Nutrient chapter

L-Alanine

Amino acid product of SCLY-catalyzed selenocysteine decomposition.

72 recorded mechanisms · 11 availability situations · 4 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Arteriovenous measurements identified alanine as the principal amino acid released by forearm muscle and extracted by the liver in postabsorptive and prolonged-fasting subjects.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human arteriovenous balance study; postabsorptive state and 4–6 weeks of fasting.
    limitations
    Exchange measurements do not identify every intracellular reaction or prove that all released alanine becomes glucose.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Muscle can send both carbon and amino nitrogen to the liver as alanine.
    primary_references
    Alanine: key role in gluconeogenesis. · 1970 · https://pubmed.ncbi.nlm.nih.gov/5411169/ · DOI 10.1126/science.167.3920.1003

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 16–22

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human arteriovenous balance study; postabsorptive state and 4–6 weeks of fasting. · source_derived_draft · unverified_draft

    ## alanine-human-forearm-liver Muscle can send both carbon and amino nitrogen to the liver as alanine. Arteriovenous measurements identified alanine as the principal amino acid released by forearm muscle and extracted by the liver in postabsorptive and prolonged-fasting subjects. Model: Human arteriovenous balance study; postabsorptive state and 4–6 weeks of fasting. Limitations: Exchange measurements do not identify every intracellular reaction or prove that all released alanine becomes glucose. Evidence access: Primary abstract Alanine: key role in gluconeogenesis. · 1970 · https://pubmed.ncbi.nlm.nih.gov/5411169/ · DOI 10.1126/science.167.3920.1003
    Complete structured claim and evidence
  2. Total forearm amino acid release decreased during prolonged fasting even though alanine retained a prominent interorgan role.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human balance measurements during prolonged fasting.
    limitations
    Not a recommendation for prolonged fasting, nor evidence for a fixed whole-body alanine flux.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The same pathway can remain important while its overall flow declines.
    primary_references
    Alanine: key role in gluconeogenesis. · 1970 · https://pubmed.ncbi.nlm.nih.gov/5411169/ · DOI 10.1126/science.167.3920.1003

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 24–30

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human balance measurements during prolonged fasting. · source_derived_draft · unverified_draft

    ## alanine-fasting-flux-limit The same pathway can remain important while its overall flow declines. Total forearm amino acid release decreased during prolonged fasting even though alanine retained a prominent interorgan role. Model: Human balance measurements during prolonged fasting. Limitations: Not a recommendation for prolonged fasting, nor evidence for a fixed whole-body alanine flux. Evidence access: Primary abstract Alanine: key role in gluconeogenesis. · 1970 · https://pubmed.ncbi.nlm.nih.gov/5411169/ · DOI 10.1126/science.167.3920.1003
    Complete structured claim and evidence
  3. Purified untagged human AGXT catalyzed the PLP-dependent reaction alanine + glyoxylate ⇌ pyruvate + glycine; forward and reverse kinetic parameters were measured.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Recombinant human liver enzyme expressed in E. coli; kinetic and cofactor-binding assays.
    limitations
    Peroxisomal enzyme identity does not mean intracellular flux or supplement benefit was measured.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine supplies an amino group that turns glyoxylate into glycine.
    primary_references
    Construction, purification and characterization of untagged human liver alanine-glyoxylate aminotransferase expressed in Escherichia coli. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18289107/ · DOI 10.2174/092986608783489580

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 32–38

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant human liver enzyme expressed in E. coli; kinetic and cofactor-binding assays. · source_derived_draft · unverified_draft

    ## alanine-agt-reaction Alanine supplies an amino group that turns glyoxylate into glycine. Purified untagged human AGXT catalyzed the PLP-dependent reaction alanine + glyoxylate ⇌ pyruvate + glycine; forward and reverse kinetic parameters were measured. Model: Recombinant human liver enzyme expressed in E. coli; kinetic and cofactor-binding assays. Limitations: Peroxisomal enzyme identity does not mean intracellular flux or supplement benefit was measured. Evidence access: Primary abstract Construction, purification and characterization of untagged human liver alanine-glyoxylate aminotransferase expressed in Escherichia coli. · 2008 · https://pubmed.ncbi.nlm.nih.gov/18289107/ · DOI 10.2174/092986608783489580
    Complete structured claim and evidence
  4. Pre-steady-state analysis of human AGXT showed that PMP remained bound during its catalytic cycle and the AGXT–PMP complex reacted efficiently with oxo-acid substrates.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human AGXT; PLP-form reactions with alanine/glycine and PMP-form reactions with pyruvate/glyoxylate.
    limitations
    Cofactor cycling is not evidence that B6 is irreversibly consumed once per reaction.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The B6 cofactor changes form while helping transfer nitrogen.
    primary_references
    Human wild-type alanine:glyoxylate aminotransferase and its naturally occurring G82E variant: functional properties and physiological implications. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17696873/ · DOI 10.1042/BJ20070637

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 40–46

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human AGXT; PLP-form reactions with alanine/glycine and PMP-form reactions with pyruvate/glyoxylate. · source_derived_draft · unverified_draft

    ## alanine-agt-pmp-cycle The B6 cofactor changes form while helping transfer nitrogen. Pre-steady-state analysis of human AGXT showed that PMP remained bound during its catalytic cycle and the AGXT–PMP complex reacted efficiently with oxo-acid substrates. Model: Purified human AGXT; PLP-form reactions with alanine/glycine and PMP-form reactions with pyruvate/glyoxylate. Limitations: Cofactor cycling is not evidence that B6 is irreversibly consumed once per reaction. Evidence access: Primary abstract Human wild-type alanine:glyoxylate aminotransferase and its naturally occurring G82E variant: functional properties and physiological implications. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17696873/ · DOI 10.1042/BJ20070637
    Complete structured claim and evidence
  5. The human AGXT G82E variant retained two PLP molecules per dimer at saturation but had reduced PLP/PMP affinity and about 0.1% of normal overall catalytic activity.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Purified human disease-associated variant; kinetic and spectroscopic assays.
    limitations
    Not a dietary B6 or alanine deficiency experiment, and not evidence that either supplement rescues this variant.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Having the nutrient available does not guarantee that damaged enzyme machinery can use it.
    primary_references
    Human wild-type alanine:glyoxylate aminotransferase and its naturally occurring G82E variant: functional properties and physiological implications. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17696873/ · DOI 10.1042/BJ20070637
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 48–54

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human disease-associated variant; kinetic and spectroscopic assays. · source_derived_draft · unverified_draft

    ## alanine-agt-mutant Having the nutrient available does not guarantee that damaged enzyme machinery can use it. The human AGXT G82E variant retained two PLP molecules per dimer at saturation but had reduced PLP/PMP affinity and about 0.1% of normal overall catalytic activity. Model: Purified human disease-associated variant; kinetic and spectroscopic assays. Limitations: Not a dietary B6 or alanine deficiency experiment, and not evidence that either supplement rescues this variant. Evidence access: Primary abstract Human wild-type alanine:glyoxylate aminotransferase and its naturally occurring G82E variant: functional properties and physiological implications. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17696873/ · DOI 10.1042/BJ20070637
    Complete structured claim and evidence
  6. A human alanyl-tRNA synthetase cDNA restored growth in yeast carrying a disrupted essential ALA1 gene, supporting conserved alanine-tRNA recognition and aminoacylation function.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human enzyme expressed in Saccharomyces cerevisiae; cross-species complementation.
    limitations
    Rescue in yeast is not a human supplementation trial. Conserved G3.U70 recognition was the study interpretation.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine must be loaded onto the correct transfer RNA before proteins can be built.
    primary_references
    Wide cross-species aminoacyl-tRNA synthetase replacement in vivo: yeast cytoplasmic alanine enzyme replaced by human polymyositis serum antigen. · 1995 · https://pubmed.ncbi.nlm.nih.gov/7761427/ · DOI 10.1073/pnas.92.11.4932
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 56–62

