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Endocrinology. 2011 December; 152(12): 4641–4651.
Published online 2011 October 11. doi:  10.1210/en.2011-1547
PMCID: PMC3359510

Role of Medium- and Short-Chain L-3-Hydroxyacyl-CoA Dehydrogenase in the Regulation of Body Weight and Thermogenesis


Dysregulation of fatty acid oxidation plays a pivotal role in the pathophysiology of obesity and insulin resistance. Medium- and short-chain-3-hydroxyacyl-coenzyme A (CoA) dehydrogenase (SCHAD) (gene name, hadh) catalyze the third reaction of the mitochondrial β-oxidation cascade, the oxidation of 3-hydroxyacyl-CoA to 3-ketoacyl-CoA, for medium- and short-chain fatty acids. We identified hadh as a putative obesity gene by comparison of two genome-wide scans, a quantitative trait locus analysis previously performed in the polygenic obese New Zealand obese mouse and an earlier described small interfering RNA-mediated mutagenesis in Caenorhabditis elegans. In the present study, we show that mice lacking SCHAD (hadh−/−) displayed a lower body weight and a reduced fat mass in comparison with hadh+/+ mice under high-fat diet conditions, presumably due to an impaired fuel efficiency, the loss of acylcarnitines via the urine, and increased body temperature. Food intake, total energy expenditure, and locomotor activity were not altered in knockout mice. Hadh−/− mice exhibited normal fat tolerance at 20 C. However, during cold exposure, knockout mice were unable to clear triglycerides from the plasma and to maintain their normal body temperature, indicating that SCHAD plays an important role in adaptive thermogenesis. Blood glucose concentrations in the fasted and postprandial state were significantly lower in hadh−/− mice, whereas insulin levels were elevated. Accordingly, insulin secretion in response to glucose and glucose plus palmitate was elevated in isolated islets of knockout mice. Therefore, our data indicate that SCHAD is involved in thermogenesis, in the maintenance of body weight, and in the regulation of nutrient-stimulated insulin secretion.

Mitochondrial β-oxidation of fatty acids is vital for energy production, especially in periods of fasting and other metabolic stress. It occurs through a series of cyclic steps, in which fatty acids are catabolized to generate an acetyl-coenzyme A (CoA) and an acyl-CoA, which is two carbon units shorter (1). Patients have been identified with inherited disorders of mitochondrial β-oxidation with enzyme deficiencies at many of the steps in this pathway. Most defects, e.g. the medium-chain acyl-CoA dehydrogenase deficiency, which is the most common of the human acyl-CoA dehydrogenase deficiencies (1), are characterized by fasting-induced disease episodes of hypoketotic-hypoglycemia, metabolic acidosis, hyperammonemia, and fatty liver (2). Medium- and short-chain-3-hydroxyacyl-CoA dehydrogenase (SCHAD) catalyze the NAD+-dependent conversion of L-3-hydroxyacyl-CoA to 3-ketoacyl-CoA and is highly expressed in heart, liver, adipose tissue, and in the islets of Langerhans within the pancreas (3). Patients with deficiency in SCHAD have hyperinsulinism, suggesting that a novel link between fatty acid oxidation and insulin secretion may explain hyperinsulinism in these patients (4). Up to now, SCHAD deficiency is the only disease in which a defective enzyme of the fatty acid β-oxidation is associated with increased insulin levels. Actually, Li et al. (5) confirmed this finding and demonstrated that mice lacking SCHAD (hadh−/− mice) exhibit reduced levels of plasma glucose and elevated levels of insulin, similar to children with SCHAD deficiency.

We identified the SCHAD-encoding gene hadh as potential obesity gene by comparing two screening approaches for putative obesity genes. In outcross populations of the New Zealand obese (NZO) mouse with lean mouse strains, we identified chromosomal segments [quantitative trait loci (QTL)] associated with adiposity (69). By positional cloning, we recently identified Tbc1d1 in the obesity QTL Nob1 that reduces fatty acid oxidation in muscle, thereby enhancing obesity and diabetes susceptibility (10). Several murine orthologs of Caenorhabditis elegans genes associated with altered fat storage (11) were located in the mouse adiposity QTL. These genes, like hadh, were considered strong candidates to be involved in the regulation of mammalian adiposity. Therefore, we further investigated the role of hadh for the energy homeostasis by deleting its gene in mice and characterizing their phenotype.

Here, we report that mice lacking hadh develop a slightly reduced body weight under a high-fat diet (HFD) due to an elevated body temperature. Furthermore, we confirm that SCHAD plays an important role in nutrient-dependent insulin secretion.

