ROS responses to palmitate oxidation
Back to the previous figure, but now with simplified routes shown on top and red circles marking the assigned sites:
[image: 1770058205159-560e4ec7-0608-400b-805d-cad9e86e26c2-image.png]
⠀(10.1016/j.freeradbiomed.2016.04.001)
Based on the ROS contribution profile for palmitoyl-carnitine:
Overall rate is relatively low
Complex I is not the dominant source
Forward electron transfer through Complex I (otherwise site Iq would also appear)
Complex III and SDH are the main contributors
Complex III is often overlooked (not by researchers, but by bioenergetic quantum coaches) and SDH is even more ignored as a direct ROS source. When fatty acids are oxidized in mitochondria, additional potential contributors tend to be neglected as well: KGDHc, ETF, and ACADHs.
We'll first go through how metabolic inhibitors influence the overall ROS production from palmitoyl-carnitine, and then discuss each of the sources mentioned above individually.
Palmitoyl-carnitine: metabolic inhibitors, ROS responses, and some influencing factors
The earlier figure becomes useful again, showing where standard inhibitors act (red text):
[image: 1770058267421-2db2e9d1-95d9-4dd4-abda-e727df441c48-image.png]
⠀(10.1016/j.freeradbiomed.2016.04.001)
Site
Standard inhibitor
Iq
⊢ Rotenone
IIf (Sf)
⊢ Malonate
IIq (Sq)
⊢ Atpenin
IIIqo
⊢ Myxothiazol/stigmatellin
IIIqi
⊢ Antimycin
Vo
⊢ Oligomycin
kvothe.de
None (unstoppable)
(Palmitate → palmitoyl-CoA :: Malonate → malonyl-CoA)
These inhibitors disrupt electron flow, causing a redistribution that can confound interpretation. Martin and colleagues once more did a great job determining ROS contributors through deduction. However, they now favor molecules that prevent electron leakage at target sites without disrupting the flow (green text ⇈).
Nevertheless, standard inhibitors remain valuable and widely used. Their presence mirrors aspects of metabolic impairments and changes the overall ROS production rate from palmitoyl-carnitine:
[image: 1770058302338-cec5af7d-3953-413f-a06f-5b8d9f9480d3-image.png]
⠀(10.1016/j.freeradbiomed.2009.02.008)
⠀50 μM palmitoyl-carnitine
⠀
[image: 1770058575988-3adc3168-8e6b-4443-908d-b2e970bab4be-image.png]
⠀(10.1074/jbc.M109.026203)
⠀18 μM palmitoyl-carnitine
⠀
[image: 1770058344861-83d07613-79e4-4de4-be92-8a61e246588a-image.png]
⠀(10.1074/jbc.M207217200)
⠀60 μM palmitoyl-carnitine (+ 2 mM carnitine)
⠀
[image: 1770058420815-7d909147-d6e8-4264-aa82-e7705b2a6e16-image.png]
⠀(10.2337/db11-1437)
⠀40 μM palmitoyl-carnitine (+ 5 mM malate)
These experiments used mitochondria isolated from rat muscle in resting state ("state 4") induced by oligomycin or minimal ADP, and were run under supraphysiological oxygen levels. In isolated mitochondria, added superoxide dismutase (SOD) compensates for losses of surface SOD, helping to detect part of superoxide released outward (~50% of that generated by Complex III, which may first pass through the lumen of cristae).
In the presence of antimycin, palmitoyl-carnitine generated far more ROS than succinate, especially surprising when rotenone (suppressor of succinate-derived ROS) was absent. Conversely, in the presence of rotenone, palmitoyl-carnitine produced ROS at similar or even lower rates than pyruvate + malate.
Concentration matters
[image: 1770059289753-2fb2b2a3-b6f2-495e-b4e6-48adcafde18d-image.png]
⠀(10.1074/jbc.M109.026203)
H₂O₂ production peaked at 60 pmol H₂O₂/min/mg with 18 μM palmitoyl-carnitine and lowered at higher concentrations, possibly because excess fatty acids can dissipate built-up protons (H⁺), promoting electron consumption and lowering ROS formation.
