Background: (Ϫ)-Hydroxycitrate (HCA), a competitive inhibitor of ATP-citrate lyase, should reduce the extramitochondrial acetyl-CoA pool. It has been hypothesized that HCA ingestion can reduce malonyl-CoA concentrations and consequently increase fatty acid oxidation in vivo. Objective: This study investigated the acute effects of HCA supplementation on substrate utilization at rest and during exercise in endurance-trained humans. Design: Ten cyclists [(x -± SD) age: 24 ± 2 y, weight: 73 ± 2 kg, maximal oxygen uptake: 4.95 ± 0.11 L/min, maximal work output (Wmax): 408 ± 8 W] were studied at rest and during 2 h of exercise at 50% Wmax on 2 occasions. Both 45 and 15 min before exercise and 30 and 60 min after the start of exercise, 3.1 mL/kg body wt of an HCA solution (19 g/L) or placebo was ingested. Total fat and carbohydrate oxidation rates were assessed. Blood samples were collected at 15-min intervals at rest and every 30 min during exercise. Results: Plasma HCA concentrations increased after HCA ingestion up to 0.39 ± 0.02 mmol/L (82.0 ± 4.8 mg/L). However, no significant differences in total fat and carbohydrate oxidation rates were observed between trials. Accordingly, plasma glucose, glycerol, and fatty acid concentrations did not differ between trials. Plasma lactate concentrations were significantly lower in the HCA than in the placebo trial after 30 min of exercise but at the end of the exercise period they did not differ between trials. Conclusion: HCA, even when provided in large quantities, does not increase total fat oxidation in vivo in endurance-trained humans.Am J Clin Nutr 2000;72:1445-50.
KEY WORDS(Ϫ)-Hydroxycitrate, HCA, Garcinia cambogia, fat oxidation, obesity, dietary supplement, weight loss
INTRODUCTIONRecently, a lot of publicity has been generated concerning a compound known as (Ϫ)-hydroxycitrate (HCA). HCA is being promoted as the new natural aid to losing weight and many promises about its effect on metabolism and appetite are being made.HCA is a principal constituent in the rind of the fruit of Garcinia cambogia, which is used in the preparation of curries and condiments in Asian cuisine. HCA appears to be well tolerated and has a chemical structure much like that of citric acid. Consequently, HCA is now added extensively to a wide variety of nutritional supplements. Although the toxicologic safety of HCA is often stated, we are not familiar with published studies that actually investigated the safety (short-or long-term) of HCA supplementation. The knowledge that HCA could have an important effect on metabolism is not new-Sullivan and coworkers were already doing research on HCA in the 1970s (1-8). Although the clinical relevance of HCA as an effective antiobesity agent has often been proposed (1, 9-12), very little research has been performed to investigate the metabolic effects of HCA supplementation in vivo in humans.HCA is a competitive inhibitor of ATP-citrate lyase (EC 4.1.3.8), the enzyme catalyzing the extramitochondrial cleavage of citrate to oxaloacetate and acetyl-...