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Figure 1 represents oxygen consumption rates (OCR) for the pyruvate/malate, succinate/rotenone, palmitoyl carnitine/malate, and glutamate/malate assays (Coupling Assays). These assay tracings are displayed as Oxygen Consumption Rate, or OCR, vs. time, are background correceted, and are displayed as point-to-point rates. Each panel represents oxygen consumption in different mitochondrial states as described by Chance and Williams14. The first panel represents basal oxygen consumption, or State 2. The second panel, after injection of ADP, represents maximal coupled respiration, or State 3. The third panel, after injection of oligomycin A (an inhibitor of Complex V), represents respiration due to proton leak, or State 4o. The fourth panel, after injection of FCCP, represents maximal uncoupled respiration, or State 3u. Finally, the fifth panel, after injection of Antimycin A, represents the inhibition of oxidative respiration. Notably, all mitochondrial states have minimal standard deviation. This is due to thorough mixing of the mitochondrial stock and the mitochondria/substrate mixes, and the attainment of a single monolayer of mitochondria after the adherence spin (Step 2.6). On the other hand, loading unequal mitochondria in each well and not attaining a single monolayer of mitochondria in the well of the microplate leads to increased standard deviation in each state as displayed in Figure 2.
The tracings in Figure 1 display plateaus for each mitochondrial state and for each substrate. The plateau attained after two measurement cycles suggests good mitochondrial quality and that the mitochondria remain adhered to the well throughout the duration of the assay. In addition, the attainment of plateaued maximal rates may be more desirable since this allows the researcher to take the average OCR at these mitochondrial states, thus reducing bias that may occur by arbitrarily selecting a point.
The amount of mitochondria per well was determined by optimization trials. The optimal amount of mitochondria per well should result in State 2 rates between 100-200 pmol/min/well and state 3 rates < 1,500 pmol/min/well, since these values are within the dynamic oxygen sensing range of the multi-well oxygen consumption measurement machine. Loading too much mitochondrial protein per well may result in OCRs beyond the dynamic range of the instrument (Figure 3A). Figure 3 depicts loading 3.5 µg of mitochondrial protein per well (blue tracing) compared to loading 2.5 µg of mitochondrial protein per well (red tracing) for the succinate/rotenone assay. Loading too much mitochondrial protein per well can also lead to the exhaustion of oxygen within the microchamber of the well, thus preventing accurate measurement of OCR for each successive measurement9 (Figure 3B). Point-to-point OCR is the instantaneous rate of change of the OCR. If flat, the OCR is steady/stable, but if decreasing, then there may be a biologic or technical issue. The steep decline in OCR in State 3 and State 3u respiration (Figure 3A) is caused by the mitochondria exhausting the oxygen supply before the end of the measurement (Figure 3B).
Figure 4 represents OCR vs. time for the electron flow assay. The tracing is corrected and displayed as described for Figure 1. The first panel in this assay represents State 3u respiration on pyruvate/malate via Complex I. The second panel, after injection of rotenone, represents inhibition of Complex I mediated respiration. The third panel, after injection of succinate, represents substrate stimulated State 3u with electrons entering the ETC at Complex II (Complex II mediated respiration). The fourth panel, after injection of Antimycin A, represents inhibition of Complex III and thus total respiration. Finally, the fifth panel, after injection of ascorbate/TMPD, represents Complex IV mediated respiration. Similar to the tracings in Figure 1, all mitochondrial states have minimal standard deviation, and each rate has or nearly has attained a plateau.

Figure 1. Coupling Assays. (A) 10 mM Pyruvate/ 5 mM malate, (B) 10 mM succinate/ 2 µM rotenone, (C) 40 µM palmitoyl carnitine/ 1 mM malate, and (D) 10 mM glutamate/ 10 mM malate coupled mitochondrial respiration assay tracings as determined by multi-well measurement of oxygen consumption. Values are expressed as mean ± SD. Mitochondrial protein loaded per well was 3.5 µg for all assays except succinate/rotenone, which utilizes 2.5 µg of mitochondrial protein per well. Data represents n=3 paired biological replicates. OCR = Oxygen Consumption Rate; ADP = Adenosine diphosphate; Oligo = Oligomycin A; FCCP = Carbonyl cyanide-4- (trifluoromethoxy) phenylhydrazone; Anti-A = Antimycin A; PYR = Pyruvate; SUCC = Succinate; ROT = Rotenone; PAL-C = palmitoyl carnitine; GLUT = glutamate. Please click here to view a larger version of this figure.

