Branched-chain amino acids in metabolic signalling and insulin resistance
Open accessAbstract
Branched-chain amino acids (BCAAs) are important nutrient signals that have direct and indirect effects. Frequently, BCAAs have been reported to mediate antiobesity effects, especially in rodent models. However, circulating levels of BCAAs tend to be increased in individuals with obesity and are associated with worse metabolic health and future insulin resistance or type 2 diabetes mellitus (T2DM). A hypothesized mechanism linking increased levels of BCAAs and T2DM involves leucine-mediated activation of the mammalian target of rapamycin complex 1 (mTORC1), which results in uncoupling of insulin signalling at an early stage. A BCAA dysmetabolism model proposes that the accumulation of mitotoxic metabolites (and not BCAAs per se) promotes β-cell mitochondrial dysfunction, stress signalling and apoptosis associated with T2DM. Alternatively, insulin resistance might promote aminoacidaemia by increasing the protein degradation that insulin normally suppresses, and/or by eliciting an impairment of efficient BCAA oxidative metabolism in some tissues. Whether and how impaired BCAA metabolism might occur in obesity is discussed in this Review. Research on the role of individual and model-dependent differences in BCAA metabolism is needed, as several genes (BCKDHA, PPM1K, IVD and KLF15) have been designated as candidate genes for obesity and/or T2DM in humans, and distinct phenotypes of tissue-specific branched chain ketoacid dehydrogenase complex activity have been detected in animal models of obesity and T2DM.
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Metabolomic studies of GDM consistently report alterations in circulating metabolites, particularly branched-chain amino acids.
“Metabolomic studies of GDM have consistently reported alterations in circulating metabolites, particularly branched-chain amino acids (BCAAs).”
From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [42]
The “BCAA dysmetabolism” section reports increased circulating BCAAs in people with insulin-resistant obesity or untreated type 2 diabetes. That supports a related metabolite finding, but the passages do not establish that metabolomic studies of gestational diabetes (GDM) consistently report it. (LLM, conf=0.84)
Experimental — accuracy not yet measuredElevated BCAA levels are associated with insulin resistance, mitochondrial stress, and dysregulated mTOR signaling.
“Elevated BCAA levels are associated with insulin resistance, mitochondrial stress, and dysregulated mTOR signaling, pathways that are critically involved in placental nutrient sensing and fetal metabolic programming.”
From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [42]
The Conclusions associate elevated circulating BCAAs with insulin resistance, but describe mTORC1 activation as a proposed mechanism that is not necessary or sufficient to cause it. The Abstract and BCAA dysmetabolism section attribute mitochondrial dysfunction to accumulated BCAA metabolites, not elevated BCAAs themselves. The paper therefore supports the broad association but not the unqualified linkage to all three outcomes. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe branched-chain amino acids leucine, isoleucine, and valine play a key role in modulating insulin sensitivity.
“Interestingly, accumulating data indicate that the branched-chain amino acids, leucine, isoleucine, and valine, play a key role in modulating insulin sensitivity (81).”
From Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms (2018) · cites this paper as [81]
High consumption of leucine, isoleucine, and valine is associated with an 11-13% increased risk of type 2 diabetes in three large prospective cohort studies.
“The circulating concentrations of branched-chain amino acids are elevated in insulin resistant humans and rodents, and high consumption of leucine, isoleucine, valine is associated with a 11–13% increased risk of type 2 diabetes in three large prospective cohort studies (81).”
From Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms (2018) · cites this paper as [81]
Circulating concentrations of branched-chain amino acids are elevated in insulin-resistant humans and rodents.
“The circulating concentrations of branched-chain amino acids are elevated in insulin resistant humans and rodents, and high consumption of leucine, isoleucine, valine is associated with a 11–13% increased risk of type 2 diabetes in three large prospective cohort studies (81).”
From Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms (2018) · cites this paper as [81]
In humans, elevated serum levels of branched-chain amino acids are generally associated with insulin resistance.
“However, these mechanisms have been put into question by studies conducted in human beings, where elevated serum levels of BCAA are generally associated with insulin resistance [57].”
From Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia (2019) · cites this paper as [57]
Animal studies have demonstrated that increased production of branched-chain amino acids by the microbiota, typical of a normalized Firmicutes/Bacteroidetes ratio, is associated with improved insulin sensitivity and protein synthesis.
“In fact, animal studies have demonstrated that an increased production of branched-chain amino acids (BCAAs) by the microbiota, typical of a normalized Firmicutes/Bacteroidetes ratio, is associated with improved insulin sensitivity and protein synthesis [57].”
From Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia (2019) · cites this paper as [57]
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- Authors
- Lynch, C. J., & Adams, S. H.
- Affiliations
- Pennsylvania State University (US)
- Arkansas Children's Nutrition Center (US)
- Corresponding author
- Lynch, Christopher J.
- Venue
- Nature Reviews Endocrinology
- Published
- 2014-10-07
- Volume
- 10
- Issue
- 12
- Pages
- 723-736
- ISSN
- 1759-5029 (ISSN-L)
- 1759-5037
- PMC
- PMC4424797
- OpenAlex
- W2002364623
- Cited by
- 1,461
- References
- 214
- Citations by year
- 2026: 152 · 2025: 143 · 2024: 141 · 2023: 147 · 2022: 154 · 2021: 183 · 2020: 108 · 2019: 112 · 2018: 130 · 2017: 81 · 2016: 74 · 2015: 34 · 2014: 2
- FWCI
- 8.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Agriculture
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (R21DK091784, R01DK084428, R01DK078328)
- Topics
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- branched-chain amino acids, insulin resistance, type 2 diabetes, obesity, branched-chain amino acid metabolism, leucine, mTORC1, aminoacidemia, BCKDHA, PPM1K, KLF15, metabolic signalling
- MeSH terms
- Mechanistic Target of Rapamycin Complex 1, Amino Acids, Branched-Chain, Animals, Blood Glucose, Diabetes Mellitus, Type 2, Humans, Insulin, Insulin Resistance, Obesity, Signal Transduction, Multiprotein Complexes, TOR Serine-Threonine Kinases
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