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human enzyme expressed in Saccharomyces cerevisiae; cross-species complementation. · source_derived_draft · unverified_draft

    ## alanine-aars-complementation Alanine must be loaded onto the correct transfer RNA before proteins can be built. A human alanyl-tRNA synthetase cDNA restored growth in yeast carrying a disrupted essential ALA1 gene, supporting conserved alanine-tRNA recognition and aminoacylation function. Model: Human enzyme expressed in Saccharomyces cerevisiae; cross-species complementation. Limitations: Rescue in yeast is not a human supplementation trial. Conserved G3.U70 recognition was the study interpretation. Evidence access: Primary abstract Wide cross-species aminoacyl-tRNA synthetase replacement in vivo: yeast cytoplasmic alanine enzyme replaced by human polymyositis serum antigen. · 1995 · https://pubmed.ncbi.nlm.nih.gov/7761427/ · DOI 10.1073/pnas.92.11.4932
    Complete structured claim and evidence
  7. Binding assays with recombinant human AARS1 measured alanine binding with a reported dissociation constant of 0.45 micromolar, compared with 2.06 micromolar for lactate.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Purified human AARS1 binding experiments in a gastric-cancer mechanism study.
    limitations
    These assay affinities do not establish intracellular competition or an effect of oral alanine on lactylation.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    One enzyme can recognize alanine and a second metabolite.
    primary_references
    The alanyl-tRNA synthetase AARS1 moonlights as a lactyltransferase to promote YAP signaling in gastric cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38512451/ · DOI 10.1172/JCI174587

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 64–70

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human AARS1 binding experiments in a gastric-cancer mechanism study. · source_derived_draft · unverified_draft

    ## alanine-aars-alanine-binding One enzyme can recognize alanine and a second metabolite. Binding assays with recombinant human AARS1 measured alanine binding with a reported dissociation constant of 0.45 micromolar, compared with 2.06 micromolar for lactate. Model: Purified human AARS1 binding experiments in a gastric-cancer mechanism study. Limitations: These assay affinities do not establish intracellular competition or an effect of oral alanine on lactylation. Evidence access: Primary full text The alanyl-tRNA synthetase AARS1 moonlights as a lactyltransferase to promote YAP signaling in gastric cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38512451/ · DOI 10.1172/JCI174587
    Complete structured claim and evidence
  8. Human AARS1 used lactate and ATP for protein lactylation; the study identified YAP K90 and TEAD1 K108 modification and activation in gastric cancer models.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Recombinant enzyme and human gastric cancer cell experiments.
    limitations
    This is an enzyme connection, not proof that adding L-alanine promotes or inhibits lactylation. Beta-alanine inhibitor findings must not be transferred to L-alanine.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The alanine-handling enzyme also has a separate lactate-driven signaling activity.
    primary_references
    The alanyl-tRNA synthetase AARS1 moonlights as a lactyltransferase to promote YAP signaling in gastric cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38512451/ · DOI 10.1172/JCI174587

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 72–78

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant enzyme and human gastric cancer cell experiments. · source_derived_draft · unverified_draft

    ## alanine-aars-lactylation The alanine-handling enzyme also has a separate lactate-driven signaling activity. Human AARS1 used lactate and ATP for protein lactylation; the study identified YAP K90 and TEAD1 K108 modification and activation in gastric cancer models. Model: Recombinant enzyme and human gastric cancer cell experiments. Limitations: This is an enzyme connection, not proof that adding L-alanine promotes or inhibits lactylation. Beta-alanine inhibitor findings must not be transferred to L-alanine. Evidence access: Primary full text The alanyl-tRNA synthetase AARS1 moonlights as a lactyltransferase to promote YAP signaling in gastric cancer. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38512451/ · DOI 10.1172/JCI174587
    Complete structured claim and evidence
  9. Alanine add-back restored growth and proliferation impaired by dialyzed-serum culture during initial activation of mouse naive T cells.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back.
    limitations
    Dialysis removes multiple small nutrients; alanine rescue supports its contribution. This does not establish a human dietary deficiency or immune-boosting dose.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A cell may be able to make alanine yet fail to make it fast enough when demand rises.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 80–86

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. · source_derived_draft · unverified_draft

    ## alanine-t-cell-growth A cell may be able to make alanine yet fail to make it fast enough when demand rises. Alanine add-back restored growth and proliferation impaired by dialyzed-serum culture during initial activation of mouse naive T cells. Model: Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. Limitations: Dialysis removes multiple small nutrients; alanine rescue supports its contribution. This does not establish a human dietary deficiency or immune-boosting dose. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  10. Activation increased SNAT1 transcript and protein in mouse T cells alongside their increased requirement for extracellular alanine.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back.
    limitations
    Expression was measured; this experiment did not genetically prove that SNAT1 alone accounts for alanine uptake.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Activated cells increase machinery for bringing alanine inside.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 88–94

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. · source_derived_draft · unverified_draft

    ## alanine-t-cell-transport Activated cells increase machinery for bringing alanine inside. Activation increased SNAT1 transcript and protein in mouse T cells alongside their increased requirement for extracellular alanine. Model: Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. Limitations: Expression was measured; this experiment did not genetically prove that SNAT1 alone accounts for alanine uptake. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  11. Uniformly carbon-13/nitrogen-15-labeled alanine supplied over half of protein-derived alanine by 24 hours after mouse T-cell activation, exclusively as intact m+4 label.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse T-cell activation; isotope tracing and protein hydrolysis.
    limitations
    No detected transamination in this setting does not exclude alanine catabolism in other cell states or species.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The imported amino acid went directly into proteins rather than first being broken apart.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 96–102

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse T-cell activation; isotope tracing and protein hydrolysis. · source_derived_draft · unverified_draft

    ## alanine-t-cell-intact-label The imported amino acid went directly into proteins rather than first being broken apart. Uniformly carbon-13/nitrogen-15-labeled alanine supplied over half of protein-derived alanine by 24 hours after mouse T-cell activation, exclusively as intact m+4 label. Model: Mouse T-cell activation; isotope tracing and protein hydrolysis. Limitations: No detected transamination in this setting does not exclude alanine catabolism in other cell states or species. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  12. Alanine supplementation restored puromycin-measured active translation reduced in activated mouse T cells cultured with dialyzed serum.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back.
    limitations
    Dialysis removes multiple small nutrients; alanine rescue supports its contribution. This does not establish a human dietary deficiency or immune-boosting dose.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Insufficient available alanine can slow protein production.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 104–110

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. · source_derived_draft · unverified_draft

    ## alanine-t-cell-translation Insufficient available alanine can slow protein production. Alanine supplementation restored puromycin-measured active translation reduced in activated mouse T cells cultured with dialyzed serum. Model: Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. Limitations: Dialysis removes multiple small nutrients; alanine rescue supports its contribution. This does not establish a human dietary deficiency or immune-boosting dose. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  13. ATF4 protein increased after three hours of T-cell activation in dialyzed-serum medium and returned toward control with alanine supplementation.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back.
    limitations
    ATF4 measurement supports a stress response; direct GCN2 necessity was not established in this experiment.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Amino-acid stress signaling responded when alanine was restored.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 112–118

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. · source_derived_draft · unverified_draft

