Huang Hui-Yu, Tsao Shu-Ping, Yeh Tu-Hsueh
Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.
Ph.D. Program in Drug Discovery and Development Industry, College of Pharmacy, Taipei Medical University, Taipei 11031, Taiwan.
Int J Mol Sci. 2025 Jul 21;26(14):6992. doi: 10.3390/ijms26146992.
Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by the selective loss of dopaminergic neurons in the substantia nigra, resulting in motor symptoms such as bradykinesia, tremor, rigidity, and postural instability, as well as a wide variety of non-motor manifestations. Branched-chain amino acids (BCAAs)-leucine, isoleucine, and valine-are essential nutrients involved in neurotransmitter synthesis, energy metabolism, and cellular signaling. Emerging evidence suggests that BCAA metabolism is intricately linked to the pathophysiology of PD. Dysregulation of BCAA levels has been associated with energy metabolism, mitochondrial dysfunction, oxidative stress, neuroinflammation, and altered neurotransmission. Furthermore, the branched-chain ketoacid dehydrogenase kinase (BCKDK), a key regulator of BCAA catabolism, has been implicated in PD through its role in modulating neuronal energetics and redox homeostasis. In this review, we synthesize current molecular, genetic, microbiome, and clinical evidence on BCAA dysregulation in PD to provide an integrative perspective on the BCAA-PD axis and highlight directions for future translational research. We explored the dualistic role of BCAAs as both potential neuroprotective agents and metabolic stressors, and critically examined the therapeutic prospects and limitations of BCAA supplementation and BCKDK targeting.
帕金森病(PD)是一种进行性神经退行性疾病,其特征是黑质中多巴胺能神经元选择性丧失,导致运动症状,如运动迟缓、震颤、僵硬和姿势不稳,以及各种各样的非运动表现。支链氨基酸(BCAAs)——亮氨酸、异亮氨酸和缬氨酸——是参与神经递质合成、能量代谢和细胞信号传导的必需营养素。新出现的证据表明,支链氨基酸代谢与帕金森病的病理生理学密切相关。支链氨基酸水平的失调与能量代谢、线粒体功能障碍、氧化应激、神经炎症和神经传递改变有关。此外,支链酮酸脱氢酶激酶(BCKDK)是支链氨基酸分解代谢的关键调节因子,通过其在调节神经元能量和氧化还原稳态中的作用,与帕金森病有关。在这篇综述中,我们综合了目前关于帕金森病中支链氨基酸失调的分子、遗传、微生物组和临床证据,以提供关于支链氨基酸-帕金森病轴的综合观点,并突出未来转化研究的方向。我们探讨了支链氨基酸作为潜在神经保护剂和代谢应激源的双重作用,并批判性地审视了补充支链氨基酸和靶向BCKDK的治疗前景和局限性。
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