Play all audios:
ABSTRACT Uptake of circulating succinate by brown adipose tissue (BAT) and beige fat elevates whole-body energy expenditure, counteracts obesity and antagonizes systemic tissue inflammation
in mice. The plasma membrane transporters that facilitate succinate uptake in these adipocytes remain undefined. Here we elucidate a mechanism underlying succinate import into BAT via
monocarboxylate transporters (MCTs). We show that succinate transport is strongly dependent on the proportion that is present in the monocarboxylate form. MCTs facilitate monocarboxylate
succinate uptake, which is promoted by alkalinization of the cytosol driven by adrenoreceptor stimulation. In brown adipocytes, we show that MCT1 primarily facilitates succinate import. In
male mice, we show that both acute pharmacological inhibition of MCT1 and congenital depletion of MCT1 decrease succinate uptake into BAT and consequent catabolism. In sum, we define a
mechanism of succinate uptake in BAT that underlies its protective activity in mouse models of metabolic disease. Access through your institution Buy or subscribe This is a preview of
subscription content, access via your institution ACCESS OPTIONS Access through your institution Access Nature and 54 other Nature Portfolio journals Get Nature+, our best-value
online-access subscription $29.99 / 30 days cancel any time Learn more Subscribe to this journal Receive 12 digital issues and online access to articles $119.00 per year only $9.92 per issue
Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL
ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS BROWN FAT ATP-CITRATE LYASE LINKS
CARBOHYDRATE AVAILABILITY TO THERMOGENESIS AND GUARDS AGAINST METABOLIC STRESS Article 14 October 2024 STK3/STK4 SIGNALLING IN ADIPOCYTES REGULATES MITOPHAGY AND ENERGY EXPENDITURE Article
23 March 2021 A CRITICAL ASSESSMENT OF THE ROLE OF CREATINE IN BROWN ADIPOSE TISSUE THERMOGENESIS Article 09 January 2023 DATA AVAILABILITY Mass spectrometry proteomics data have been
deposited to ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD048056. All other data are available from the corresponding author upon request.
REFERENCES * Murphy, M. P. & Chouchani, E. T. Why succinate? Physiological regulation by a mitochondrial coenzyme Q sentinel. _Nat. Chem. Biol._ 18, 461–469 (2022). CAS PubMed PubMed
Central Google Scholar * Mills, E. & O’Neill, L. A. Succinate: a metabolic signal in inflammation. _Trends Cell Biol._ 24, 313–320 (2014). CAS PubMed Google Scholar * Murphy, M. P.
& O’Neill, L. A. J. Krebs cycle reimagined: the emerging roles of succinate and itaconate as signal transducers. _Cell_ 174, 780–784 (2018). CAS PubMed Google Scholar * Murphy, M. P.
How mitochondria produce reactive oxygen species. _Biochem. J._ 417, 1–13 (2009). CAS PubMed Google Scholar * Losman, J. A., Koivunen, P. & Kaelin, W. G. Jr. 2-Oxoglutarate-dependent
dioxygenases in cancer. _Nat. Rev. Cancer_ 20, 710–726 (2020). CAS PubMed Google Scholar * McCreath, K. J. et al. Targeted disruption of the SUCNR1 metabolic receptor leads to dichotomous
effects on obesity. _Diabetes_ 64, 1154–1167 (2015). CAS PubMed Google Scholar * Mills, E. L. et al. UCP1 governs liver extracellular succinate and inflammatory pathogenesis. _Nat.
Metab._ 3, 604–617 (2021). CAS PubMed PubMed Central Google Scholar * Reddy, A. et al. pH-gated succinate secretion regulates muscle remodeling in response to exercise. _Cell_ 183,
62–75.e17 (2020). CAS PubMed PubMed Central Google Scholar * Gilissen, J., Jouret, F., Pirotte, B. & Hanson, J. Insight into SUCNR1 (GPR91) structure and function. _Pharmacol. Ther._
159, 56–65 (2016). CAS PubMed Google Scholar * Aguiar, C. J. et al. Succinate causes pathological cardiomyocyte hypertrophy through GPR91 activation. _Cell Commun. Signal_ 12, 78 (2014).
