Muscle or liver-specific Sirt3 deficiency induces hyperacetylation of mitochondrial proteins without affecting global metabolic homeostasis

Sirt3 is a mitochondrial sirtuin, predominantly expressed in highly metabolic tissues. Germline ablation of Sirt3 has major metabolic consequences, including increased susceptibility to metabolic damage and oxidative stress after high fat feeding. In order to determine the contribution of liver and skeletal muscle to these phenotypes, we generated muscle-specific Sirt3 (Sirt3skm−/−) and liver-specific Sirt3 (Sirt3hep−/−) knock-out mice. Despite a marked global hyperacetylation of mitochondrial proteins, Sirt3skm−/− and Sirt3hep−/− mice did not manifest any overt metabolic phenotype under either chow or high fat diet conditions. Similarly, there was no evidence for increased oxidative stress in muscle or liver when Sirt3 was ablated in a tissue-specific manner. These observations suggest that the mitochondrial hyperacetylation induced by Sirt3-deletion in a tissue specific manner is not necessarily linked to mitochondrial dysfunction and does not recapitulate the metabolic abnormalities observed in the germline Sirt3 knock-out mice.

Sirt3 is a mitochondrial sirtuin, predominantly expressed in highly metabolic tissues. Germline ablation of Sirt3 has major metabolic consequences, including increased susceptibility to metabolic damage and oxidative stress after high fat feeding. In order to determine the contribution of liver and skeletal muscle to these phenotypes, we generated muscle-specific Sirt3 (Sirt3 skm2/2 ) and liver-specific Sirt3 (Sirt3 hep2/2 ) knock-out mice. Despite a marked global hyperacetylation of mitochondrial proteins, Sirt3 skm2/2 and Sirt3 hep2/2 mice did not manifest any overt metabolic phenotype under either chow or high fat diet conditions. Similarly, there was no evidence for increased oxidative stress in muscle or liver when Sirt3 was ablated in a tissue-specific manner. These observations suggest that the mitochondrial hyperacetylation induced by Sirt3-deletion in a tissue specific manner is not necessarily linked to mitochondrial dysfunction and does not recapitulate the metabolic abnormalities observed in the germline Sirt3 knock-out mice. S irt3 is one of the 7 members of the sirtuin family of NAD 1 -dependent deacetylases. Together with Sirt4 and Sirt5, Sirt3 localizes predominantly in the mitochondria 1 . Importantly, Sirt3 is a primary regulator of mitochondrial protein acetylation. The absence of Sirt3 enhances global acetylation of mitochondrial proteins, while no significant changes in protein acetylation were observed in Sirt4 2/2 and Sirt5 2/2 mitochondria 2 . Sirt3 expression is highly enriched in metabolic tissues like liver, brown adipose tissue (BAT), heart, skeletal muscle and kidney 3 . Sirt3 expression increases in muscle after exercise training, fasting and caloric restriction (CR), while it decreases upon long-term high fat feeding 4,5 . In liver and BAT Sirt3 expression also increases after CR and fasting, as well as upon cold exposure in BAT 3,6 .
All studies to date used germline Sirt3 deficient mice to study the role of Sirt3 on metabolism, making it impossible to distinguish the contribution of individual tissues to the phenotypic changes. Liver and muscle are two of the most important tissues determining whole body metabolism: skeletal muscle is the largest organ in mammals, contributing to 640% of the body mass, and it plays a major role in whole body metabolism, as it is vital for insulin-mediated glucose disposal and lipid catabolism. In turn, the liver is central to regulate glucose, lipid and cholesterol homeostasis. Altered function of these tissues is, thus, likely to contribute to the systemic metabolic disturbances observed in the germline Sirt3 knock-out mice. Here, we report the generation of the first set of tissue-specific Sirt3 knockout mouse models in muscle and liver, and describe how Sirt3 deletion in these tissues, despite leading to mitochondrial protein hyperacetylation, has minor phenotypic consequences. This suggests that the metabolic abnormalities observed in the germline Sirt3-KO mice may not stem from the liver or muscle deficiencies.

