Where it comes from
- Made in
- Skeletal muscle (above all in larger mammals) and the atria of the heart
- Sent out by
- Not secreted
- Acts on
- SERCA, which it uncouples so that ATP is burnt without moving calcium
What it does
In medicine
- No medicine acts on it and no human disease has been traced to its gene, so it is on no panel
- It is measured in muscle biopsies in research: the level is abnormally high in Duchenne dystrophy, which is read as part of the calcium handling going wrong there 2
Beyond the body’s own use
- Lowering it is the more advanced idea. Halving the gene restored pump function, eased the muscle and heart disease and extended life in a severe mouse model of Duchenne dystrophy, and a gene-silencing injection did much the same 2
- Raising it is the opposite proposal, for obesity, and rests on mice that cannot keep warm without it and put on more weight on a fat-rich diet 1
- Both ideas are mouse-only. Nothing is in a trial, there is nothing to obtain, and how much of human heat production runs through muscle rather than brown fat is not settled 1
Sources
This card describes what a medicine is for and what the evidence says; it recommends nothing. Talk to your clinician about anything you read here.