,5-Diiodo-L-thyronine rapidly enhances mitochondrial fatty acid oxidation rate and thermogenesis in rat skeletal muscle: AMP-activated protein kinase involvement. Am J Physiol Endocrinol Metab 296: E497-E502, 2009. First published December 30, 2008 doi:10.1152/ajpendo.90642.2008.-Triiodothyronine regulates energy metabolism and thermogenesis. Among triiodothyronine derivatives, 3,5-diiodo-L-thyronine (T2) has been shown to exert marked effects on energy metabolism by acting mainly at the mitochondrial level. Here we investigated the capacity of T2 to affect both skeletal muscle mitochondrial substrate oxidation and thermogenesis within 1 h after its injection into hypothyroid rats. Administration of T2 induced an increase in mitochondrial oxidation when palmitoyl-CoA (ϩ104%), palmitoylcarnitine (ϩ80%), or succinate (ϩ30%) was used as substrate, but it had no effect when pyruvate was used. T2 was able to 1) activate the AMPK-ACC-malonyl-CoA metabolic signaling pathway known to direct lipid partitioning toward oxidation and 2) increase the importing of fatty acids into the mitochondrion. These results suggest that T2 stimulates mitochondrial fatty acid oxidation by activating several metabolic pathways, such as the fatty acid import/-oxidation cycle/ FADH2-linked respiratory pathways, where fatty acids are imported. T 2 also enhanced skeletal muscle mitochondrial thermogenesis by activating pathways involved in the dissipation of the proton-motive force not associated with ATP synthesis ("proton leak"), the effect being dependent on the presence of free fatty acids inside mitochondria. We conclude that skeletal muscle is a target for T2, and we propose that, by activating processes able to enhance mitochondrial fatty acid oxidation and thermogenesis, T2 could play a role in protecting skeletal muscle against excessive intramyocellular lipid storage, possibly allowing it to avoid functional disorders. adenosine 5Ј-monophosphate; thyroid hormone; mitochondria AMONG THE ENDOCRINE FACTORS able to regulate substrate metabolism and thermogenesis, thyroid hormones (THs) play important roles. 3,5,3Ј-Triiodothyronine (T 3 ) exerts a plethora of effects, including upregulation of peripheral and hepatic glucose uptake, cholesterol reduction, loss of body weight and adiposity, cardiac acceleration, and increases in metabolic rate (28,32). In adults, T 3 regulates energy metabolism by increasing respiration and energy expenditure and by lowering metabolic efficiency (for review, see Ref. 11). Because of this, T 3 was tested in the past as an antiobesity and hypolipidemic agent. However, due to its undesirable side effects, particularly within the cardiovascular system, its use was not continued (19). The development of TH derivatives that, while retaining lipid-lowering and antiobesity efficacy, are devoid of cardiovascular side effects would represent a potentially valuable therapeutic tool for the reduction of some important risk factors. Many laboratories have demonstrated metabolic effects of 3,5-diiodothyronine (T 2 ; a...