Figure 2. Highly Variable Pyruvate/Malate Assay. Highly variable 10 mM pyruvate/ 5 mM malate assay caused by incompletely mixing mitochondria from the mitochondrial stock in the substrate/MAS mix, thus leading to variable mitochondrial protein loading in each well. Mitochondrial protein loaded per well was 3.5 µg. Data represents n=3 paired biological replicates. OCR=Oxygen Consumption Rate; ADP= Adenosine diphosphate; Oligo= Oligomycin A; FCCP= Carbonyl cyanide-4-(trifluoromethoxy)phenylhydrazone; Anti-A= Antimycin A; PYR=Pyruvate. Please click here to view a larger version of this figure.

Figure 3. Overloading Mitochondrial Protein for the Succinate/Rotenone Assay. (A) Oxygen consumption rates outside the dynamic range of the multi-well oxygen consumption measurement machine caused by loading 3.5 µg of mitochondrial protein per well (blue tracing) compared to loading 2.5 µg of mitochondrial protein per well (red tracing). (B) Oxygen tension approaching zero following ADP and FCCP injections caused by loading excessive mitochondrial protein (3.5 µg) per well (blue tracing) compared to loading an optimal amount (2.5 µg) of mitochondrial protein per well (red tracing). Data represents n = 3 paired biological replicates per mitochondrial protein amount. OCR = Oxygen Consumption Rate; ADP = Adenosine diphosphate; Oligo = Oligomycin A; FCCP = Carbonyl cyanide-4-(trifluoromethoxy)phenylhydrazone; Anti-A = Antimycin A; SUCC = Succinate; ROT = Rotenone; O2 = Oxygen; mm Hg = millimeters of mercury. Please click here to view a larger version of this figure.

Figure 4. Electron Flow Assay. 5 mM pyruvate/ 1 mM malate+ 4 µM FCCP, electron flow mitochondrial respiration assay tracing as determined by multi-well measurement of oxygen consumption. Values are expressed as mean ± SD. Mitochondrial protein loaded per well was 3.5 µg. Data represents n=3 paired biological replicates. OCR = Oxygen Consumption Rate; Anti-A = Antimycin A; Asc = Ascorbate; TMPD = N,N,N′,N′-tetramethyl-p-phenylenediamine. Please click here to view a larger version of this figure.
| Reagent | Stock Concentration | MW | Final Volume | Mass Added | Comments/Description |
| (M) | (g/mol) | (ml) | (g or ml) | |
| EGTA, pH 7.2 | 0.1 | 380.35 | 100 ml of 1M Tris Base | 3.801 g | Store at 4 °C |
| HEPES | 1 | 238.3 | 250 ml of DiH2O | 59. 57 g | Store at 4 °C |
| MgCl2, hexahydrate | 1 | 203.31 | 250 ml of DiH2O | 50.82 g | Store at 4 °C |
| Pyruvate pH 7.4 | 0.1 | 88.06 (Comes as 14.11 M solution) | 40 ml of DiH2O | 0.283 ml of pyruvic acid | Make 1 ml aliquots and store at -20 °C, make fresh every two weeks |
| Succinate pH 7.4 | 0.5 | 118.09 | 100 ml of DiH2O | 9.4 g of succinic acid | Make 1 ml aliquots and store at -20 °C |
| Malate, pH 7.4 | 0.5 | 134.09 | 100 ml of 95% Ethanol | 6.7 g of malic acid | Make 200 μl aliquots and store at -20 °C |
| TMPD | 0.01 | 164.25 | 10 ml | 0.0164 g | Make 300 μl aliquots and store at -20 °C; Mix with an equimolar amount of ascorbate to keep TMPD reduced |
| Palmitoyl L-carnitine chloride | 0.01 | 436.07 | 1.14 ml of 95% Ethanol | 0.005 g | Make 40 μl aliquots and store at -20 °C |
