Branched chain amino acids

Synonym(s): Isoleucine, L-Isoleucine, L-Leucine, L-valine, leucine, valine
Nutrient group: Amino acids

Sources and physiological effects

Dietary Sources 

L-leucine, L-valine and L-isoleucine are branched-chain amino acids (BCAA) and essential for humans. Humans are dependent on an exogenous supply. 

  • - Bound leucine is a dietary component of animal and vegetable proteins: whey protein, tuna, beef, peanuts and chicken. 

  • - Bound Valine: is a component of whey protein, peanuts, fish, chicken and beef. 

  • - Bound isoleucine: is a component of whey protein, chicken, salmon and beef. 

 

Physiological effect 
Carbohydrate metabolism 

Stimulation of gluconeogenesis 
Stimulation of insulin secretion 

Ammonia detoxification

Neuroprotection through inhibition of aromatic amino acids uptake via the blood-brain barrier 
Promotion of ammonia detoxification

Muscular system

Protein synthesis and muscle building 
Energy production

Recommended intake

Reference value according to food labelling regulations   
(=100 % TB marking on label) N/A
Requirements  
L-isoleucine: Adults: 10 mg/kg BW
Children: 111 mg/kg BW
L-Leucine: Adults: 13 mg/kg BW
Children: 153 mg/kg BW
L-valine: Adults: 14 mg/kg BW
Children: 95 mg/kg BW
Increased demand Premature babies, stress, competitive sports, liver dysfunction (cirrhosis, hepatic encephalopathy), phenylketonuria, weight-loss diets, malnutrition
Nutrient safety  
UL
 
Long-term daily intake, at which no negative effects on health are to be expected

L-leucine
<550 mg/kg/d
          

 


L-valine / L-isoleucine
n.a.  

NOAEL
 
Maximum intake,  with no observed adverse effect 
 

Detailed information

Branched Chain Amino Acids: Structure and physiological task 

Branched Chain Amino Acids (BCAA) belong to the essential amino acids and differ from the other amino acids by a nonpolar hydrocarbon side chain in the primary structure. It refers particularly to the amino acids L-leucine, L-valine and L-isoleucine. Protein metabolism is based on a constant build-up, breakdown and modification of the amino acid pool present in the body. For example, approximately 75 g of skeletal muscle protein is built up and broken down daily, of which 10% is exchanged in the form of free amino acids between the skeletal muscle and the amino acid pool in the plasma.While the enzyme systems for the degradation of the essential amino acids are mainly located in the liver cells, the BCAAs are mainly used by muscles and the brain.2 This is why branched-chain amino acids are indispensable for the build-up and maintenance of muscle mass and represent an additional source of energy under stress. Since BCAAs are not predominantly metabolized in liver tissue, they are also an important dietary component for maintaining protein balance in liver diseases, especially cirrhosis. 
 

BCAA metabolism under heavy stress 

In the case of long-term stress, branched-chain amino acids are the preferred source of energy in the musculature. In catabolic states, BCAAs are increasingly oxidized to glucose in the mitochondria of the skeletal muscles as part of gluconeogenesis and fed into the citrate cycle for energy production or used to ensure sufficient blood sugar levels.3 During intensive physical exertion, the concentration of leucine, isoleucine and valine decreases significantly due to the increased breakdown both in the plasma and in the musculature. This is more evident in untrained persons than in trained athletes.4 The decreasing concentration of BCCAs seems to be directly related to stress-induced muscle damage.5 Studies show that BCAA supplementation can reduce muscle damage6 and thus shorten recovery time. In addition, the weakened immune system is supported because BCAAs modify the cytokine pattern during exercise and can positively influence the TH1 lymphocyte response.7
 