Results
Generation of the Sirt3 skm2/2 and Sirt3 hep2/2 mice. To investigate the role of Sirt3 in muscle and liver, as well as its impact on whole body metabolism, we generated a mouse line in which exons 2 and 3 were flanked with LoxP sites, priming it for subsequent deletion using the Cre-LoxP system (Fig. 1A). Sirt3 L2/L2 mice, bearing floxed Sirt3 L2 alleles, were bred with mice expressing the Cre recombinase under the control of the human a-skeletal actin promoter 17 , yielding HSA-Cre Tg/0 /Sirt3 L2/L2 mutants (Sirt3 skm2/2 ), in which Sirt3 is selectively ablated in the skeletal muscles. A distinct mouse line, in which Cre expression was under the control of the albumin promoter 18 , was used to generate Alb-Cre Tg/0 /Sirt3 L2/L2 mice (Sirt3 hep2/2 ), in which Sirt3 is selectively ablated in the liver.
Sirt3 skm2/2 and Sirt3 hep2/2 mice were born at a normal Mendelian ratio and had a normal appearance. Only residual Sirt3 mRNA levels were detected in skeletal muscle (gastrocnemius, soleus and EDL) of 8week-old Sirt3 skm2/2 mice (Fig. 1B), demonstrating that Sirt3 was efficiently ablated in Sirt3 skm2/2 muscles. In addition to the skeletal muscle, a 35% reduction in Sirt3 mRNA levels was observed in the heart of Sirt3 skm2/2 mice, whereas no significant reduction was seen in other tissues (Fig. 1B). Sirt3 mRNA levels were also blunted in livers from Sirt3 hep2/2 mice of 8 weeks of age, but normal in other tissues (Fig. 1C). In line with the above results, the Sirt3 protein was undetectable in the skeletal muscle of Sirt3 skm2/2 mice, but remained unaffected in the liver (Fig. 1D); conversely the Sirt3 protein was only absent in the liver in the Sirt3 hep2/2 mice (Fig. 1E), confirming that the Sirt3 deletion is efficient and restricted to the targeted tissue.
The absence of Sirt3 had no impact on the expression of a vast set of metabolic genes in either muscle (Fig. 1F) or liver (Fig. 1G). Of note, we did not detect any compensatory increase in the expression of the other mitochondrial sirtuins (Sirt4 and Sirt5) in the two Sirt3deficient tissues. We also determined Pgc1a and Scd1 expression, two genes whose levels were reported to be altered in germline Sirt3-KO tissues 5,14 ; however, we could not detect any significant change in their expression in our mutant mice. These results suggest that  muscle or liver-specific deletion of Sirt3 does not have a major impact on the expression of genes involved in metabolic control. We only performed this gene expression analysis in mice subjected to HFD, since young, unchallenged mice show no phenotype whatsoever, both in our hands and in previous reports 2 .
Normal metabolic phenotype in Sirt3 hep2/2 mice fed chow or high fat diet. We next subjected Sirt3 hep1/1 and Sirt3 hep2/2 mice to a standardized phenotyping protocol before and after high fat diet (HFD) feeding ( Fig. 2A). Body weight and body composition were similar in both genotypes before and after HFD ( Fig. 2B and 2C). The weight gain curves of the Sirt3 hep2/2 mice were indistinguishable from those of the Sirt3 hep1/1 mice (data not shown). During indirect calorimetry using the comprehensive lab animal monitoring system (CLAMS), no difference was observed in food intake (Fig. 2D), mean VO 2 (Fig. 2E), mean respiratory exchange ratio (RER) (Fig. 2F) or spontaneous locomotor activity (Fig. 2G), before and after HFD. At sacrifice, the weight of the liver, epididymal white fat or interscapular brown fat depots were not different between the genotypes (Fig. 2H). To specifically test the contribution of Sirt3 deletion in the liver to glucose homeostasis we performed an intraperitoneal glucose tolerance test (ipGTT) and an insulin tolerance test (ipITT) both before (data not shown) and after HFD. Again no significant differences between Sirt3 hep1/1 and Sirt3 hep2/2 animals were detected in these experiments (Fig. 2I, 2J and data not shown). All these data contrast with the results obtained in germline Sirt3-deficient mice, where Sirt3-deficiency was shown to sensitize the liver to HFD-induced damage 14 .