Materials and Methods

Generation of hadh knockout mice

For generation of hadh knockout mice, we used the gene-trap method. The gene-trap vector pGT0Lxf was inserted in the ES cell line E14Tg2a.4 (Bay Genomics, San Francisco, CA). The genomic background of the ES cells is 129P2/OlaHsd. ES cell clone RRM279 was injected into blastocysts, which were implanted into pseudopregnant females. Chimeras were mated with C57BL/6 mice, and F1 progeny carrying the transgene were backcrossed 6–10 times onto the C57BL/6 background. Genotyping of blastocysts, embryos, and mice was performed by PCR (forward primer for wild-type and knockout allele, 5′-TGC AGC TTG GCT TTG CTC CAC-3′ and reverse primer for wild-type allele, 5′-GCT CCT GCC CCA ACG AAA TCC-3′; for knockout allele, 5′-AGTATCGGCCTCAGGAAGATCG-3′). The animals were housed in air conditioned rooms (temperature 20 ± 2 C, relative moisture 50–60%) under a 12-h light, 12-h dark cycle. They were kept in accordance with United Kingdom legal requirements for the care and use of laboratory animals, and all experiments were approved by the ethics committee of the State Agency of Environment, Health and Consumer Protection (State of Brandenburg, Germany).

RNA preparation and first strand cDNA synthesis

Total RNA from liver, kidney, quadriceps, heart, and brown adipose tissue (BAT) and white adipose tissue was extracted with the TRIzol Reagent (Invitrogen, Carlsbad, CA) according to the guideline of the manufacturer. Extraction of total RNA from pancreas, stored in RNAlaterRNA Stabilization Reagent (QIAGEN, Hilden, Germany), was performed with RNeasy Mini kit (QIAGEN). cDNA was generated from 2 μg of total RNA with Superscript III and random hexamers as primers (Invitrogen). Quality of cDNA was controlled by PCR with murine glyceraldehyde-3-phosphate dehydrogenase (GAPDH) primers (forward, 5′-ACC ACA GTC CAT GCC ATC AC-3′; reverse, 5′-TCC CAC CAC CCT GTT GCT GTA-3′).

Quantitative real-time PCR

Quantitative real-time PCR analysis was performed with the Applied Biosystems 7500 Fast Real-time PCR System (Applied Biosystems, Foster City, CA). The PCR mix (10 μl) was composed of TaqMan Gene Expression PCR Master Mix, a cDNA amount corresponding to 12.5 ng of RNA used for cDNA synthesis (each sample in a triplicate), a fluorescence assay for the hadh mRNA, composed of a probe (5′-FAM-CAA AGA AGA AGT TCA CAG AAA ACC CTA AGG C-3′TAMRA), a forward primer (5′-GCA AAA TCC AAG AAG GGA ATT G-3′), and a reverse primer (5′-TGG TTG AAA GGC AGC TCA G-3′). The assay amplifies the region between exons 2 and 3, which is deleted in hadh−/− mice. For the determination of β-oxidation-related genes, SYBR Green Master Mix (Applied Biosystems) was used in combination with the primers for Acadl (forward primer, 5′-CAC TCA GAT ATT GTC ATG CCC T-3′; reverse primer, 5′-TCC ATT GAG AAT CCA ATC ACT C-3′), for Acadm (forward primer, 5′-GGC CAT TAA GAC CAA AGC AG-3′; reverse primer, 5′-AAT ATG TAT TCC CGG GGT GTC-3′), or for Hadha (forward primer, 5′-G GAA CAT TCG TGC AGA CAG-3′; reverse primer, 5′-GCT G AT CGG AAA GTC TCT GC-3′). Data were normalized referring to Livak and Schmittgen (12), whereas a β-actin self-made assay (probe, 5′-FAM-TTG AGA CCT TCA ACA CCC CAG CCA-3′TAMRA; forward primer, 5′-GCC AAC CGT GAA AAG ATG AC-3′; and reverse primer, 5′-TAC GAC CAG AGG CAT ACA G-3′) and mentioned primers for β-actin for the SYBR Green analysis, respectively, were used as endogenous control.

Immunochemical detection of SCHAD and CD36

For immunohistochemical detection of SCHAD, heart, liver, adipose tissues, and pancreas from hadh+/+ and hadh−/− mice were homogenized and centrifuged for 1 h at 200,000 × g at 4 C. Samples of 15 μg of protein/lane were separated by SDS-12% PAGE and transferred onto nitrocellulose. For immunochemical detection of SCHAD, an anti-SCHAD antibody (chicken, ab37673; Abcam, Cambridge, UK) was used in a dilution of 1:1000. For Western blot analysis of CD36, lysates of BAT were separated by SDS-PAGE and incubated with a CD36-specific antibody (rat) in a dilution of 1:500 (SR-B3; Research and Development, Minneapolis, MN). Bound immunoglobulines were conjugated with rabbit antichicken IgG (whole molecule, 1:20,000; Dianova, Hamburg, Germany) or goat antirat IgG (1:20,000; Pierce, Rockford, IL) antiperoxidase-conjugated antibodies and developed by enhanced chemiluminescence (Amersham Biosciences, Buckinghamshire, UK). For the detection of HADHA an anti-HADHA antibody (2 μg/μl, ab54477; Abcam) was used in combination with a secondary peroxidase-conjugated goat antirabbit antibody (1:20,000; Dianova). GAPDH (1:1000, AM4300; Ambion); α-tubulin (1:500, H-300; Santa Cruz Biotechnology, Inc., Santa Cruz, CA) or β-actin (1:10,000, a3853; Sigma, St. Louis, MO) were detected as loading control.


