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$$\longleftharp{xx}$$,
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This assay is derived from the classic experiment to probe mitochondrial function and serves as a framework with which to build more complex experiments aimed at understanding various changes in cell metabolism, mitochondrial function, and overall bioenergetics.
All compounds used in this experiment should be optimized for the concentration that provides the maximal effect. That is, one must perform separate titration experiments to ascertain these values. This is especially important with FCCP, as the titration curve tends to be quite sharp, and too much FCCP can actually diminish responses in OCR. Typical ranges (final concentrations) to test would be:
- 0.1 - 1.0 ug/ mL of Oligomycin
- 0.1 - 5.0 uM FCCP
- 0.1 - 1.0 uM Rotenone
Note that the responses to each compound above (especially FCCP) will be influenced by the assay media composition (base type, [glucose], [pyruvate], presence/absence of BSA, etc). Further, if the XF assay media composition is changed, optimization will need to be re-performed. The presence and concentration of pyruvate is especially important in obtaining the maximal respiratory capacity due to FCCP. Seahorse Bioscience has observed in a number of cells lines that omission of pyruvate abrogates the ability of cells to respond maximally (above baseline) to FCCP. Typically, concentrations of 1-10 mM pyruvate should be tested to understand the optimal concentration of pyruvate to obtain maximal respiration. Note that [pyruvate] AND [glucose] may need to be "cross-titrated" to obtain the optimal media conditions for the experiment.
Typical results of this experiment are presented below in a graph showing OCR vs. time and another showing ECAR vs. time:

Figure 2. OCR vs. Time

Figure 3. ECAR vs. Time
Here we observed the expected responses in OCR and ECAR as the cells are treated with each successive compound. For oligomycin, OCR decreases as a result of blocking ATP synthesis at mitochondrial Complex V. Since the cells are unable to synthesize ATP via OXPHOS, they revert to glycolysis to meet their demand for ATP, thus we observe an increase in ECAR. As shown previously, FCCP acts as an uncoupling agent. Since the cells must now overcome the proton leak across the inner mitochondrial membrane, OCR increases significantly as more O2 is consumed to pump the excess protons back across the mitochondrial membrane. Finally, rotenone inhibits mitochondrial Complex I and Complex III, respectively, which causes the flow of electrons to cease in the electron transport chain, and thus the consumption of O2 is drastically reduced.

Figure 4. Respiration parameters
Beyond the expected changes in respiration and ECAR, a number of respiratory parameters may be obtained from this data. This is summarized in the figure above:
Here we see that we may obtain information about the basal respiration of the cells, the percent of O2 consumption devoted to ATP production as well as the amount devoted to maintaining the proton gradient (due to H+ leak). Further, we may obtain the maximal respiratory rate under conditions of uncoupled respiration (sometimes referred to as spare respiratory capacity) and finally, we can determine the amount of O2 consumption not due to mitochondrial processes.
A rapidly growing number of studies are employing this mitochondrial profile to assess cellular bioenergetics, identify mitochondrial dysfunction and to predict the ability of cells to respond to stress and/or insults. For more information and details about this experimental method and the idea of spare respiratory capacity, please see refer to the following publications 1-8.