Fischer B, Schöttl T, Schempp C, Fromme T, Hauner H, Klingenspor M, Skurk T. Inverse relationship between body mass index and mitochondrial oxidative phosphorylation capacity in human subcutaneous adipocytes. Am J Physiol Endocrinol Metab 309: E380 -E387, 2015. First published June 16, 2015; doi:10.1152/ajpendo.00524.2014.-Obesity is characterized by a substantial increase in adipose tissue that may contribute to energy balance. Recently, obesity was suggested to be associated with impaired mitochondrial function in adipocytes. In this study, we investigated the following: 1) the respiratory capacities of mitochondria isolated from mature adipocytes of female subjects whose body mass index (BMI) values were distributed over a wide range and 2) the amounts of electron transport chain complexes in these mitochondria. Fat cells were isolated from adipose tissue specimens by collagenase digestion. Mitochondria were isolated from these fat cells, and their respiratory capacity was determined using a Clark-type electrode. Fat cells were also sorted on the basis of their size into large and small fractions to assess their respiration. Western blot analyses were performed to quantify respiratory chain complex components. We also examined mitochondrial activity development during differentiation using human Simpson-Golabi-Behmel syndrome cells. Our results showed that mitochondrial respiratory capacities in adipocytes were inversely associated with BMI values but were independent of cell size. Western blot analyses revealed significantly fewer complex I and IV components in adipose tissues from obese compared with nonobese women. These results suggest that differences at the level of respiratory chain complexes might be responsible for the deterioration of respiratory capacity in obese individuals. In particular, electron transport at the level of complexes I and IV seems to be most affected. obesity; adipocytes; mitochondrial respiration; respiratory chain complexes; oxidative phosphorylation ADIPOSE TISSUE IS AN IMPORTANT CONTRIBUTOR to the regulation of energy homeostasis. Although adipose tissue accounts for only about 4% of whole body energy turnover in normal-weight individuals (12), its contribution might increase considerably due to the increased adipose tissue mass associated with increasing obesity. It is well accepted that obesity is accompanied by adipocyte dysregulation, which is linked to abnormal adipokine secretion, an inflammatory status of adipose tissue, and ultimately to metabolic disorders like type 2 diabetes mellitus (reviewed in Ref. 11). Altered mitochondrial function in white adipose tissue has also been considered to be involved in abnormal metabolic states, as seen in obesity (37, 38).Thermogenesis by adipocytes from obese donors was found to be reduced compared with that by adipocytes from lean donors (4). Moreover, obesity was found to be associated with the downregulation of transcription levels of genes that were involved in oxidative phosphorylation (OXPHOS) in white adipose tissue (25). ...