    ## alanine-t-cell-stress Amino-acid stress signaling responded when alanine was restored. ATF4 protein increased after three hours of T-cell activation in dialyzed-serum medium and returned toward control with alanine supplementation. Model: Primary mouse naive CD4/CD8 cells activated ex vivo; dialyzed-serum medium with alanine add-back. Limitations: ATF4 measurement supports a stress response; direct GCN2 necessity was not established in this experiment. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  14. Alanine add-back restored IFN-gamma and TNF production suppressed during five-hour antigen restimulation of mouse memory CD8 T cells in dialyzed-serum medium.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    P14/LCMV mouse model; day-30 memory splenocytes, GP33–41 peptide ex vivo.
    limitations
    Granzyme B was not similarly reduced; do not describe every immune function as alanine-dependent.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Memory cells needed available alanine to restart these cytokine responses.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 120–126

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · P14/LCMV mouse model; day-30 memory splenocytes, GP33–41 peptide ex vivo. · source_derived_draft · unverified_draft

    ## alanine-memory-cytokines Memory cells needed available alanine to restart these cytokine responses. Alanine add-back restored IFN-gamma and TNF production suppressed during five-hour antigen restimulation of mouse memory CD8 T cells in dialyzed-serum medium. Model: P14/LCMV mouse model; day-30 memory splenocytes, GP33–41 peptide ex vivo. Limitations: Granzyme B was not similarly reduced; do not describe every immune function as alanine-dependent. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  15. Day-8 LCMV effector cells showed no significant reduction in granzyme B, IFN-gamma, TNF or Ki67 during the tested five-hour dialyzed-serum restimulation.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse P14/LCMV effector phase; ex vivo peptide restimulation.
    limitations
    A five-hour null result does not establish independence at every duration or tissue.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Already-active cells did not show the same short-term dependence as resting memory cells.
    primary_references
    T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 128–134

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse P14/LCMV effector phase; ex vivo peptide restimulation. · source_derived_draft · unverified_draft

    ## alanine-effector-state-limit Already-active cells did not show the same short-term dependence as resting memory cells. Day-8 LCMV effector cells showed no significant reduction in granzyme B, IFN-gamma, TNF or Ki67 during the tested five-hour dialyzed-serum restimulation. Model: Mouse P14/LCMV effector phase; ex vivo peptide restimulation. Limitations: A five-hour null result does not establish independence at every duration or tissue. Evidence access: Primary full text T Cell Activation Depends on Extracellular Alanine. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31533027/ · DOI 10.1016/j.celrep.2019.08.034
    Complete structured claim and evidence
  16. Human pancreatic cancer-conditioned medium increased autophagic flux in human pancreatic stellate cells measured with tandem LC3 reporters.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human PSC and PDAC culture models; LC3 reporter measurements.
    limitations
    Conditioned medium contains multiple signals; the responsible secreted factor was not identified here. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Cancer cells can alter how neighboring cells recycle material.
    primary_references
    Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 136–142

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PSC and PDAC culture models; LC3 reporter measurements. · source_derived_draft · unverified_draft

    ## alanine-pdac-autophagy Cancer cells can alter how neighboring cells recycle material. Human pancreatic cancer-conditioned medium increased autophagic flux in human pancreatic stellate cells measured with tandem LC3 reporters. Model: Human PSC and PDAC culture models; LC3 reporter measurements. Limitations: Conditioned medium contains multiple signals; the responsible secreted factor was not identified here. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf Evidence access: Primary full text Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    Complete structured claim and evidence
  17. ATG5 knockdown in human pancreatic stellate cells reduced alanine concentrations in their conditioned medium.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PSC shRNA experiments; serum-free conditioned medium.
    limitations
    Knockdown is machinery impairment, not low dietary alanine; residual secretion and other autophagy effects remain. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Disrupting one part of autophagy reduced alanine supplied by neighboring cells.
    primary_references
    Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 144–150

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PSC shRNA experiments; serum-free conditioned medium. · source_derived_draft · unverified_draft

    ## alanine-psc-atg5 Disrupting one part of autophagy reduced alanine supplied by neighboring cells. ATG5 knockdown in human pancreatic stellate cells reduced alanine concentrations in their conditioned medium. Model: Human PSC shRNA experiments; serum-free conditioned medium. Limitations: Knockdown is machinery impairment, not low dietary alanine; residual secretion and other autophagy effects remain. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf Evidence access: Primary full text Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    Complete structured claim and evidence
  18. ATG7 knockdown in human pancreatic stellate cells reduced alanine secretion and reduced the ability of their conditioned medium to support PDAC oxygen consumption; alanine add-back rescued the metabolic response.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PSC/PDAC cultures; shRNA and 1 mM alanine rescue.
    limitations
    Autophagy releases other products too; this is not proof that alanine is the only stromal contribution. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The add-back experiment connects stromal recycling to a usable fuel.
    primary_references
    Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 152–158

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PSC/PDAC cultures; shRNA and 1 mM alanine rescue. · source_derived_draft · unverified_draft

    ## alanine-psc-atg7 The add-back experiment connects stromal recycling to a usable fuel. ATG7 knockdown in human pancreatic stellate cells reduced alanine secretion and reduced the ability of their conditioned medium to support PDAC oxygen consumption; alanine add-back rescued the metabolic response. Model: Human PSC/PDAC cultures; shRNA and 1 mM alanine rescue. Limitations: Autophagy releases other products too; this is not proof that alanine is the only stromal contribution. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf Evidence access: Primary full text Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    Complete structured claim and evidence
  19. Isotope tracing showed alanine carbon entering TCA intermediates, nonessential amino acids and lipid synthesis in the tested human PDAC cells.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human pancreatic cancer cultures with labeled alanine.
    limitations
    Tumor-cell utilization is not evidence that dietary alanine initiates cancer. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The same amino acid can supply building material and mitochondrial fuel.
    primary_references
    Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 160–166

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human pancreatic cancer cultures with labeled alanine. · source_derived_draft · unverified_draft

    ## alanine-pdac-carbon The same amino acid can supply building material and mitochondrial fuel. Isotope tracing showed alanine carbon entering TCA intermediates, nonessential amino acids and lipid synthesis in the tested human PDAC cells. Model: Human pancreatic cancer cultures with labeled alanine. Limitations: Tumor-cell utilization is not evidence that dietary alanine initiates cancer. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf Evidence access: Primary full text Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    Complete structured claim and evidence
  20. Adding 1 mM alanine or pyruvate rescued proliferation under 0.5 mM glucose in the tested human PDAC cultures, while 1 mM lactate did not reproduce that rescue.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    8988T, Tu8902 and MiaPaCa2 cell experiments.
    limitations
    Culture rescue does not establish safe dietary restriction or supplementation strategies. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Different carbon sources were not interchangeable in the nutrient-limited culture.
    primary_references
    Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 168–174

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · 8988T, Tu8902 and MiaPaCa2 cell experiments. · source_derived_draft · unverified_draft

    ## alanine-pdac-glucose-rescue Different carbon sources were not interchangeable in the nutrient-limited culture. Adding 1 mM alanine or pyruvate rescued proliferation under 0.5 mM glucose in the tested human PDAC cultures, while 1 mM lactate did not reproduce that rescue. Model: 8988T, Tu8902 and MiaPaCa2 cell experiments. Limitations: Culture rescue does not establish safe dietary restriction or supplementation strategies. Correction record: Publisher erratum corrects the second image label in Fig. 3a to hPSC-LC3 + 8988T, matching Fig. 3b; production labeling correction, not a retraction or independent study. https://www.nature.com/articles/nature19851.pdf Evidence access: Primary full text Pancreatic stellate cells support tumour metabolism through autophagic alanine secretion. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27509858/ · DOI 10.1038/nature19084
    Complete structured claim and evidence
  21. SLC1A4 perturbation and isotope-flux studies supported a role for SLC1A4, alongside other transporters, in rapid alanine exchange by human pancreatic stellate cells.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human PSC transporter and flux experiments.
    limitations
    SLC1A4 was not the sole alanine exporter and exchange is not equivalent to an irreversible one-way pump.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    An exchanger helps neighboring cells share alanine.
    primary_references
    Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 176–182

