Lynch Christopher J, Adams Sean H
Cellular and Molecular Physiology Department, The Pennsylvania State University, 500 University Drive, MC-H166, Hershey, PA 17033, USA.
Arkansas Children's Nutrition Center, and Department of Pediatrics, University of Arkansas for Medical Sciences, 15 Children's Way, Little Rock, AR 72202, USA.
Nat Rev Endocrinol. 2014 Dec;10(12):723-36. doi: 10.1038/nrendo.2014.171. Epub 2014 Oct 7.
Branched-chain amino acids (BCAAs) are important nutrient signals that have direct and indirect effects. Frequently, BCAAs have been reported to mediate antiobesity effects, especially in rodent models. However, circulating levels of BCAAs tend to be increased in individuals with obesity and are associated with worse metabolic health and future insulin resistance or type 2 diabetes mellitus (T2DM). A hypothesized mechanism linking increased levels of BCAAs and T2DM involves leucine-mediated activation of the mammalian target of rapamycin complex 1 (mTORC1), which results in uncoupling of insulin signalling at an early stage. A BCAA dysmetabolism model proposes that the accumulation of mitotoxic metabolites (and not BCAAs per se) promotes β-cell mitochondrial dysfunction, stress signalling and apoptosis associated with T2DM. Alternatively, insulin resistance might promote aminoacidaemia by increasing the protein degradation that insulin normally suppresses, and/or by eliciting an impairment of efficient BCAA oxidative metabolism in some tissues. Whether and how impaired BCAA metabolism might occur in obesity is discussed in this Review. Research on the role of individual and model-dependent differences in BCAA metabolism is needed, as several genes (BCKDHA, PPM1K, IVD and KLF15) have been designated as candidate genes for obesity and/or T2DM in humans, and distinct phenotypes of tissue-specific branched chain ketoacid dehydrogenase complex activity have been detected in animal models of obesity and T2DM.
支链氨基酸(BCAAs)是具有直接和间接作用的重要营养信号。BCAAs常被报道可介导抗肥胖作用,尤其是在啮齿动物模型中。然而,肥胖个体的循环BCAAs水平往往会升高,且与更差的代谢健康以及未来的胰岛素抵抗或2型糖尿病(T2DM)相关。一种将BCAAs水平升高与T2DM联系起来的假说机制涉及亮氨酸介导的雷帕霉素复合物1(mTORC1)哺乳动物靶点的激活,这会导致胰岛素信号在早期解偶联。一种BCAA代谢紊乱模型提出,线粒体毒性代谢产物(而非BCAAs本身)的积累会促进与T2DM相关的β细胞线粒体功能障碍、应激信号传导和细胞凋亡。另外,胰岛素抵抗可能通过增加胰岛素通常抑制的蛋白质降解,和/或通过引发某些组织中高效BCAA氧化代谢受损来促进氨基酸血症。本综述讨论了肥胖中是否以及如何发生BCAA代谢受损。由于几个基因(BCKDHA、PPM1K、IVD和KLF15)已被指定为人类肥胖和/或T2DM的候选基因,并且在肥胖和T2DM动物模型中检测到了组织特异性支链酮酸脱氢酶复合物活性的不同表型,因此需要研究BCAA代谢中个体和模型依赖性差异的作用。