PubMed PubMed Central Google Scholar * Sadagopan, N. et al. Circulating succinate is elevated in rodent models of hypertension and metabolic disease. _Am. J. Hypertens._ 20, 1209–1215
(2007). CAS PubMed Google Scholar * van Diepen, J. A. et al. SUCNR1-mediated chemotaxis of macrophages aggravates obesity-induced inflammation and diabetes. _Diabetologia_ 60, 1304–1313
(2017). PubMed PubMed Central Google Scholar * Bisbach, C. M., Hass, D. T., Thomas, E. D., Cherry, T. J. & Hurley, J. B. Monocarboxylate transporter 1 (MCT1) mediates succinate export
in the retina. _Invest. Ophthalmol. Vis. Sci._ 63, 1 (2022). CAS PubMed PubMed Central Google Scholar * Prag, H. A. et al. Mechanism of succinate efflux upon reperfusion of the
ischaemic heart. _Cardiovasc. Res._ 117, 1188–1201 (2021). CAS PubMed Google Scholar * Andrienko, T. N., Pasdois, P., Pereira, G. C., Ovens, M. J. & Halestrap, A. P. The role of
succinate and ROS in reperfusion injury—a critical appraisal. _J. Mol. Cell. Cardiol._ 110, 1–14 (2017). CAS PubMed PubMed Central Google Scholar * Littlewood-Evans, A. et al. GPR91
senses extracellular succinate released from inflammatory macrophages and exacerbates rheumatoid arthritis. _J. Exp. Med._ 213, 1655–1662 (2016). CAS PubMed PubMed Central Google Scholar
* Sapieha, P. et al. The succinate receptor GPR91 in neurons has a major role in retinal angiogenesis. _Nat. Med._ 14, 1067–1076 (2008). CAS PubMed Google Scholar * Vargas, S. L., Toma,
I., Kang, J. J., Meer, E. J. & Peti-Peterdi, J. Activation of the succinate receptor GPR91 in macula densa cells causes renin release. _J. Am. Soc. Nephrol._ 20, 1002–1011 (2009). CAS
PubMed PubMed Central Google Scholar * Rubic, T. et al. Triggering the succinate receptor GPR91 on dendritic cells enhances immunity. _Nat. Immunol._ 9, 1261–1269 (2008). CAS PubMed
Google Scholar * Wu, J. Y. et al. Cancer-derived succinate promotes macrophage polarization and cancer metastasis via succinate receptor. _Mol. Cell_ 77, 213–227.e5 (2020). CAS PubMed
Google Scholar * He, W. et al. Citric acid cycle intermediates as ligands for orphan G-protein-coupled receptors. _Nature_ 429, 188–193 (2004). CAS PubMed Google Scholar * Correa, P. R.
et al. Succinate is a paracrine signal for liver damage. _J. Hepatol._ 47, 262–269 (2007). CAS PubMed PubMed Central Google Scholar * Hochachka, P. W. & Dressendorfer, R. H.
Succinate accumulation in man during exercise. _Eur. J. Appl Physiol. Occup. Physiol._ 35, 235–242 (1976). CAS PubMed Google Scholar * Osuna-Prieto, F. J. et al. Elevated plasma succinate
levels are linked to higher cardiovascular disease risk factors in young adults. _Cardiovasc. Diabetol._ 20, 151 (2021). CAS PubMed PubMed Central Google Scholar * Mills, E. L. et al.
Accumulation of succinate controls activation of adipose tissue thermogenesis. _Nature_ 560, 102–106 (2018). CAS PubMed PubMed Central Google Scholar * Liu, K. et al. Scd1 controls de
novo beige fat biogenesis through succinate-dependent regulation of mitochondrial complex II. _Proc. Natl Acad. Sci. USA_ 117, 2462–2472 (2020). CAS PubMed PubMed Central Google Scholar
* Gaspar, R. S. et al. Exogenous succinate impacts mouse brown adipose tissue mitochondrial proteome and potentiates body mass reduction induced by liraglutide. _Am. J. Physiol. Endocrinol.
Metab._ 324, E226–E240 (2023). CAS PubMed Google Scholar * Liao, F. H., Yao, C. N., Chen, S. P., Wu, T. H. & Lin, S. Y. Transdermal delivery of succinate accelerates energy
dissipation of brown adipocytes to reduce remote rat accumulation. _Mol. Pharm._ 19, 4299–4310 (2022). CAS PubMed PubMed Central Google Scholar * Young, J. B., Saville, E., Rothwell, N.