Germline Sirt3-KO mice have also been reported to display altered aminoacid profiles in blood and liver 15 . We therefore also analyzed the blood aminoacid profiles, but could not detect differences between the Sirt3 hep2/2 and Sirt3 hep1/1 samples, both in the fed state (data not shown) and after a 24 h fast (Fig. 2K).
Sirt3 has also been suggested to act as a key modulator of ketone body production, a glucose-sparing energy substrate in the fasting state mostly synthesized by hepatocytes 19 . However, blood levels of b-hydroxybutyrate, a surrogate marker of the activity of this pathway, were similar in Sirt3 hep1/1 and Sirt3 hep2/2 mice both before and after a 24 h fast at 8-weeks of age (Fig. 2L). This contrasts with the germline Sirt3 knock-out mice, which displayed a maximal decrease in b-hydroxybutyrate after a 24 h fast 19 .
Finally, since germline Sirt3-KO mice display abnormal fatty acid metabolism and aberrant blood acylcarnitine profiles 14,15 , we analyzed the blood acylcarnitines in Sirt3 hep1/1 and Sirt3 hep2/2 animals in both fed (data not shown) and fasted (24 h fast) states   (Fig. 2M), but again could not detect any significant difference in the acylcarnitine levels between the two genotypes.
All these findings combined suggest that the altered metabolic response of germline Sirt3-KO mice subjected to HFD 14 or to fasting 15,19 are not due to the absence of Sirt3 in hepatocytes, but rather stem from the indirect effect of Sirt3 ablation in some other tissue.
No metabolic phenotype in Sirt3 skm2/2 mice under chow or high fat diet. We next determined whether the phenotype observed in the germline Sirt3 knock-out mice could be due to another major metabolic tissue, i.e. the skeletal muscle. We therefore subjected Sirt3 skm2/2 and Sirt3 skm1/1 mice to a similar phenotyping protocol than the one described for the liver-specific Sirt3-deficient mice (Fig. 3A). No differences in body weight (Fig. 3B) and body composition (Fig. 3C) were observed between Sirt3 skm2/2 and Sirt3 skm1/1 mice, even under HFD conditions. Consistent with the similarities in body weight, evaluation using CLAMS indicated that food intake (Fig. 3D), mean VO 2 (Fig. 3E), mean RER (Fig. 3F) and spontaneous locomotor activity (Fig. 3G) were similar between the two genotypes before and after HFD. In addition, no significant differences were observed in the weight of different tissues at sacrifice (Fig. 3H). Upon an intraperitoneal glucose tolerance test (ipGTT) the glucose excursion ( Fig. 3I; left panel) and glucose-induced insulin secretion ( Fig. 3I; right panel) were comparable between the two genotypes. Also, the drop and recovery of blood glucose levels upon an intraperitoneal insulin tolerance test (ipITT) were, again, not distinct between the two genotypes (Fig. 3J).
To further evaluate possible phenotypic differences between the Sirt3 skm2/2 and Sirt3 skm1/1 mice, we exposed the mice to a cold challenge (4uC). Mice from both genotypes similarly maintained their core body temperature for at least 6 hours after a 24 h fast (Fig. 3K), or after 14 weeks of HFD (Supl. Fig. 1A), indicating that muscle Sirt3 is not essential for cold-induced adaptive thermogenesis. Exercise increases Sirt3 expression in muscle 4,5 , suggesting a role for Sirt3 in exercise physiology. Sirt3 skm2/2 and Sirt3 skm1/1 mice, however, ran a similar distance until exhaustion both before and after HFD (Fig. 3L). Also no difference in endurance running was present before and after a 24 h fast (Supp. Fig. 1B). In addition, both the heart rate (Fig. 3M) and systolic blood pressure (Fig. 3N) were similar between Sirt3 skm2/2 and Sirt3 skm1/1 mice, indicating that the partial reduction in Sirt3 mRNA levels found in the Sirt3 skm2/2 hearts has no major impact on cardiac function.
