Branched-chain amino acid aminotransferase

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Branched-chain amino acid aminotransferase (BCAT) is an enzyme that plays a crucial role in amino acid metabolism, specifically in the catabolism of branched-chain amino acids (BCAAs): leucine, isoleucine, and valine. These amino acids are essential nutrients that the body must obtain from protein in the diet. BCAT enzymes catalyze the reversible transamination of BCAAs with alpha-ketoglutarate to produce branched-chain alpha-keto acids (BCKAs) and glutamate. This reaction is a key step in the metabolic pathway that leads to the synthesis of new proteins and the production of energy.

Function[edit | edit source]

The primary function of BCAT is to initiate the breakdown of BCAAs, which are important for protein synthesis and energy production in muscle tissue, as well as for the regulation of blood sugar levels. BCAT exists in two isoforms: BCAT1, which is predominantly found in the cytosol of neurons and in the placenta, and BCAT2, which is primarily located in the mitochondria of peripheral tissues such as liver, kidney, and muscle. The activity of these enzymes is essential for maintaining the balance of BCAAs in the body and for providing the necessary components for gluconeogenesis and the citric acid cycle.

Structure[edit | edit source]

BCAT enzymes are characterized by their pyridoxal phosphate (PLP)-dependent catalytic mechanism. PLP, a derivative of vitamin B6, acts as a coenzyme that binds to the enzyme and assists in the transfer of amino groups from BCAAs to alpha-ketoglutarate. The structure of BCAT includes a binding site for the PLP coenzyme and a separate active site for the substrate amino acids. This configuration allows BCAT to efficiently catalyze the transamination reaction.

Clinical Significance[edit | edit source]

Alterations in BCAT activity have been linked to several metabolic disorders and diseases. For example, elevated levels of BCAAs and their corresponding BCKAs are associated with maple syrup urine disease (MSUD), a rare genetic disorder that affects the body's ability to break down leucine, isoleucine, and valine. Additionally, changes in BCAT expression and activity have been observed in various forms of cancer, suggesting that BCAA metabolism may play a role in tumor growth and development.

Genetic Regulation[edit | edit source]

The genes encoding the BCAT enzymes, BCAT1 and BCAT2, are subject to complex regulatory mechanisms that ensure the appropriate expression of these enzymes according to the body's metabolic needs. Factors such as diet, hormones, and cellular stress can influence the transcription and translation of BCAT genes, thereby modulating enzyme activity and BCAA metabolism.

Research and Applications[edit | edit source]

Research into BCAT and BCAA metabolism has implications for the treatment of metabolic diseases, cancer, and muscle wasting conditions. Understanding how BCAT activity is regulated and how it can be modulated through diet or pharmacological agents offers potential pathways for therapeutic intervention. For example, inhibitors of BCAT activity are being explored as potential treatments for MSUD and as anti-cancer agents.

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Contributors: Prab R. Tumpati, MD