We have demonstrated in the present study that mice lacking BCATm-catalyzed BCAA metabolism exhibit high levels of plasma BCAAs without elevated branched chain α-keto acids, resulting in a unique phenotype that includes low body fat and increased energy expenditure that is associated with increased food intake, glucose tolerance and insulin sensitivity, and protein turnover. Importantly, we found that VO
2 was strongly associated with food consumption in the
BCATm−/− mice. During longer fasting, VO
2 differences between the null and wild-type mice disappeared but reappeared during refeeding. Stimulation of protein synthesis was also associated with food intake. For instance, fasting inhibits protein synthesis and enhances protein degradation, whereas refeeding immediately stimulates protein synthesis due to elevated insulin and availability of amino acids, especially Leu (
Yoshizawa et al., 1997). Cellular metabolic rate is controlled by a number of processes including metabolic demand and substrate supply. It has been thought that substrate metabolism is related to DIT, which is associated with both short-term (i.e. after a meal) and long-term (overeating) feeding (
Rolfe and Brown, 1997). Theoretical stoichiometric calculation and in vitro experiments have suggested that the energy cost of pathways of nutrient metabolism greatly varies; and protein synthesis is most sensitive to energy supply (
Buttgereit and Brand, 1995). Indeed, protein synthesis accounts for a minimum of 20% of calculated total daily heat production, while fatty acid synthesis accounts for 1% of total heat production in young growing animals (
Reeds et al., 1982b). This could partially explain the decreased energy expenditure in leptin deficient
ob/ob mice and Zucker fatty rats in which protein synthesis, at least in muscle, is diminished (
Reeds et al., 1982a).
On the other hand, we did not observe significant increases in factors frequently associated with altering energy expenditure in the
BCATm−/− mice such as UCPs, PGC-1α, β-AR3, SERCA1, thyroid hormone, plasma norepinephrine and locomotor activity. Moreover, leptin and adiponectin, two important fat-derived hormones known to significantly enhance energy expenditure, were greatly decreased in the
BCATm−/− mice. PGC1α is known to be master regulator of glucose and lipid metabolism as well as mitochondrial function at the transcription and posttranslational levels (
Handschin and Spiegelman, 2006). Moreover, cold exposure causes marked and rapid induction of PGC1α expression in brown fat and skeletal muscle, thereby up-regulating UCP1 and enhancing thermogenesis in these tissues (
Lowell and Spiegelman, 2000). The role of UCP1 in maintaining normal body temperature was demonstrated in
UCP1−/−mice; however, they do not develop obesity and are paradoxically resistant to diet-induced obesity (
Enerback et al., 1997;
Liu et al., 2003). Zhang et al reported that Leu supplementation increased energy expenditure and resistance to diet-induced obesity (DIO) due to up regulation of UCP3. However in another recent study, over-expression of UCP3 did not increase energy expenditure in mice (
Bezaire et al., 2005). We did not observe increased muscle UCP3 in our mice and have been unable to reproduce the Zhang et al findings on DIO, energy expenditure and ITT, even using a slightly higher concentration of Leu in the drinking water (unpublished data). While PGC1α and uncoupling proteins are important in regulating energy expenditure and weight control, alternative thermogenic mechanisms also exist (
Lowell and Spiegelman, 2000;
Rolfe and Brown, 1997), especially because little brown fat is present in adult large-size animals and humans living in a thermoneutral environment. Thus, it is highly likely that the elevated protein turnover directly contributes to enhanced energy expenditure in mice lacking BCAA metabolism.
