Wilson DF. Regulation of metabolism: the rest-to-work transition in skeletal muscle. Am J Physiol Endocrinol Metab 309: E793-E801, 2015. First published September 22, 2015; doi:10.1152/ajpendo.00355.2015.-Mitochondrial oxidative phosphorylation is programmed to set and maintain metabolic homeostasis, and understanding that program is essential for an integrated view of cellular and tissue metabolism. The behavior predicted by a mechanism-based model for oxidative phosphorylation is compared with that experimentally measured for skeletal muscle when work is initiated. For the model, initiation of work is simulated by imposing a rate of ATP utilization of either 0.6 (equivalent of 13. [CrP], and the increase in oxygen consumption are dependent on the PO2 in the inspired gas (experimental) or tissue PO2 (model). The metabolic behavior predicted by the model is consistent with available experimental measurements in muscle upon initiation of work, with the model providing valuable insight into how metabolic homeostasis is set and maintained. muscle work; metabolic control; metabolic homeostasis; rest-to-work transition; skeletal muscle IN CELLS, METABOLISM CHANGES CONTINUOUSLY AND RAPIDLY in response to alterations in the cellular environment or intracellular and extracellular functions, and this can involve large changes in metabolite levels and enzymatic activity. These metabolic responses can occur within seconds and include all aspects of metabolism: ion transport, mechanical work, protein synthesis, etc. Integrated metabolism, however, counters these metabolic displacements and on a time average basis operates near a particular set point (metabolic homeostasis), and this set point is very similar for all eukaryotic cells. Real-time control of metabolism and maintaining metabolic homeostasis requires a metabolic unit that is programmed with that set point and is connected to the rest of metabolism through a network of regulatory pathways through which the set point is maintained (49,50,55). In eukaryotic cells, mitochondrial oxidative phosphorylation is programmed with a set point for the energy state To better understand how oxidative phosphorylation is able to set and maintain metabolic homeostasis, it is necessary to understand the mechanism(s) by which oxidative phosphorylation is regulated and to construct a model that quantifies the dependence on each of the regulatory parameters. The rate of oxidative phosphorylation is determined by the flux through cytochrome c oxidase, so a mechanism-based model has been built for the cytochrome c oxidase (55, 56). The steady-state rate expression derived for that model fits the observed dependences on energy state, PO 2 , pH, and level of reduction of cytochrome c (51, 52, 55). The rate expression for cytochrome c oxidase can then be extended to overall oxidative phosphorylation, with the first two sites of oxidative phosphorylation added (without the pH dependence of ATP hydrolysis): NADH ϩ 2 P i ϩ 2 ADP ϩ2 cyt c 3ϩ ϭ NAD ϩ ϩ H ϩ ϩ 2 ATP ϩ 2 cyt c 2ϩ (1). The reactio...