The primary aim of this paper was to calculate and report flux control coefficients for mitochondrial outermembrane carnitine palmitoyltransferase (CPT I) over hepatic ketogenesis because its role in controlling this pathway during the neonatal period is of academic importance and immediate clinical relevance. Using hepatocytes isolated from suckling rats as our model system, we measured CPT I activity and carbon flux from palmitate to ketone bodies and to CO 2 in the absence and presence of a range of concentrations of etomoxir. (This is converted in situ to etomoxir-CoA which is a specific inhibitor of the enzyme.) From these data we calculated the individual flux control coefficients for CPT I over ketogenesis, CO 2 production and total carbon flux (0.51^0.03; ± 1.30^0.26; 0.55^0.07, respectively) and compared them with equivalent coefficients calculated by similar analyses [Drynan, L., Quant, P.A. & Zammit, V.A. (1996) Biochem. J. 317, 791±795] in hepatocytes isolated from adult rats (0.85^0.20; 0.23^0.06; 1.06^0.29). CPT I exerts significantly less control over ketogenesis in hepatocytes isolated from suckling rats than those from adult rats. In the suckling systems the flux control coefficients for CPT I over ketogenesis specifically and over total carbon flux (, 0.6) are not consistent with the enzyme being ratelimiting. Broadly similar results were obtained and conclusions drawn by reanalysis of previous data {from experiments in mitochondria isolated from suckling or adult rats [Krauss, S., Lascelles, C.V., Zammit, V.A. & Quant, P.A. (1996) Biochem. J. 319, 427±433]} using a different approach of control analysis, although it is not strictly valid to compare flux contol coefficients from different systems. Our overall conclusion is that flux control coefficients for CPT I over oxidative fluxes from palmitate (or palmitoyl-CoA) differ markedly according to (a) the metabolic state, (b) the stage of development, (c) the specific pathway studied and (d) the model system.Keywords: flux control coefficients; hepatocytes; mitochondria; carnitine palmitoyltransferase; ketogenesis.During the transient hypoglycaemia immediately after birth [1], when feeding is being established, ketone bodies derived from fat stores provide an alternative perinatal fuel to glucose. Subsequently, throughout the suckling period, hepatic ketogenesis generates the main circulating oxidative fuels for the brain and peripheral tissues and carbon precursors for essential myelination of the neonatal brain [2±5]. However, despite the central importance of this biochemical pathway to metabolic adaptation to extrauterine life, we do not currently understand precisely how its onset and development are regulated and controlled in healthy neonates [6]. Furthermore, it is clear that these mechanisms of regulation and control are impaired in certain clinical infants [7,8]. Without rigorous analyses we shall remain unable to understand and describe quantitatively how hepatic ketogenesis is regulated and controlled in both`normal' healthy infants ...