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(Journal of Nutrition. 2001;131:846S-850S.)
© 2001 The American Society for Nutritional Sciences


Supplement

Function of Leucine in Excitatory Neurotransmitter Metabolism in the Central Nervous System1 ,2

Susan M. Hutson*3, Erich Lieth{dagger} and Kathryn F. LaNoue**

* Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, NC 27157, {dagger} Department of Neuroscience and Anatomy and ** Department of Cellular and Molecular Physiology, Pennsylvania State University College of Medicine, Hershey, PA 17033

3To whom correspondence should be addressed at Wake Forest University School of Medicine, Department of Biochemistry, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: shutson{at}wfubmc.edu.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
A novel hypothesis for the role of branched-chain amino acids (BCAA) in regulating levels of the major excitatory neurotransmitter glutamate in the central nervous system is described. It is postulated that the branched-chain aminotransferase (BCAT) isoenzymes (mitochondrial BCATm and cytosolic BCATc) are localized in different cell types and operate in series to provide nitrogen for optimal rates of de novo glutamate synthesis. BCAA enter the astrocyte where transamination is catalyzed by BCATm, producing glutamate and branched-chain {alpha}-keto acids (BCKA). BCKA, which are poorly oxidized in astrocytes, exit and are taken up by neurons. Neuronal BCATc catalyzes transamination of the BCKA with glutamate. The products, BCAA, exit the neuron and return to the astrocyte. The {alpha}-ketoglutarate product in the neurons may undergo reductive amination to glutamate via neuronal glutamate dehydrogenase. Operation of the shuttle in the proposed direction provides a mechanism for efficient nitrogen transfer between astrocytes and neurons and synthesis of glutamate from astrocyte {alpha}-ketoglutarate. Evidence in favor of the hypothesis is: 1) The two BCAT isoenzymes appear to be localized separately in the neurons (BCATc) or in the astroglia (BCATm). 2) Inhibition of the shuttle in the direction of glutamate synthesis can be achieved by inhibiting BCATc using the neuroactive drug gabapentin. Although gabapentin does not inhibit BCATm, it does block de novo glutamate synthesis from {alpha}-ketoglutarate. 3) Conversely, gabapentin stimulates oxidation of glutamate. Inhibition of BCATc may allow BCKA to accumulate in the astroglia, thus facilitating conversion of glutamate to {alpha}-ketoglutarate.


KEY WORDS: • branched-chain amino acids • transamination • glutamate • neurotransmitter • brain


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
The first step in catabolism of the nutritionally essential branched-chain amino acids (BCAA4 ), leucine, isoleucine and valine, is transamination catalyzed by the branched-chain aminotransferase (BCAT) isoenzymes (mitochondrial BCATm and cytosolic BCATc) to form the branched-chain {alpha}-keto acids (BCKA). BCATm is found in most tissues (Hutson et al. 1992Citation ), whereas BCATc is expressed predominantly in the central nervous system (Hall et al. 1993Citation ). Additionally, BCATc, but not BCATm, is a target of the anticonvulsant and neuroprotective drug, and leucine analog, gabapentin (Hutson et al. 1998Citation ). The second catabolic step, irreversible oxidative decarboxylation of the transamination products catalyzed by the mitochondrial BCKA dehydrogenase enzyme complex, commits the BCAA to oxidative degradation, resulting in net transfer of nitrogen from the BCAA to dispensable amino acids such as glutamate.

The BCAA, particularly leucine, are known to cross the blood–brain barrier rapidly (Oldendorf 1971Citation ). In brain slices, BCAA are metabolized more rapidly than they are incorporated into protein (Chaplin et al. 1976Citation ), and the ratio of BCAT/BCKA dehydrogenase activity in brain tissue is high (Hutson et al. 1998Citation ), suggesting that in the brain BCAA must serve a function distinct from one as an energy source. Published results (Bixel et al. 1997Citation , Hutson et al. 1998Citation , Yudkoff 1997Citation , Yudkoff et al. 1996Citation , Zielke et al. 1997Citation , Huang et al. 1996Citation , McKenna et al. 1998Citation ) support the hypothesis that BCKA and BCAA have an important role in the oxidation and synthesis of excitatory neurotransmitter glutamate in brain. Both in cultured astrocytes (Hutson et al. 1998Citation , Yudkoff et al. 1994Citation ) and in intact brain (Zielke et al. 1997Citation ), one or more BCKA but not BCAA, have been shown to stimulate the oxidation of glutamate.