From the age of 3 wk, mice were fed either a normal maintenance diet (V153 × R/MH; Ssniff Spezialdiäten GmbH, Soest, Germany) containing 3.6 kcal/g energy with 23% (wt/wt) protein, 8% fat, and 69% carbohydrates or a HFD (D12492; Research Diets, Lane New Brunswick, NJ) containing 5.24 kcal/g energy with 20% (wt/wt) protein, 60% fat, and 20% carbohydrates.

Body composition

Body fat and lean mass were determined with a nuclear magnetic resonance spectrometer EchoMRI (Echo Medical Systems, Houston, TX). In addition, body weights were measured with an electronic scale (BP2100; Sartorius AG, Göttingen, Germany).

Serum parameters

Blood glucose levels were determined with an Accu-Chek glucometer (Roche Diagnostics GmbH, Mannheim, Germany). Cholesterol (CHOLESTEROL liquicolor; Human, Wiesbaden, Germany), triglycerides (Triyglyceride Reagent; Sigma), glycerol (Free Glycerol Reagent; Sigma), and nonesterified fatty acid (Wako nonesterified fatty acid C kit; Wako Chemicals, Neuss, Germany) were measured with the indicated kits, plasma insulin concentrations were determined by ELISA (insulin mouse ultrasensitive ELISA; DRG Instruments GmbH, Marburg, Germany).

Acylcarnitine measurements

Hydroxybutyryl (C4OH)- and hydroxyhexanoylcarnitine (C6OH)-carnitine concentrations in plasma were obtained by tandem mass spectrometry (MS/MS) analysis of butylated acylcarnitines (13, 14). Cardiac acylcarnitine levels were determined in freeze-dried tissue specimens as described previously (15). The concentrations of the stereo isomers of C4OH-carnitine were determined by ultraperformance liquid chromatography (UPLC) MS/MS based on principles described by Maeda et al. (16). In short, acylcarnitines were extracted using acetonitril, dried, reconstituted in the starting eluent, and stored at −20 C until analysis. Isomeric separation was achieved on a Acquity UPLC system (Waters, Milford, MA), equipped with an UPLC-BEH C18 column, 50 × 2.1 mm, 1.7-μm particle diameter (Waters), using a linear gradient of 0.1% heptafluorobutyric acid and methanol. A Quattro Premier XE triple quadrupole MS (Waters) was used in the positive electrospray ionization mode using the transition m/z 248.1 → m/z 85 for the detection of nonderivatized C4OH-carnitines. Using this method, we were able to detect baseline separated R- and S-3-C4OH-carnitine as well as other isobaric species in multiple matrices, such as urine and plasma. Identification of the compounds was performed using standards. As a proof of principle, plasma samples of SCHAD-deficient patients (S-3HB-carnitine), as well as type 1 diabetes mellitus patients presenting with ketoacidosis (R-3HB-carnitine), were analyzed for relative abundances of both stereo isomers.

Feeding behavior

Food intake was recorded with an automated Drinking & Feeding Monitor system (TSE, Bad Homburg, Germany), consisting of macrolon type III cages equipped with baskets connected to weight sensors. The baskets contained HFD pellets and were freely accessible to the mice. Mice were habituated to the test cages for 2 d before trials, and the measurement period lasted 2–3 d. Recorded data were analyzed as cumulative food intake.

Indirect calorimetry

Total energy expenditure (TEE) was measured by indirect calorimetry at 22 C for 24 h with an open circuitry calorimetry system (TSE). Before recoding the rates of oxygen consumption (VO2) and carbon dioxide production (VCO2), mice were allowed to adapt to the macrolon type II cage and to the system for 2 d. The air-tight respiratory cages were measured with a flow rate of about 0.38 l/min. VO2 and VCO2 were recorded for 1.5 min in 16-min intervals for each animal, so that three or four data points were obtained every other hour. TEE (kcal/h−1) was calculated with the equation TEE = 16.17/VO2 + 5.03/VCO2 − 5.98/N, where N is excreted nitrogen and was assumed to be (0.1 g/d−1).

