BBA - Molecular and Cell Biology of Lipids 1866 (2021) 158887
Available online 14 January 2021
1388-1981/© 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Plasma 3-hydroxyisobutyrate (3-HIB) and methylmalonic acid (MMA) are
markers of hepatic mitochondrial fatty acid oxidation in male Wistar rats
Mona Synnøve Bjune
a
, Carine Lindquist
a
, Marit Hallvardsdotter Stafsnes
b
, Bodil Bjørndal
a, 1
,
Per Bruheim
b
, Thomas A. Aloysius
a
, Ottar Nygård
a, c
, Jon Skorve
a
, Lise Madsen
d
, Simon
N. Dankel
a, *
, Rolf Kristian Berge
a, c, *
a
Department of Clinical Science, University of Bergen, Bergen, Norway
b
Department of Biotechnology and Food Science, Faculty of Natural Sciences, NTNU Norwegian University of Science and Technology, N-7491 Trondheim, Norway
c
Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
d
Institute of Marine Research, NO-5817 Bergen, Norway
A R T I C L E INFO
Keywords:
BCAA
3-Hydroxisobutyrate
Methylmalonic acid
TCA cycle
Fatty acid β-oxidation
Insulin resistance
ABSTRACT
Objective: Discovery of specifc markers that refect altered hepatic fatty acid oxidation could help to detect an
individual’s risk of fatty liver, type 2 diabetes and cardiovascular disease at an early stage. Lipid and protein
metabolism are intimately linked, but our understanding of this crosstalk remains limited.
Methods: In male Wistar rats, we used synthetic fatty acid analogues (3-thia fatty acids) as a tool to induce hepatic
fatty acid oxidation and mitochondrial biogenesis, to gain new insight into the link between fatty acid oxidation,
amino acid metabolism and TCA cycle-related intermediate metabolites in liver and plasma.
Results: Rats treated with 3-thia fatty acids had 3-fold higher hepatic, but not adipose and skeletal muscle,
expression of the thioesterase 3-hydroxyisobutyryl-CoA hydrolase (Hibch), which controls the formation of 3-
hydroxyisobutyrate (3-HIB) in the valine degradation pathway. Consequently, 3-thia fatty acid-stimulated he-
patic fatty acid oxidation and ketogenesis was accompanied by decreased plasma 3-HIB and increased methyl-
malonic acid (MMA) concentrations further downstream in BCAA catabolism. The higher plasma MMA
corresponded to higher MMA-CoA hydrolase activity and hepatic expression of GTP-specifc succinyl-CoA syn-
thase (Suclg2) and succinate dehydrogenase (Sdhb), and lower MMA-CoA mutase activity. Plasma 3-HIB corre-
lated positively to plasma and hepatic concentrations of TAG, plasma total fatty acids, plasma NEFA and insulin/
glucose ratio, while the reverse correlations were seen for MMA.
Conclusion: Our study provides new insight into TCA cycle-related metabolic changes associated with altered
hepatic fatty acid fux, and identifes 3-HIB and MMA as novel circulating markers refective of mitochondrial
β-oxidation in male Wistar rats.
1. Introduction
Altered mitochondrial function in liver, adipose and muscle tissue
has been suggested to underlie the development of insulin resistance and
increased risk of developing several diseases [1–4]. In situations of
excess hepatic lipid uptake, an adaptive increase in mitochondrial
oxidative capacity can prevent fatty liver and related conditions
including insulin resistance and type 2 diabetes [5]. A better under-
standing of the molecular mechanisms underlying reduced hepatic fatty
acid oxidation could help identify individuals with developing insulin
resistance and facilitate early prevention and treatment.
Metabolomic studies have revealed an elevation of fasting branched-
chain amino acid (BCAA) concentrations in the circulation of people
with obesity, insulin resistance and type 2 diabetes [6–9]. Circulating
BCAA and metabolite concentrations depend on the net metabolism of
BCAAs in several different tissues including liver, skeletal muscle,
pancreas and adipose tissue [10]. Insulin resistance is associated with
reduced BCAA catabolism in adipocytes [11,12] and a concomitant in-
crease in BCAA catabolism in skeletal muscle [10]. BCAAs provide
substrates for the TCA cycle. Impaired oxidation of BCAAs may result in
* Corresponding authors at: Department of Clinical Science, University of Bergen, PO Box 7804, 5020 Bergen, Norway.
E-mail addresses: simon.dankel@uib.no (S.N. Dankel), rolf.berge@uib.no (R.K. Berge).
1
Present address: Department of Sport, Food and Natural Sciences, Western Norway University of Applied Sciences, 5020 Bergen, Norway.
Contents lists available at ScienceDirect
BBA - Molecular and Cell Biology of Lipids
journal homepage: www.elsevier.com/locate/bbalip
https://doi.org/10.1016/j.bbalip.2021.158887
Received 3 December 2020; Received in revised form 11 January 2021; Accepted 13 January 2021