The importance of maintaining normal brain BCAA homeostasis is also clear from the inherited neurologic disorders in man that are associated with defects in the oxidation of BCAA (Chuang and Shih 1995Citation ). Patients with branched-chain keto acidurias have markedly elevated blood concentrations of BCAA and BCKA. If untreated by dietary restriction of BCAA, these patients suffer from seizures and severe mental and physical retardation (Chuang and Shih 1995Citation ). This latter observation is important, because it indicates a net transfer of nitrogen from BCAA (oxidation) is required for normal brain function.

Because glutamate is the most widely utilized excitatory neurotransmitter in the nervous system, it is critical to understand how neurons replenish the glutamate they release during neurotransmission. The brain glutamate/glutamine cycle (Glu/Gln Cycle in Fig. 1Citation ) is the metabolic pathway that involves the synaptic release of glutamate from neurons, rapid and efficient glutamate uptake by astroglia, conversion of glutamate to glutamine by astrocytic glutamine synthetase, followed by release of glutamine to the interstitium, and uptake by the neurons for conversion back to glutamate (Shank and Aprison 1981Citation ). This process efficiently prevents excessive accumulation of glutamate in the interstitium that would induce excitotoxic neurodegeneration.



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Figure 1. BCAA shuttle and brain glutamate metabolism. Abbreviations are: BCAA, branched-chain amino acids; BCKA, branched-chain {alpha}-keto acids; Gln’ase, glutaminase; GDH, glutamate dehydrogenase; {alpha}KG, {alpha}-ketoglutarate; OAA, oxaloacetate; PC, pyruvate carboxylase; TCA Cycle, tricarboxylic acid cycle.

 
However, in the astroglia some glutamate is completely lost via oxidation and therefore anaplerotic, de novo synthesis of glutamate is required to maintain neurotransmitter levels. {alpha}-Ketoglutarate synthesized in the glia is transaminated to glutamate and then amidated to glutamine for release and transport back to the neurons. Recent studies suggest BCAA nitrogen is actually required for the optimal formation of glutamate in the astroglia (Yudkoff et al. 1996Citation , Bixel et al. 1997Citation ), because nitrogen sources such as aspartate are limited in astroglia (Gamberino et al. 1997Citation , Hutson et al. 1998Citation ). Recently, we proposed that BCAA participate in a nitrogen shuttle that is obligatory for optimal rates of de novo glutamate synthesis in brain (Hutson et al. 1998Citation ). In this report we present evidence in support of the BCAA shuttle hypothesis.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Animals.

Male Sprague–Dawley rats (200–400 g) were anesthetized with Nembutal, eyes enucleated, and retinas dissected in ice-cold buffer. The protocol complies with the Guide for the Care and Use of Laboratory Animals.

Retinal incubations.

Half-retinas were preincubated at 37°C for 3 min in Krebs buffer (pH 7.4) also containing 20 mmol/L HEPES, 5 mmol/L glucose, 0.05 mmol/L NH4Cl, 25 mmol/L NaH14CO3, 0.2 mmol/L pyruvate. Bicarbonate (H14CO3-) was used to measure CO2 fixation (Gamberino et al. 1997Citation ), and vessels were closed to the atmosphere. At 20 min the half-retinas were removed and placed in 2% perchloric acid. The buffer was then acidified with perchloric acid and unreacted 14CO2 was allowed to diffuse out of all the samples. [1-14C]Leucine transamination and [U-14C]glutamate oxidation were determined as described (Hutson et al. 1998Citation ). Metabolites were separated and quantified by published procedures (Gamberino et al. 1997Citation ).

Immunohistochemistry.

