Elshorbagy Amany K
Department of Pharmacology, University of Oxford, Mansfield Road, Oxford, OX1 3QT, UK,
Mamm Genome. 2014 Oct;25(9-10):455-63. doi: 10.1007/s00335-014-9527-x. Epub 2014 Jun 21.
Plasma concentrations of several amino acids are elevated in human obesity and insulin resistance, but there is no conclusive evidence on whether the amino acid alterations are causal. Dietary restriction of the essential SAA methionine (MR) in rats produces a hypermetabolic phenotype, with an integrated set of transcriptional changes in lipid enzymes in liver and adipose tissue. MR also induces an array of changes in methionine metabolites, including elevated plasma homocysteine and decreased cystathionine, cysteine, glutathione, and taurine. Several knockouts of enzymes acting downstream of methionine recapitulate the phenotypic results of MR, suggesting that the MR phenotype may be driven by changes distal to methionine. Here we review the changes in SAA and body composition in seven relevant knockout mouse models. All seven models feature decreased body weight, which in five of these have been further explored and shown to result from predominantly decreased fat mass. Common to several models is increased energy expenditure, enhanced insulin sensitivity, and protection against dietary obesity, as occurs in MR. A decrease in plasma total cysteine concentrations is also seen in most models. The lean phenotype could often be reversed by dietary supplementation of cysteine or choline, but not taurine, betaine or a H2S donor. Importantly, the plasma concentrations of both cysteine and choline are positively associated with fat mass in large populations studies, while taurine, betaine, and H2S are not. Collectively, the emerging data from dietary and knockout models are in harmony with human epidemiologic data, suggesting that the availability of key nutrients in the SAA pathway regulates fat storage pathways.
在人类肥胖和胰岛素抵抗状态下,几种氨基酸的血浆浓度会升高,但关于氨基酸改变是否具有因果关系尚无确凿证据。在大鼠中,对必需支链氨基酸蛋氨酸进行饮食限制(蛋氨酸限制,MR)会产生一种高代谢表型,同时肝脏和脂肪组织中的脂质酶会出现一系列转录变化。MR还会诱导蛋氨酸代谢产物发生一系列变化,包括血浆同型半胱氨酸升高以及胱硫醚、半胱氨酸、谷胱甘肽和牛磺酸降低。几种敲除蛋氨酸下游作用酶的模型重现了MR的表型结果,这表明MR表型可能由蛋氨酸远端的变化驱动。在此,我们综述了七个相关基因敲除小鼠模型中支链氨基酸和身体组成的变化。所有七个模型的体重均下降,其中五个模型进一步研究表明主要是由于脂肪量减少所致。几个模型的共同特点是能量消耗增加、胰岛素敏感性增强以及对饮食性肥胖具有保护作用,这与MR的情况相同。大多数模型中还可见血浆总半胱氨酸浓度降低。通过饮食补充半胱氨酸或胆碱,而非牛磺酸、甜菜碱或硫化氢供体,通常可以逆转瘦体型表型。重要的是,在大规模人群研究中,半胱氨酸和胆碱的血浆浓度均与脂肪量呈正相关,而牛磺酸、甜菜碱和硫化氢则不然。总体而言,来自饮食和基因敲除模型的新数据与人类流行病学数据一致,表明支链氨基酸途径中关键营养素的可利用性调节脂肪储存途径。