The human branched-chain ␣-keto acid dehydrogenase (BCKD) 1 metabolic machine is a member of the highly conserved ␣-keto acid dehydrogenase complexes in mitochondria. The BCKD complex catalyzes the oxidative decarboxylation of branched-chain ␣-keto acids (BCKAs) derived from leucine, isoleucine, and valine (1) (Reaction 1), R-CO-COOH ϩ CoA-SH ϩ NAD ϩ