RT Journal Article SR Electronic T1 NCLX prevents cell death during adrenergic activation of the brown adipose tissue JF bioRxiv FD Cold Spring Harbor Laboratory SP 464339 DO 10.1101/464339 A1 Essam A. Assali A1 Anthony E. Jones A1 Michaela Veliova A1 Mahmoud Taha A1 Nathanael Miller A1 Michaƫl Shum A1 Marcus F. Oliveira A1 Guy Las A1 Marc Liesa A1 Israel Sekler A1 Orian S. Shirihai YR 2018 UL http://biorxiv.org/content/early/2018/11/06/464339.abstract AB A sharp increase in mitochondrial Ca2+ marks the activation of the brown adipose tissue (BAT) thermogenesis, yet the mechanisms preventing Ca2+ deleterious effects are poorly understood. Here, we show that adrenergic stimulation of BAT activates a PKA-dependent mitochondrial Ca2+ extrusion via the mitochondrial Na+/Ca2+ exchanger, NCLX. Adrenergic stimulation of NCLX-ablated brown adipocytes (BA) induces a profound mitochondrial Ca2+ overload and impaired uncoupled respiration. Core body temperature, PET imaging and VO2 measurements confirm a BAT specific thermogenic defect in NCLX-null mice.We show that mitochondrial Ca2+ overload induced by adrenergic stimulation of NCLX-null BAT, triggers the opening of the mitochondrial permeability transition pore (mPTP), leading to remarkable mitochondrial swelling, Cytochrome c release and cell death in BAT. However, treatment with mPTP inhibitors rescue mitochondrial respiratory function and thermogenesis in NCLX-null BA, in vitro and in vivo.Our findings identify a novel pathway enabling non-lethal mitochondrial Ca2+ elevation during adrenergic stimulation of uncoupled respiration. Deletion of NCLX transforms the adrenergic pathway responsible for the stimulation of thermogenesis into a death pathway.