PMID- 25156780 OWN - NLM STAT- MEDLINE DCOM- 20151215 LR - 20211021 IS - 1478-3231 (Electronic) IS - 1478-3223 (Print) IS - 1478-3223 (Linking) VI - 35 IP - 4 DP - 2015 Apr TI - Branched-chain amino acids reduce hepatic iron accumulation and oxidative stress in hepatitis C virus polyprotein-expressing mice. PG - 1303-14 LID - 10.1111/liv.12675 [doi] AB - BACKGROUND & AIMS: Branched-chain amino acids (BCAA) reduce the incidence of hepatocellular carcinoma (HCC) in patients with cirrhosis. However, the mechanisms that underlie these effects remain unknown. Previously, we reported that oxidative stress in male transgenic mice that expressed hepatitis C virus polyprotein (HCVTgM) caused hepatic iron accumulation by reducing hepcidin transcription, thereby leading to HCC development. This study investigated whether long-term treatment with BCAA reduced hepatic iron accumulation and oxidative stress in iron-overloaded HCVTgM and in patients with HCV-related advanced fibrosis. METHODS: Male HCVTgM were fed an excess-iron diet that comprised either casein or 3.0% BCAA, or a control diet, for 6 months. RESULTS: For HCVTgM, BCAA supplementation increased the serum hepcidin-25 levels and antioxidant status [ratio of biological antioxidant potential (BAP) relative to derivatives of reactive oxygen metabolites (dROM)], decreased the hepatic iron contents, attenuated reactive oxygen species generation, and restored mitochondrial superoxide dismutase expression and mitochondrial complex I activity in the liver compared with mice fed the control diet. After 48 weeks of BCAA supplementation in patients with HCV-related advanced fibrosis, BAP/dROM and serum hepcidin-25 increased and serum ferritin decreased compared with the pretreatment levels. CONCLUSIONS: BCAA supplementation reduced oxidative stress by restoring mitochondrial function and improved iron metabolism by increasing hepcidin-25 in both iron-overloaded HCVTgM and patients with HCV-related advanced fibrosis. These activities of BCAA may partially account for their inhibitory effects on HCC development in cirrhosis patients. CI - (c) 2014 The Authors. Liver International Published by John Wiley & Sons Ltd. FAU - Korenaga, Masaaki AU - Korenaga M AD - Department of Hepatology and Pancreatology, Kawasaki Medical School, Okayama, Japan; The Research Center for Hepatitis and Immunology, National Center for Global Health and Medicine (NCGM), Chiba, Japan. FAU - Nishina, Sohji AU - Nishina S FAU - Korenaga, Keiko AU - Korenaga K FAU - Tomiyama, Yasuyuki AU - Tomiyama Y FAU - Yoshioka, Naoko AU - Yoshioka N FAU - Hara, Yuichi AU - Hara Y FAU - Sasaki, Yusuke AU - Sasaki Y FAU - Shimonaka, Yasushi AU - Shimonaka Y FAU - Hino, Keisuke AU - Hino K LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140918 PL - United States TA - Liver Int JT - Liver international : official journal of the International Association for the Study of the Liver JID - 101160857 RN - 0 (Amino Acids, Branched-Chain) RN - 0 (Antioxidants) RN - 0 (Biomarkers) RN - 0 (Dietary Proteins) RN - 0 (Hepcidins) RN - 0 (Polyproteins) RN - 0 (Reactive Oxygen Species) RN - 0 (Viral Proteins) RN - 0 (hepcidin 25, human) RN - 9007-73-2 (Ferritins) RN - E1UOL152H7 (Iron) SB - IM MH - Aged MH - Aged, 80 and over MH - Amino Acids, Branched-Chain/*administration & dosage MH - Animals MH - Antioxidants/metabolism MH - Biomarkers/blood MH - Dietary Proteins/*administration & dosage MH - Disease Models, Animal MH - Female MH - Ferritins/blood MH - Hepacivirus/genetics/*metabolism MH - Hepatitis C/blood/*diet therapy/genetics/metabolism MH - Hepcidins/blood MH - Humans MH - Iron/*metabolism MH - Japan MH - Liver/*metabolism MH - Liver Cirrhosis/blood/*diet therapy/genetics/metabolism MH - Male MH - Mice, Transgenic MH - *Oxidative Stress MH - Polyproteins/genetics/*metabolism MH - Reactive Oxygen Species/blood MH - Time Factors MH - Treatment Outcome MH - Viral Proteins/genetics/*metabolism PMC - PMC4409847 OTO - NOTNLM OT - hepatic mitochondrial dysfunction OT - hepatitis C virus OT - hepcidin-25 OT - iron metabolic disorder OT - reactive oxygen species EDAT- 2014/08/27 06:00 MHDA- 2015/12/17 06:00 PMCR- 2015/04/25 CRDT- 2014/08/27 06:00 PHST- 2014/03/04 00:00 [received] PHST- 2014/08/16 00:00 [accepted] PHST- 2014/08/27 06:00 [entrez] PHST- 2014/08/27 06:00 [pubmed] PHST- 2015/12/17 06:00 [medline] PHST- 2015/04/25 00:00 [pmc-release] AID - 10.1111/liv.12675 [doi] PST - ppublish SO - Liver Int. 2015 Apr;35(4):1303-14. doi: 10.1111/liv.12675. Epub 2014 Sep 18.