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PSC transporter and flux experiments. · source_derived_draft · unverified_draft

    ## alanine-psc-exchanger An exchanger helps neighboring cells share alanine. SLC1A4 perturbation and isotope-flux studies supported a role for SLC1A4, alongside other transporters, in rapid alanine exchange by human pancreatic stellate cells. Model: Human PSC transporter and flux experiments. Limitations: SLC1A4 was not the sole alanine exporter and exchange is not equivalent to an irreversible one-way pump. Evidence access: Primary full text Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    Complete structured claim and evidence
  22. Loss of SLC38A2 prevented human PDAC cells from effectively taking up and concentrating environmental alanine.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PDAC genetic transporter perturbation and stable-isotope flux assays.
    limitations
    Tissue-specific transporter dependence; not every cell uses SLC38A2 as its dominant route.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    An intact uptake system can be as important as having alanine outside the cell.
    primary_references
    Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 184–190

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PDAC genetic transporter perturbation and stable-isotope flux assays. · source_derived_draft · unverified_draft

    ## alanine-pdac-snat2 An intact uptake system can be as important as having alanine outside the cell. Loss of SLC38A2 prevented human PDAC cells from effectively taking up and concentrating environmental alanine. Model: Human PDAC genetic transporter perturbation and stable-isotope flux assays. Limitations: Tissue-specific transporter dependence; not every cell uses SLC38A2 as its dominant route. Evidence access: Primary full text Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    Complete structured claim and evidence
  23. SLC38A2-deficient PDAC cells increased de novo alanine synthesis and passive efflux, diverting mitochondrial pyruvate and amino-nitrogen sources toward alanine production.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PDAC flux and compartmental metabolism experiments.
    limitations
    Reported metabolic crisis is not a universal consequence of reduced dietary alanine.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Losing uptake can force a cell to spend other nutrients making the missing amino acid.
    primary_references
    Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 192–198

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PDAC flux and compartmental metabolism experiments. · source_derived_draft · unverified_draft

    ## alanine-pdac-snat2-carbon-cost Losing uptake can force a cell to spend other nutrients making the missing amino acid. SLC38A2-deficient PDAC cells increased de novo alanine synthesis and passive efflux, diverting mitochondrial pyruvate and amino-nitrogen sources toward alanine production. Model: Human PDAC flux and compartmental metabolism experiments. Limitations: Reported metabolic crisis is not a universal consequence of reduced dietary alanine. Evidence access: Primary full text Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    Complete structured claim and evidence
  24. UK-5099 inhibition of mitochondrial pyruvate transport reduced alanine synthesis/secretion and increased uptake of extracellular alanine; alanine supplementation restored intracellular levels.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PDAC cultures; MPC inhibitor and isotope tracing.
    limitations
    A pharmacological perturbation is not evidence that usual alanine intake bypasses every mitochondrial defect.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    When pyruvate cannot reach the synthesis compartment, imported alanine becomes more important.
    primary_references
    Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 200–206

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PDAC cultures; MPC inhibitor and isotope tracing. · source_derived_draft · unverified_draft

    ## alanine-pdac-mpc When pyruvate cannot reach the synthesis compartment, imported alanine becomes more important. UK-5099 inhibition of mitochondrial pyruvate transport reduced alanine synthesis/secretion and increased uptake of extracellular alanine; alanine supplementation restored intracellular levels. Model: Human PDAC cultures; MPC inhibitor and isotope tracing. Limitations: A pharmacological perturbation is not evidence that usual alanine intake bypasses every mitochondrial defect. Evidence access: Primary full text Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    Complete structured claim and evidence
  25. Genetic SLC38A2 suppression impaired human PDAC tumor growth and the support provided by co-injected stellate cells in mouse xenograft experiments.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human PDAC cells in immunodeficient mice; transporter perturbation.
    limitations
    Preclinical tumor dependency, not clinical efficacy or proof that alanine restriction is beneficial.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A local nutrient-import dependency persisted in the animal tumor model.
    primary_references
    Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 208–214

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human PDAC cells in immunodeficient mice; transporter perturbation. · source_derived_draft · unverified_draft

    ## alanine-pdac-tumor-transporter A local nutrient-import dependency persisted in the animal tumor model. Genetic SLC38A2 suppression impaired human PDAC tumor growth and the support provided by co-injected stellate cells in mouse xenograft experiments. Model: Human PDAC cells in immunodeficient mice; transporter perturbation. Limitations: Preclinical tumor dependency, not clinical efficacy or proof that alanine restriction is beneficial. Evidence access: Primary full text Selective Alanine Transporter Utilization Creates a Targetable Metabolic Niche in Pancreatic Cancer. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32341021/ · DOI 10.1158/2159-8290.CD-19-0959
    Complete structured claim and evidence
  26. Hepatocyte-specific Gpt2 deletion reduced labeled alanine contribution to glucose production in mouse hepatocyte experiments.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse liver Gpt2 genetic deletion; isotope tracing.
    limitations
    Does not mean GPT2 is the only route; lean knockout animals did not develop a general failure of glucose control. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Mitochondrial transamination can feed alanine carbon into glucose.
    primary_references
    Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 216–222

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse liver Gpt2 genetic deletion; isotope tracing. · source_derived_draft · unverified_draft

    ## alanine-liver-gpt2-flux Mitochondrial transamination can feed alanine carbon into glucose. Hepatocyte-specific Gpt2 deletion reduced labeled alanine contribution to glucose production in mouse hepatocyte experiments. Model: Mouse liver Gpt2 genetic deletion; isotope tracing. Limitations: Does not mean GPT2 is the only route; lean knockout animals did not develop a general failure of glucose control. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/ Evidence access: Primary full text Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    Complete structured claim and evidence
  27. The study linked ATF4-dependent stress signaling to increased hepatic Gpt2 expression in the examined mouse ER-stress and obesity settings.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse hepatocyte/liver interventions and expression assays.
    limitations
    Expression regulation is context-specific and does not establish a human supplementation response. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Stress can change how much alanine-processing enzyme a liver expresses.
    primary_references
    Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 224–230

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse hepatocyte/liver interventions and expression assays. · source_derived_draft · unverified_draft

    ## alanine-liver-atf4 Stress can change how much alanine-processing enzyme a liver expresses. The study linked ATF4-dependent stress signaling to increased hepatic Gpt2 expression in the examined mouse ER-stress and obesity settings. Model: Mouse hepatocyte/liver interventions and expression assays. Limitations: Expression regulation is context-specific and does not establish a human supplementation response. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/ Evidence access: Primary full text Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    Complete structured claim and evidence
  28. Hepatic Gpt2 suppression improved hyperglycemia in db/db mice, whereas liver-specific loss in lean mice did not similarly alter ordinary blood glucose.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Diabetic and lean mouse genetic experiments.
    limitations
    Not a demonstrated human diabetes treatment; compensatory pathways remain. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The consequence of blocking one pathway depended on metabolic state.
    primary_references
    Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 232–238

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Diabetic and lean mouse genetic experiments. · source_derived_draft · unverified_draft

