2021
DOI: 10.1016/j.cmet.2021.03.025
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The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine

Abstract: Yu and Richardson et al. find that restriction of dietary isoleucine or valine promotes metabolic health in mice and that restriction of dietary isoleucine is required for the metabolic benefits of a low-protein diet. Furthermore, higher dietary isoleucine levels are associated with increased BMI in humans.

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Cited by 188 publications
(177 citation statements)
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“…Previous results have demonstrated that excess BCAAs directly contributed to de novo lipogenesis or via increased ACLY phosphorylation mediated by the branched-chain ketoacid dehydrogenase kinase (BCKDK) [ 48 , 49 ]. The latest research demonstrated that a low isoleucine diet reprogramed liver and adipose metabolism by increasing hepatic insulin sensitivity and ketogenesis and increasing energy expenditure, activating the FGF21-UCP1 axis [ 50 ]. Their reports also indicated that restriction of dietary isoleucine or valine promoted metabolic health in mice and that restriction of dietary isoleucine was required for the metabolic benefits of a low-protein diet [ 50 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Previous results have demonstrated that excess BCAAs directly contributed to de novo lipogenesis or via increased ACLY phosphorylation mediated by the branched-chain ketoacid dehydrogenase kinase (BCKDK) [ 48 , 49 ]. The latest research demonstrated that a low isoleucine diet reprogramed liver and adipose metabolism by increasing hepatic insulin sensitivity and ketogenesis and increasing energy expenditure, activating the FGF21-UCP1 axis [ 50 ]. Their reports also indicated that restriction of dietary isoleucine or valine promoted metabolic health in mice and that restriction of dietary isoleucine was required for the metabolic benefits of a low-protein diet [ 50 ].…”
Section: Discussionmentioning
confidence: 99%
“…The latest research demonstrated that a low isoleucine diet reprogramed liver and adipose metabolism by increasing hepatic insulin sensitivity and ketogenesis and increasing energy expenditure, activating the FGF21-UCP1 axis [ 50 ]. Their reports also indicated that restriction of dietary isoleucine or valine promoted metabolic health in mice and that restriction of dietary isoleucine was required for the metabolic benefits of a low-protein diet [ 50 ]. Above these results may indicate the unique roles for each of the dietary BCAAs in the development of NAFLD and liver metabolism.…”
Section: Discussionmentioning
confidence: 99%
“…For example, a recent study shows that many of the metabolic abnormalities attributed to BCAA are mediated by isoleucine and to a lesser extent valine, with leucine having little to no effect ( Yu et al, 2021 ). Although another recent study in C2C12 did not find an effect of valine on insulin resistance ( Rivera et al, 2020a ), the data from Yu et al (2021) are consistent with a previous report of greater effect of valine (compared to leucine) in inducing insulin resistance of glucose transport in L6 myotubes ( Tavajohi-Fini, 2012 ) and of the effect of the valine metabolite 3-hydroxyusobutyrte (3-HIB) in inducing insulin resistance in skeletal muscle ( Jang et al, 2016 ). Because normally, humans do not consume these AAs singly in isolation, it will be interesting to see the relevance of this in management of insulin resistance.…”
Section: Concluding Comments and Outstanding Questionsmentioning
confidence: 99%
“…Although protein-induced insulinemia may acutely improve glucose handling, reports of impaired insulin sensitivity in the longer-term may be due to divergent BCAA profiles in protein sources. Recently, mouse models have identified that the BCAAs valine and isoleucine contribute to abnormal glucose handling [ 172 ]. However, all EAAs, especially leucine, are thought to be important as both signal and substrate for muscle anabolism.…”
Section: Potential Supplements For Type 2 Diabetesmentioning
confidence: 99%