Promotion of anabolic processes in the regeneration phase and in sarcopenia 

Regardless of their function as protein building blocks and in gluconeogenesis, BCAAs have additional anabolic influences on protein metabolism in muscle tissue. After long periods of stress, they can accelerate protein synthesis in muscle and slow down degradation rates by activating key enzymes for protein synthesis (mTOR and p70-S6 kinase).8 This is also related to the observed acceleration of regeneration using BCAA supplements. In older people, BCAAs can cause anabolic stimulation and counteract age-related muscle loss.9 In recovery, an increased intake of BCAAs also seems to have a positive effect on cognitive rehabilitation.10 In addition, a positive influence by supplementation with BCAA on depressive symptoms in patients with type 2 diabetes was also found.11
 

Dietetic support for liver damage and liver cirrhosis 

Since BCAAs are metabolized predominantly in the skeletal muscles and only to a small extent in the liver, they represent a lower load protein source than other amino acids in liver disease. In fact, long-term supplementation with BCAA reduces the risk of morbidity and mortality in liver cirrhosis patients.12 In another study it was documented that additional intake of BCAAs can positively influence both nitrogen balance and energy metabolism.13 In liver disease, the concentration of branched-chain amino acids in plasma is reduced and therefore the percentage of aromatic amino acids increased. Since both amino acid groups compete for the same transport system during uptake into the CNS, this leads to an increased uptake of the aromatic amino acids and an overall unfavorable influence on neurotransmitter activity. Hepatic encephalopathy manifests itself in poor concentration, memory and sleep disorders as well as cerebral dysfunction. Substitution with BCAA can increase hepatic and extrahepatic ammonia detoxification and normalize amino acid imbalances, thereby improving psychomotor function in liver disease.14 
 

Support of anabolic and immunological processes through individual amino acids 
During physical exertion, whether through sport or an infection, amino acids are increasingly removed from muscle tissue to ensure protein biosynthesis in the immune system.15 Arginine, glutamine and cysteine seem to play an important role in maintaining immune competence.16 Targeted supplementation of malnourished individuals and during states of infection can improve immunological status through various mechanisms such as activation of T and B lymphocytes and macrophages and improvement of antibody and cytokine production.17 

Deficiency symptoms

Impact on Symptoms 
General well-being Muscle weakness 
Protein Synthesis Muscle degradation, poor regeneration after exercise
Metabolism Negative nitrogen balance (protein degradation), inadequate ammonia detoxification
 Nervous system Cerebral dysfunction

Indications

Effect Indication Dosage
Physiological effects
at a low intake
High performance sports 4 – 10 g/d before and after training 
To improve energy supply in striated muscle tissue 2 - 5 g/d 
To maintain muscle protein status during intense exercise 4 - 10 g/d 
Supplemental dietary measures for liver diseases 15 - 20 g/d (0.3 g BCAA/kg BW) 

Administration

General mode of administration
 
When
 
Branched-chain amino acids should be taken with meals.
  Notes:
  • Take with a meal to maintain and promote muscle protein.
  • To reduce muscle damage caused by muscle strain, take one hour before exercise.
  • To promote muscle regeneration after exercise, BCAAs should be taken after exercise.
Side effects
No side effects are known to date.
Contraindications
Kidney insufficiency, maple syrup disease (impaired breakdown of BCAAs)

Interactions

Drug interactions 
None No interactions known to date
Nutrient interactions
  L-tryptophan, tyrosine, phenylalanine, valine, leucine and isoleucine hinder transport through the blood-brain barrier

Description and related substances

Description
Branched chain proteinogenic amino acids
Related substances 
L-Isoleucine is the natural form. The D and DL forms are insignificant isomers.
L-valine is the natural form. DL-Valin is used industrially as a raw material for the production of certain drugs.
L-Leucine is the natural form.

