Extra-cardiac BCAA catabolism lowers blood pressure and protects from heart failure. Author Danielle Murashige, Jae Jung, Michael Neinast, Michael Levin, Qingwei Chu, Jonathan Lambert, Joanne Garbincius, Boa Kim, Atsushi Hoshino, Ingrid Marti-Pamies, Kendra McDaid, Swapnil Shewale, Emily Flam, Steven Yang, Emilia Roberts, Li Li, Michael Morley, Kenneth Bedi, Matthew Hyman, David Frankel, Kenneth Margulies, Richard Assoian, John Elrod, Cholsoon Jang, Joshua Rabinowitz, Zoltan Arany Publication Year 2022 Type Journal Article Abstract Pharmacologic activation of branched-chain amino acid (BCAA) catabolism is protective in models of heart failure (HF). How protection occurs remains unclear, although a causative block in cardiac BCAA oxidation is widely assumed. Here, we use in vivo isotope infusions to show that cardiac BCAA oxidation in fact increases, rather than decreases, in HF. Moreover, cardiac-specific activation of BCAA oxidation does not protect from HF even though systemic activation does. Lowering plasma and cardiac BCAAs also fails to confer significant protection, suggesting alternative mechanisms of protection. Surprisingly, activation of BCAA catabolism lowers blood pressure (BP), a known cardioprotective mechanism. BP lowering occurred independently of nitric oxide and reflected vascular resistance to adrenergic constriction. Mendelian randomization studies revealed that elevated plasma BCAAs portend higher BP in humans. Together, these data indicate that BCAA oxidation lowers vascular resistance, perhaps in part explaining cardioprotection in HF that is not mediated directly in cardiomyocytes. Keywords Humans, Energy Metabolism, Heart, Amino Acids, Branched-Chain, Heart Failure, Blood Pressure Journal Cell Metab Volume 34 Issue 11 Pages 1749-1764.e7 Date Published 2022 Nov 01 ISSN Number 1932-7420 DOI 10.1016/j.cmet.2022.09.008 Alternate Journal Cell Metab PMCID PMC9633425 PMID 36223763 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML