The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. Author Deyang Yu, Nicole Richardson, Cara Green, Alexandra Spicer, Michaela Murphy, Victoria Flores, Cholsoon Jang, Ildiko Kasza, Maria Nikodemova, Matthew Wakai, Jay Tomasiewicz, Shany Yang, Blake Miller, Heidi Pak, Jacqueline Brinkman, Jennifer Rojas, William Quinn, Eunhae Cheng, Elizabeth Konon, Lexington Haider, Megan Finke, Michelle Sonsalla, Caroline Alexander, Joshua Rabinowitz, Joseph Baur, Kristen Malecki, Dudley Lamming Publication Year 2021 Type Journal Article Abstract Low-protein diets promote metabolic health in rodents and humans, and the benefits of low-protein diets are recapitulated by specifically reducing dietary levels of the three branched-chain amino acids (BCAAs), leucine, isoleucine, and valine. Here, we demonstrate that each BCAA has distinct metabolic effects. A low isoleucine diet reprograms liver and adipose metabolism, increasing hepatic insulin sensitivity and ketogenesis and increasing energy expenditure, activating the FGF21-UCP1 axis. Reducing valine induces similar but more modest metabolic effects, whereas these effects are absent with low leucine. Reducing isoleucine or valine rapidly restores metabolic health to diet-induced obese mice. Finally, we demonstrate that variation in dietary isoleucine levels helps explain body mass index differences in humans. Our results reveal isoleucine as a key regulator of metabolic health and the adverse metabolic response to dietary BCAAs and suggest reducing dietary isoleucine as a new approach to treating and preventing obesity and diabetes. Keywords Animals, Mice, Humans, Mice, Inbred C57BL, Male, Energy Metabolism, Mice, Knockout, Diet, Fibroblast Growth Factors, Amino Acids, Branched-Chain, Obesity, Mechanistic Target of Rapamycin Complex 1, Liver, Isoleucine, Valine, Adipose Tissue, White, Protein Serine-Threonine Kinases, Body Mass Index, Uncoupling Protein 1 Journal Cell Metab Volume 33 Issue 5 Pages 905-922.e6 Date Published 2021 May 04 ISSN Number 1932-7420 DOI 10.1016/j.cmet.2021.03.025 Alternate Journal Cell Metab PMCID PMC8102360 PMID 33887198 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML