducted in optimal conditions. However, longchain fatty acid CoAs (e.g. P

CoA) are known to increase following HF consumption (20), and this lipid derivative has been shown to inhibit ANT and reduce ADP sensitivity in permeabilized muscle fibres (13; 17).

Therefore, given the insensitivity to carboxyatractyloside, we next examined PCoAmediated inhibition of ADP sensitivity in CON and HF fed mice. To do this, we repeated experiments on mitochondrial ADP sensitivity in the absence and presence of PCoA concentrations that better reflect control (20µM) (21) and HF diet intramuscular situations (60µM) (20). While PCoA concentrations that reflected CON conditions did not alter respiration rates at any ADP concentration (data not shown), the presence of 60µM PCoA attenuated respiration at most

ADP concentrations (Figure 4A), and further attenuated ADP sensitivity following a HF diet

(i.e., increased the apparent ADP Km: Figure 4B). Combined, these data indicate the presence of mitochondrial respiratory dysfunction following a HF diet that is exacerbated in the presence of increased intramuscular PCoA concentrations.

Discussion

We provide compelling evidence that consumption of a HF diet induced mitochondrial dysfunction as a result of impaired ADP sensitivity. Specifically, we show that despite the induction of mitochondrial biogenesis and unaltered maximal ADPstimulated respiration, respiration at physiological ADP concentrations were impaired following a HF diet. In addition,

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the ability of ADP to stimulate respiration (apparent Km) and attenuate mitochondrial H2O2

emission were decreased following a HF diet, while modelling reactivelipid levels that occur

with HF consumption exacerbated the apparent mitochondrial dysfunction. Combined, these data

strongly indicate impaired mitochondrial bioenergetics following a HF diet due to impaired ADP

sensitivity.

While genetic models/interventions that increase mitochondrial content typically have

improved insulinsensitivity and glucosetolerance (1; 2; 6), paradoxically, consumption of a HF

diet in the current study, and others (11), results in increased mitochondrial content despite the

induction of glucoseintolerance and insulinresistance. Therefore, the notion that mitochondrial

dysfunction contributes to the development of insulinresistance has waned in recent years,

however our data implicates HF consumption in impairing respiration and increasing

mitochondrial H2O2 emission as a result of impaired ADP sensitivity. These derangements

appear to be amplified in the presence of higher PCoA concentrations indicative of insulin

resistant muscle, strongly suggesting the presence of mitochondrial ADP insensitivity in skeletal

muscle following HF consumption and insulinresistance. The constant VDAC/ANT and ATP

synthase protein abundance suggest altered regulation of these proteins may lead to

mitochondrial dysfunction. While an impairment on ATP synthase may also exist following a HF

diet, the insensitivity to carboxyatractyloside suggests that ANT is less sensitive to ADP binding,

a response likely amplified by increases in intramuscular PCoA concentrations (22; 23).

Altogether, our data shows that impaired mitochondrial ADP sensitivity plays an

important role in HF dietinduced mitochondrial dysfunction. Although speculative, the

induction of mitochondrial biogenesis likely represents a compensatory mechanism to improve

ADP sensitivity, and potentially mitigate HF dietinduced redox stress (24), although this

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appears inadequate to maintain cellular homeostasis. It is currently unknown if the reduction in

ADP sensitivity directly contributes to the metabolic inflexibility observed in HF mice.

However, it is also possible that this response, similar to the induction of mitochondrial biogenesis, represents a compensatory adaptation to preserve some carbohydrate utilization in

the presence of increased intramuscular lipid availability, as a rise in cytosolic ADP could in

theory promote . In addition to the potential influence on fuel selection,

since the movement of ADP into the mitochondrial matrix can bind to ATP synthase to stimulate

respiration and attenuate mitochondrial derived H2O2 emission (15), an impairment in ADP

transport may represent a nexus point influencing several models implicated in the development

of insulinresistance.

Acknowledgements

None declared.

Funding

This work was supported by the Natural Sciences and Engineering Research Council (NSERC)

of Canada (G.P.H), and infrastructure was purchased with assistance from the Canadian

Foundation for Innovation/Ontario Research Fund. P.M.M is supported by an NSERC graduate

scholarship.

