Babygirija Reji, Lamming Dudley W
William S. Middleton Memorial Veterans Hospital, Madison, WI.
Department of Medicine, University of Wisconsin-Madison, Madison, WI.
Transl Med Aging. 2021;5:17-30. doi: 10.1016/j.tma.2021.05.001. Epub 2021 May 24.
As a key macronutrient and source of essential macromolecules, dietary protein plays a significant role in health. For many years, protein-rich diets have been recommended as healthy due to the satiety-inducing and muscle-building effects of protein, as well as the ability of protein calories to displace allegedly unhealthy calories from fats and carbohydrates. However, clinical studies find that consumption of dietary protein is associated with an increased risk of multiple diseases, especially diabetes, while studies in rodents have demonstrated that protein restriction can promote metabolic health and even lifespan. Emerging evidence suggests that the effects of dietary protein on health and longevity are not mediated simply by protein quantity but are instead mediated by protein quality - the specific amino acid composition of the diet. Here, we discuss how dietary protein and specific amino acids including methionine, the branched chain amino acids (leucine, isoleucine, and valine), tryptophan and glycine regulate metabolic health, healthspan, and aging, with attention to the specific molecular mechanisms that may participate in these effects. Finally, we discuss the potential applicability of these findings to promoting healthy aging in humans.
作为一种关键的常量营养素和必需大分子的来源,膳食蛋白质在健康中起着重要作用。多年来,由于蛋白质具有诱导饱腹感和增强肌肉的作用,以及蛋白质热量能够替代据称不健康的脂肪和碳水化合物热量,富含蛋白质的饮食一直被推荐为健康饮食。然而,临床研究发现,食用膳食蛋白质与多种疾病风险增加有关,尤其是糖尿病,而对啮齿动物的研究表明,蛋白质限制可以促进代谢健康甚至延长寿命。新出现的证据表明,膳食蛋白质对健康和寿命的影响并非简单地由蛋白质数量介导,而是由蛋白质质量——饮食中特定的氨基酸组成介导。在这里,我们讨论膳食蛋白质和特定氨基酸,包括蛋氨酸、支链氨基酸(亮氨酸、异亮氨酸和缬氨酸)、色氨酸和甘氨酸如何调节代谢健康、健康寿命和衰老,并关注可能参与这些作用的具体分子机制。最后,我们讨论这些发现对促进人类健康衰老的潜在适用性。