Abstract

Continuous deficiency of leucine, a member of branched chain amino acids, is able to reduce obesity and improve insulin sensitivity in mice. Intermittent fasting has been shown to be effective in intervention of metabolic disorders including diabetes. However, it is unknown whether intermittent leucine deprivation can intervene in type 2 diabetes progression. We administered leucine-deprived food every other day in db/db mice, a type 2 diabetes model, for a total of eight weeks to investigate the interventional effect of intermittent leucine deprivation. Intermittent leucine deprivation significantly reduces hyperglycemia in db/db mice independent of body weight change, together with improvement in glucose tolerance and insulin sensitivity. The total area of pancreatic islets and β cell number are increased by intermittent leucine deprivation, accompanied by elevated proliferation of β cells. The expression level of Ngn3, a β cell progenitor marker, is also increased by leucine-deleted diet. However, leucine deficiency engenders an increase in fat mass and a decrease in lean mass. Lipid accumulation in the liver is elevated and liver function is compromised by leucine deprivation. In addition, leucine deficiency alters the composition of gut microbiota. Leucine deprivation increases the genera of Bacteroides, Alloprevotella, Rikenellaceae while reduces Lachnospiraceae and these changes are correlated with fasting blood glucose levels of the mice. Collectively, our data demonstrated that intermittent leucine deprivation can intervene in the progression of type 2 diabetes in db/db mice. However, leucine deficiency reduces lean mass and aggravates hepatic steatosis in the mouse.

Highlights

  • Leucine, one of the essential amino acids, belong to the family of branched-chain amino acids (BCAAs)

  • To investigate whether intermittent leucine deprivation has a beneficial effect similar to intermittent fasting, we applied a strategy of leucine deprivation every other day to db/db mice that have been used as a classic model of type 2 diabetes (T2D) due to deficiency of leptin receptor

  • As we observed that the b cell damage in db/db mice can be prevented by intermittent leucine deprivation (Fig. 3), we investigated whether the increase of the b cells in the mice is associated with changes of cell proliferation and Ngn3 expression, a marker for progenitors giving rise to b cells [21]

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Summary

Introduction

One of the essential amino acids, belong to the family of branched-chain amino acids (BCAAs). There have been numerous interventional studies that have indicated that increasing dietary BCAAs including leucine has a health-beneficial effect related to obesity and type 2 diabetes (T2D) [1, 2, 3, 4]. Two theories have been postulated to explain the potential detrimental effect of increasing blood BCAAs on glucose homeostasis [5, 6]. The second hypothesis is that the mitotoxic metabolites of BCAAs, but not the BCAAs per se, causes mitochondrial dysfunction of b cells and aggravates T2D. It is still an unresolved issue regarding the molecular mechanism underlying the observed association of BCAA increase with T2D, current studies favor the second theory [6, 8]

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