Coronal sections (30 µm) of 4% paraformaldehyde fixed rat brain were used. Free-floating sections were stained after treatment with 10% methanol, 0.3% H2O2 in 0.1 M phosphate-buffered saline. Sections were rinsed in phosphate-buffered saline, blocked in 3% normal goat serum (Vector Laboratories, Burlingame, CA), and incubated overnight at 4°C with immunoaffinity-purified rabbit anti-rat BCATc peptide antibody (1.2 mg/L). The secondary antibody was goat anti-rabbit IgG 1:250 (Jackson ImmunoResearch, West Grove, PA), and samples were developed using a standard diaminobenzidine reaction. With the immunoaffinity-purified rabbit anti-human BCATm antibody, fresh frozen sections were used. For the control, antibody was absorbed overnight with a 50-fold excess of purified BCATc peptide, and tissue slices were incubated with the peptide for 30 min prior to incubation with preabsorbed antibody.


    RESULTS AND DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Studies of glutamate metabolism in cultured neonatal astrocytes (Cooper and Plum 1987Citation , Sonnewald et al. 1993Citation , Gamberino et al. 1997Citation ) indicate that up to 30% of the glutamate taken up by the astrocytes is not converted directly to glutamine but is actually metabolized to lactate via conversion of glutamate to {alpha}-ketoglutarate and subsequent citric acid cycle decarboxylation (Pyr/Mal Cycle in Fig. 1Citation ). If glial citric acid cycle decarboxylation occurs, equivalent rates of anaplerosis must take place to recover the lost carbon of glutamate, i.e., de novo glutamate synthesis. The anaplerotic enzyme pyruvate carboxylase is expressed abundantly in the brain, and localized to glia (Shank et al. 1985Citation ). Our previous studies of the rate of anaplerosis in neonatal cultured astrocytes and the resultant accumulation of citric acid cycle intermediates showed that pyruvate carboxylase was very active and dependent on levels of added pyruvate (Gamberino et al. 1997Citation , Hutson et al. 1998Citation ). This study also indicated that the conversion of the excess tricarboxylic acid cycle intermediates, formed by pyruvate carboxylase, to glutamate and glutamine could be severely limited by lack of a source of nitrogen. Because NH3 could not supply the needed nitrogen (Gamberino et al. 1997Citation ) and others previously reported that BCAA were important donors of nitrogen for glutamate synthesis in vivo (Kanamori et al. 1998Citation ) and in brain cell culture (Yudkoff et al. 1996Citation , Bixel et al. 1997Citation ), we proposed that BCAA might be the physiological source for the {alpha}-amino nitrogen of glutamate (Hutson et al. 1998Citation ). Equation 1 represents a linear pathway for net de novo glutamate synthesis:

(1)

Recent results showing a lack of effect of the BCATc-specific drug gabapentin on glutamate metabolism in astrocyte cultures suggested that the role of BCAA in glutamate synthesis is more complex than depicted in eq. 1 . Immunocytochemical analysis of the localization of BCATm and BCATc in primary cultures of rat brain cells showed that in neuron-rich primary cultures BCATc is the sole BCAT isoenzyme expressed in rat cortical neurons (Bixel et al. 1996Citation ), whereas in astroglia-rich primary cultures, BCATm is the predominant isoenzyme (Bixel et al. 1997Citation ). Gabapentin was an effective inhibitor only of leucine transamination in neuronal cultures (Hutson et al. 1998Citation ). Similarly, immunoblots revealed that BCATm is the predominant BCAT in astroglial cultures, whereas BCATc is the predominant isoenzyme found in early neuron cultures (Hutson et al. 1998Citation ).

These results led to development of the BCAA shuttle hypothesis depicted in Figure 1Citation (BCAA Shuttle, Fig. 1Citation ). BCAA enter the astrocyte where transamination catalyzed by BCATm produces glutamate and BCKA. Since BCKA are poorly oxidized in astrocytes (Bixel and Hamprecht 1995Citation , Hutson et al. 1998Citation ), they exit the astrocyte and can be taken up by the neuron. Neuronal BCATc catalyzes transamination of the BCKA with glutamate. The products, BCAA, exit from the neuron and return to the astrocyte. The {alpha}-ketoglutarate product in neurons may undergo reductive amination to glutamate via neuronal glutamate dehydrogenase. Although reversible, the cycle will be driven in the direction shown in Figure 1Citation by anaplerotic synthesis of {alpha}-ketoglutarate in astrocytes and by the higher activity of neuronal as opposed to astrocytic glutamate dehydrogenase under physiological ADP concentrations (Gamberino et al. 1997Citation , Shashidharan et al. 1997Citation ).

