Cell Reports (Jun 2023)

Branched-chain keto acids inhibit mitochondrial pyruvate carrier and suppress gluconeogenesis in hepatocytes

  • Kiyoto Nishi,
  • Akira Yoshii,
  • Lauren Abell,
  • Bo Zhou,
  • Ricardo Frausto,
  • Julia Ritterhoff,
  • Timothy S. McMillen,
  • Ian Sweet,
  • Yibin Wang,
  • Chen Gao,
  • Rong Tian

Journal volume & issue
Vol. 42, no. 6
p. 112641

Abstract

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Summary: Branched-chain amino acid (BCAA) metabolism is linked to glucose homeostasis, but the underlying signaling mechanisms are unclear. We find that gluconeogenesis is reduced in mice deficient of Ppm1k, a positive regulator of BCAA catabolism, which protects against obesity-induced glucose intolerance. Accumulation of branched-chain keto acids (BCKAs) inhibits glucose production in hepatocytes. BCKAs suppress liver mitochondrial pyruvate carrier (MPC) activity and pyruvate-supported respiration. Pyruvate-supported gluconeogenesis is selectively suppressed in Ppm1k-deficient mice and can be restored with pharmacological activation of BCKA catabolism by BT2. Finally, hepatocytes lack branched-chain aminotransferase that alleviates BCKA accumulation via reversible conversion between BCAAs and BCKAs. This renders liver MPC most susceptible to circulating BCKA levels hence a sensor of BCAA catabolism.

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