Bezaire, Veronic, George J. F. Heigenhauser, and Lawrence L. Spriet. Regulation of CPT I activity in intermyofibrillar and subsarcolemmal mitochondria from human and rat skeletal muscle. Am J Physiol Endocrinol Metab 286: E85-E91, 2004. First published September 3, 2003; 10.1152/ajpendo.00237.2003.-Carnitine palmitoyltransferase I (CPT I) is considered the rate-limiting enzyme in the transfer of long-chain fatty acids (LCFA) into the mitochondria and is reversibly inhibited by malonyl-CoA (M-CoA) in vitro. In rat skeletal muscle, M-CoA levels decrease during exercise, releasing the inhibition of CPT I and increasing LCFA oxidation. However, in human skeletal muscle, M-CoA levels do not change during moderateintensity exercise despite large increases in fat oxidation, suggesting that M-CoA is not the sole regulator of increased CPT I activity during exercise. In the present study, we measured CPT I activity in intermyofibrillar (IMF) and subsarcolemmal (SS) mitochondria isolated from human vastus lateralis (VL), rat soleus (Sol), and red gastrocnemius (RG) muscles. We tested whether exercise-related levels (ϳ65% maximal O2 uptake) of calcium and adenylate charge metabolites (free AMP, ADP, and Pi) could override the M-CoAinduced inhibition of CPT I activity and explain the increased CPT I flux during exercise. Protein content was ϳ25-40% higher in IMF than in SS mitochondria in all muscles. Maximal CPT I activity was similar in IMF and SS mitochondria in all muscles (VL: 282 Ϯ 46 vs. 280 Ϯ 51; Sol: 390 Ϯ 81 vs. 368 Ϯ 82; RG: 252 Ϯ 71 vs. 278 Ϯ 44 nmol⅐min Ϫ1 ⅐mg protein Ϫ1 ). Sensitivity to M-CoA did not differ between IMF and SS mitochondria in all muscles (25-31% inhibition in VL, 52-70% in Sol and RG). Calcium and adenylate charge metabolites did not override the M-CoA-induced inhibition of CPT I activity in mitochondria isolated from VL, Sol, and RG muscles. Decreasing pH from 7.1 to 6.8 reduced CPT I activity by ϳ34-40% in both VL mitochondrial fractions. In summary, this study reports no differences in CPT I activity or sensitivity to M-CoA between IMF and SS mitochondria isolated from human and rat skeletal muscles. Exercise-induced increases in calcium and adenylate charge metabolites do not appear responsible for upregulating CPT I activity in human or rat skeletal muscle during moderate aerobic exercise.carnitine palmitoyltransferase I; malonyl-coenzyme A; fat oxidation THE CARNITINE PALMITOYLTRANSFERASE (CPT) complex consists of CPT I, acylcarnitine translocase, and CPT II. This complex facilitates the entry of long-chain fatty acid (LCFA) from the cytosol to the mitochondrial matrix, where LCFA undergo -oxidation (16). CPT I, which spans the outer mitochondrial membrane, catalyzes the transfer of a variety of long-chain fatty acyl groups from free coenzyme A (CoASH) to carnitine. The generated acylcarnitine can then permeate the inner membrane via the acylcarnitine/carnitine translocase system. The acyl-CoA moiety is then reformed in the matrix of the mitochondria via CPT II.CPT I is considered the r...