SCIENCE  |  SUPPLEMENTS

Branched-chain amino acids (BCAAs) are essential amino acids that include leucine, isoleucine, and valine. They are called “branched-chain” because of their chemical structure and are crucial for protein synthesis and muscle repair. BCAAs are commonly found in high-protein foods like meat, dairy products, and legumes, and are popular supplements among athletes for their potential benefits in reducing muscle soreness and enhancing exercise performance.

leucine

Recent studies on branched-chain amino acids (BCAAs) have provided important insights into their effects on metabolic health, muscle function, and disease risk. BCAA supplementation has been shown to benefit muscle mass and strength in older adults, as indicated by a systematic review and meta-analysis of 35 studies (Eur J Nutr. 2022). Moreover, BCAA supplementation helps reduce muscle damage markers and soreness following resistance exercise in trained males, further supporting its role in muscle recovery (Nutrients. 2021). These findings underline the potential of BCAAs in enhancing physical performance and recovery.

However, elevated BCAA levels have been linked to several metabolic disorders. A Mendelian randomization study established a causal relationship between high BCAA levels, particularly isoleucine, and an increased risk of hypertension (J Am Heart Assoc. 2024). Additionally, higher circulating BCAA levels were associated with a higher risk of developing type 2 diabetes (Nutrients. 2022). Elevated isoleucine levels were also found to be linked with a higher risk of cardiovascular disease in adults under 60 years old (Atherosclerosis. 2022). These associations suggest that while BCAAs can be beneficial for muscle health, they may pose risks for metabolic diseases.

Interestingly, two studies reported no significant association between dietary BCAAs and all-cause mortality. One systematic review and meta-analysis found no link between serum BCAA levels and all-cause mortality (Amino Acids. 2023). Another study reported no significant association between dietary BCAAs and the risk of various cancers or all-cause mortality (Nutr Cancer. 2024). These findings highlight the complex role of BCAAs in health and disease, warranting further research to elucidate their impact.

Lifespan studies provide additional context for BCAA’s effects. Research on mice has shown that dietary restriction of isoleucine promotes metabolic health, reduces frailty, and extends lifespan (Cell Metab. 2023). Another study demonstrated that lifelong BCAA restriction increased lifespan and reduced frailty in male mice, with limited effects observed in female mice (Nat Aging. 2021). These findings suggest that BCAA restriction could have geroprotective effects, although more research is needed to confirm these benefits in humans.

Finally, elevated BCAA levels have been shown to suppress breast tumor growth and metastasis in mice, indicating potential therapeutic benefits (Front Oncol. 2022). This finding underscores the need for a nuanced understanding of BCAAs, as their effects can vary widely depending on the context and health conditions.