    ## alanine-liver-diabetes-context The consequence of blocking one pathway depended on metabolic state. Hepatic Gpt2 suppression improved hyperglycemia in db/db mice, whereas liver-specific loss in lean mice did not similarly alter ordinary blood glucose. Model: Diabetic and lean mouse genetic experiments. Limitations: Not a demonstrated human diabetes treatment; compensatory pathways remain. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/ Evidence access: Primary full text Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    Complete structured claim and evidence
  29. Human hepatic GPT2 mRNA decreased after bariatric surgery in the study samples.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human liver expression measurements before/after surgical weight loss.
    limitations
    Multiple metabolic changes accompany surgery; this is not an alanine intervention. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A human association complements the mouse mechanism but does not establish the same cause.
    primary_references
    Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 240–246

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human liver expression measurements before/after surgical weight loss. · source_derived_draft · unverified_draft

    ## alanine-human-bariatric-expression A human association complements the mouse mechanism but does not establish the same cause. Human hepatic GPT2 mRNA decreased after bariatric surgery in the study samples. Model: Human liver expression measurements before/after surgical weight loss. Limitations: Multiple metabolic changes accompany surgery; this is not an alanine intervention. Correction record: Published correction adds the originally omitted disclosure that B.N.F. was a scientific advisory board member and stockholder of Cirius Therapeutics, which develops MPC inhibitors. Disclosure correction, not a data retraction. https://pmc.ncbi.nlm.nih.gov/articles/PMC9713851/ Evidence access: Primary full text Silencing alanine transaminase 2 in diabetic liver attenuates hyperglycemia by reducing gluconeogenesis from amino acids. · 2022 · https://pubmed.ncbi.nlm.nih.gov/35476997/ · DOI 10.1016/j.celrep.2022.110733
    Complete structured claim and evidence
  30. Acute alanine treatment increased AMPK and downstream ACC phosphorylation in rat H4IIE liver cells over the tested 0.25–10 mM range.

    L-Alanine → Rat AMP-activated protein kinase complex source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Rat H4IIE cells; acute millimolar alanine exposure.
    limitations
    Phosphorylation in culture is not proof of clinical benefit or a universal response to dietary alanine.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine metabolism can generate an energy-stress signal in this experimental setting.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 248–254

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat H4IIE cells; acute millimolar alanine exposure. · source_derived_draft · unverified_draft

    ## alanine-ampk-acute Alanine metabolism can generate an energy-stress signal in this experimental setting. Acute alanine treatment increased AMPK and downstream ACC phosphorylation in rat H4IIE liver cells over the tested 0.25–10 mM range. Model: Rat H4IIE cells; acute millimolar alanine exposure. Limitations: Phosphorylation in culture is not proof of clinical benefit or a universal response to dietary alanine. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  31. ALT1 siRNA reduced rat H4IIE ALT protein by about 77% and reduced alanine-stimulated AMPK activation by about 49%.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Rat H4IIE cells; siRNA knockdown with alanine challenge.
    limitations
    Partial knockdown and partial attenuation do not prove ALT1 is the only contributing pathway.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The response partly depended on processing alanine, rather than simply sensing it outside the cell.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 256–262

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat H4IIE cells; siRNA knockdown with alanine challenge. · source_derived_draft · unverified_draft

    ## alanine-ampk-alt1-dependence The response partly depended on processing alanine, rather than simply sensing it outside the cell. ALT1 siRNA reduced rat H4IIE ALT protein by about 77% and reduced alanine-stimulated AMPK activation by about 49%. Model: Rat H4IIE cells; siRNA knockdown with alanine challenge. Limitations: Partial knockdown and partial attenuation do not prove ALT1 is the only contributing pathway. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  32. Alanine increased the AMP/ATP ratio and glutamate while decreasing 2-oxoglutarate and other TCA intermediate pools in rat H4IIE cells.

    L-Alanine → AMP/ATP ratio in rat H4IIE cells source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Acute rat H4IIE metabolomics; AMP/ATP approximately 1.5-fold higher at 15 minutes.
    limitations
    Pool sizes are not flux measurements; increased ATP-consuming urea synthesis was proposed rather than directly proven.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Moving amino nitrogen changed the cell’s carbon pools and energy balance.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 264–270

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Acute rat H4IIE metabolomics; AMP/ATP approximately 1.5-fold higher at 15 minutes. · source_derived_draft · unverified_draft

    ## alanine-ampk-pools Moving amino nitrogen changed the cell’s carbon pools and energy balance. Alanine increased the AMP/ATP ratio and glutamate while decreasing 2-oxoglutarate and other TCA intermediate pools in rat H4IIE cells. Model: Acute rat H4IIE metabolomics; AMP/ATP approximately 1.5-fold higher at 15 minutes. Limitations: Pool sizes are not flux measurements; increased ATP-consuming urea synthesis was proposed rather than directly proven. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  33. Pyruvate or TCA-intermediate supplementation restored ATP and attenuated alanine-induced AMPK phosphorylation in the tested liver-cell experiments.

    Pyruvate → Rat AMP-activated protein kinase complex source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Rat H4IIE nutrient-addition experiments.
    limitations
    A biochemical rescue does not establish a supplement combination for humans.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Providing usable carbon changed the signaling response to alanine.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 272–278

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat H4IIE nutrient-addition experiments. · source_derived_draft · unverified_draft

    ## alanine-ampk-carbon-rescue Providing usable carbon changed the signaling response to alanine. Pyruvate or TCA-intermediate supplementation restored ATP and attenuated alanine-induced AMPK phosphorylation in the tested liver-cell experiments. Model: Rat H4IIE nutrient-addition experiments. Limitations: A biochemical rescue does not establish a supplement combination for humans. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  34. Ammonium chloride exposure reproduced increases in AMP/ATP and AMPK/ACC phosphorylation, and pyruvate attenuated these responses.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Rat H4IIE experiments; 2–5 mM ammonium chloride comparison.
    limitations
    Mimicry is not proof that ammonia is the sole mediator of alanine effects or that urea-cycle ATP use accounts for them.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A nitrogen-handling byproduct may contribute to the energy signal.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 280–286

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat H4IIE experiments; 2–5 mM ammonium chloride comparison. · source_derived_draft · unverified_draft

    ## alanine-ampk-ammonia A nitrogen-handling byproduct may contribute to the energy signal. Ammonium chloride exposure reproduced increases in AMP/ATP and AMPK/ACC phosphorylation, and pyruvate attenuated these responses. Model: Rat H4IIE experiments; 2–5 mM ammonium chloride comparison. Limitations: Mimicry is not proof that ammonia is the sole mediator of alanine effects or that urea-cycle ATP use accounts for them. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  35. Acute oral alanine at roughly 1–1.5 g/kg improved glucose tolerance in the studied chow- and high-fat-fed mice; reduced AMPK activity attenuated efficacy in the tested model.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse acute gavage and glucose-tolerance experiments.
    limitations
    High animal exposure; hepatic AMPK was not established as the sole cause, and human oral efficacy was not tested.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Whole-body glucose responses can differ from the simple prediction that a glucose precursor must raise glucose.
    primary_references
    l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 288–294

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse acute gavage and glucose-tolerance experiments. · source_derived_draft · unverified_draft

