Bonen A, Han X-X, Habets DD, Febbraio M, Glatz JF, Luiken JJ. A null mutation in skeletal muscle FAT/CD36 reveals its essential role in insulin-and AICAR-stimulated fatty acid metabolism. Am J Physiol Endocrinol Metab 292: E1740 -E1749, 2007. First published January 30, 2007; doi:10.1152/ajpendo.00579.2006.-Fatty acid translocase (FAT)/CD36 is involved in regulating the uptake of long-chain fatty acids into muscle cells. However, the contribution of FAT/CD36 to fatty acid metabolism remains unknown. We examined the role of FAT/CD36 on fatty acid metabolism in perfused muscles (soleus and red and white gastrocnemius) of wild-type (WT) and FAT/CD36 null (KO) mice. In general, in muscles of KO mice, 1) insulin sensitivity and 5-aminoimidazole-4-carboxamide-1--Dribofuranoside (AICAR) sensitivity were normal, 2) key enzymes involved in fatty acid oxidation were altered minimally or not at all, and 3) except for an increase in soleus muscle FATP1 and FATP4, these fatty acid transporters were not altered in red and white gastrocnemius muscles, whereas plasma membrane-bound fatty acid binding protein was not altered in any muscle. In KO muscles perfused under basal conditions (i.e., no insulin, no AICAR), rates of hindquarter fatty acid oxidation were reduced by 26%. Similarly, in oxidative but not glycolytic muscles, the basal rates of triacylglycerol esterification were reduced by 40%. When muscles were perfused with insulin, the net increase in fatty acid esterification was threefold greater in the oxidative muscles of WT mice compared with the oxidative muscles in KO mice. With AICAR-stimulation, the net increase in fatty acid oxidation by hindquarter muscles was 3.7-fold greater in WT compared with KO mice. In conclusion, the present studies demonstrate that FAT/CD36 has a critical role in regulating fatty acid esterification and oxidation, particularly during stimulation with insulin or AICAR.perfusion; palmitate; esterification; oxidation; fatty transport proteins 1 and 2; plasma membrane-bound fatty acid binding protein; 5-amino-imidazole-4-carboxamide-1--D-ribofuranoside IN RECENT YEARS it has been established that fatty acid transport into metabolically active tissues such as heart and skeletal muscle occurs, in part, via a protein-mediated process (4, 7-9, 32, 33). Although a number of fatty acid transporters have been identified, it appears that fatty acid translocase (FAT)/CD36 and plasma membrane-bound fatty acid binding protein (FABPpm) are two key fatty acid transporters. Upregulation of FAT/CD36 and FABPpm, either after 7 days of chronic muscle contraction or after exposure of cardiac myocytes to insulin or 5-aminoimidazole-4-carboxamide-1--D-ribofuranoside (AICAR), increases the rates of fatty acid transport (1,5,11,13,27). Conversely, when FAT/CD36 and FABPpm are concurrently downregulated, the rates of fatty acid transport into resting muscle are decreased (27, 44). The content of plasmalemmal FAT/CD36, but not FABPpm, is increased in insulin-resistant skeletal muscle, and this correlates with in...