Altogether, these data indicate that Sirt3 skm2/2 mice are metabolically indistinguishable from control mice under both chow and HFD. Thus, the absence of Sirt3 in the skeletal muscle by itself cannot explain the metabolic phenotype observed in the germline deficient Sirt3-KO animals.
Mitochondrial protein hyperacetylation but normal oxidative stress in Sirt3-deficient tissues. The fact that Sirt3 is a mitochondrial protein prompted us to investigate the integrity of the mitochondria in both tissue-specific Sirt3 2/2 mouse models after HFD treatment, a stress after which we expect the effects of Sirt3 deficiency to be accentuated. The protein levels of subunits from the mitochondrial respiratory complexes I, II, IV and V were indistinguishable in Sirt3 skm2/2 and Sirt3 skm1/1 muscle, and in Sirt3 hep2/2 and Sirt3 hep1/1 liver (Fig. 4A). In line with the observations in germline Sirt3 2/2 mice 2 , there was a marked increase in global mitochondrial protein acetylation in the tissues where the Sirt3 gene had been deleted (Fig. 4B and 4C). We next evaluated the acetylation levels of specific Sirt3 targets. Sirt3 interacts with and deacetylates Ndufa9, a subunit of complex I 13 . Consistently, we observed increased acetylation of some members of the Ndufa9-containing complex I in livers from the Sirt3 hep2/2 mice or quadriceps muscle from the Sirt3 skm2/2 mice, as compared with their respective wild type controls (Fig. 4D, top panels). However, this increased acetylation did not lead to any change in maximal complex I or complex IV activities (Fig. 4E). As an internal control, we measured the activity of citrate synthase, a mitochondrial enzyme from the Krebs cycle not belonging to the electron transport chain, whose activity was also unchanged in the absence of Sirt3 in both mouse models (Fig. 4E). To further examine mitochondrial function in the absence of Sirt3 we measured oxygen consumption in Sirt3 L2/L2 primary hepatocytes-with the Sirt3 gene flanked with LoxP sites-in which we acutely deleted the Sirt3 gene by an adenoviral infection with Cre. Oxygen consumption rate (OCR) was not affected by the absence of Sirt3 (Fig. 4F and Suppl. Fig. 2A).
Sirt3 deficiency has also been correlated with low levels of cellular ATP 13 . We therefore measured ATP levels in Sirt3 skm1/1 and Sirt3 skm2/2 gastrocnemius muscle and in Sirt3 hep1/1 and Sirt3 hep2/2 liver, but could not detect differences between tissues from the different genotypes expression levels of complex I, II, IV and V in isolated mitochondria of Sirt3 skm1/1 and Sirt3 skm2/2 muscle (left panels) and Sirt3 hep1/1 and Sirt3 hep2/2 livers (right panels). (B, C) Acetylation status of mitochondrial proteins extracted from muscle and liver of Sirt3 skm1/1 and Sirt3 skm2/2 mice (B) and Sirt3 hep1/1 and Sirt3 hep2/2 mice (C). Mitochondrial protein lysates were subjected to western blotting using an anti-acetylated lysine antibody (Ac-K) and porin as a loading control. (D) Acetylation level of complex I members (top two rows of panels) and Sod2 (bottom two rows of panels) in Sirt3 skm1/1 and Sirt3 skm2/2 muscle (left panels) or Sirt3 hep1/1 and Sirt3 hep2/2 livers (right panels). Endogenous Ndufa9 or Sod2 were immunopurified from muscle lysates and immunoblotted using Ndufa9/Sod2 and Ac-K antibodies. (E) Complex I (CI), complex IV (CIV) and Citrate synthase (CS) activities in Sirt3 skm1/1 and Sirt3 skm2/2 muscle (left panel) or Sirt3 hep1/1 and Sirt3 hep2/2 (right panel). (F) Oxygen consumption rate (OCR) from primary hepatocytes obtained from Sirt3 L2/L2 mice infected with the indicated viruses. (G) ATP levels were measured from the indicated tissue lysates. (H-K) Activities of mitochondrial Sod2 (H) and catalase (I) and levels of 4-hydroxy-2-nonenal (HNE; J) and GSH/GSSG ratio (K) in muscle and liver lysates of Sirt3 skm1/1 and Sirt3 skm2/2 mice (left panels) or Sirt3 hep1/1 and Sirt3 hep2/2 mice (right panels). Measurements in panels E-K were determined using samples from at least four mice per genotype. All the samples used for these studies come from mice subjected to the HFD treatment, sacrificed in fed state. Data are represented as mean 6 SEM.
