Li H, Xu M, Lee J, He C, Xie Z. Leucine supplementation increases SIRT1 expression and prevents mitochondrial dysfunction and metabolic disorders in high-fat diet-induced obese mice. Am J Physiol Endocrinol Metab 303: E1234 -E1244, 2012. First published September 11, 2012; doi:10.1152/ajpendo.00198.2012.-Leucine supplementation has been shown to prevent high-fat diet (HFD)-induced obesity, hyperglycemia, and dyslipidemia in animal models, but the underlying mechanisms are not fully understood. Recent studies suggest that activation of Sirtuin 1 (SIRT1) is an important mechanism to maintain energy and metabolic homeostasis. We therefore examined the involvement of SIRT1 in leucine supplementationprevented obesity and insulin resistance. To accomplish this goal, male C57BL/6J mice were fed normal diet or HFD, supplemented with or without leucine. After 2 mo of treatment, alterations in SIRT1 expression, insulin signaling, and energy metabolism were analyzed. Eight weeks of HFD induced obesity, fatty liver, mitochondrial dysfunction, hyperglycemia, and insulin resistance in mice. Addition of leucine to HFD correlated with increased expression of SIRT1 and NAMPT (nicotinamide phosphoribosyltransferase) as well as higher intracellular NAD ϩ levels, which decreased acetylation of peroxisome proliferator-activated receptor-␥ coactivator 1␣ (PGC1␣) and forkhead box O1 (FoxO1). The deacetylation of PGC1␣ may contribute to upregulation of genes controlling mitochondrial biogenesis and fatty acid oxidation, thereby improving mitochondrial function and preventing HFD-induced obesity in mice. Moreover, decreased acetylation of FoxO1 was accompanied by decreased expression of pseudokinase tribble 3 (TRB3) and reduced the association between TRB3 and Akt, which enhanced insulin sensitivity and improved glucose metabolism. Finally, transfection of dominant negative AMPK prevented activation of SIRT1 signaling in HFD-Leu mice. These data suggest that increased expression of SIRT1 after leucine supplementation may lead to reduced acetylation of PGC1␣ and FoxO1, which is associated with attenuation of HFD-induced mitochondrial dysfunction, insulin resistance, and obesity. leucine supplementation; obesity; SIRT1; PGC1␣; FoxO1; insulin resistance OBESITY, THE MOST COMMON NUTRITIONAL DISORDER in Western countries, is primarily an imbalance between calorie intake and energy expenditure (17). Increasing evidence suggests that obesity and insulin resistance are associated with reduced mitochondrial biogenesis and impaired mitochondrial function (32), which can be triggered by adverse nutrition such as increased fatty acid exposure resulting from high-fat diet (HFD) or overfeeding. Impaired mitochondrial function leads to lipid accumulation in fat tissue, skeletal muscle, and liver, impairing insulin signaling and glucose metabolism (3). Interventions to increase mitochondrial biogenesis and improve mitochondrial function have been shown to correct insulin signaling and metabolic abnormalities (35).Traditionally, strategies for preventin...