Rectal body temperature

Rectal body temperature in wild-type and hadh−/− mice was measured with a rectal thermometer for mice (physitemp BAT-12; Physitemp Instruments, Clifton, NJ) when mice were resting.

Telemetric measurement of spontaneous locomotor activity

Transponders (22 × 8 mm; Mini Mitter Co., Inc., Bend, OR) were implanted into the abdominal cavity under ketamine (0.1 ml/kg body weight) and rompune (1.0 ml/kg body weight) anesthesia when the mice were at the age of 6 wk and weighed more than 20 g. The abdominal cavity was sutured with absorbable surgery thread (PGA Resorba; Resorba, Nürnberg, Germany), and skin was closed with metal clips (Becton Dickinson, Sparks, MD) that were removed after a 1-wk recovery period.

After a recovery period of 2 wk, spontaneous locomotor activity and body temperature data of single-housed mice were collected continuously for 48 h with the VitalView Data Acquisition System (Mini Mitter Co., Inc.) in macrolon type III cages. Values were recorded in 6-min intervals for each animal at 22 C.

Fat tolerance test

Ten-week-old overnight fasted mice received 10 μl/g body weight olive oil per gavage; 20 μl of blood samples were collected via the tail vein before (basal, time 0) and 2, 3, 4, 6, and 12 h after oral oil application for determination of plasma triglycerides, fatty acids, and cholesterol.

Cold tolerance test

For measuring cold tolerance, 11-wk-old male control and hadh−/− mice were housed singly in a macrolon type II cage for 3 h in a 4 C environment (2023 Minicold Lab; LKB, Bromma, Sweden). Rectal body temperature was taken before the experiment started and every 60 min. If the core body temperature of an animal decreased to 30 C, the experiment stopped for that mouse.

Isolation of islets of Langerhans

Control and hadh−/− mice (20 wk) kept under standard-diet conditions were killed by cervical dislocation. Through the open cavity, the common bile duct was clamped of the small intestine to inject 1 mg/ml collagenase P (Roche, Mannheim, Germany) directly in the pancreas. The inflated pancreas was transferred in a glass vial and digested for 7 min in a 37 C shaking water bath. After three washing steps, islets of Langerhans were hand picked in RPMI 1640 + l-glutamin (PAA, Laborbedarf, Austria). Thirty isolated islets were cultured for 72 h in 3-cm dishes with RPMI 1640 + l-glutamin in an 37 C, 5% CO2, and 90% relative humidity incubator.

Glucose-stimulated insulin secretion

Isolated islets were starved for 1 h in Krebs-Ringer buffer containing 2.8 mm glucose and subsequently transferred in 2.8 mm glucose containing Krebs-Ringer buffer for 1 h followed by an incubation in 16.7 mm glucose for 1 h. Finally, islets were incubated in 35 mm KCl for 1 h. For measuring the additive effect of fatty acids, further experiments were performed in the presence of 0.3 mm palmitate. Insulin content was measured by ELISA and referred to the DNA-content (Quant-iT PicoGreen dsDNA; Invitrogen, Eugene, OR).

Detection of ketone bodies

Determination of ketone bodies in plasma was performed by the Autokit Total Ketone Bodies kit (Wako Chemicals) as described in manufacturer's instructions.

Statistical analysis

Values are reported as mean ± se. Statistical significance (P value less than 0.05) was determined by unpaired Student's t test.


Targeted disruption of the hadh gene in mice

For the identification of putative obesity genes, we compared two genome-wide scans, which were performed in different species, a polygenic mouse model for the metabolic syndrome, the NZO mouse and the worm C. elegans. In outcross approaches of NZO with the lean Swiss/Jim Lambert or C57BL/6 mouse strains (6, 7, 9), we identified more than 10 obesity QTL located on different chromosomes. For the identification of novel obesity genes, we projected the orthologes of genes identified in a randomized screen in C. elegans (11) on the QTL map and identified more than 40 genes with an overlap. One of these genes, hadh, maps to the obesity QTL on chromosome 3 and encodes the enzyme medium- and short-chain-3-L-hydroxyacyl-CoA. To further test whether SCHAD plays a role in energy and/or glucose homeostasis, we generated hadh knockout mice by a gene-trap targeting strategy (Fig. 1A). Insertion of the gene-trap vector into intron 1 of hadh (Fig. 1A) resulted in a fusion protein consisting of 45 amino acids of SCHAD, neomycin phosphotransferase, and β-galactosidase. Male chimeric mice generated by injection of the gene-trap clone RRM279 into blastocysts were mated with C57BL/6 females, and F1 progeny carrying the transgene were backcrossed 6–10 times on to the C57BL/6 background. In the F2 progeny of heterozygous mice, we obtained the hadh+/+, hadh+/−, and hadh−/− mice (Fig. 1B, left panel) to the expected ratio (data not shown). To verify the knockout, RNA was isolated from different tissues of hadh+/+, hadh+/−, and hadh−/− mice, and hadh expression was analyzed by quantitative real-time PCR (Fig. 1B, right panel). Hadh expression was absent in all investigated tissues of hadh−/− mice, whereas tissues of heterozygous mice expressed approximately 50% of hadh (Fig. 1B, right panel). In addition, Western blot analysis of total membranes from heart, liver, BAT, and pancreas of hadh+/+ and hadh−/− mice demonstrated the absence of the SCHAD protein in knockout mice (Fig. 1C).