J., Stock, M. J. & Landsberg, L. Effect of diet and cold exposure on norepinephrine turnover in brown adipose tissue of the rat. _J. Clin. Invest._ 69, 1061–1071 (1982). CAS PubMed
PubMed Central Google Scholar * Kawate, R., Talan, M. I. & Engel, B. T. Sympathetic nervous activity to brown adipose tissue increases in cold-tolerant mice. _Physiol. Behav._ 55,
921–925 (1994). CAS PubMed Google Scholar * Wang, Q. et al. Brown adipose tissue in humans is activated by elevated plasma catecholamines levels and is inversely related to central
obesity. _PLoS ONE_ 6, e21006 (2011). CAS PubMed PubMed Central Google Scholar * Bast-Habersbrunner, A. & Fromme, T. Purine nucleotides in the regulation of brown adipose tissue
activity. _Front. Endocrinol._ 11, 118 (2020). Google Scholar * Lee, S. C., Hamilton, J. S., Trammell, T., Horwitz, B. A. & Pappone, P. A. Adrenergic modulation of intracellular pH in
isolated brown fat cells from hamster and rat. _Am. J. Physiol._ 267, C349–C356 (1994). CAS PubMed Google Scholar * Chinet, A., Friedli, C., Seydoux, J. & Girardier, L. Does
cytoplasmic alkalinization trigger mitochondrial energy dissipation in the brown adipocyte? _Exp. Suppl._ 32, 25–32 (1978). CAS Google Scholar * Gokel, G.W. & Dean, J.A. _Dean’s
Handbook of Organic Chemistry_ (McGraw-Hill, 2004). * Martell, A. E. S. & Smith, R. M. in _Critical Stability Constants_ 1–4 (Plenum Press, 1976). * Roh, H. C. et al. Simultaneous
transcriptional and epigenomic profiling from specific cell types within heterogeneous tissues in vivo. _Cell Rep._ 18, 1048–1061 (2017). CAS PubMed PubMed Central Google Scholar *
Halestrap, A. P. & Price, N. T. The proton-linked monocarboxylate transporter (MCT) family: structure, function and regulation. _Biochem. J._ 343, 281–299 (1999). CAS PubMed PubMed
Central Google Scholar * Petersen, C. et al. MCT1 and MCT4 expression and lactate flux activity increase during white and brown adipogenesis and impact adipocyte metabolism. _Sci. Rep._ 7,
13101 (2017). PubMed PubMed Central Google Scholar * Lagarde, D. et al. Lactate fluxes mediated by the monocarboxylate transporter-1 are key determinants of the metabolic activity of
beige adipocytes. _J. Biol. Chem._ 296, 100137 (2021). CAS PubMed Google Scholar * Bola, B. M. et al. Inhibition of monocarboxylate transporter-1 (MCT1) by AZD3965 enhances
radiosensitivity by reducing lactate transport. _Mol. Cancer Ther._ 13, 2805–2816 (2014). CAS PubMed PubMed Central Google Scholar * Curtis, N. J. et al. Pre-clinical pharmacology of
AZD3965, a selective inhibitor of MCT1: DLBCL, NHL and Burkitt’s lymphoma anti-tumor activity. _Oncotarget_ 8, 69219–69236 (2017). PubMed PubMed Central Google Scholar * Garcia, R. A.,
Roemmich, J. N. & Claycombe, K. J. Evaluation of markers of beige adipocytes in white adipose tissue of the mouse. _Nutr. Metab._ 13, 24 (2016). Google Scholar * Wu, J. et al. Beige
adipocytes are a distinct type of thermogenic fat cell in mouse and human. _Cell_ 150, 366–376 (2012). CAS PubMed PubMed Central Google Scholar * Robergs, R. A., Ghiasvand, F. &
Parker, D. Biochemistry of exercise-induced metabolic acidosis. _Am. J. Physiol. Regul. Integr. Comp. Physiol._ 287, R502–R516 (2004). CAS PubMed Google Scholar * Park, G. et al.
Quantitative analysis of metabolic fluxes in brown fat and skeletal muscle during thermogenesis. _Nat. Metab._ 5, 1204–1220 (2023). CAS PubMed PubMed Central Google Scholar * Jha, M. K.
et al. Monocarboxylate transporter 1 in Schwann cells contributes to maintenance of sensory nerve myelination during aging. _Glia_ 68, 161–177 (2020). PubMed Google Scholar * Kir, S. et
al. Tumour-derived PTH-related protein triggers adipose tissue browning and cancer cachexia. _Nature_ 513, 100–104 (2014). CAS PubMed PubMed Central Google Scholar * Khacho, M. et al.
