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High protein feeding induces de novo lipogenesis in healthy humans: a randomised 3-way crossover study

Accepted version
Peer-reviewed

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Abstract

BACKGROUND. Dietary changes have led to a growing prevalence of Type 2 diabetes and non-alcoholic fatty liver disease. A hallmark of both disorders is hepatic lipid accumulation, derived in part from increased de novo lipogenesis. Despite high protein diets being popular for weight loss to tackle these metabolic disorders, the effect of dietary protein on de novo lipogenesis is poorly studied. We aimed to characterise the effect of dietary protein on de novo lipid synthesis. METHODS. Herein, we use a 3-way crossover interventional study in healthy males to determine the effect of high protein feeding on de novo lipogenesis as well as in vitro models to determine the effects of specific amino acids on fatty acid synthesis. The primary outcome was change in de novo lipogenesis-associated triglycerides in response to protein feeding. RESULTS. We demonstrate that high protein feeding, rich in glutamate, increases de novo lipogenesis-associated triglycerides in plasma (1.5-fold compared to Control; p < 0.0001) and liver-derived very low-density lipoprotein particles (1.8 fold; p < 0.0001) in samples from human subjects (n = 9 per group). In hepatocytes, we show that glutamate derived carbon is incorporated into palmitate and subsequently into triglycerides. In addition, supplementation with glutamate, glutamine and leucine, but not lysine increases synthesised triglyceride content in cells and decreases glucose uptake. Glutamate, glutamine and leucine increase activation of protein kinase B, suggesting that these amino acids induce de novo lipogenesis via the insulin signalling cascade. CONCLUSION. These findings provide mechanistic insight into how select amino acids may induce de novo lipogenesis and insulin resistance, suggesting that high protein feeding to tackle diabetes and obesity requires greater consideration.

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Keywords

32 Biomedical and Clinical Sciences, 42 Health Sciences, Clinical Trials and Supportive Activities, Obesity, Clinical Research, Digestive Diseases, Liver Disease, Prevention, Health Disparities, Nutrition, Minority Health, Diabetes, Metabolic and endocrine, Administration, Oral, Adult, Amino Acids, Diabetes Mellitus, Type 2, Diet, High-Protein, Dietary Proteins, Feeding Behavior, Healthy Volunteers, Hepatocytes, Humans, Insulin, Insulin Resistance, Lipogenesis, Liver, Male, Non-alcoholic Fatty Liver Disease, Obesity, Triglycerides, Young Adult

Journal Title

JCI insight

Conference Name

Journal ISSN

2379-3708

Volume Title

Publisher

American Society for Clinical Investigation

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All rights reserved
Sponsorship
Medical Research Council (MR/P011705/1)
Medical Research Council (MR/P01836X/1)
Medical Research Council funded. grants MR/P011705/1, MC_UP_A090_1006 and MR/P01836X/1