Fig. 1.
Targeted disruption of the hadh gene by a gene-trap approach. A, Integration of a gene-trap sequence containing a splice acceptor site (SA), a β-geo cassette, and a polyadenylation signal (PA) in the first intron of the hadh gene resulted in a ...

To test whether other enzymes of the β-oxidation might compensate for the deleted hadh, the expression levels of Acadl (long-chain acyl-CoA dehydrogenase), Acadm (medium-chain acyl-CoA dehydrogenase), and Hadha (long-chain hydroxyacyl-CoA dehydrogenase) were quantified in liver of control and hadh−/− mice under fed (HFD) and fasted conditions. All three transcripts increased in response to fasting but did not differ between control and knockout livers (Supplemental Fig. 1A, published on The Endocrine Society's Journals Online web site at However, evaluating the protein content of HADHA in liver lysates by Western blotting clearly showed significantly higher levels in hadh−/− mice in comparison with the controls (Supplemental Fig. 1B). This effect was specific for liver and not detected in heart, skeletal muscle, BAT, and islets of Langerhans (Supplemental Fig. 1C).

To confirm that deletion of hadh results in a defective enzymatic activity of SCHAD, we performed metabolome analysis of plasma samples from hadh+/+ and hadh−/− mice that were kept on the HFD and detected a specific increase of two acylcarnitines, C6OH- and C4OH-carnitine (Fig. 1D), whereas all other metabolites, amino acids, glycerophospholipids, and sphingolipids were not altered (data not shown). In addition, we measured the acylcarnitine profile in heart to prove the absence of SCHAD activity in tissues of hadh−/− mice. As demonstrated in Fig. 1E, left panel, we detected an accumulation of short-chain acylcarnitines such as of 3-C6OH in heart of hadh−/− mice. We analyzed urine samples of mice by the HPLC MS/MS (tandem mass spectrometry) method to distinguish between (R)- and (S)-3-C4OH-carnitine, the D- and L-isomer, respectively. Because SCHAD catalyzes specifically the L-isomers, which are the β-oxidation intermediates, hadh−/− mice should only accumulate L-isomer. Indeed, hadh−/− mice accumulate only (S)-3-C4OH-carnitine, whereas no changes were detectable for (R)-3-C4OH-carnitine in urine of hadh+/+ and hadh−/− mice (Fig. 1E, right panel).

Deletion of hadh reduces body weight and adipose tissue depots

Hadh−/− mice grew normally, were in an apparently good health, showed normal grooming and exploratory behavior, and exhibited no noticeable coat problems. We performed a broad characterization of the mice that were fed a standard diet and did not observe difference in body weight, body composition, and blood glucose concentrations (Supplemental Fig. 2). In contrast, on a HFD (60% of total calories from fat), male hadh−/− mice exhibited a significantly lower body weight gain over a period of 20 wk than their wild-type littermates (Fig. 2A). The reduced weight gain of hadh−/− mice was entirely due to reduced fat accumulation: knockout mice gained only 6.73 ± 0.81 g of body fat under the HFD, whereas wild-type mice gained 10.95 ± 1.26 g over a time period of 16 wk (Fig. 2B).

Fig. 2.
Reduced body weight and body fat content in hadh−/− mice. Body weight development of male hadh+/+ and hadh−/− mice fed a HFD (upper panel). Body fat mass of male hadh+/+ and hadh−/− mice fed a HFD (lower ...

Higher lipid oxidation in hadh−/− mice

To study the main parameter of energy balance, we determined locomotor activity and body temperature at the age of 8 wk and daily food intake and TEE at the age of 10 wk in wild-type and hadh−/− mice fed with HFD. No significant differences in cumulative food intake were detected between hadh−/− and wild-type mice (Fig. 3A). To explore whether deletion of an enzyme involved in fatty acid oxidation affects the consumption of lipids, we conducted indirect calorimetry in 10-wk-old mice and determined the respiratory quotient (RQ). Interestingly, during the light period, the RQ was significantly lower in hadh−/− mice compared with hadh+/+ mice (Fig. 2B), indicating higher fatty acid oxidation in mice lacking SCHAD. However, hadh−/− mice do not exhibit an alteration in energy expenditure (Fig. 3C) or locomotor activity (Fig. 3D) in comparison with wild-type littermates.