In the intact brain BCATc is found in neurons.

The model predicts cell-specific localization of BCATm and BCATc in the central nervous system. Therefore, we used immunohistochemistry with immunoaffinity-purified BCATc peptide antibodies to determine the distribution of BCATc in paraformaldehyde-fixed rat brain. The pattern of BCAT isoenzyme expression is consistent with the shuttle hypothesis. In the brain regions examined, the pattern of staining for BCATc is neuronal (Fig. 2A–DCitation ). Immunostaining for BCATm, using immunoaffinity-purified human BCATm antibodies, was found in astroglia in fresh frozen rat brain cortex (Hutson, S. M., unpublished observations). BCATc immunostaining of neurons is observed in all layers of the somatosensory cortex (Fig. 2ACitation ) with staining found primarily in the pyramidal neurons (Fig. 2B, CCitation ) which are glutamatergic. BCATc immunostaining in the cerebellar cortex showed intense staining in GABAergic Purkinje neurons (Fig. 2DCitation ). Other GABAergic neurons also stained positive for BCATc (Hutson, S. M., unpublished observations). The intense staining for BCATc in the Purkinje neuron cell bodies and processes contrasts sharply with the reported near background immunolabeling for phosphate activated glutaminase in Purkinje cell bodies (Laake et al. 1999Citation ). These results are intriguing because they suggest that the full BCAA shuttle that requires both BCAT isoenzymes, glutamine synthetase and glutaminase, may be more active in glutamatergic rather than GABAergic pathways. Furthermore, understanding the pattern of expression of the cycle enzymes may allow for better interpretation of the effect of drugs, such as gabapentin, that target BCATc.



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Figure 2. BCATc immunostaining in rat brain somatosensory cortex (A–D) and cerebellum (E). (A) Preabsorbed control cortex. (B) BCATc+ cells are found in all cortical layers. (C) Cortex enlargement. (D) Pyramidal neuron. (E) BCATc+ Purkinje cells in cerebellum. (Modified from Hutson et al. 2000Citation .)

 
Inhibition of BCATc by gabapentin lowers rates of de novo glutamate synthesis in ex vivo rat retinas.

The ex vivo rat retina provides a model system to test the shuttle hypothesis. The isolated retina is a well-defined model of glutamatergic neurons, does not require cell culture from immature cells and can still provide a way of examining the process in the presence of interacting astroglia (Müller cells in the retina) and neurons. Immunoblotting of retinal homogenates revealed comparable levels of BCATc and BCATm compared to whole brain (Hutson, S. M., unpublished data). The effect of the competitive BCATc inhibitor, gabapentin (Hutson et al. 1998Citation ), on metabolism of added leucine as well as rates of de novo glutamate and glutamine synthesis (no added leucine) was examined. Addition of 1 mM gabapentin to the excised retinas resulted in a 50–60% inhibition of added leucine transamination (Fig. 3Citation ). In a separate experiment, addition of gabapentin to the retina (no added BCAA) resulted in ~30% inhibition of the de novo synthesis of glutamine and glutamate from 14HCO3- (2.26 ± 0.05 versus 3.18 ± 0.12 nmol 14C-glutamine + 14C-glutamate/mg protein, P < 0.001) (Lieth E. et al., unpublished observations). These results were the first demonstration that inhibition of BCATc can affect de novo glutamate synthesis in an intact neural preparation.



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Figure 3. Gabapentin (GP) inhibits leucine transamination in ex vivo rat retinas. Abbreviation: Contr, control. [1-14C]Leucine was added at 100 µmol/L, and gabapentin was added at 1.0 mmol/L. Values are means ± SD (n = 4).

 
Inhibition of BCATc by gabapentin stimulates glutamate oxidation in retinal Müller cells.