| Oligomycin A | 0.006 | 791.06 | 0.987 ml of 95% Ethanol | 0.005 g | Make 20 μl aliquots and store at -20 °C |
| FCCP | 0.01 | 254.17 | 3.9 ml of 95% Ethanol | 0.01 g | Make 40 μl aliquots and store at -20 °C |
| Rotenone | 0.001 | 394.4 | 10 ml of 95% Ethanol | 0.0039 g | Store at -20 °C |
| Antimycin A | 0.005 | 548.63 | 9.12 ml of 95% Ethanol | 0.025 g | Store at -20 °C |
| K+ ADP | 0.5 | 501.32 | 3.9 ml of DiH2O | 1.0 g | Store at -20 °C |
| Malic Acid, pH 7.4 | 0.5 | 134.09 | 40 ml | 2.68 g | Make 200 μl aliquots and store at -20 °C |
Table 1. Stock Solutions
| Reagent | Stock Concentration | Mass Added | Final Molarity/Percent |
| (M) | (g or ml) |
| Sucrose | -- | 11.98 g | 70 mM |
| Mannitol | -- | 20.04 g | 220 mM |
| Potassium phosphate monobasic | -- | 0.34 g | 5 mM |
| MgCl2, hexahydrate | 1 | 2.5 ml | 5 mM |
| HEPES | 1 | 1.0 ml | 2 mM |
| EGTA | 0.1 | 5.0 ml | 1 mM |
| Essentially Fatty Acid Free- BSA | -- | 1.0 g | 0.20% |
Table 2. MAS Mix. pH 7.4, 500 ml: Aliquot 25 ml and store at -20 ºC *Note: Exclude BSA for MAS mix used for assay injections.
| Substrate Medium | Final Concentration | Amount of stock (µl) | Amount of MAS* (ml) |
| Pyruvate/Malate | 10 mM/5 mM | Pyruvate: 1,000 | 9 |
| Malate: 100 |
| Succicinate/Rotenone | 10 mM/2 µM | Succinate: 200 | 10 |
| Rotenone 20 |
| *Pyruvate/Malate + FCCP | 5 mM/1 mM/4 µM | Pyruvate: 500 | 10 |
| FCCP: 4 |
| Malate: 20 |
| Palmitoyl L-carnitine/Malate | 40 µM/1 mM | Palmitoylcarnitine: 40 Malate: 20 | 10 |
| Glutamate/Malate | 10 mM/10 mM | Glutamate: 400 | 10 |
| Malate: 200 |
Table 3. Substrate Solutions pH 7.4: Make fresh the day of the experiment. *Electron flow assay solution.
| Injection Medium | Concentration | Amount of stock (µl) | Amount of MAS (ml) | Amount injected into Cartridge | Final Concentration |
| | | | | (After injected in plate) |
| ADP | 50 mM | 300 µl | 3 | 50 µl | 5.0 mM |
| Oligomycin A | 20 µM | 10 µl | 3 | 55 µl | 2.0 µM |
| FCCP | 40 µM | 12 µl | 3 | 60 µl | 4.0 µM |
| Antimycin A | 40 µM | 24 µl | 3 | 65 µl | 4.0 µM |
Table 4. Injections for Coupled Assays. pH 7.4: Make fresh the day of the experiment. *Coupling assays include (but are not limited to) pyruvate/malate, succinate/rotenone, palmitoyl carnitine/malate, and glutamate/malate.
| Injection Medium | Concentration | Amount of stock (g or ul) | Amount of MAS (ml) | Amount injected into Cartridge | Final Concentration (After injected in plate) |
| Rotenone | 20 µM | 60 µl | 3 | 50 µl | 2.0 µM |
| Succinate | 50 mM | 300 µl | 3 | 55 µl | 5.0 mM |
| Antimycin A | 40 µM | 24 µl | 3 | 60 µl | 4.0 µM |
| TMPD/Ascorabte | 1 mM, 100 mM | TMPD : 300 µl | 3 | 65 µl | 100 µM, 10mM |
| | Ascorbate: 0.059 g | | | |
Table 5. Injections for Electron Flow Assay. pH 7.4: Make fresh the day of the experiment
| Command | Time (min) | # of cycles |
| Calibrate | | |
| Wait | 10 min (to allow plate to warm from adherence step) | |
| Mix | 1 min | 2 |
| Measure | 2 min |
| Inject A | | |
| Mix | 1 min | 2 |
| Measure | 2 min |
| Inject B | | |
| Mix | 1 min | 2 |
| Measure | 2 min |
| Inject C | | |
| Mix | 1 min | 2 |
| Measure | 2 min |
| Inject D | | |
| Mix | 1 min | 2 |
| Measure | 2 min |
Table 6. Instrument Run Protocol.