Fig. 3.
Hadh−/− mice exhibit reduced RQ but normal energy expenditure. After weaning, male hadh+/+ and hadh−/− littermates were fed a HFD, and (A) cumulative food intake (n = 11–14), (B) RQ (n = 12), (C) TEE as kcal per ...

Impaired thermogenesis of hadh−/− mice

Because SCHAD is highly expressed in BAT, which itself is markedly enriched in mitochondria and the major site of facultative thermogenesis, we measured body temperature of control and hadh−/− mice that were kept at 20 C under HFD. As shown in Fig. 4A, hadh−/− mice exhibited significantly (P < 0.05) higher body temperature in both the light and the dark phase, which may contribute to the lower body weight of the hadh−/− mice (Fig. 2).

Fig. 4.
Impaired thermogenesis of hadh−/− mice. A, Body core temperature of hadh+/+ and hadh−/− mice kept at 20 C (n = 8–10) on a HFD. B, Body temperature of hadh+/+ and hadh−/− mice that were kept at 4 ...

In BAT, fatty acid oxidation increases markedly during cold exposure (16). To generate heat and to maintain normal body temperature, ATP production is reduced when activated uncoupling protein 1 (UCP1) increases the flux of protons through the electron transport chain and dissipates the mitochondrial proton gradient (17). Hadh+/+ mice can keep their body temperature between 35 and 36 C over 3 h at 4 C. In striking contrast, the body temperature of hadh−/− mice fell less than 32 C over that period, and we had to terminate the experiment (Fig. 4B). This difference was not associated with a reduced UCP1 expression as indicated in the Western blottings shown in Fig. 4C.

For the characterization of the lipid metabolism, we performed oral fat tolerance tests in HFD-fed mice. Approximately 2 h after oral application of olive oil, triglyceride concentrations increased and declined in the next 10 h back to basal levels. Hadh−/− mice showed the tendency toward lower triglyceride concentrations at each time point without reaching significance (area under the curve for hadh+/+ mice, 12010 ± 1924 and for hadh−/− mice, 8835 ± 2639; P = 0.433). In addition, concentrations of free fatty acids showed similar changes with highest levels between 3 and 4 h after oil application in both hadh+/+ and hadh−/− mice (Fig. 5A). Significant differences in fat tolerance were detected when mice were kept at 4 C. Hadh+/+ mice show only a moderate increase in the concentration of plasma triglycerides and fatty acids in comparison with the levels detected under conditions of 20 C. This difference likely indicates that hadh−/− mice might not be able to accelerate triglyceride clearance. In contrast to this, hadh−/− mice show significantly higher triglyceride and free fatty acid concentrations at 4 C (Fig. 5B), indicating that they are not able to accelerate triglyceride clearance. To test whether impaired triglyceride clearance is the result of a defective fatty acid uptake into BAT, we studied expression of the fatty acid transporter CD36 in this fat depot of mice kept at room temperature or at 4 C. As shown in Supplemental Fig. 3, we detected higher CD36 protein levels after cold exposure than at 22 C. However, the CD36 levels did not differ between hadh+/+ and hadh−/− mice.

Fig. 5.
Impaired triglyceride clearance of hadh−/− mice under cold exposure. Oral fat tolerance tests were performed as described in Materials and Methods with HFD-fed hadh+/+ and hadh−/− mice that were kept at 20 C (A) or acutely ...

Ketone bodies are generated as by-products of fatty acid oxidation from acetyl-CoA primarily in the liver, for instance in the fasted state, when glucose concentration is very low. To test whether the levels of ketone bodies differs between hadh+/+ and hadh−/− mice, we determined their plasma concentrations in the fed and fasted state as well as after cold exposures. As expected, the concentration was low in the fed state and increased in response to fasting (Supplemental Fig. 4). However, we did not detect differences in the concentration of ketone bodies between control and hadh−/− mice under these conditions. Interestingly, the ketone body content increased at 4 C to the same level as after overnight fasting period in control mice, whereas hadh−/− mice showed significantly lower levels than control mice (Supplemental Fig. 4). This effect might be the consequence of the impaired triglyceride clearance and participate in the impaired thermoregulation of hadh−/− mice.

