Lipotoxicity occurs as a consequence of chronic exposure of non-adipose tissue and cells to elevated concentrations of fatty acids, triglycerides and/or cholesterol. The contribution of mitochondria to lipotoxic cell dysfunction, damage and death is associated with elevated production of reactive oxygen species and initiation of apoptosis. Although there is a broad consensus on the involvement of these phenomena with lipotoxicity, the molecular mechanisms that initiate, mediate and trigger mitochondrial dysfunction in response to substrate overload remain unclear. Here, we focus on protein phosphorylation as an important phenomenon in lipotoxicity that harms mitochondria-related signal transduction and integration in cellular metabolism. Moreover, the degradation of mitochondria by mitophagy is discussed as an important landmark that leads to cellular apoptosis in lipotoxicity.
Mitochondrial relay functionThe term 'lipotoxicity' describes the dysfunction of non-adipose tissue and cells that face chronic exposure to elevated fatty acids, triglycerides and/or cholesterol [1][2][3]. When plasma levels of prandial and postprandial fatty acids, triglycerides or cholesterol exceed the uptake capacity of adipose tissue, non-adipose tissue becomes overloaded with lipids, resulting in several metabolic imbalances and/or diseases. Once the oxidative capacity of these cells is exhausted, lipotoxic pathways are initiated that yield cellular dysfunction and, at worst, result in cell death. Although multiple lipotoxic events have been described [1][2][3] (e.g. induction of endoplasmic reticulum stress [4,5] by disruption of its structural integrity [6]) recent findings point to mitochondrial dysfunction as a key phenomenon in lipotoxicity leading to ominous signals [7][8][9][10][11].The mitochondria not only serve as the power plant of the cell but also act as a cellular relay, sensing multiple cellular and environmental parameters, including energy status, oxygen availability and activation patterns of cellular signal-transduction pathways. Mitochondria then integrate these inputs, adapting their activity and functions to, ultimately, tune cellular responsiveness with respect to the current demand of the cell [12] (Figure 1). In spite of the important tasks of the mitochondrion and in contrast to its functions in energy metabolism, its contribution to signal transduction has not been thoroughly investigated, and the [24,25]. Because similar pathways were also described as leading to cellular differentiation [17], the actual physiological outcome might depend on the pattern of activated pathways rather than on a single phenomenon. Thus, it is feasible that changes in the mitochondrial phosphoproteome caused by alterations in kinase activities are fundamental for the decisive setting of signaling patterns for cell survival or the initiation of cellular dysfunction in lipotoxicity leading to cell death. Three different scenarios affecting mitochondrial protein phosphorylation can be postulated in lipotoxicity ( Figure ...