    ## alanine-ampk-mouse-glucose Whole-body glucose responses can differ from the simple prediction that a glucose precursor must raise glucose. Acute oral alanine at roughly 1–1.5 g/kg improved glucose tolerance in the studied chow- and high-fat-fed mice; reduced AMPK activity attenuated efficacy in the tested model. Model: Mouse acute gavage and glucose-tolerance experiments. Limitations: High animal exposure; hepatic AMPK was not established as the sole cause, and human oral efficacy was not tested. Evidence access: Primary full text l-Alanine activates hepatic AMP-activated protein kinase and modulates systemic glucose metabolism. · 2018 · https://pubmed.ncbi.nlm.nih.gov/30190193/ · DOI 10.1016/j.molmet.2018.08.002
    Complete structured claim and evidence
  36. The human GPT2 p.Arg404* and p.Pro272Leu variants were biochemically loss-of-function in kindreds with developmental disability, postnatal microcephaly and frequent progressive motor symptoms.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human families plus biochemical variant assays; accompanying mouse metabolic experiments.
    limitations
    Clinical association and enzyme loss do not establish that low dietary alanine caused the phenotype or that supplementation treats it.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A genetic defect in alanine-related metabolism can affect brain growth and movement.
    primary_references
    Mutations in mitochondrial enzyme GPT2 cause metabolic dysfunction and neurological disease with developmental and progressive features. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27601654/ · DOI 10.1073/pnas.1609221113
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 296–302

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human families plus biochemical variant assays; accompanying mouse metabolic experiments. · source_derived_draft · unverified_draft

    ## alanine-human-gpt2-variants A genetic defect in alanine-related metabolism can affect brain growth and movement. The human GPT2 p.Arg404* and p.Pro272Leu variants were biochemically loss-of-function in kindreds with developmental disability, postnatal microcephaly and frequent progressive motor symptoms. Model: Human families plus biochemical variant assays; accompanying mouse metabolic experiments. Limitations: Clinical association and enzyme loss do not establish that low dietary alanine caused the phenotype or that supplementation treats it. Evidence access: Primary abstract Mutations in mitochondrial enzyme GPT2 cause metabolic dysfunction and neurological disease with developmental and progressive features. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27601654/ · DOI 10.1073/pnas.1609221113
    Complete structured claim and evidence
  37. Neuron-specific Gpt2 deletion impaired alanine synthesis and metabolic replenishment and reproduced severe motor abnormalities and pre-weaning mortality.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Mouse neuron-specific deletion and metabolomic experiments.
    limitations
    The phenotype is not an ordinary dietary alanine deficiency.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Neurons require functioning synthesis machinery as well as available carbon and nitrogen.
    primary_references
    Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 304–310

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse neuron-specific deletion and metabolomic experiments. · source_derived_draft · unverified_draft

    ## alanine-neuron-gpt2 Neurons require functioning synthesis machinery as well as available carbon and nitrogen. Neuron-specific Gpt2 deletion impaired alanine synthesis and metabolic replenishment and reproduced severe motor abnormalities and pre-weaning mortality. Model: Mouse neuron-specific deletion and metabolomic experiments. Limitations: The phenotype is not an ordinary dietary alanine deficiency. Evidence access: Primary abstract Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    Complete structured claim and evidence
  38. Exogenous alanine was necessary for survival of Gpt2-null neurons in culture, while Gpt2-null astrocytes did not show the same requirement.

    L-Alanine → Survival of Gpt2-null mouse neurons source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Mouse neuron and astrocyte cultures with Gpt2 loss.
    limitations
    Culture survival rescue is not proof of full neurological recovery.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Different brain cell types had different needs after the same enzyme loss.
    primary_references
    Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 312–318

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse neuron and astrocyte cultures with Gpt2 loss. · source_derived_draft · unverified_draft

    ## alanine-neuron-alanine-rescue Different brain cell types had different needs after the same enzyme loss. Exogenous alanine was necessary for survival of Gpt2-null neurons in culture, while Gpt2-null astrocytes did not show the same requirement. Model: Mouse neuron and astrocyte cultures with Gpt2 loss. Limitations: Culture survival rescue is not proof of full neurological recovery. Evidence access: Primary abstract Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    Complete structured claim and evidence
  39. Dietary alanine supplementation improved survival and brain metabolic profiles in Gpt2-null mice but did not alone appear to correct motor function.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Gpt2-null mouse dietary intervention.
    limitations
    No validated human treatment or dose follows; survival and motor outcomes are separate.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Restoring a metabolite helped some outcomes while leaving major problems unresolved.
    primary_references
    Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Gpt2-null mouse dietary intervention. · source_derived_draft · unverified_draft

    ## alanine-neuron-diet-limits Restoring a metabolite helped some outcomes while leaving major problems unresolved. Dietary alanine supplementation improved survival and brain metabolic profiles in Gpt2-null mice but did not alone appear to correct motor function. Model: Gpt2-null mouse dietary intervention. Limitations: No validated human treatment or dose follows; survival and motor outcomes are separate. Evidence access: Primary abstract Mitochondrial enzyme GPT2 regulates metabolic mechanisms required for neuron growth and motor function in vivo. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34519342/ · DOI 10.1093/hmg/ddab269
    Complete structured claim and evidence
  40. Intravenous alanine significantly increased insulin secretion compared with saline in the study of 12 healthy men.

    L-Alanine → Insulin response to intravenous alanine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast.
    limitations
    IV exposure bypasses intestinal handling; no equivalent oral supplement effect is demonstrated.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    An alanine bolus can trigger insulin in humans.
    primary_references
    Intravenous Arginine Stimulates Glucagon Secretion More Than Equimolar Alanine, Leucine, Glutamine, and Proline in Humans. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40980546/ · DOI 10.1210/jendso/bvaf139

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast. · source_derived_draft · unverified_draft

    ## alanine-human-insulin An alanine bolus can trigger insulin in humans. Intravenous alanine significantly increased insulin secretion compared with saline in the study of 12 healthy men. Model: Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast. Limitations: IV exposure bypasses intestinal handling; no equivalent oral supplement effect is demonstrated. Evidence access: Primary full text Intravenous Arginine Stimulates Glucagon Secretion More Than Equimolar Alanine, Leucine, Glutamine, and Proline in Humans. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40980546/ · DOI 10.1210/jendso/bvaf139
    Complete structured claim and evidence
  41. Intravenous alanine produced a minor increase in peak glucagon, whereas arginine was the strongest tested stimulus and significantly increased both peak and 30-minute incremental area.

    L-Alanine → Glucagon response to intravenous alanine source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast.
    limitations
    A peak response is not equivalent to a significant integrated response; small male-only study.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine and arginine were not interchangeable glucagon signals.
    primary_references
    Intravenous Arginine Stimulates Glucagon Secretion More Than Equimolar Alanine, Leucine, Glutamine, and Proline in Humans. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40980546/ · DOI 10.1210/jendso/bvaf139

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast. · source_derived_draft · unverified_draft

    ## alanine-human-glucagon Alanine and arginine were not interchangeable glucagon signals. Intravenous alanine produced a minor increase in peak glucagon, whereas arginine was the strongest tested stimulus and significantly increased both peak and 30-minute incremental area. Model: Double-blind randomized crossover in 12 healthy men; equimolar IV amino-acid boluses on separate days after an overnight fast. Limitations: A peak response is not equivalent to a significant integrated response; small male-only study. Evidence access: Primary full text Intravenous Arginine Stimulates Glucagon Secretion More Than Equimolar Alanine, Leucine, Glutamine, and Proline in Humans. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40980546/ · DOI 10.1210/jendso/bvaf139
    Complete structured claim and evidence
  42. Leucine suppressed alanine- and arginine-stimulated glucagon secretion in isolated human and mouse islets under the tested low-glucose conditions.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human and mouse islet perifusion; low-glucose amino-acid challenges.
    limitations
    Mixed-species functional observation, not a human supplementation trial; nutrient concentrations and glucose state determine interpretation.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    One amino acid can reduce the hormone response to another.
    primary_references
    Leucine Suppresses α-Cell cAMP and Glucagon Secretion via a Combination of Cell-Intrinsic and Islet Paracrine Signaling. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38870025/ · DOI 10.2337/db23-1013