Disclosure statement

None declared.

Author contribution statement

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PMM and GPH designed the study, while PMM conducted experiments, analyzed data, and

drafted the manuscript. PMM, PJL, and GPH interpreted results and edited the manuscript.

GPH is guarantor of this work and takes responsibility for the integrity and accuracy of the data.

References 1. Miotto PM, Frendo-Cumbo S, Sacco SM, Wright DC, Ward WE, Holloway GP: Combined high- fat-resveratrol diet and RIP140 knockout mice reveal a novel relationship between elevated bone mitochondrial content and compromised bone microarchitecture, bone mineral mass, and bone strength in the tibia. Molecular nutrition & food research 2016;60:1994-2007 2. Lagouge M, Argmann C, Gerhart-Hines Z, Meziane H, Lerin C, Daussin F, Messadeq N, Milne J, Lambert P, Elliott P, Geny B, Laakso M, Puigserver P, Auwerx J: Resveratrol improves mitochondrial function and protects against metabolic disease by activating SIRT1 and PGC- 1alpha. Cell 2006;127:1109-1122 3. Storlien LH, Jenkins AB, Chisholm DJ, Pascoe WS, Khouri S, Kraegen EW: Influence of dietary fat composition on development of insulin resistance in rats. Relationship to muscle triglyceride and omega-3 fatty acids in muscle phospholipid. Diabetes 1991;40:280-289 4. Kim JY, Hickner RC, Cortright RL, Dohm GL, Houmard JA: Lipid oxidation is reduced in obese human skeletal muscle. Am J Physiol Endocrinol Metab 2000;279:E1039-1044 5. Ritov VB, Menshikova EV, He J, Ferrell RE, Goodpaster BH, Kelley DE: Deficiency of subsarcolemmal mitochondria in obesity and type 2 diabetes. Diabetes 2005;54:8-14 6. Christian M, White R, Parker MG: Metabolic regulation by the nuclear receptor corepressor RIP140. Trends in endocrinology and metabolism: TEM 2006;17:243-250 7. Handschin C, Choi CS, Chin S, Kim S, Kawamori D, Kurpad AJ, Neubauer N, Hu J, Mootha VK, Kim YB, Kulkarni RN, Shulman GI, Spiegelman BM: Abnormal glucose homeostasis in skeletal muscle-specific PGC-1alpha knockout mice reveals skeletal muscle-pancreatic beta cell crosstalk. J Clin Invest 2007;117:3463-3474 8. Smith BK, Perry CG, Herbst EA, Ritchie IR, Beaudoin MS, Smith JC, Neufer PD, Wright DC, Holloway GP: Submaximal ADP-stimulated respiration is impaired in ZDF rats and recovered by resveratrol. J Physiol 2013;591:6089-6101 9. Holloway GP, Thrush AB, Heigenhauser GJ, Tandon NN, Dyck DJ, Bonen A, Spriet LL: Skeletal muscle mitochondrial FAT/CD36 content and palmitate oxidation are not decreased in obese women. Am J Physiol Endocrinol Metab 2007;292:E1782-1789 10. Turner N, Bruce CR, Beale SM, Hoehn KL, So T, Rolph MS, Cooney GJ: Excess lipid availability increases mitochondrial fatty acid oxidative capacity in muscle: evidence against a role for reduced fatty acid oxidation in lipid-induced insulin resistance in rodents. Diabetes 2007;56:2085-2092 11. Hancock CR, Han DH, Chen M, Terada S, Yasuda T, Wright DC, Holloszy JO: High-fat diets cause insulin resistance despite an increase in muscle mitochondria. Proceedings of the National Academy of Sciences of the United States of America 2008;105:7815-7820

