PMID- 37762992 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 12 IP - 18 DP - 2023 Sep 19 TI - Depiction of Branched-Chain Amino Acids (BCAAs) in Diabetes with a Focus on Diabetic Microvascular Complications. LID - 10.3390/jcm12186053 [doi] LID - 6053 AB - Type 2 diabetes mellitus (T2DM) still holds the title as one of the most debilitating chronic diseases with rising prevalence and incidence, including its complications such as retinal, renal, and peripheral nerve disease. In order to develop novel molecules for diagnosis and treatment, a deep understanding of the complex molecular pathways is imperative. Currently, the existing agents for T2DM treatment target only blood glucose levels. Over the past decades, specific building blocks of proteins-branched-chain amino acids (BCAAs) including leucine, isoleucine, and valine-have gained attention because they are linked with insulin resistance, pre-diabetes, and diabetes development. In this review, we discuss the hypothetical link between BCAA metabolism, insulin resistance, T2DM, and its microvascular complications including diabetic retinopathy and diabetic nephropathy. Further research on these amino acids and their derivates may eventually pave the way to novel biomarkers or therapeutic concepts for the treatment of diabetes and its accompanied complications. FAU - Tanase, Daniela Maria AU - Tanase DM AUID- ORCID: 0000-0002-7144-2506 AD - Department of Internal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Internal Medicine Clinic, "St. Spiridon" County Clinical Emergency Hospital Iasi, 700111 Iasi, Romania. FAU - Gosav, Evelina Maria AU - Gosav EM AUID- ORCID: 0000-0003-1730-9306 AD - Department of Internal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Internal Medicine Clinic, "St. Spiridon" County Clinical Emergency Hospital Iasi, 700111 Iasi, Romania. FAU - Botoc, Tina AU - Botoc T AD - Department of Ophthalmology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - 2nd Ophthalmology Clinic, "Prof. Dr. Nicolae Oblu" Emergency Clinical Hospital, 700309 Iasi, Romania. FAU - Floria, Mariana AU - Floria M AUID- ORCID: 0000-0002-9465-1503 AD - Department of Internal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Internal Medicine Clinic, "St. Spiridon" County Clinical Emergency Hospital Iasi, 700111 Iasi, Romania. FAU - Tarniceriu, Claudia Cristina AU - Tarniceriu CC AD - Department of Morpho-Functional Sciences I, Discipline of Anatomy, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Hematology Clinic, "St. Spiridon" County Clinical Emergency Hospital, 700111 Iasi, Romania. FAU - Maranduca, Minela Aida AU - Maranduca MA AUID- ORCID: 0000-0002-2736-9700 AD - Internal Medicine Clinic, "St. Spiridon" County Clinical Emergency Hospital Iasi, 700111 Iasi, Romania. AD - Department of Morpho-Functional Sciences II, Discipline of Physiology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. FAU - Haisan, Anca AU - Haisan A AUID- ORCID: 0000-0001-8073-8192 AD - Department of Emergency Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Emergency Department, "St. Spiridon" County Clinical Emergency Hospital, 700111 Iasi, Romania. FAU - Cucu, Andrei Ionut AU - Cucu AI AUID- ORCID: 0000-0003-1441-1751 AD - Department of Biomedical Sciences, Faculty of Medicine and Biological Sciences, "Stefan cel Mare" University, 720229 Suceava, Romania. AD - Department of Neurosurgery, "Prof. Dr. Nicolae Oblu" Emergency Clinical Hospital, 700309 Iasi, Romania. FAU - Rezus, Ciprian AU - Rezus C AUID- ORCID: 0000-0003-1155-7325 AD - Department of Internal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - Internal Medicine Clinic, "St. Spiridon" County Clinical Emergency Hospital Iasi, 700111 Iasi, Romania. FAU - Costea, Claudia Florida AU - Costea CF AD - Department of Ophthalmology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania. AD - 2nd Ophthalmology Clinic, "Prof. Dr. Nicolae Oblu" Emergency Clinical Hospital, 700309 Iasi, Romania. LA - eng PT - Journal Article PT - Review DEP - 20230919 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC10531730 OTO - NOTNLM OT - BCAAs OT - T2DM OT - branched chain amino acids OT - diabetes mellitus OT - diabetic nephropathy OT - diabetic retinopathy COIS- The authors declare no conflict of interest. EDAT- 2023/09/28 06:42 MHDA- 2023/09/28 06:43 PMCR- 2023/09/19 CRDT- 2023/09/28 01:23 PHST- 2023/08/21 00:00 [received] PHST- 2023/09/10 00:00 [revised] PHST- 2023/09/17 00:00 [accepted] PHST- 2023/09/28 06:43 [medline] PHST- 2023/09/28 06:42 [pubmed] PHST- 2023/09/28 01:23 [entrez] PHST- 2023/09/19 00:00 [pmc-release] AID - jcm12186053 [pii] AID - jcm-12-06053 [pii] AID - 10.3390/jcm12186053 [doi] PST - epublish SO - J Clin Med. 2023 Sep 19;12(18):6053. doi: 10.3390/jcm12186053.