Elevated insulin secretion in response to glucose and fatty acids

In addition to the reduced body weight, a second striking phenotype of the HFD-fed hadh−/− mice was the lower blood glucose concentration in comparison with control mice. When randomly measured, after fasting or after fasting and a subsequent 2-h refeeding period, glucose concentrations of hadh−/− mice were significantly lower than in the corresponding control animals (Fig. 6A). The corresponding plasma insulin concentrations showed only a significant difference in the postprandial state, they were higher in hadh−/− mice than in hadh+/+ mice (Fig. 6B), indicating that the nutrient-mediated insulin secretion is higher in the absence of SCHAD. To study this in more detail, we isolated islets from hadh+/+ and hadh−/− mice that were kept on a standard diet and measured insulin secretion at 2.8 and 16.7 mm glucose or at 2.8 mm glucose plus 35 mm KCl alone or in the presence of 0.3 mm palmitate. Insulin secretion increased with increased glucose concentrations, and the supplementation of palmitate showed additive effects as described (18). As expected from insulin levels in the postprandial state (Fig. 6B) and from the phenotype of patients with SCHAD deficiency who suffer from hyperinsulinism, insulin secretion of isolated islets of hadh−/− mice was higher at 16.7 mm glucose (Fig. 6C).

Fig. 6.
Elevated insulin secretion of hadh−/− mice. Blood glucose (A) and plasma insulin (B) concentrations of hadh+/+ and hadh−/− mice in the fed, fasted, and postprandial state (16-h fasting and 2-h access to diet). Data represent ...


SCHAD is a mitochondrial enzyme that catalyzes the penultimate reaction in β-oxidation. Genetic deficiency of hadh is associated with elevated plasma insulin levels, enhanced excretion of L-3-hydroxyglutarate in the urine, and increased L-3-C4OH-carnitine concentrations in the blood (19). We identified the SCHAD-encoding gene hadh as putative obesity gene and could indeed demonstrate that mice lacking hadh gene were protected from diet-induced obesity because of reduced fuel efficiency, lower RQ, as well as an elevated body temperature.

We explain the reduced body weight and fat mass of hadh−/− mice (Fig. 2) by two effects: the loss of acylcarnitines via the urine (Fig. 1E) (1) and the increased body temperature (Fig. 4A) (2). The fact that the RQ of hadh−/− mice is reduced (Fig. 3B) indicates that they consume more oxygen in relation to VCO2. The theoretic calculation of the VO2 and the VCO2 of control mice that digest palmitate results in a ratio of 23:16 revealing a RQ of 0.7. However, hadh−/− mice are not able to metabolize palmitate completely, the reaction stops on the level of 3-L-C4OH-CoA (Fig. 1D), employing 18.5 molecules of oxygen and generating 12 molecules of carbon dioxide, which results in a RQ of 0.65. The incomplete digestion of fatty acids and the excretion of 3-L-C4OH-CoA via the urine in the absence of SCHAD implicate an elevated consumption of glucose, amino acids, and fatty acids to generate comparable levels of energy in form of ATP. The complete metabolism of one molecule of palmitate generates 106 molecules of ATP, whereas the incomplete reaction of hadh−/− mice only provides 78 molecules of ATP. Actually, we detect lower blood glucose concentrations under different conditions (Fig. 6A) and lower levels of triglycerides and free fatty acids in the fasted state of hadh−/− mice as detected in the fat tolerance tests (Fig. 5). Interestingly, the phenotypes of the hadh−/− mice were specifically detected under HFD conditions, which means, when triglycerides were the main source of energy. Thus, we do not believe that β-oxidation is totally disrupted in the absence of SCHAD, but that it is interrupted in one of the latest steps, which results in the accumulation and excretion of acylcarnities. According to the fact that the cells and organs need ATP for their energy demand, more fatty acids have to be oxidized up to the step of hydroxyglutarate and C4OH-carnitine.

Body temperature in knockout mice is elevated under normal conditions (20 C) (Fig. 5A), which may also result in an elevated energy demand. Why is the body temperature of the hadh−/− mice higher? According to the lack of SCHAD, we expect that the consumption of palmitate generates seven reduced flavin adenine dinucleotide (FADH2) and six reduced nicotinamide adenine dinucleotide (NADH)+ + H+ (wild-type cells generate seven FADH2 and seven NADH+ + H+ per palmitate), because NAD+ is reduced to NADH+ + H+ in the SCHAD-mediated conversion of L-hydroxyacyl-CoA to 3-ketoacyl-CoA (Fig. 7). The bisection of electron donors in hadh−/− cells would indicate a limited capacity of heat production by uncoupling. However, as stated above, hadh−/− mice have to burn more fat to generate similar levels of ATP. We therefore assume that this finally results in the generation of additional reduction equivalents and in higher body temperature. However, the difference in body temperature is very moderate (0.4 C) and therefore not detectable by an elevated energy expenditure, as we recently determined for the Abcg1−/− mouse. This model had a 1 C higher body temperature than the wild-type littermates, an effect that associated with slightly higher energy expenditure and reduced body weight (20). We assume that the measurement of energy expenditure by indirect calorimetry is not sensitive enough to detect the moderately increased body temperature of the hadh−/− mouse.

