Abstract
The aim was to determine the effects of enhanced availability of branched-chain amino acids (BCAAs; leucine, isoleucine, and valine) on ammonia detoxification to glutamine (GLN) and protein metabolism in two types of skeletal muscle under hyperammonemic conditions. Isolated soleus (SOL, slow-twitch) and extensor digitorum longus (EDL, fast-twitch) muscles from the left leg of white rats were incubated in a medium with 1 mM ammonia (NH3 group), BCAAs at four times the concentration of the controls (BCAA group) or high levels of both ammonia and BCAA (NH3 + BCAA group). The muscles from the right leg were incubated in basal medium and served as paired controls. L-[1-14C]leucine was used to estimate protein synthesis and leucine oxidation, and 3-methylhistidine release was used to evaluate myofibrillar protein breakdown. We observed decreased protein synthesis and glutamate and α-ketoglutarate (α-KG) levels and increased leucine oxidation, GLN levels, and GLN release into medium in muscles in NH3 group. Increased leucine oxidation, release of branched-chain keto acids and GLN into incubation medium, and protein synthesis in EDL were observed in muscles in the BCAA group. The addition of BCAAs to medium eliminated the adverse effects of ammonia on protein synthesis and adjusted the decrease in α-KG found in the NH3 group. We conclude that (i) high levels of ammonia impair protein synthesis, activate BCAA catabolism, enhance GLN synthesis, and decrease glutamate and α-KG levels and (ii) increased BCAA availability enhances GLN release from muscles and attenuates the adverse effects of ammonia on protein synthesis and decrease in α-KG.
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Abbreviations
- ALA:
-
Alanine
- BCAAs:
-
Branched-chain amino acids
- BCKA:
-
Branched-chain keto acids
- EDL:
-
Musculus extensor digitorum longus
- GLN:
-
Glutamine
- GLU:
-
Glutamate
- ILE:
-
Isoleucine
- KIC:
-
α-Ketoisocaproate (ketoleucine)
- KIV:
-
α-Ketoisovalerate (ketovaline)
- KMV:
-
α-Keto-β-methylvalerate (ketoisoleucine)
- LEU:
-
Leucine
- SOL:
-
Musculus soleus
- TCA cycle:
-
Tricarboxylic acid cycle
- VAL:
-
Valine
- α-KG:
-
α-Ketoglutarate
References
Als-Nielsen B, Koretz RL, Kjaergard LL, Gluud C (2003) Branched-chain amino acids for hepatic encephalopathy. Cochrane Database Syst Rev 2:CD001939
Dasarathy S (2017) Myostatin and beyond in cirrhosis: all roads lead to sarcopenia. J Cachexia Sarcopenia Muscle 8:864–869
Dasarathy S, Hatzoglou M (2018) Hyperammonemia and proteostasis in cirrhosis. Curr Opin Clin Nutr Metab Care 21:30–36
Davuluri G, Allawy A, Thapaliya S, Rennison JH, Singh D, Kumar A, Sandlers Y, Van Wagoner DR, Flask CA, Hoppel C, Kasumov T, Dasarathy S (2016) Hyperammonaemia-induced skeletal muscle mitochondrial dysfunction results in cataplerosis and oxidative stress. J Physiol 594:7341–7360
Davuluri G, Krokowski D, Guan BJ, Kumar A, Thapaliya S, Singh D, Hatzoglou M, Dasarathy S (2016) Metabolic adaptation of skeletal muscle to hyperammonemia drives the beneficial effects of l-leucine in cirrhosis. J Hepatol 65:929–937
Garlick PJ (2005) The role of leucine in the regulation of protein metabolism. J Nutr 135:1553S–1556S
Gluud LL, Dam G, Les I, Córdoba J, Marchesini G, Borre M, Aagaard NK, Vilstrup H (2015) Branched-chain amino acids for people with hepatic encephalopathy. Cochrane Database Syst Rev 9:CD001939
Graham TE, MacLean DA (1992) Ammonia and amino acid metabolism in human skeletal muscle during exercise. Can J Physiol Pharmacol 70:132–141
Hayashi M, Ikezawa K, Ono A, Okabayashi S, Hayashi Y, Shimizu S, Mizuno T, Maeda K, Akasaka T, Naito M, Michida T, Ueshima D, Nada T, Kawaguchi K, Nakamura T, Katayama K (2007) Evaluation of the effects of combination therapy with branched-chain amino acid and zinc supplements on nitrogen metabolism in liver cirrhosis. Hepatol Res 37:615–619
Holecek M (2014) Evidence of a vicious cycle in glutamine synthesis and breakdown in pathogenesis of hepatic encephalopathy-therapeutic perspectives. Metab Brain Dis 29:9–17
Holeček M (2017) Branched-chain amino acid supplementation in treatment of liver cirrhosis: updated views on how to attenuate their harmful effects on cataplerosis and ammonia formation. Nutrition 41:80–85
Holeček M, Mičuda S (2017) Amino acid concentrations and protein metabolism of two types of rat skeletal muscle in postprandial state and after brief starvation. Physiol Res 66:959–967
Holeček M, Šprongl L, Tichý M (2000) Effect of hyperammonemia on leucine and protein metabolism in rats. Metabolism 49:1330–1334