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12. Holloway GP, Benton C, Mullen KL, Yoshida Y, Snook LA, Han XX, Glatz JF, Luiken JJ, Lally J, Dyck DJ, Bonen A: In obese rat muscle transport of palmitate is increased and is channeled to triacylglycerol storage despite an increase in mitochondrial palmitate oxidation. Am J Physiol Endocrinol Metab 2009;296:E738-747 13. Ludzki A, Paglialunga S, Smith BK, Herbst EA, Allison MK, Heigenhauser GJ, Neufer PD, Holloway GP: Rapid Repression of ADP Transport by Palmitoyl-CoA Is Attenuated by Exercise Training in Humans: A Potential Mechanism to Decrease Oxidative Stress and Improve Skeletal Muscle Insulin Signaling. Diabetes 2015;64:2769-2779 14. Dudley GA, Tullson PC, Terjung RL: Influence of mitochondrial content on the sensitivity of respiratory control. The Journal of biological chemistry 1987;262:9109-9114 15. Anderson EJ, Lustig ME, Boyle KE, Woodlief TL, Kane DA, Lin CT, Price JW, 3rd, Kang L, Rabinovitch PS, Szeto HH, Houmard JA, Cortright RN, Wasserman DH, Neufer PD: Mitochondrial H2O2 emission and cellular redox state link excess fat intake to insulin resistance in both rodents and humans. J Clin Invest 2009;119:573-581 16. Whitfield J, Paglialunga S, Smith BK, Miotto PM, Simnett G, Robson HL, Jain SS, Herbst EAF, Desjardins EM, Dyck DJ, Spriet LL, Steinberg GR, Holloway GP: Ablating the protein TBC1D1 impairs contraction-induced sarcolemmal glucose transporter 4 redistribution but not insulin- mediated responses in rats. The Journal of biological chemistry 2017;292:16653-16664 17. Miotto PM, Holloway GP: In the absence of shuttling, exercise reveals the in vivo importance of creatine-independent mitochondrial ADP transport. Biochem J 2016;473:2831- 2843 18. Miotto PM, Horbatuk M, Proudfoot R, Matravadia S, Bakovic M, Chabowski A, Holloway GP: alpha-Linolenic acid supplementation and exercise training reveal independent and additive responses on hepatic lipid accumulation in obese rats. American journal of physiology Endocrinology and metabolism 2017;312:E461-E470 19. Perry CG, Kane DA, Herbst EA, Mukai K, Lark DS, Wright DC, Heigenhauser GJ, Neufer PD, Spriet LL, Holloway GP: Mitochondrial creatine kinase activity and phosphate shuttling are acutely regulated by exercise in human skeletal muscle. JPhysiol 2012;590:5475-5486 20. Ellis BA, Poynten A, Lowy AJ, Furler SM, Chisholm DJ, Kraegen EW, Cooney GJ: Long-chain acyl-CoA esters as indicators of and insulin sensitivity in rat and human muscle. Am J Physiol Endocrinol Metab 2000;279:E554-560 21. Watt MJ, Heigenhauser GJ, O'Neill M, Spriet LL: Hormone-sensitive lipase activity and fatty acyl-CoA content in human skeletal muscle during prolonged exercise. J Appl Physiol (1985) 2003;95:314-321 22. Ho CH, Pande SV: On the specificity of the inhibition of adenine nucleotide translocase by long chain acyl-coenzyme A esters. Biochimica et biophysica acta 1974;369:86-94 23. Morel F, Lauquin G, Lunardi J, Duszynski J, Vignais PV: An appraisal of the functional significance of the inhibitory effect of long chain acyl-CoAs on mitochondrial transports. FEBS letters 1974;39:133-138 24. Jain SS, Paglialunga S, Vigna C, Ludzki A, Herbst EA, Lally JS, Schrauwen P, Hoeks J, Tupling AR, Bonen A, Holloway GP: High-fat diet-induced mitochondrial biogenesis is regulated by mitochondrial-derived activation of CaMKII. Diabetes 2014;63:1907- 1913

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Figure legends

Figure 1: Verification of HF diet-induced glucose-intolerance, insulin-resistance, and

reliance on fat oxidation

Area under the curve (AUC) during glucosetolerance and insulintolerance testing (GTT, ITT;

A), ratio of phosphorylated / total AKT (B), carbohydrate oxidation (C), fat oxidation (D),

respiratory exchange ratio (RER; E), and energy expenditure (F) in mice fed control (CON) or

high fat (HF) diet. * indicates a significant difference from CON (P < 0.05). Data are expressed

as mean ± SEM. n = 811/ group.