Others have proposed that sympathetic nerve activity through β adrenergic receptor plays a major role in DIT as demonstrated by the β-less mice (lacking all three β adrenergic receptors) which are prone to diet-induced obesity (
Lowell and Bachman, 2003). However, we found no difference in β-AR3 mRNA expression in brown fat, and plasma norepinephrine was 50% lower in
BCATm−/− mice. Moreover, we found that brain tyrosine was decreased by 87% in male and 66% in female BCATm null mice (unpublished data). Decreases in brain tyrosine could lead to decreased catecholamine concentrations in the nervous system and in the body. Mice lacking the ability to synthesize epinephrine and norepinephrine have elevated energy expenditure and food intake and decreased body weight (
Thomas and Palmiter, 1997). The mechanisms for diet selectivity and elevated food intake in the BCATm null mice are unknown. Seeley and coworkers have shown that direct injection of high concentrations of Leu into the feeding center of the hypothalamus resulted in cessation of feeding (
Cota et al., 2006). In the
BCATm−/− mice chronically high BCAAs do not impair food intake. The lower plasma leptin in the null animals could contribute to increase food intake; however, it remains to be determined whether neurotransmitter pathways affect food intake and energy expenditure in these mice. On the other hand, the lack of apparent neurological consequences of pathologic levels of plasma BCAA in the
BCATm−/− mice agree with studies that suggest that the branched chain α-keto acids, rather than BCAAs, are the toxic metabolites in Maple Syrup Urine disease (
Jouvet et al., 2000). Because elevations in brain BCAA concentrations were modest (data not shown), the results suggest that BCATc can handle the increased BCAA supply in the CNS of these mice.
Our finding of elevated protein turnover in mice lacking BCAA catabolism raises important questions. What are the mechanisms for elevated protein synthesis and degradation in these mice? We have found that mTOR signaling (i.e. 4E-BP1 and S6K1 activation) were elevated in vivo in randomly fed
BCATm−/− mice and/or during fasted-refeeding. eIF4E dissociated from hyperphosphorylated 4E-BP1 binds to eIF4G and hence to form a eIF4F complex, thereby promoting protein synthesis through a cap-dependent translation initiation mechanism. Other unidentified mechanisms could be existed so to increase global protein synthesis in these mice. The mechanisms regulating global protein degradation as occurs in catabolic diseases are not as well understood as protein synthesis. Thus the
BCATm−/− mice may provide a useful model to explore such regulation. We hypothesize that lack of BCAA catabolism elevates intracellular Leu concentrations, thereby driving the increase in protein synthesis, while a deficiency of certain metabolites of BCAA catabolism leads to elevated protein degradation in mice lacking BCATm. This is in agreement with a study showing KIC but not Leu infusions significantly lowered the negative N balance and 3-methylhistidine excretion in postoperative patients (
Sapir et al., 1983). Similarly, it has been reported that KIC but not Leu decreases the N wasting of starvation (
Mitch et al., 1981).
While the mechanisms underlying the marked improved insulin sensitivity and glucose tolerance remains undetermined, increased insulin sensitivity can contribute to elevated protein synthesis in these mice. Because enhanced protein turnover consumes a large amount of ATP, it is conceivable that ATP production from substrate oxidation in mitochondria could be elevated. Indeed, we have found that the mitochondrial membrane potential was significantly increased in cultured primary fibroblasts from BCATm null neonates (unpublished data, also inconsistent with mitochondrial uncoupling). Furthermore, enhanced insulin sensitivity in these mice could lead to increased mitochondrial oxidative capacity. It has been reported that insulin stimulates mitochondrial oxidative phosphorylation in skeletal muscle associated with synthesis of mitochondrial gene transcripts and protein in human subjects (
Stump et al., 2003). While it seems counterintuitive that elevated mTOR signaling would be associated with improved insulin signaling, we have found that Leu and KIC, but not insulin stimulated phosphorylation of S6K1 is largely abolished in isolated fat cells, cultured primary fibroblasts, and perfused hearts lacking BCATm (unpublished data). While further studies are needed to determine the mechanism of these changes, the increased insulin sensitivity in
BCATm−/− mice is consistent with the
S6K1−/−mice (
Um et al., 2004).
In summary, we have clearly demonstrated that deletion of BCATm leads to activation of a protein turnover futile cycle that is associated with elevated energy expenditure and improved insulin sensitivity. Since BCAA metabolism is blocked in
BCATm−/− mice, the effects of
BCATm gene disruption may not be same as those of high protein diet and dietary BCAA supplements. Nevertheless, given that humans and animals can tolerate much higher dose of BCAA supplements (
Baker, 2005;
Fernstrom, 2005), our study suggests that BCATm may be a suitable peripheral therapeutic target for obesity.