PMID- 29368944 OWN - NLM STAT- MEDLINE DCOM- 20190703 LR - 20190703 IS - 1522-1547 (Electronic) IS - 0193-1857 (Linking) VI - 314 IP - 5 DP - 2018 May 1 TI - A specific amino acid formula prevents alcoholic liver disease in rodents. PG - G566-G582 LID - 10.1152/ajpgi.00231.2017 [doi] AB - Chronic alcohol consumption promotes mitochondrial dysfunction, oxidative stress, defective protein metabolism, and fat accumulation in hepatocytes (liver steatosis). Inadequate amino acid metabolism is worsened by protein malnutrition, frequently present in alcohol-consuming patients, with reduced circulating branched-chain amino acids (BCAAs). Here we asked whether dietary supplementation with a specific amino acid mixture, enriched in BCAAs (BCAAem) and able to promote mitochondrial function in muscle of middle-aged rodents, would prevent mitochondrial dysfunction and liver steatosis in Wistar rats fed on a Lieber-DeCarli ethanol (EtOH)-containing liquid diet. Supplementation of BCAAem, unlike a mixture based on the amino acid profile of casein, abrogated the EtOH-induced fat accumulation, mitochondrial impairment, and oxidative stress in liver. These effects of BCAAem were accompanied by normalization of leucine, arginine, and tryptophan levels, which were reduced in liver of EtOH-consuming rats. Moreover, although the EtOH exposure of HepG2 cells reduced mitochondrial DNA, mitochondrial transcription factors, and respiratory chain proteins, the BCAAem but not casein-derived amino acid supplementation halted this mitochondrial toxicity. Nicotinamide adenine dinucleotide levels and sirtuin 1 (Sirt1) expression, as well as endothelial nitric oxide (eNOS) and mammalian/mechanistic target of rapamycin (mTOR) signaling pathways, were downregulated in the EtOH-exposed HepG2 cells. BCAAem reverted these molecular defects and the mitochondrial dysfunction, suggesting that the mitochondrial integrity obtained with the amino acid supplementation could be mediated through a Sirt1-eNOS-mTOR pathway. Thus a dietary activation of the mitochondrial biogenesis and function by a specific amino acid supplement protects against the EtOH toxicity and preserves the liver integrity in mammals. NEW & NOTEWORTHY Dietary supplementation of a specific amino acid formula prevents both fat accumulation and mitochondrial dysfunction in hepatocytes of alcohol-consuming rats. These effects are accompanied also by increased expression of anti-reactive oxygen species genes. The amino acid-protective effects likely reflect activation of sirtuin 1-endothelial nitric oxide synthase-mammalian target of rapamycin pathway able to regulate the cellular energy balance of hepatocytes exposed to chronic, alcoholic damage. FAU - Tedesco, Laura AU - Tedesco L AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. FAU - Corsetti, Giovanni AU - Corsetti G AD - Department of Clinical and Experimental Sciences, University of Brescia , Brescia , Italy. FAU - Ruocco, Chiara AU - Ruocco C AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. FAU - Ragni, Maurizio AU - Ragni M AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. FAU - Rossi, Fabio AU - Rossi F AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. FAU - Carruba, Michele O AU - Carruba MO AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. FAU - Valerio, Alessandra AU - Valerio A AD - Department of Molecular and Translational Medicine, University of Brescia , Brescia , Italy. FAU - Nisoli, Enzo AU - Nisoli E AUID- ORCID: 0000-0002-6670-1630 AD - Department of Medical Biotechnology and Translational Medicine, Center for Study and Research on Obesity, University of Milan , Milan , Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180125 PL - United States TA - Am J Physiol Gastrointest Liver Physiol JT - American journal of physiology. Gastrointestinal and liver physiology JID - 100901227 RN - 0 (Amino Acids, Branched-Chain) RN - 0 (Reactive Oxygen Species) RN - 0U46U6E8UK (NAD) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) SB - IM MH - Alcohol Drinking/*adverse effects/metabolism MH - *Amino Acids, Branched-Chain/metabolism/pharmacology MH - Animals MH - Dietary Supplements MH - Disease Models, Animal MH - Energy Metabolism/physiology MH - *Fatty Liver/etiology/metabolism/prevention & control MH - Hep G2 Cells MH - Hepatocytes/drug effects/metabolism MH - Humans MH - Liver/metabolism/pathology MH - *Mitochondria/drug effects/physiology MH - *Mitochondrial Diseases/chemically induced/metabolism/prevention & control MH - NAD/metabolism MH - Nitric Oxide Synthase Type III/metabolism MH - Oxidative Stress/drug effects MH - Rats MH - Rats, Wistar MH - Reactive Oxygen Species/metabolism OTO - NOTNLM OT - alcoholic liver disease OT - branched-chain amino acids OT - endothelial nitric oxide synthase OT - mechanistic target of rapamycin OT - mitochondrial biogenesis EDAT- 2018/01/26 06:00 MHDA- 2019/07/04 06:00 CRDT- 2018/01/26 06:00 PHST- 2018/01/26 06:00 [pubmed] PHST- 2019/07/04 06:00 [medline] PHST- 2018/01/26 06:00 [entrez] AID - 10.1152/ajpgi.00231.2017 [doi] PST - ppublish SO - Am J Physiol Gastrointest Liver Physiol. 2018 May 1;314(5):G566-G582. doi: 10.1152/ajpgi.00231.2017. Epub 2018 Jan 25.