Sirt3 has been shown to reduce oxidative stress, mostly through deacetylating and activating the mitochondrial ROS scavenger Sod2 9,10,12,16 . We therefore also determined Sod2 acetylation status in the absence of Sirt3; as reported, Sirt3-deficient tissues presented increased levels of acetylated Sod2 (Fig. 4D, lower panels). In contrast, Sirt3 gene ablation did not affect the activity of Sod2 (Fig. 4H), nor that of catalase, another key ROS scavenger (Fig. 4I). We next measured a few markers of oxidative stress, such as the level of 4hydroxy-2-nonenal (HNE; a marker for lipid peroxidation) and glutathione, in liver and muscle from our mutant mouse models after HFD treatment. No difference in these parameters was observed between Sirt3-deficient tissues and their respective controls (Fig. 4J-K). These results show that tissue-specific ablation of Sirt3 results in increased acetylation of ROS scavengers, but that this alteration is not sufficient to affect their activity, which may help to explain the lack of a metabolic phenotype in these two tissuespecific Sirt3 deficient mouse models.

Discussion
We report here the generation and phenotypic characterization of the first set of tissue-specific Sirt3 knockout mice (muscle-specific Sirt3 skm2/2 and liver-specific Sirt3 hep2/2 mice). Consistent with the role of Sirt3 as the major mitochondrial deacetylase 2 , mitochondrial proteins were robustly hyperacetylated in Sirt3-deficient tissues. In line with this observation, specific Sirt3 targets, such as mitochondrial complex I and the mitochondrial ROS scavenger, Sod2, were also markedly hyperacetylated in Sirt3-deficient tissues (Fig. 4D), as previously described in livers from the germline Sirt3 2/2 mice 9,12,13 . However, the activities of these enzymes (Fig. 4H-I) were not changed in Sirt3-deficient tissues, which indicates that hyperacetylation of these proteins does not necessarily result in a change in their maximal activity. Indeed, while many residues might be acetylated in a single protein, only the acetylation of a few key residues crucially determines the enzymatic activity/function of the protein, as demonstrated with LCAD 6 . This phenomenon might explain the lack of a metabolic phenotype in the tissue-specific Sirt3-deficient mice.
Several in vivo and in vitro studies demonstrated a role for Sirt3 in the suppression of oxidative stress 3,[8][9][10][11][12]16 . However, different groups have reported normal ROS levels in basal state in liver, brain or cochlea 9,10 . In line with these last reports, we observed normal levels of surrogate markers for ROS in Sirt3-deficient tissues, as well as similar levels of activity of the mitochondrial ROS scavengers Sod2 and catalase (Fig. 4 H-I). Again, these results might explain the lack of a clear metabolic phenotype in the conditions we tested.
Despite the higher mitochondrial protein hyperacetylation, the tissue-specific Sirt3 2/2 mice described here were metabolically similar to control littermates in all the conditions that we tested (chow and HFD diet, 24 h fasting, exercise or cold). Our results therefore imply that the previously described phenotypes of germline Sirt3 2/2 animals under a short fasting or HFD 6,[9][10][11][13][14][15]19 are not due to the absence of Sirt3 specifically in liver or muscle. Rather, our data indicate that either Sirt3 deficiency in another tissue or the coordinated defect of Sirt3 in multiple tissues accounts for these effects in the germline Sirt3 knock-out mice. In this regard, our results do also not rule out the possibility that latent defects in muscle or liver function in our models can be fully compensated by another tissue or sirtuin function. In this sense, further tissue-specific Sirt3 deficient mouse models exploring the brain, white or brown adipose, or macrophage function of Sirt3 will be key to fully evaluate the etiology of the metabolic alterations in the germline Sirt3 knock-out mice. In this context it is interesting to note that no change in Sirt3 mRNA or protein expression in non-targeted tissues (Fig. 1B, 1C, 1D and 1E), nor any change in the mRNA levels of the other mitochondrial sirtuins (Sirt4 and Sirt5) in the Sirt3-targeted tissues (Fig. 1F and  1G) was present, which suggest that there is no compensation by other mitochondrial sirtuins. These observations, however, do not rule out a change in the activity, rather than in mRNA or protein levels, of these sirtuins as the possible mechanism of compensation.