Holecek M, Kandar R, Sispera L, Kovarik M (2011) Acute hyperammonemia activates branched-chain amino acid catabolism and decreases their extracellular concentrations: different sensitivity of red and white muscle. Amino Acids 40:575–584
Holecek M, Siman P, Vodenicarovova M, Kandar R (2016) Alterations in protein and amino acid metabolism in rats fed a branched-chain amino acid- or leucine-enriched diet during postprandial and postabsorptive states. Nutr Metab (Lond) 13:12
Iob V, Coon WW, Sloan M (1967) Free amino acids in liver, plasma, and muscle of patients with cirrhosis of the liver. J Surg Res 7:41–43
Kadlcikova J, Holecek M, Safranek R, Tilser I, Kessler BM (2004) Effects of proteasome inhibitors MG132, ZL3VS and AdaAhx3L3VS on protein metabolism in septic rats. Int J Exp Pathol 85:365–371
Leweling H, Breitkreutz R, Behne F, Staedt U, Striebel JP, Holm E (1996) Hyperammonemia-induced depletion of glutamate and branched-chain amino acids in muscle and plasma. J Hepatol 25:756–762
Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the Folin phenol reagent. J Biol Chem 193:265–275
Maizels EZ, Ruderman NB, Goodman MN, Lau D (1977) Effect of acetoacetate on glucose metabolism in the soleus and extensor digitorum longus muscles of the rat. Biochem J 162:557–568
Manchester KL (1965) Oxidation of amino acids by isolated rat diaphragm and the influence of insulin. Biochim Biophys Acta 100:295–298
Marchesini G, Bianchi G, Merli M, Amodio P, Panella C, Loguercio C, Rossi Fanelli F, Abbiati R, Italian BCAA Study Group. Italian BCAA Study Group (2003) Nutritional supplementation with branched-chain amino acids in advanced cirrhosis: a double-blind, randomized trial. Gastroenterology 124:1792–1801
Nakaya Y, Okita K, Suzuki K, Moriwaki H, Kato A, Miwa Y, Shiraishi K, Okuda H, Onji M, Kanazawa H, Tsubouchi H, Kato S, Kaito M, Watanabe A, Habu D, Ito S, Ishikawa T, Kawamura N, Arakawa Y, Hepatic Nutritional Therapy (HNT) Study Group. Hepatic Nutritional Therapy (HNT) Study Group (2007) BCAA-enriched snack improves nutritional state of cirrhosis. Nutrition 23:113–120
Qiu J, Tsien C, Thapalaya S, Narayanan A, Weihl CC, Ching JK, Eghtesad B, Singh K, Fu X, Dubyak G, McDonald C, Almasan A, Hazen SL, Naga Prasad SV, Dasarathy S (2012) Hyperammonemia-mediated autophagy in skeletal muscle contributes to sarcopenia of cirrhosis. Am J Physiol Endocrinol Metab 303:E983–E993
Safranek R, Holecek M, Kadlcikova J, Sprongl L, Mislanová C, Kukan M, Chládek J (2003) Effect of acute acidosis on protein and amino acid metabolism in rats. Clin Nutr 22:437–443
Tsien C, Davuluri G, Singh D, Allawy A, Ten Have GA, Thapaliya S, Schulze JM, Barnes D, McCullough AJ, Engelen MP, Deutz NE, Dasarathy S (2015) Metabolic and molecular responses to leucine-enriched branched chain amino acid supplementation in the skeletal muscle of alcoholic cirrhosis. Hepatology 61:2018–2029
Urata Y, Okita K, Korenaga K, Uchida K, Yamasaki T, Sakaida I (2007) The effect of supplementation with branched-chain amino acids in patients with liver cirrhosis. Hepatol Res 37:510–516
Wagenmakers AJ, Coakley JH, Edwards RH (1990) Metabolism of branched-chain amino acids and ammonia during exercise: clues from McArdle's disease. Int J Sports Med 11:S101–S113
Acknowledgements
The authors wish to thank R. Fingrova, D. Jezkova, and K. Sildbergerova for their technical assistance.
Funding
This project was supported by the PROGRES Q40/02 program.
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MH outlined the experiments, performed the statistical analysis, interpreted the experimental results, and prepared the manuscript. MV was involved in the data acquisition and the data interpretation. Both authors read and approved the final manuscript.
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All procedures involving animal manipulation were performed in accordance with guidelines set by the Institutional Animal Care and Use Committee of Charles University. The Animal Care and Use Committee of Charles University, Faculty of Medicine in Hradec Kralove, specifically approved this study (license no.144879/2011-MZE-17214).
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The authors declare that they have no competing interests.
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Holeček, M., Vodeničarovová, M. Effects of branched-chain amino acids on muscles under hyperammonemic conditions. J Physiol Biochem 74, 523–530 (2018). https://doi.org/10.1007/s13105-018-0646-9
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DOI: https://doi.org/10.1007/s13105-018-0646-9