Glutamate added to the media surrounding excised rat retinas enters the tissue through the Müller cells (Pow and Crook 1996Citation , Poitry et al. 2000Citation ) so that the glutamate does not have direct access to neurons. Therefore Müller cell oxidation and amidation of glutamate can be monitored by adding [U-14C]glutamate to ex vivo excised retinas. It was previously shown that glutamate oxidation in cultured cortical astrocytes occurs by an initial transamination step (McKenna et al. 1996Citation ). In cultured astrocytes at physiological levels of glutamate, oxidation is almost completely blocked by nonspecific transaminase inhibitors such as aminooxyacetic acid. Our previous studies (Lieth et al. 2000Citation ) of glutamate oxidation by excised retinas indicates that addition of 1 mM aminooxyacetic acid inhibits glutamate oxidation by ~40%. The proposed BCAA shuttle predicts that glutamate oxidation to {alpha}-ketoglutarate in the Müller cells will be partially dependent on a supply of BCKA. We previously showed in studies of cultured rat cortical astrocytes that addition of BCKA stimulates oxidation of [U-14C]glutamate (Hutson et al. 1998Citation ). If the hypothesis is correct in predicting that BCATc normally operates in the direction of synthesis of BCAA at the expense of BCKA, then inhibiting BCATc should increase the pool of BCKA in the retina and therefore stimulate [U-14C]glutamate oxidation. We incubated excised rat retinas for 40 min at 37°C with 0.2 mM BCKA, with 1 mM gabapentin, or with both. The results, illustrated in Figure 4Citation , demonstrate that the oxidation of glutamate in the retinas is increased by both BCKA and gabapentin. The data also show that production of 14CO2, 14C-lactate and 14C-citric acid cycle intermediates increases in the presence of both BCKA and gabapentin and that, when the two are combined in the same incubation, stimulation is somewhat greater than with either BCKA or gabapentin alone.



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Figure 4. Branched-chain {alpha}-keto acids (BCKA) and Gabapentin (GP) stimulate glutamate oxidation in the ex vivo rat retina. [U-14C]Glutamate (10 µmol/L) oxidation was measured as in Hutson et al. (1998Citation ). When added, gabapentin was 1.0 mM/L and BCKA were each 0.2 µmol/L Abbreviations are: Contr, control; Lac, lactate; TCA, tricarboxylic acid cycle intermediates. Values are means ± SD (n = 4).

 
If the two BCAT isoenzymes were not acting in series, we would have seen BCKA-induced stimulation, but not the gabapentin-induced stimulation. Thus, this experiment also supports the proposed shuttle mechanism. Therefore, overall the results suggest that the BCAT isoenzymes operate in series in a shuttle that is required for optimal rates of de novo glutamate synthesis, and that this shuttle may be important in maintaining pools of neurotransmitter glutamate in the central nervous system.


    ACKNOWLEDGMENTS
 
This study was supported by NIH DK34738 (to S.M.H.), The Center for Investigative Neuroscience of Wake Forest University School of Medicine (to S.M.H.) and in part by grants 197038 and 1-199-678 from the Juvenile Diabetes Foundation International (to E.L.).


    FOOTNOTES
 
1 Presented as part of the symposium "Leucine as a Nutritional Signal" given at the Experimental Biology 2000 meeting, held in San Diego, CA on April 18, 2000. This symposium was sponsored by the American Society for Nutritional Sciences and was supported by the National Institutes of Health Division of Nutrition Research Coordination and Division of Digestive Diseases and Nutrition. The proceedings of the symposium are published as a supplement to The Journal of Nutrition. Editors for the symposium publication were Susan M. Hutson, Wake Forest University School of Medicine and Robert A. Harris, Indiana University School of Medicine. Back

2 Supported in part by grants from the National Institutes of Health Grant DK34738 (to S.M.H.) and Juvenile Diabetes Foundation International (to E.L.). Back

4 Abbreviations used: BCAA, branched-chain amino acid(s), BCATm, mitochondrial branched-chain aminotransferase; BCATc, cytosolic branched-chain aminotransferase; BCKA, branched-chain {alpha}-keto acid(s). Back


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