Fig. 7.
Schematic demonstration of mitochondrial fatty acid β-oxidation and the enzymes catalyzing the different steps. Acadl, Long-chain acyl-CoA dehydrogenase; Acadm, medium-chain acyl-CoA dehydrogenase; Acads, short-chain acyl-CoA dehydrogenase; Hadh, ...

In contrast, hadh−/− mice are, like other mice lacking enzymes of the β-oxidation, cold intolerant (1, 21, 22). Our data indicate that hadh−/− mice are unable to clear the lipids from the plasma when they are exposed to 4 C (Fig. 6). Therefore, a reduced cleavage of triglycerides and/or uptake into the BAT appears to be responsible for drop of the body temperature in the absence of SCHAD, and we hypothesize that metabolites, such as C4OH-carnitine, mediate these effects. Similarly, mice lacking the transmembrane lipid and lipoprotein receptor CD36 exhibit elevated free fatty acid concentrations after cold exposure and are cold intolerant (16). The mechanisms described above, resulting in elevated body temperature of hadh−/− mice under control conditions (20 C), are obviously insufficient to facilitate adaptive thermogenesis.

Another striking effect of SCHAD deficiency was the reduced blood sugar concentration under control, fasted, and postprandial conditions (Fig. 6A). This could be a secondary effect of the inefficient fuel consumption of hadh−/− mice (see above). However, in the postprandial state, the reduced blood glucose levels can be explained by elevated plasma insulin concentrations (Fig. 6B). According to this, glucose-stimulated insulin secretion was higher in isolated islets of hadh−/− mice than in that of control mice (Fig. 6C). In addition, the additive effect of fatty acids on insulin release (19) was higher in hadh−/− islets. This finding confirms effects of SCHAD deficiency detected in humans. Children with mutations in HADH gene suffer from nonketonic and hypoglycaemic hyperinsulinemia (4, 19, 23). However, our observation is in contrast to that of Li et al. (5), who detected insulin release from perifused islets and observed a hypersensitivity of hadh−/− islets to amino acid-stimulated insulin secretion but no changes in response to glucose (5). One reason for this difference might be the genetic background (24) of the knockout mice; for our studies, we used mice that were backcrossed 6–10 times with C57BL/6 mice, whereas no backcrossing was mentioned in Li et al. (5), indicating that those mice had a mixed background of NIH Black Swiss and C57BL/6. The two most prominent examples for differences in the phenotype of one mutation on two different genetic backgrounds are the leptin gene (ob/ob) and the leptin receptor gene (db/db). Both loss-of-function mutations produce massive obesity on the B6 and the BKS (C57LBKS/J) background. However, on the BKS background, both mutations produced a life-shortening diabetes, whereas mice on the B6 background were normoglycemic (2426). Another reason for the differences in insulin secretion might be the use of different diets.

The question whether the reduced blood glucose concentrations of hadh−/− mice are the result of the insufficient fuel consumption and/or the enhanced insulin secretion by the pancreas needs to be answered in the future. Our data indicate that hypoglycemia is due to a combination of both alterations. For the clarification of this question, it will be necessary to detect blood glucose and insulin concentrations, for instance, in the thermoneutral zone to avoid energy consumption for heat production. Another option could be to pair feed control and hadh−/− mice in a way that both mice would generate comparable amounts of ATP and reduction equivalents. Similar differences in glucose concentrations as in the previous experimental setting would indicate that it is the consequence of the higher insulin secretion.

In summary, our data indicate that inhibition of SCHAD reduces the body weight according to the excretion of acylcarnitines, which associates with a reduced fuel efficiency. It, furthermore, lowers blood glucose concentrations by elevating nutrient-stimulated insulin secretion.

Supplementary Material

Supplemental Data:


We thank the skillful technical assistance of Andrea Teichmann, Daniel Bakó, and Henk van Lenthe; Ruben Rosenkranz for verification of GeneTrap mouse ES cells and for mouse genotyping; and Ingo Voigt for blastocyst injections.

This work was supported by German Ministry of Education, Research, and Technology Grants 0313128B, NGFN2:01GS0487; NGFNplus:01GS0821; NEUROTARGET: 01GI0847; and DZD: 01GI0922.

Disclosure Summary: The authors have nothing to disclose.



Brown adipose tissue
coenzyme A
reduced flavin adenine dinucleotide
glyceraldehyde-3-phosphate dehydrogenase
high-fat diet
tandem mass spectrometry
reduced nicotinamide adenine dinucleotide
New Zealand obese
quantitative trait locus
short-chain-3-hydroxyacyl-CoA dehydrogenase
total energy expenditure
ultraperformance liquid chromatography
carbon dioxide production
oxygen consumption
uncoupling protein 1.


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