Of note is also that Sirt3 skm2/2 mice, when subjected to a 24 h fast and, subsequently, to a cold test, do not suffer hypothermia, as previously reported for the whole-body Sirt3-KO mice 6 . Since the two main tissues responsible for temperature homeostasis are muscle and brown fat, and Sirt3 is highly expressed in this last tissue, it is tempting to speculate that Sirt3 in brown fat, but not in skeletal muscle, plays an important role in temperature homeostasis, most probably via regulation of mitochondrial uncoupling. Brown fat is also an important tissue in fat and glucose clearance, and increased brown fat amounts or activity can significantly improve global metabolism 20,21 . Thus, one possibility is that the brown fat tissue in Sirt3 hep2/2 and Sirt3 skm2/2 mice could compensate for the tissue-specific ablation of Sirt3 in liver or muscle.
Finally, when comparing studies from different laboratories, it is important to bear in mind that the genetic background and/or the exact composition of the diets are key determinants of phenotypic outcome, which is the result of gene-environment interactions 22,23 . In this regard, our mice were on an obesity-prone background (C57BL/ 6) 23-25 and fed with a standard HFD, with 60% calories coming from fat, both conditions being different from those used in other reports 14 . Furthermore, differences in the developmental onset of the Sirt3 gene deletions need to be considered, as germline Sirt3-KO mouse model lacks Sirt3 from the beginning of embryonic development, while the tissue-specific promoters used in our work are activated only from a certain developmental stage.
In summary, our work confirms the critical impact of Sirt3 on global mitochondrial acetylation. It is unclear why these alterations do not have a major physiological impact when occurring in a tissuespecific manner in muscle or liver, as in our study. Further investigations to understand this conundrum are therefore warranted.

Methods
Generation and clinical phenotyping of the Sirt3 hep2/2 and Sirt3 skm2/2 mice. Sirt3 floxed (Sirt3 L2/L2 ) mice were generated using standard gene targeting procedures 26 . These animals were crossed with liver-specific Cre-expressing mice (Alb-Cre) 18 to obtain the Sirt3 hep2/2 mouse line; or with the skeletal muscle-specific Cre-expressing line (HSA-Cre) 17 to obtain the Sirt3 skm2/2 line. These two mouse lines were backcrossed onto a pure C57BL/6J background. All animal work in the manuscript has been performed according to the validated standard operating procedures (SOPs) 23 , as defined and validated by the Eumorphia program (see: http:// empress.har.mrc.ac.uk/). Briefly, we subjected our mice to non-invasive monitoring of body fat and lean mass by EchoMRI; energy expenditure analysis by indirect calorimetry (CLAMS system); intraperitoneal glucose tolerance test (ipGTT); insulin tolerance test (ipITT); blood sampling before and after a 24 fast; endurance exercise on a treadmill; non-invasive blood pressure measurement; and cold test. A summary of these methods is given in the supplementary materials and methods section. Animal experiments were approved by the ethic veterinary committee of the canton of Vaud -Switzerland (Permit IDs 2307 and 2307-1).
Quantitative RT-PCR. qRT-PCR was performed as already described 27,28 . Briefly, RNA was extracted from tissues using TRIzol reagent (Invitrogen). Complementary DNA was generated using QuantiTect Rev (Qiagen). The real-time PCR measurement of individual cDNAs was performed using SYBR green dye to measure duplex DNA formation with the LightCycler System (Roche Diagnostics). Primer sequences are listed in the supplementary materials and methods section.
Complex I, complex IV and citrate synthase activity assays. Complex I, complex IV and citrate synthase enzymatic activities were measured in homogenates of gastrocnemius muscle of Sirt3 skm1/1 and Sirt3 skm2/2 or of livers of Sirt3 hep1/1 and Sirt3 hep2/2 mice using the respective enzyme activity assay kits (Mitosciences), as reported elsewhere 29 .