The dissipating effect can be direct (probable with free fatty acids rather than their esterified forms) or indirect (triggered by ROS and derivatives).
Fatty acids as natural uncouplers preventing generation of O₂•⁻ and H₂O₂ by mitochondria in the resting state
Induction of Endogenous Uncoupling Protein 3 Suppresses Mitochondrial Oxidant Emission during Fatty Acid-supported Respiration
Fatty acid type matters
[image: 1770059328688-ab9df908-09c7-4a6b-9b6f-127dcc918dbf-image.png]
⠀(10.1016/j.bbabio.2007.04.005)
Tissue specificity matters
A site with relatively low ROS-producing capacity can occur more frequently in a tissue, increasing the contribution to the overall rate. For example, compare the production rate for Iq (higher capacity) in muscle with Gq (lower capacity) in brown adipose tissue.
[image: 1770059354108-7520bcf7-dd04-4ace-b808-7d3ed7636434-image.png]
⠀(10.1016/j.freeradbiomed.2016.04.001)
Multiple factors result in different responses depending on the tissue:
[image: 1770059386905-8483bd61-97a1-4253-829d-e4e7a4aca3c8-image.png]
⠀(10.1016/j.freeradbiomed.2009.02.008)
Medium-chain fatty acids bypass the carnitine-dependent transport, so they enter mitochondria avoiding this regulatory step. But their metabolism concentrates in the liver, where excess acetyl-CoA from β-oxidation can convert into ketone bodies. Ketogenesis helps to export carbons, recover CoA, and (with further conversion of acetoacetate into hydroxybutyrate) reoxidize NAD, preventing local burden.
Ketogenesis therefore lifts oxidation constraints by regenerating CoA and eventually reoxidizing NAD. When ROS production is excessive, depletion of these cofactors can limit electron supply and curb further ROS generation.
Mitochondrial state matters
A shift from a resting to stimulated state ("state 4" → "state 3") increases electron demand relative to supply, decreasing their availability at susceptible sites, and minimizing leakage.
Individuals with higher metabolic rates have lower levels of reactive oxygen species in vivo
Decreased mitochondrial metabolic requirements in fasting animals carry an oxidative cost
Cellular oxidative damage is more sensitive to biosynthetic rate than to metabolic rate: A test of the theoretical model on hornworms (Manduca sexta larvae)
Exercise-mimicking conditions decrease ROS production from cellular respiration:
[image: 1770059418480-cec8a58d-c0c5-456d-b567-8aca1c6f8c31-image.png]
⠀(10.1074/jbc.M114.619072)
But that also calls for alternative explanations for the exercise-induced ROS increase.
Redefining the major contributors to superoxide production in contracting skeletal muscle. The role of NAD(P)H oxidases
Pre-condition matters
The following experiments relied on:
Permeabilized muscle strips
High-fat intervention diets (~60% fat) for pre-conditioning
25 μM palmitoyl-carnitine + 2 mM malate as the challenge
A single high-fat meal markedly changes the response of muscle strips from lean individuals to palmitoyl-carnitine + malate. The same effect is noticed after 5 days on a high-fat diet followed by a 12-hour fast before the challenge.
[image: 1770059457753-d4b72fef-1c32-4afc-a73c-1c75d46c53ff-image.png]
⠀(10.1172/JCI37048)
After 6 weeks on a high-fat diet, rat muscle strips still show an unexpected response to a substrate that they should have adjusted to, suggesting that lipid overload prevents proper adaptation.