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 344–350

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human and mouse islet perifusion; low-glucose amino-acid challenges. · source_derived_draft · unverified_draft

    ## alanine-leucine-glucagon One amino acid can reduce the hormone response to another. Leucine suppressed alanine- and arginine-stimulated glucagon secretion in isolated human and mouse islets under the tested low-glucose conditions. Model: Human and mouse islet perifusion; low-glucose amino-acid challenges. Limitations: Mixed-species functional observation, not a human supplementation trial; nutrient concentrations and glucose state determine interpretation. Evidence access: Primary abstract Leucine Suppresses α-Cell cAMP and Glucagon Secretion via a Combination of Cell-Intrinsic and Islet Paracrine Signaling. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38870025/ · DOI 10.2337/db23-1013
    Complete structured claim and evidence
  43. Leucine reduced mouse alpha-cell cAMP even when beta/delta-cell paracrine signaling was limited; cyanide blocked the inhibitory response, supporting mitochondrial-metabolism dependence.

    L-Leucine → cAMP in mouse pancreatic alpha cells source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse islet and dispersed-cell experiments; paracrine blockers and metabolic inhibitors.
    limitations
    Cyanide is broad; the experiment does not identify one unique mitochondrial enzyme as the leucine target.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Part of the suppression arose inside the glucagon-producing cell.
    primary_references
    Leucine Suppresses α-Cell cAMP and Glucagon Secretion via a Combination of Cell-Intrinsic and Islet Paracrine Signaling. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38870025/ · DOI 10.2337/db23-1013

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse islet and dispersed-cell experiments; paracrine blockers and metabolic inhibitors. · source_derived_draft · unverified_draft

    ## alanine-leucine-alpha-camp Part of the suppression arose inside the glucagon-producing cell. Leucine reduced mouse alpha-cell cAMP even when beta/delta-cell paracrine signaling was limited; cyanide blocked the inhibitory response, supporting mitochondrial-metabolism dependence. Model: Mouse islet and dispersed-cell experiments; paracrine blockers and metabolic inhibitors. Limitations: Cyanide is broad; the experiment does not identify one unique mitochondrial enzyme as the leucine target. Evidence access: Primary abstract Leucine Suppresses α-Cell cAMP and Glucagon Secretion via a Combination of Cell-Intrinsic and Islet Paracrine Signaling. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38870025/ · DOI 10.2337/db23-1013
    Complete structured claim and evidence
  44. Carbon-13 NMR detected alanine-derived glutamate and aspartate in BRIN-BD11 cells; oligomycin attenuated alanine-stimulated insulin secretion.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat clonal BRIN-BD11 beta-cell experiments.
    limitations
    Oligomycin broadly blocks oxidative phosphorylation; this is not a selective proof of one alanine enzyme.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Oxidative metabolism contributed to the secretory response in this cell line.
    primary_references
    A nuclear magnetic resonance-based demonstration of substantial oxidative L-alanine metabolism and L-alanine-enhanced glucose metabolism in a clonal pancreatic beta-cell line: metabolism of L-alanine is important to the regulation of insulin secretion. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12031957/ · DOI 10.2337/diabetes.51.6.1714

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 360–366

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat clonal BRIN-BD11 beta-cell experiments. · source_derived_draft · unverified_draft

    ## alanine-beta-oxidation Oxidative metabolism contributed to the secretory response in this cell line. Carbon-13 NMR detected alanine-derived glutamate and aspartate in BRIN-BD11 cells; oligomycin attenuated alanine-stimulated insulin secretion. Model: Rat clonal BRIN-BD11 beta-cell experiments. Limitations: Oligomycin broadly blocks oxidative phosphorylation; this is not a selective proof of one alanine enzyme. Evidence access: Primary abstract A nuclear magnetic resonance-based demonstration of substantial oxidative L-alanine metabolism and L-alanine-enhanced glucose metabolism in a clonal pancreatic beta-cell line: metabolism of L-alanine is important to the regulation of insulin secretion. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12031957/ · DOI 10.2337/diabetes.51.6.1714
    Complete structured claim and evidence
  45. Adding 10 mM alanine to 16.7 mM glucose increased glucose utilization about 2.4-fold in BRIN-BD11 cells and increased measured oxidative and nonoxidative metabolism.

    L-Alanine → Glucose utilization in rat BRIN-BD11 cells source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat clonal beta-cell NMR experiments.
    limitations
    Millimolar culture exposures; normal rat islets show different responses under other conditions.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine changed how the cultured cell processed glucose.
    primary_references
    A nuclear magnetic resonance-based demonstration of substantial oxidative L-alanine metabolism and L-alanine-enhanced glucose metabolism in a clonal pancreatic beta-cell line: metabolism of L-alanine is important to the regulation of insulin secretion. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12031957/ · DOI 10.2337/diabetes.51.6.1714

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat clonal beta-cell NMR experiments. · source_derived_draft · unverified_draft

    ## alanine-beta-glucose-flux Alanine changed how the cultured cell processed glucose. Adding 10 mM alanine to 16.7 mM glucose increased glucose utilization about 2.4-fold in BRIN-BD11 cells and increased measured oxidative and nonoxidative metabolism. Model: Rat clonal beta-cell NMR experiments. Limitations: Millimolar culture exposures; normal rat islets show different responses under other conditions. Evidence access: Primary abstract A nuclear magnetic resonance-based demonstration of substantial oxidative L-alanine metabolism and L-alanine-enhanced glucose metabolism in a clonal pancreatic beta-cell line: metabolism of L-alanine is important to the regulation of insulin secretion. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12031957/ · DOI 10.2337/diabetes.51.6.1714
    Complete structured claim and evidence
  46. Alanine augmented insulin release evoked by leucine or 2-ketoisocaproate in normal adult rat islets, while not significantly changing glucose-induced secretion.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Isolated normal adult rat islets.
    limitations
    This setting differs from clonal cells; model and substrate conditions are retained rather than treated as an unexplained contradiction.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The accompanying nutrient changed whether alanine increased insulin.
    primary_references
    The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 376–382

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Isolated normal adult rat islets. · source_derived_draft · unverified_draft

    ## alanine-islet-leucine-combination The accompanying nutrient changed whether alanine increased insulin. Alanine augmented insulin release evoked by leucine or 2-ketoisocaproate in normal adult rat islets, while not significantly changing glucose-induced secretion. Model: Isolated normal adult rat islets. Limitations: This setting differs from clonal cells; model and substrate conditions are retained rather than treated as an unexplained contradiction. Evidence access: Primary abstract The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9
    Complete structured claim and evidence
  47. Alanine stimulated calcium-45 uptake in rat islets without another exogenous nutrient.