Figure 2: HF consumption increases markers of mitochondrial content in the absence of

altered maximal respiratory capacity or CPT-I regulation

Representative images and quantification of mitochondrial and electron transport chain proteins

(A), citrate synthase activity (B), maximal ADPstimulated respiration in the presence of

complex I and IIlinked substrates and respiratory control ratio’s (RCR) (C), maximal palmitoyl

CoA (PCoA)supported respiration (D), PCoA sensitivity in the absence of malonylCoA (M

CoA) (E), and PCoA sensitivity in the presence of MCoA (F) in mice fed control (CON) or

high fat (HF) diet. * indicates a significant difference from CON (P < 0.05). Data are expressed

as mean ± SEM. n=1214/ group for mitochondrial protein content; n = 811/ group for

respiration.

Figure 3: HF consumption impairs submaximal ADP-stimulated respiration, ADP

sensitivity, and ADP suppression of H2O2 emission independent of substrate transporter

protein expression

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ADPstimulated respiration (A), apparent Km for ADP and MichaelisMenton kinetic curve (B),

maximal H2O2 emission (C), H2O2 emission in the presence of 100µM ADP (D), % suppression

of H2O2 emission for ADP (E), western blots for proteins implicated in ADP handling/transport and redox stress (F), and ADPstimulated respiration in the presence of carboxyatractyloside

(CTA; G) in mice fed control (CON) or high fat (HF) diet. * indicates a significant difference from CON (P < 0.05). Data are expressed as mean ± SEM. n = 1214/group for H2O2 emission;

n=814/group for western blots; n=810/group for CTA experiments.

Figure 4: HF consumption in the presence of reflective P-CoA concentrations exacerbated

impairments on mitochondrial respiration and sensitivity for ADP

ADPstimulated respiration (A) and apparent ADP sensitivity (B) in control (CON) or high fat

(HF) fed mice in the absence or presence of 60µM palmitoylCoA (PCoA). * indicates a

significant difference from CON, # indicates a significant difference from HF (P < 0.05). Data

are expressed as mean ± SEM. n = 812/group.

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Page 17 of 21CON HF CON HF Diabetes 25 9 Figure 1

20

15 6 10 C) E) 5 Blood glucose (mM) glucose Blood A) (mM) glucose Blood 0 3 0 30 60 90 120 0 30 60 90 120 Time (min) Time (min) 1500 300 1.5 Light Dark 2.0 1.0 Light Dark 1.0 * Carbohydrate oxidation * 1.5 (KJ / hour) 1000 200 1.0 0.9 0.9 RER 1.0 AUC AUC RER

500 100 hour) / (KJ 0.5 * * 0.8 0.8 0.5 * * Carbohydrate oxidation Carbohydrate

0 0 0.0 0.0 0.7 0.7 CON HF CON HF CON HF CON HF CON HF CON HF CON HF CON HF

Pre Post Pre Post Pre Post Pre Post AKT-P Thr308 D) F) B) AKT-P Ser473 AKT-Total

150 150 2.5 Light Dark 2.5 3 Light Dark 3 Energy Expenditure 2.0 * 2.0 * Fat oxidation (KJ / hour) 100 100 * 2 * 2 (KJ / hour) 1.5 1.5

* * 1.0 1.0 (KJ / hour) / (KJ (KJ / hour) / (KJ (% of CON) of (% (% of CON) of (% 50 50 1 1 Fat oxidation Fat 0.5 0.5 Energy Expenditure Energy