[image: 1770059549244-ba1c2aca-1b1b-42cf-9be5-21078bd1cb40-image.png]
⠀(10.1172/JCI37048)
Muscle strips from lean versus obese individuals also respond much differently to the same challenge:
[image: 1770059572073-2eb7528f-e59f-4edf-bbfe-18762f5ba8b9-image.png]
⠀(10.1172/JCI37048)
Sex matters
[image: 1770059591608-f1dbd037-cdd9-4f0f-8b4b-46f9298396c2-image.png]
⠀(10.1016/j.jbc.2024.107159)
Oxygen availability also matters
Since respiratory complexes function at O₂ levels that already exceed their saturation, supraphysiological O₂ levels in experiments have little effect on ROS production.
However, ROS generation decreases as O₂ levels become critically low, and enzymes differ in O₂ affinity, giving them varying sensitivities to hypoxia.
Palmitoyl-carnitine at a low concentration:
[image: 1770059614780-7f1f352c-d1fa-404f-81f9-76428ef12e10-image.png]
⠀(10.1074/jbc.M809512200)
[image: 1770059640674-14d6298f-6d89-4f9d-ac4d-c1e959d55340-image.png]
⠀(10.1155/2018/8238459)
In the absence of O₂, enzymes can't produce ROS because the substrate is missing.
Hypoxia decreases mitochondrial ROS production in cells
Oxygen Sensitivity of Mitochondrial Reactive Oxygen Species Generation Depends on Metabolic Conditions
How Supraphysiological Oxygen Levels in Standard Cell Culture Affect Oxygen-Consuming Reactions
Fatty acid oxidation demands more O₂ than glucose oxidation to compensate for metabolic inefficiencies. This need is easily met by modest increases in delivery, but may deplete O₂ further when delivery is impaired.
Uncouplers of oxidative phosphorylation control ROS production
The limited efficacy of CCCP ("mitochondrial uncoupler") in normalizing ROS production deserves a few comments.
[image: 1770059680813-57f7ab58-9ec4-4cd0-ba13-ddfec9b89528-image.png]
⠀(10.1016/j.freeradbiomed.2009.02.008)
The primary purpose of respiration is ATP synthesis. Protons concentrated by respiration dissipate back into mitochondrial matrix through Complex V (ATP synthase), but some return via alternative dissipation pathways as well. Mitochondrial uncouplers increase the relative contribution of those alternative pathways, making oxidation less tied to phosphorylation, allowing oxidation to continue without being limited by the need for ATP.
Uncouplers (acting as dissipators) increase the rate of electron consumption to compensate for the energetic inefficiency. Before the electron supply catches up, the respiratory chain becomes more oxidized, decreasing the electron availability at susceptible sites, preventing leakage, and lowering ROS. Uncouplers counteract the tendency for ROS to rise as the 'membrane potential' ("Δψ") increases:
[image: 1770059704114-054cd32b-4938-4e44-ab70-50ff0bf67f1c-image.png]
⠀(10.1016/S0014-5793(97)01159-9)
However, with palmitoyl-carnitine, ROS production continues to increase when the potential is already maximized.
[image: 1770059771049-4b1c215d-da85-4e3f-a517-19b0198c03dd-image.png]
⠀(10.1074/jbc.M109.026203)
Maximal ψₘ occurs at ≥2.5 μM palmitoyl-carnitine;
Maximal H₂O₂ occurs at 18 μM palmitoyl-carnitine.
Keeping 18 μM palmitoyl-carnitine constant and lowering the membrane potential with FCCP (another mitochondrial uncoupler; black bars) produces the expected moderate suppression:
[image: 1770059793166-a010ac2a-67e3-45aa-b613-e339cef372ca-image.png]
⠀(10.1074/jbc.M109.026203)
The decrease reflects the ROS fraction that depends on membrane potential. Uncoupling suppressed ROS from glutamate + malate (NAD-oriented substrates) far more effectively than from palmitoyl-carnitine. This suggests that a substantial portion of ROS generated with palmitoyl-carnitine is independent of the state of the respiratory chain, so uncouplers can't affect that portion (the remaining 55%).
Interestingly, stimulating the respiratory chain drains more electrons from the UQ pool than from the NAD pool.