Mitochondrial isolation, immunoprecipitation and western blot analysis. Mitochondria were isolated from tissues following a previously described protocol 30 . Isolated mitochondria were lysed in RIPA lysis buffer containing protease inhibitors and supplemented with 5 mM NAM and 1 mM sodium butyrate. Immunoprecipitations were performed as described previously 28  were separated by SDS-PAGE. a-Sirt3 (home-made rabbit polyclonal against the peptides CDLMQRERGKLDGQDR and STPSGIPDFRSPGSGL), a-Total OxPhos (MitoSciences, MS604), a-Ndufa9 (Abcam, ab14713), a-AcK (Cell Signaling, 9441), a-Sod2 (Santa Cruz, sc-133254 for IP, sc-3008 for WB), and a-porin (Calbiochem, 529536) antibodies were used to detect the respective proteins.
Analysis of blood metabolites. For b-hydroxybutyrate (BHBA) analysis, plasma samples were precipitated with 1 M perchloric acid on ice. After centrifugation the supernatant was neutralized using 2M KOH, 0.5 M 2-(Nmorpholino)ethanesulfonic acid (MES). BHBA concentrations were measured using LC-MS/MS in the neutralized supernatant after removal of KClO 4 . Amino acids and acylcarnitines were analyzed in plasma according to established LC-MS/MS methods 31,32 .
Evaluation of oxidative stress. Sod2 and catalase enzyme activity; HNE; and the GSH/GSSG ratio were measured in liver or gastrocnemius muscle homogenates using a Sod2 and catalase enzyme activity assays (Cayman Chemicals); the OxiSelect HNE-His Adduct ELISA Kit (Cell Biolabs Inc.); or the Bioxytech GSH/GSSG-412 kit (OxisResearch TM), respectively, following the manufacturer's protocols.
ATP measurements. ATP was measured in samples from liver or skeletal muscle using the ATP determination kit (Molecular Probes, Invitrogen), following previous reports 33 and the manufacturer's instructions. Briefly, tissues were weighed and lysed in 600 ml of 6% (v/v) perchloric acid, and centrifuged at 4000xg for 10 minutes at 4uC. 500 ml of the supernatant were neutralized with 200 ml of 2.5 M KOH, and precipitate was removed by centrifugation at 4000 xg for 5 minutes at 4uC. 10 ml of a 1:10 dilution of the samples in 0.1 M Tris-HCl -2 mM EDTA buffer (TE) were placed in an appropriate bioluminescence plate, and luciferase activity was measured after addition of 100ml of the reaction solution, with a lag time of 1 second and an integration time of 3 seconds using a Glomax luminometer (Promega).
Preparation and culture of primary mouse hepatocytes and determination of oxygen consumption rates. Liver cells were prepared by the two-step collagenase method 34 from post-absorptive male mice (25-30 g) after anaesthesia with ketamin/ xylazin (1 mg/100 g body weight). Cell viability (.80%) was checked by trypan blue exclusion. Primary culture of hepatocytes was seeded at 1.5310 4 per well on rat-ail collagen type 1 (BDpharmingen) either on coated XF-96 cell culture plates (Seahorse) or on 12-well plates in serum-free DMEM (4.5 g/l glucose) medium. Four hours after seeding, the medium was replaced by a glucose and serum free DMEM medium, supplemented with lactate 10 mM and pyruvate 1 mM and the cells were infected with either an adenovirus containing a GFP construct (Adeno-GFP) or an adenovirus containing a recombinase Cre (Adeno-Cre) construct at a multiplicity of infection (MOI) of 15. Cellular oxygen consumption rate (OCR) was measured by Seahorse XF96 forty-eight hours after infection of cells as previously reported 35 .
Statistical analyses. Statistical analyses were performed with non-parametric Student's t-test. Data are expressed as mean 6 SEM and p values smaller than 0.05 were considered as statistically significant. Statistical significance is displayed as * (p , 0.05) or ** (p , 0.01).