Medium-chain acyl-CoA dehydrogenase (MCAD) catalyzes a pivotal reaction in mitochondrial fatty acid (FA) «-oxidation. To examine the potential role of FAs and their metabolites in the regulation of MCAD gene expression, we measured MCAD mRNA levels in animals fed inhibitors of mitochondrial long-chain FA import. Admintation of carnitine palmitoyltransferase I inhibitors to mice or rats resulted in tissue-limited increases in steady-state MCAD mRNA levels. HepG2 cell cotransfection experiments with MCAD promoter reporter plasmids demonstrated that this was a transcriptional effect mediated by the peroxisome proliferator-activated receptor (PPAR). The activity mapped to a nuclear receptor response element that functioned in a heterologous promoter context and specifically bound immunoreactive PPAR in rat hepatic nuclear extracts, confirming an in vivo interaction. PPAR-mediated transactivations of this promoter and element were also induced by exogenously added FA and fibric acid derivatives. Induction of PPAR transactivation by perturbation of this discrete metabolic step is unusual and indicates that intracellular FA metabolites that accumulate during such inhibition can regulate MCAD expression and are likely candidates for PPAR ligand(s). These results dictate an expanded role for the PPAR in the regulation of FA metabolism.The flavoenzyme medium-chain acyl-CoA dehydrogenase [MCAD; acyl-CoA:(acceptor) 2,3-oxidoreductase; EC 1.3.99.3] is one of four different chain-length-specific enzymes that catalyze the initial reaction in the mitochondrial fatty acid (FA) (3-oxidation cycle (1, 2). Substrates for MCAD include medium-chain length (C6-C12) acyl-CoA thioesters derived from (i) medium-chain FAs that enter mitochondria by diffusion, (ii) products of mitochondrial (-oxidation of saturated and unsaturated long-chain FAs, and (iii) products ofperoxisomal (-oxidation oflong-chain and very long-chain FAs. Because these diverse pathways of FA oxidation converge at this point, MCAD catalyzes a pivotal step in cellular FA metabolism.Expression of MCAD is highly regulated by a variety of conditions that alter substrate availability and tissue energy demands. MCAD mRNA and enzyme are expressed predominantly in tissues that use FAs preferentially as energy substrates, including heart, liver, slow-twitch skeletal muscle, and kidney (3). Hepatic and cardiac MCAD mRNA are markedly upregulated in concert with mitochondrial FA oxidation rates during the postnatal period (3). Induction of MCAD expression is also seen in these tissues during periods of fasting, when cellular energy requirements are met primarily by FA oxidation, an effect that has been attributed to transcriptional modulation (4).The mechanisms-involved in regulation of cellular FA oxidation at the transcriptional level are largely unknown.We have explored the regulation of MCAD promoter activity and have identified sequences that confer both basal (5) and nuclear hormone receptor-mediated activities (6-8). As a further step in delineating the mechanisms ...