2014
DOI: 10.4137/ijtr.s18231
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Mechanisms of the Pellagragenic Effect of Leucine: Stimulation of Hepatic Tryptophan Oxidation by Administration of Branched-Chain Amino Acids to Healthy Human Volunteers and the Role of Plasma Free Tryptophan and Total Kynurenines

Abstract: The pellagragenic effect of leucine (Leu) has been proposed to involve modulation of L-tryptophan (Trp) metabolism along the hepatic kynurenine pathway. Here, we discuss some of the mechanisms suggested and report the effects in healthy volunteers of single doses of Leu (4.05–6.75 g) administered in a 16-amino acid mixture on concentrations of plasma Trp and its kynurenine metabolites. Flux of Trp through Trp 2,3-dioxygenase (TDO) is dose-dependently enhanced most probably by Leu and can be attributed to TDO a… Show more

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Cited by 26 publications
(40 citation statements)
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“…In the present study, kynurenine, which contributed significantly to the observed separation between the treatment groups, was decreased in the DIL cows as compared with the DIG and SAL cows at both time-points. The effects of high Leu-diet on Trp oxidation along the kynurenine pathway were documented in laboratory animal and in human studies [45]. Interestingly, in the present study, the lower plasma kynurenine was accompanied with the lower plasma Trp in the DIL cows as compared with the DIG and SAL cows at 50 min after the infusion.…”
Section: Discussionsupporting
confidence: 57%
“…In the present study, kynurenine, which contributed significantly to the observed separation between the treatment groups, was decreased in the DIL cows as compared with the DIG and SAL cows at both time-points. The effects of high Leu-diet on Trp oxidation along the kynurenine pathway were documented in laboratory animal and in human studies [45]. Interestingly, in the present study, the lower plasma kynurenine was accompanied with the lower plasma Trp in the DIL cows as compared with the DIG and SAL cows at 50 min after the infusion.…”
Section: Discussionsupporting
confidence: 57%
“…However, irrespective of whether or not enzyme activities are enhanced, the observed increases in K metabolites can be explained simply by the increased flux of Trp down the pathway following its release from plasma albumin binding being the initiating event. Free Trp is a major determinant of this flux ( Smith and Pogson, 1980 ; Badawy et al , 2014 ). The major route of kynurenine metabolism is through hydroxylation to 3-HK followed by hydrolysis of the latter to 3-HAA, with transamination being a minor route, because the k m 's for substrates of kynurenine hydroxylase and kynureninase are much lower than those for the aminotransferase ( Bender, 1983 ).…”
Section: Discussionmentioning
confidence: 99%
“…The tryptophan levels do, however, vary in different types of maize and are influenced by environmental conditions. 70 In addition, maize contains considerable amounts of the amino acid leucine 74 which, when present in high concentrations, interferes with de novo synthesis of niacin from tryptophan by inhibiting quinolinate phosphoribosyl transferase and, in addition, lowers the body's tryptophan levels 7 . Preliminary indications are that leucine in itself could exacerbate the mental derangements associated with pellagra.…”
Section: Pellagra and Maizementioning
confidence: 99%
“…6 Several factors may have pellagragenic effects, either through their influence on the absorption of niacin and/or tryptophan, or through their effects on the conversion of tryptophan to niacin. These factors include excessive leucine intake 7 , chronic alcoholism 1,2 , antituberculosis drugs 8 , immunosuppressive drugs 9 , eating disorders and a variety of gastrointestinal disturbances 2 .…”
Section: Introductionmentioning
confidence: 99%