Acidosis overrides oxygen deprivation to maintain mitochondrial function and cell survival. _Nat. Commun._ 5, 3550 (2014). PubMed Google Scholar * Stuwe, L. et al. pH dependence of
melanoma cell migration: protons extruded by NHE1 dominate protons of the bulk solution. _J. Physiol._ 585, 351–360 (2007). PubMed PubMed Central Google Scholar * Isidor, M. S. et al. An
siRNA-based method for efficient silencing of gene expression in mature brown adipocytes. _Adipocyte_ 5, 175–185 (2016). CAS PubMed Google Scholar * Xiao, H. et al. Architecture of the
outbred brown fat proteome defines regulators of metabolic physiology. _Cell_ 185, 4654–4673.e28 (2022). CAS PubMed PubMed Central Google Scholar * Wessel, D. & Flugge, U. I. A
method for the quantitative recovery of protein in dilute-solution in the presence of detergents and lipids. _Anal. Biochem._ 138, 141–143 (1984). CAS PubMed Google Scholar * Li, J. et
al. TMTpro reagents: a set of isobaric labeling mass tags enables simultaneous proteome-wide measurements across 16 samples. _Nat. Methods_ 17, 399–404 (2020). CAS PubMed PubMed Central
Google Scholar * Navarrete-Perea, J., Yu, Q., Gygi, S. P. & Paulo, J. A. Streamlined tandem mass tag (SL-TMT) protocol: an efficient strategy for quantitative (phospho)proteome
profiling using tandem mass tag-synchronous precursor selection-MS3. _J. Proteome Res._ 17, 2226–2236 (2018). CAS PubMed PubMed Central Google Scholar * Schweppe, D. K. et al.
Characterization and optimization of multiplexed quantitative analyses using high-field asymmetric-waveform ion mobility mass spectrometry. _Anal. Chem._ 91, 4010–4016 (2019). CAS PubMed
PubMed Central Google Scholar * McAlister, G. C. et al. MultiNotch MS3 enables accurate, sensitive and multiplexed detection of differential expression across cancer cell line proteomes.
_Anal. Chem._ 86, 7150–7158 (2014). CAS PubMed PubMed Central Google Scholar * Eng, J. K., Jahan, T. A. & Hoopmann, M. R. Comet: an open-source MS/MS sequence database search tool.
_Proteomics_ 13, 22–24 (2013). CAS PubMed Google Scholar * Huttlin, E. L. et al. A tissue-specific atlas of mouse protein phosphorylation and expression. _Cell_ 143, 1174–1189 (2010). CAS
PubMed PubMed Central Google Scholar * Elias, J. E. & Gygi, S. P. Target-decoy search strategy for increased confidence in large-scale protein identifications by mass spectrometry.
_Nat. Methods_ 4, 207–214 (2007). CAS PubMed Google Scholar * Peng, J. M., Elias, J. E., Thoreen, C. C., Licklider, L. J. & Gygi, S. P. Evaluation of multidimensional chromatography
coupled with tandem mass spectrometry (LC/LC–MS/MS) for large-scale protein analysis: the yeast proteome. _J. Proteome Res._ 2, 43–50 (2003). CAS PubMed Google Scholar Download references
ACKNOWLEDGEMENTS This work was supported by the Novo Nordisk Foundation Center for Basic Metabolic Research, an independent research centre, based at the University of Copenhagen, and
partially funded by an unconditional donation from the Novo Nordisk Foundation (grant number NNF18CC0034900), a fellowship from the Novo Nordisk Foundation (NNF18OC0032380) (S.W.), the
Claudia Adams Barr Program (E.T.C.), the Lavine Family Fund (E.T.C.), the Pew Charitable Trust (E.T.C.), NIH DK123095 (E.T.C.), NIH AG071966 (E.T.C.), The Smith Family Foundation (E.T.C.)
and the American Federation for Aging Research (E.T.C.). We would also like to acknowledge the Nikon Imaging Center at Harvard Medical School for their help with the pH imaging experiments
and the Tseng Laboratory for the human brown adipocyte cell line. AUTHOR INFORMATION Author notes * These authors contributed equally: Anita Reddy, Sally Winther. AUTHORS AND AFFILIATIONS *
Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, USA Anita Reddy, Haopeng Xiao, Josefine Jakob, Ryan Garrity, Arianne Smith, Martha Ordonez, Dina Laznik-Bogoslavski
& Edward T. Chouchani * Department of Cell Biology, Harvard Medical School, Boston, MA, USA Anita Reddy, Haopeng Xiao, Josefine Jakob, Martha Ordonez & Edward T. Chouchani * Novo
Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences University of Copenhagen, Copenhagen, Denmark Sally Winther * Department of Cancer Immunology
and Virology, Dana-Farber Cancer Institute, Boston, MA, USA Nhien Tran & Evanna L. Mills * Department of Immunology, Harvard Medical School, Boston, MA, USA Nhien Tran & Evanna L.
Mills * Brain Science Institute, Department of Neurology, Johns Hopkins University, Baltimore, MD, USA Jeffrey D. Rothstein Authors * Anita Reddy View author publications You can also search
for this author inPubMed Google Scholar * Sally Winther View author publications You can also search for this author inPubMed Google Scholar * Nhien Tran View author publications You can
also search for this author inPubMed Google Scholar * Haopeng Xiao View author publications You can also search for this author inPubMed Google Scholar * Josefine Jakob View author
publications You can also search for this author inPubMed Google Scholar * Ryan Garrity View author publications You can also search for this author inPubMed Google Scholar * Arianne Smith
View author publications You can also search for this author inPubMed Google Scholar * Martha Ordonez View author publications You can also search for this author inPubMed Google Scholar *
Dina Laznik-Bogoslavski View author publications You can also search for this author inPubMed Google Scholar * Jeffrey D. Rothstein View author publications You can also search for this
author inPubMed Google Scholar * Evanna L. Mills View author publications You can also search for this author inPubMed Google Scholar * Edward T. Chouchani View author publications You can
also search for this author inPubMed Google Scholar CONTRIBUTIONS A.R. and E.T.C. wrote the manuscript. S.W. conducted and designed all [14C4]-succinate experiments. E.L.M., R.G. and S.W.
performed the in vivo tracing experiment following acute MCT inhibition using AZD3965. A.R., N.T., D.L.-B. and E.L.M. conducted in vivo tracing experiment in MCT1 KO mice. H.X. performed
proteomics to confirm MCT1 KO using BAT collected from MCT1 KO mice. J.J. and R.G. conducted in vitro [13C4]-succinate tracing experiments following treatment with AZD3965. E.L.M., R.G. and
M.O. performed the in vitro [13C4]-succinate dose curve tracing experiment. A.R. performed imaging experiments to determine cytosolic pH. J.D.R. generated MCT1 KO mice. A.R. and A.S.
performed the in vitro [13C4]-succinate tracing experiment, while N.E., E.T.C, S.W., E.L.M. and A.R. oversaw the experiments and data analysis. All authors edited the manuscript.
CORRESPONDING AUTHOR Correspondence to Edward T. Chouchani. ETHICS DECLARATIONS COMPETING INTERESTS E.T.C. is scientific founder and equity holder in Matchpoint Therapeutics and Aevum
Therapeutics. All other authors declare no competing interests. PEER REVIEW PEER REVIEW INFORMATION _Nature Metabolism_ thanks Zachary Gerhart-Hines, Giulio Superti-Furga and the other,
anonymous, reviewer(s) for their contribution to the peer review of this work. Primary Handling Editor: Alfredo Giménez-Cassina, in collaboration with the _Nature Metabolism_ team.
ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EXTENDED DATA EXTENDED DATA
FIG. 1 CANDIDATE TRANSPORTERS IDENTIFIED FROM COMPARATIVE SCREEN. a. Slc26a2 and Slc26a6 were genetically depleted in brown adipocytes. Knockdown was confirmed by qPCR> Cells were then
treated with 14C4-succinate and transport was monitored (n = 3). b. qPCR data confirming knockdown of MCTs from Fig. 2f (n = 3). SUPPLEMENTARY INFORMATION REPORTING SUMMARY SUPPLEMENTARY
TABLE 1 List of solute carriers identified across four proteomics and RNA sequencing datasets. Proteins that are enriched in BAT compared with WAT are indicated. Proteins highlighted in bold
are candidate succinate transporters. SUPPLEMENTARY TABLE 2 Relative protein abundance in MCT1 KO mice compared with WT mice. RIGHTS AND PERMISSIONS Springer Nature or its licensor (e.g. a
society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript
version of this article is solely governed by the terms of such publishing agreement and applicable law. Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Reddy, A., Winther, S.,
Tran, N. _et al._ Monocarboxylate transporters facilitate succinate uptake into brown adipocytes. _Nat Metab_ 6, 567–577 (2024). https://doi.org/10.1038/s42255-024-00981-5 Download citation
* Received: 02 April 2023 * Accepted: 09 January 2024 * Published: 20 February 2024 * Issue Date: March 2024 * DOI: https://doi.org/10.1038/s42255-024-00981-5 SHARE THIS ARTICLE Anyone you
share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the
Springer Nature SharedIt content-sharing initiative