PUBLICATIONS

  1. Causal Relationship Between Branched-Chain Amino Acids and Hypertension: A Mendelian Randomization Study.
          • J Am Heart Assoc. 2024 Mar 5;13(5):e032084
          • Design: Mendelian randomization study with meta-analysis of 32,845 subjects.
          • Summary: Elevated levels of BCAAs were associated with a higher risk of hypertension, particularly elevated isoleucine levels which are a causal risk factor for essential hypertension.
  2. Dietary Branched Chain Amino Acids Association with Cancer and Mortality: A Systematic Review and Meta-Analysis of Observational Studies.
          • Nutr Cancer. 2024;76(2):160-174
          • Design: Systematic review and meta-analysis of observational studies.
          • Summary: No significant association was found between dietary BCAAs and the risk of breast cancer, digestive cancers, or all-cause mortality.
  3. Dietary restriction of isoleucine increases healthspan and lifespan of genetically heterogeneous mice.
          • Cell Metab. 2023 Nov 7;35(11):1976-1995.e6
          • Design: Study on genetically heterogeneous adult UM-HET3 mice.
          • Summary: Restriction of dietary isoleucine promoted metabolic health, reduced frailty, and extended lifespan in mice, with greater effects observed in males.
  4. Serum branched amino acids and the risk of all-cause mortality: a meta-analysis and systematic review.
          • Amino Acids. 2023 Nov;55(11):1475-1486
          • Design: Systematic review and meta-analysis of 10 observational studies.
          • Summary: No significant association was found between serum BCAA levels and the risk of all-cause mortality.
  5. The Association between Circulating Branched Chain Amino Acids and the Temporal Risk of Developing Type 2 Diabetes Mellitus: A Systematic Review & Meta-Analysis.
          • Nutrients. 2022 Oct 20;14(20):4411
          • Design: Systematic review and meta-analysis of nine studies.
          • Summary: Elevated circulating BCAA levels were associated with an increased risk of developing type 2 diabetes mellitus across various follow-up times.
  6. Elevated BCAA Suppresses the Development and Metastasis of Breast Cancer.
          • Front Oncol. 2022 Jun 16;12:887257
          • Design: Experimental study on mice.
          • Summary: Elevated BCAA levels suppressed breast tumor growth and lung metastasis in mice, suggesting potential benefits of increased BCAA dietary intake for breast cancer treatment.
  7. Association of circulating branched-chain amino acids with risk of cardiovascular disease: A systematic review and meta-analysis.
          • Atherosclerosis. 2022 Jun;350:90-96
          • Design: Systematic review and meta-analysis of non-prospective and prospective clinical studies.
          • Summary: Elevated levels of circulating isoleucine were associated with an increased risk of cardiovascular disease, particularly in adults under 60 years old.
  8. Effects of branched-chain amino acid-rich supplementation on EWGSOP2 criteria for sarcopenia in older adults: a systematic review and meta-analysis.
          • Eur J Nutr. 2022 Mar;61(2):637-651
          • Design: Systematic review and meta-analysis of 35 studies.
          • Summary: BCAA-rich supplementation showed beneficial effects on muscle mass and strength in older adults, though results should be interpreted with caution due to study heterogeneity.
  9. Does Branched-Chain Amino Acids (BCAAs) Supplementation Attenuate Muscle Damage Markers and Soreness after Resistance Exercise in Trained Males? A Meta-Analysis of Randomized Controlled Trials.
          • Nutrients. 2021 May 31;13(6):1880
          • Design: Meta-analysis of nine randomized controlled trials.
          • Summary: BCAA supplementation attenuated muscle damage markers and soreness after resistance exercise in trained males.
  10. Lifelong restriction of dietary branched-chain amino acids has sex-specific benefits for frailty and lifespan in mice.
          • Nat Aging. 2021 Jan;1(1):73-86
          • Design: Study on the effects of lifelong BCAA restriction in mice.
          • Summary: Lifelong restriction of dietary BCAAs increased lifespan and reduced frailty in male mice, with limited effects observed in female mice.
  11. Branched-Chain Amino Acids Have Equivalent Effects to Other Essential Amino Acids on Lifespan and Aging-Related Traits in Drosophila.
          • J Gerontol A Biol Sci Med Sci. 2020 Jan 1;75(1):24-31.
          • Design: Experimental study on Drosophila melanogaster assessing the impact of BCAAs and other EAAs on lifespan and aging-related traits.
          • Summary: Both BCAA and EAA restrictions extended lifespan, improved stress resistance, and ameliorated age-related gut pathology. The level of the most limiting EAAs determined the phenotypic responses.
  12. Branched-chain amino acid supplementation and exercise-induced muscle damage in exercise recovery: A meta-analysis of randomized clinical trials.
          • Nutrition. 2017 Oct;42:30-36.
          • Design: Meta-analysis of randomized controlled trials on BCAA supplementation effects on muscle damage recovery.
          • Summary: BCAA supplementation significantly reduced creatine kinase levels post-exercise and aided in muscle recovery, although effects on muscle soreness were not significant.
  13. Cumulative consumption of branched-chain amino acids and incidence of type 2 diabetes.
          • Int J Epidemiol. 2016 Oct;45(5):1482-1492.
          • Design: Prospective cohort study analyzing BCAA intake and type 2 diabetes risk over 32 years.
          • Summary: Higher BCAA intake was associated with an increased risk of type 2 diabetes, particularly in men and women with higher dietary BCAA levels.
  14. Dietary leucine–an environmental modifier of insulin resistance acting on multiple levels of metabolism.
          • PLoS One. 2011;6(6):e21187.
          • Design: Experimental study on mice examining the effects of dietary leucine on insulin resistance and metabolic profiles.
          • Summary: Doubling dietary leucine improved glucose tolerance, insulin signaling, and reduced hepatic steatosis and inflammation in adipose tissue without affecting weight gain.
  15. Increasing dietary leucine intake reduces diet-induced obesity and improves glucose and cholesterol metabolism in mice via multimechanisms.
          • Diabetes. 2007 Jun;56(6):1647-54.
          • Design: Experimental study on mice assessing the impact of increased dietary leucine on diet-induced obesity and metabolic health.
          • Summary: Higher leucine intake resulted in reduced weight gain, improved insulin sensitivity, decreased plasma glucagon and glucogenic amino acids, and lower cholesterol levels.
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