0 0 0.0 0.0 0 0 AKT-Phospho Ser473 /AKT-Total Ser473 AKT-Phospho AKT-Phospho Thr308 / AKT-Total / Thr308 AKT-Phospho CON HF CON HF CON HF CON HF CON HF CON HF Diabetes FigurePage 18 of 2 21 A) CON HF CON HF CON HF B) PGC-1α CON HF CPT-I CIV 250 * 50 CIII 200 * 40 * CIV * * 150 * 30 CII * * 100 20 (% of CON) of (% CI blots Western 50 weight) wet M/min/g 10  ( Citrate synthase activity synthase Citrate PDHE1α 0 0 PGC-1 CPT-I CV CIII CIV CII CI Sum (CI-V) PDHE1 COXIV CON HF COXIV α tubulin P-CoA titration P-CoA titration (+) 7μM M-CoA C) D) P-CoA VMAX E) (+) L-carnitine F) (+) L-carnitine

) 800 8 250 50 80 -1

200 40 600 6 60 dry wt) dry M P-CoA) M M P-CoA) M -1 RCR  150 30  2 2 mg  400 4 O 40 J JO mg dry weight dry mg -1  100 20 -1 sec 

sec 200 2 20  50 10 (pmol Apparent Km ( Km Apparent Apparent Km ( Km Apparent

(pmol 0 0 0 0 0 PM +D +DG +DGS RCR CON HF CON HF CON HF Page 19 ofA) 21 CON DiabetesHF B) Figure 3 800 Not impaired respiration Impaired respiration 100 CON 600 HF dry wt) dry Submaximal [ADP] P=0.1 -1 1500 2 mg  O 400 * J

-1 50 M ADP) M 1000 *  sec  CON HF 500 200 * Apparent Km ( Km Apparent * * respiration) maximal (% * 2 0 (pmol CON HF 0 JO 0 0 100 175 250 500 1000 2000 4000 6000 8000 10000 12000 0 400 800 1200 1600 2000 ADP concentration (M) ADP concentration (M) CON HF CON HF CON HF CON HF CON HF CON HF Mi-CK MM-CK 4HNE VDAC ANT1 UCP3 α tubulin Catalase (-) ADP (+) ADP E) % Suppression F) G) 0.2µM CTA C) D) SOD2 200 200 80 200 600 * * 150 150 60 150 *

* wt) dry 400

* -1

P=0.1 2 mg  100 100 40 100 O

(%) ------J -1 emission emission emission 2 2 2 O O O (% of CON) of (% 2 2 sec 2 200  Western blots Western H H H 50 50 20 50 ADP suppression of suppression ADP (pmol (pmol/min/mg dry weight) dry (pmol/min/mg (pmol/min/mg dry weight) dry (pmol/min/mg 0 0 0 0 0 CON HF CON HF CON HF Mi-CK MM-CK VDAC ANT1 UCP3 Catalase SOD2 4HNE CON HF Diabetes FigurePage 20 of 421

A) B) CON HF HF + 60µM P-CoA

Impaired respiration P-CoA impaired respiration 800 2000 *# Submaximal [ADP]

600 1500 dry wt) dry

-1 * 2

mg * *  O 400 *# 1000 J -1 M ADP)

* *#  (

sec *# 

** Km Apparent 200 ** ** ** 500 (pmol 0 0 0 100 175 250 500 1000 2000 4000 6000 8000 10000 12000 A A A -Co -Co -Co P P P ADP concentration (M) M M M    0 0 - 0 - 6 N O HF C HF - Page 21 of 21 Diabetes

Supplementary figure 1. Antibody list

Antibody Dilution Catalogue number Supplier αtubulin 1:5000 ab7291 Abcam MiCK 1:5000 ab131188 Abcam MMCK 1:5000 ab193292 Abcam VDAC 1:5000 ab14734 Abcam ANT1 1:1000 ab110322 Abcam SOD2 1:5000 ab13533 Abcam Catalase 1:1000 ab16731 Abcam OXPHOS 1:500 ab110413 Abcam 4HNE 1:1000 HNE11s Alpha Diagnostics Total AKT 1:1000 #4691 Cell Signaling PhosphoAKT Ser473 1:1000 #9271 Cell Signaling PhosphoAKT Thr308 1:1000 #9275 Cell Signaling UCP3 1:1000 AB3046 Millipore PGC1α 1:1000 #516557 Calbiochem PDHE1α 1:5000 #459400 Invitrogen COXIV 1:30000 20E8C12 Invitrogen