[image: 1770059823638-8d69f5ee-1c17-4cc0-a5b0-bd79f4f6454b-image.png]
⠀(10.1074/jbc.M114.619072)
Cyt b566 (also called cyt bL) is one of the redox centers of Complex III that interacts and equilibrates with UQ, serving as a proxy for the local UQ redox state.
Supplementary carnitine and malate disinhibit fatty acid oxidation
Regarding the addition of free carnitine (+ L-carn) in one of the graphs, it's common in experiments to combine palmitoyl-carnitine with extra carnitine or malate because sustaining high rates of plain palmitoyl-carnitine oxidation is difficult, as reflected in low rates of oxygen consumption regardless of interventions (such as added ADP) that would normally change the rate:
[image: 1770059846561-c664a17c-6d02-4582-a584-939205873e9d-image.png]
⠀(10.1016/j.freeradbiomed.2013.04.006)
Additional carnitine or malate (an importable oxaloacetate precursor) overcomes that limitation.
[image: 1770059926858-031b0d85-04a7-4e86-a8d7-97d4a3e7d418-image.png]
⠀(10.1074/jbc.M113.545301)
When acetyl-CoA production exceeds oxaloacetate regeneration, acetyl-CoA accumulates and sequesters CoA, impairing β-oxidation but also other CoA-dependent processes (PDHc, KGDHc, etc.).
β-oxidation impairment (as from insufficient CoA) can result in accumulation of intermediate metabolites. Compared with malate/oxaloacetate, carnitine has the advantage of exporting these incomplete β-oxidation intermediates, preventing their buildup, that would otherwise risk further perturbations and more ROS.
Unlike fatty acids, pyruvate can divert from acetyl-CoA into oxaloacetate (dashed line), restoring the acetyl-oxaloacetate balance and freeing CoA; excess acetyl groups can then be exported as citrate if needed.
Substrate overload: Glucose oxidation in human myotubes conquers palmitate oxidation through anaplerosis
As an interesting side note, it's possible with fatty acids to sustain respiration with minimal decarboxylation (↝CO₂). That's because β-oxidation (first stage) channels electrons into the respiratory chain (via ETF and NAD) independently of the TCA cycle (second stage, where decarboxylation occurs).
[image: 1770059978066-9e0eb453-2558-44f1-a315-50916850a7a9-image.png]
⠀(10.1074/jbc.M109.026203)
Altogether, those reasons explain the three compositions tested for each scenario ahead:
Palmitoyl-carnitine alone
Palmitoyl-carnitine + extra carnitine
Palmitoyl-carnitine + malate
Palmitoyl-carnitine: ROS contribution profiles and their response to inhibitors
Returning to inhibitors, their presence not only affects the overall ROS production rate, but also changes the contribution profile:
[image: 1770060140483-23c299cd-84e4-4d6f-99cc-ea5d0e46de0a-image.png]
⠀(10.1016/j.freeradbiomed.2013.04.006)
⠀15 μM palmitoyl-carnitine (+ 2 mM carnitine or + 5 mM malate)
[Still using mitochondria isolated from rat muscle in resting state ("state 4") induced by oligomycin or minimal ADP, under supraphysiological oxygen levels.]
With palmitoyl-carnitine + carnitine as reference, we had:
Scenario
Detected H₂O₂ (pmol/min/mg)
Contributors
"Native" (uninhibited)
~140
▸IIIqo + ▸IIf + ▸If + ▸Kf? + ▸Ef?
Antimycin (⊣IIIqi)
~2150
▸IIIqo + IIf◃
Myxothiazol (⊣IIIqo)
~250
IIf◃ + ▸If + ▸Ef?
▸ Forward electron flow
◃ Reverse electron flow
The following sections will address each of the overlooked ROS contributors with the depth of a conversation with drunk Spring Break Britney.
To put them in context:
[image: 1770060190462-e8f4f0dc-dd85-4bff-aa7a-59ba9ccb715a-image-resized.png]