Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/95374
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Type: Journal article
Title: Effects of intraduodenal infusion of the branched-chain amino acid leucine on ad libitum eating, gut motor and hormone functions, and glycemia in healthy men
Author: Steinert, R.
Landrock, M.
Ullrich, S.
Standfield, S.
Otto, B.
Horowitz, M.
Feinle-Bisset, C.
Citation: The American Journal of Clinical Nutrition, 2015; 102(4):820-827
Publisher: American Society for Nutrition
Issue Date: 2015
ISSN: 0002-9165
1938-3207
Statement of
Responsibility: 
Robert E Steinert, Maria F Landrock, Sina S Ullrich, Scott Standfield, Bärbel Otto, Michael Horowitz, and Christine Feinle-Bisset
Abstract: BACKGROUND: Branched-chain amino acids (BCAAs), particularly leucine, act as nutrient signals regulating protein synthesis and degradation as well as glucose metabolism. In addition, leucine has been demonstrated in animal experiments to modulate eating and energy homeostasis. OBJECTIVE: We aimed to characterize the effects of physiologic and supraphysiologic loads of intraduodenal leucine on eating, gut hormone and motor functions, and blood glucose in humans. DESIGN: Twelve lean men were studied on 3 occasions in a randomized, double-blind order. Antropyloroduodenal motility, plasma ghrelin, cholecystokinin, glucagon-like peptide 1, peptide YY, insulin, glucagon, blood glucose, appetite perceptions, and gastrointestinal symptoms were measured during 90-min intraduodenal infusions of leucine at 0.15 kcal/min (total 3.3 g, 13.5 kcal), 0.45 kcal/min (total 9.9 g, 40.5 kcal), or saline (control). Ad libitum eating from a buffet lunch was quantified immediately after the infusions. RESULTS: Leucine at 0.45 kcal/min inhibited eating (energy intake by ∼13%, P < 0.05), increased plasma cholecystokinin, slightly reduced blood glucose and increased plasma insulin, and decreased antral pressures (all P < 0.05). Leucine at 0.15 kcal/min had no effect on food intake, blood glucose, or antral pressures but also slightly increased plasma cholecystokinin (P < 0.05). Neither dose affected plasma ghrelin, glucagon, glucagon-like peptide 1 and peptide YY, or pyloric and duodenal pressures. Plasma leucine concentrations were related to the dose of intraduodenal leucine, with substantial increases during both 0.15 and 0.45 kcal/min. CONCLUSIONS: The effects of intraduodenal infusions of free leucine on eating are probably not primarily mediated by changes in gut motor and hormone functions, with perhaps the exception of cholecystokinin. Instead, increased plasma leucine concentrations may be a potential signal mediating the eating-inhibitory effect of leucine. The study was registered as a clinical trial with the Australia and New Zealand Clinical Trial Registry (www.anzctr.org.au) as ACTRN12613000899741.
Keywords: Food intake; cholecystokinin; peptide YY; glucagon-like peptide 1; insulin; glucagon; humans
Rights: © 2015 American Society for Nutrition
RMID: 0030033980
DOI: 10.3945/ajcn.115.114488
Grant ID: http://purl.org/au-research/grants/nhmrc/627002
Appears in Collections:Medicine publications

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