- Yu, Deyang;
- Richardson, Nicole E;
- Green, Cara L;
- Spicer, Alexandra B;
- Murphy, Michaela E;
- Flores, Victoria;
- Jang, Cholsoon;
- Kasza, Ildiko;
- Nikodemova, Maria;
- Wakai, Matthew H;
- Tomasiewicz, Jay L;
- Yang, Shany E;
- Miller, Blake R;
- Pak, Heidi H;
- Brinkman, Jacqueline A;
- Rojas, Jennifer M;
- Quinn, William J;
- Cheng, Eunhae P;
- Konon, Elizabeth N;
- Haider, Lexington R;
- Finke, Megan;
- Sonsalla, Michelle;
- Alexander, Caroline M;
- Rabinowitz, Joshua D;
- Baur, Joseph A;
- Malecki, Kristen C;
- Lamming, Dudley W
Low-protein diets promote metabolic health in rodents and humans, and the benefits of low-protein diets are recapitulated by specifically reducing dietary levels of the three branched-chain amino acids (BCAAs), leucine, isoleucine, and valine. Here, we demonstrate that each BCAA has distinct metabolic effects. A low isoleucine diet reprograms liver and adipose metabolism, increasing hepatic insulin sensitivity and ketogenesis and increasing energy expenditure, activating the FGF21-UCP1 axis. Reducing valine induces similar but more modest metabolic effects, whereas these effects are absent with low leucine. Reducing isoleucine or valine rapidly restores metabolic health to diet-induced obese mice. Finally, we demonstrate that variation in dietary isoleucine levels helps explain body mass index differences in humans. Our results reveal isoleucine as a key regulator of metabolic health and the adverse metabolic response to dietary BCAAs and suggest reducing dietary isoleucine as a new approach to treating and preventing obesity and diabetes.