References

References

1 Biesalski, H. K., Grimm, P. Taschenatlas Ernährung, 3. Auflage. Stuttgart: Georg Thieme Verlag KG, 2004.
2 Hahn, A. et al. Ernährung: Physiologische Grundlagen, Prävention, Therapie, 3. neu bearbeitete und erweiterte Auflage. Stuttgart: Wissenschaftliche Verlagsgesellschaft Stuttgart, 2016.
3 Gröber, U. Metabolic Tuning statt Doping: Mikronährstoffe im Sport, 1. Auflage. Stuttgart: S. Hirzel Verlag GmbH & Co., 2008.
4 Henriksson, J. 1991. Effect of exercise on amino acid concentrations in skeletal muscle and plasma. J Exp Biol. 160:149-65.
5 Coombes, J. S., McNaughton, L. R. 2000. Effects of branched-chain amino acid supplementation on serum creatine kinase and lactate dehydrogenase after prolonged exercise. J Sports Med Phys Fitness. 40(3):240-6.
6 Greer, B. K., Woodard, J. L. 2007. Branched-chain amino acid supplementation and indicators of muscle damage after endurance exercise. Int J Sport Nutr Exerc Metab. 17(6):595-607.
7 Negro, M. et al. 2008. Branched-chain amino acid supplementation does not enhance athletic performance but affects muscle recovery and the immune system. J Sports Med Phys Fitness. 48(3):347-51.
8 Blomstrand, E. et al. 2006. Branched-chain amino acids activate key enzymes in protein synthesis after physical exercise. J Nutr. 136(1 Suppl):269S-73S.  
9 Fujita, S., Volpi, E. 2006. Amino acids and muscle loss with aging. J Nutr. 136(1 Suppl):277S-80S.
10 Aquilani, R. et al. 2005. Branched-chain amino acids enhance the cognitive recovery of patients with severe traumatic brain injury. Arch Phys Med Rehabil. 86(9):1729-35.
11 Matsuda, T. et al. 2022. Effects of Branched-Chained Amino Acids on Skeletal Muscle, Glycemic Control, and Neuropsychological Performance in Elderly Persons with Type 2 Diabetes Mellitus: An Exploratory Randomized Controlled Trial. Nutrients. 14(19): 3917.
12 Charlton, M. 2006. Branched-chain amino acid enriched supplements as therapy for liver disease. J Nutr. 136(1 Suppl):295S-8S.  
13 Nakaya, Y. et al. 2007. BCAA-enriched snack improves nutritional state of cirrhosis. Nutrition. 23(2):113-20. doi: 10.1016/j.nut.2006.10.008.
14 Gröber, U. Orthomolekulare Medizin: Ein Leitfaden für Apotheker und Ärzte, 3. unveränderte Auflage. Stuttgart: WVG Wissenschaftliche Verlagsgesellschaft Stuttgart, 2008.
15 Breuille, D. et al. 2005. Beneficial effect of amino acid supplementation, especially cysteine, on body nitrogen economy in septic rats. Clin Nutr. 25(4):634-642. doi: 10.1016/j.clnu.2005.11.009.
16 Shimomura, Y. et al. 2006. Nutraceutical effects of branched-chain amino acids on skeletal muscle. J Nutr. 136(2):529S-32S.
17 Li, P. et al. 2007. Amino acids and immune function. Br J Nutr. 98(2):237-52. doi: 10.1017/S000711450769936X.

References Interactions
Stargrove, M. B. et al. Herb, Nutrient and Drug Interactions: Clinical Implications and Therapeutic Strategies, 1. Auflage. St. Louis, Missouri: Elsevier Health Sciences, 2008.
Gröber, U. Mikronährstoffe: Metabolic Tuning –Prävention–Therapie, 3. Auflage. Stuttgart: WVG Wissenschaftliche Verlagsgesellschaft Stuttgart, 2011.
Gröber, U. Arzneimittel und Mikronährstoffe: Medikationsorientierte Supplementierung, 3. aktualisierte und erweiterte Auflage. Stuttgart: WVG Wissenschaftliche Verlagsgesellschaft Stuttgart, 2014.

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