    L-Alanine → Calcium uptake in normal rat islets source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Normal rat islets; radiocalcium uptake.
    limitations
    This does not identify a unique sodium transporter or calcium-channel isoform.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Amino-acid exposure can affect the ion signal used for secretion.
    primary_references
    The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 384–390

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Normal rat islets; radiocalcium uptake. · source_derived_draft · unverified_draft

    ## alanine-islet-calcium Amino-acid exposure can affect the ion signal used for secretion. Alanine stimulated calcium-45 uptake in rat islets without another exogenous nutrient. Model: Normal rat islets; radiocalcium uptake. Limitations: This does not identify a unique sodium transporter or calcium-channel isoform. Evidence access: Primary abstract The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9
    Complete structured claim and evidence
  48. Alanine inhibited pyruvate kinase activity in normal rat islet homogenates.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat islet homogenate enzyme assay.
    limitations
    Isoform not resolved from the accessed abstract; do not automatically assign PKM2 or a human protein.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A substrate entering one pathway can also regulate another metabolic step.
    primary_references
    The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 392–398

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat islet homogenate enzyme assay. · source_derived_draft · unverified_draft

    ## alanine-islet-pyruvate-kinase A substrate entering one pathway can also regulate another metabolic step. Alanine inhibited pyruvate kinase activity in normal rat islet homogenates. Model: Rat islet homogenate enzyme assay. Limitations: Isoform not resolved from the accessed abstract; do not automatically assign PKM2 or a human protein. Evidence access: Primary abstract The stimulus-secretion coupling of amino acid-induced insulin release. Insulinotropic action of L-alanine. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12383948/ · DOI 10.1016/s0304-4165(02)00337-9
    Complete structured claim and evidence
  49. Prolonged alanine culture reduced subsequent acute alanine-stimulated insulin secretion by 74%, without reducing responses to glucose, KCl or ketoisocaproate; 18 hours without alanine partly restored responsiveness.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat BRIN-BD11 culture, washout and rechallenge experiments.
    limitations
    Exposure concentration/duration before washout are not resolved in the accessed abstract; no human chronic-use threshold is inferred.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A strong acute response need not persist after prolonged exposure.
    primary_references
    Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 400–406

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat BRIN-BD11 culture, washout and rechallenge experiments. · source_derived_draft · unverified_draft

    ## alanine-beta-chronic-desensitization A strong acute response need not persist after prolonged exposure. Prolonged alanine culture reduced subsequent acute alanine-stimulated insulin secretion by 74%, without reducing responses to glucose, KCl or ketoisocaproate; 18 hours without alanine partly restored responsiveness. Model: Rat BRIN-BD11 culture, washout and rechallenge experiments. Limitations: Exposure concentration/duration before washout are not resolved in the accessed abstract; no human chronic-use threshold is inferred. Evidence access: Primary abstract Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138
    Complete structured claim and evidence
  50. Prior prolonged alanine culture attenuated subsequent alanine-evoked depolarization and intracellular calcium rise in BRIN-BD11 cells.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat clonal beta-cell chronic exposure and acute rechallenge.
    limitations
    Linked measurements do not prove which upstream molecular change caused desensitization.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The weakened insulin response was accompanied by weaker electrical and calcium signals.
    primary_references
    Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 408–414

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat clonal beta-cell chronic exposure and acute rechallenge. · source_derived_draft · unverified_draft

    ## alanine-beta-chronic-calcium The weakened insulin response was accompanied by weaker electrical and calcium signals. Prior prolonged alanine culture attenuated subsequent alanine-evoked depolarization and intracellular calcium rise in BRIN-BD11 cells. Model: Rat clonal beta-cell chronic exposure and acute rechallenge. Limitations: Linked measurements do not prove which upstream molecular change caused desensitization. Evidence access: Primary abstract Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138
    Complete structured claim and evidence
  51. Prolonged alanine culture increased NMR-inferred pyruvate-dehydrogenase flux while reducing PDK2/PDK4 protein and cellular ATP.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat BRIN-BD11 tracing and protein measurements.
    limitations
    Concurrent changes are not a direct demonstration that PDK loss caused the ATP or secretion phenotype.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    More flux through one metabolic step did not mean more stored ATP or stronger insulin release.
    primary_references
    Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 416–422

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat BRIN-BD11 tracing and protein measurements. · source_derived_draft · unverified_draft

    ## alanine-beta-chronic-pdh More flux through one metabolic step did not mean more stored ATP or stronger insulin release. Prolonged alanine culture increased NMR-inferred pyruvate-dehydrogenase flux while reducing PDK2/PDK4 protein and cellular ATP. Model: Rat BRIN-BD11 tracing and protein measurements. Limitations: Concurrent changes are not a direct demonstration that PDK loss caused the ATP or secretion phenotype. Evidence access: Primary abstract Prolonged L-alanine exposure induces changes in metabolism, Ca(2+) handling and desensitization of insulin secretion in clonal pancreatic beta-cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/18702613/ · DOI 10.1042/CS20080138
    Complete structured claim and evidence
  52. Human SPTLC1 mutant expression in HEK cells shifted substrate use toward alanine and increased production of deoxysphingolipids; amino-acid availability modulated this production.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human SPTLC1 variants expressed in HEK cells.
    limitations
    Variant-dependent abnormal chemistry is not a universal response to alanine intake.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    An enzyme can make different lipids when its substrate preference changes.
    primary_references
    Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 424–430

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human SPTLC1 variants expressed in HEK cells. · source_derived_draft · unverified_draft

    ## alanine-spt-mutant-substrate An enzyme can make different lipids when its substrate preference changes. Human SPTLC1 mutant expression in HEK cells shifted substrate use toward alanine and increased production of deoxysphingolipids; amino-acid availability modulated this production. Model: Human SPTLC1 variants expressed in HEK cells. Limitations: Variant-dependent abnormal chemistry is not a universal response to alanine intake. Evidence access: Primary abstract Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    Complete structured claim and evidence
  53. A 10% alanine-enriched diet increased deoxysphingolipids and led to severe peripheral neuropathy in mice expressing the HSAN1-associated C133W SPTLC1 transgene.

    L-Alanine → 1-Deoxysphingolipids source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Transgenic HSAN1 mouse model; 10% enriched diet.
    limitations
    High-dose disease model, not a toxicity threshold for ordinary human alanine intake.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    High alanine exposure worsened a specific genetically altered pathway.
    primary_references
    Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Transgenic HSAN1 mouse model; 10% enriched diet. · source_derived_draft · unverified_draft

    ## alanine-spt-mouse-alanine High alanine exposure worsened a specific genetically altered pathway. A 10% alanine-enriched diet increased deoxysphingolipids and led to severe peripheral neuropathy in mice expressing the HSAN1-associated C133W SPTLC1 transgene. Model: Transgenic HSAN1 mouse model; 10% enriched diet. Limitations: High-dose disease model, not a toxicity threshold for ordinary human alanine intake. Evidence access: Primary abstract Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    Complete structured claim and evidence
  54. A 10% serine-enriched diet reduced deoxysphingolipids and improved selected motor and sensory outcomes in C133W SPTLC1 transgenic mice.

    L-Serine → 1-Deoxysphingolipids source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    HSAN1 transgenic mouse dietary intervention.
    limitations
    Mouse neurological outcomes do not establish human clinical benefit.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Restoring the competing normal substrate changed the abnormal lipid output.
    primary_references
    Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 440–446

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · HSAN1 transgenic mouse dietary intervention. · source_derived_draft · unverified_draft

    ## alanine-spt-serine-rescue Restoring the competing normal substrate changed the abnormal lipid output. A 10% serine-enriched diet reduced deoxysphingolipids and improved selected motor and sensory outcomes in C133W SPTLC1 transgenic mice. Model: HSAN1 transgenic mouse dietary intervention. Limitations: Mouse neurological outcomes do not establish human clinical benefit. Evidence access: Primary abstract Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    Complete structured claim and evidence
  55. A pilot study in 14 HSAN1 patients found reduced deoxysphingolipid levels during oral serine supplementation.

    L-Serine → 1-Deoxysphingolipids source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Small human HSAN1 serine-supplementation pilot.
    limitations
    Biomarker lowering alone does not establish neurological recovery, and the intervention was serine rather than alanine.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The human pilot measured a biochemical response.
    primary_references
    Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 448–454

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Small human HSAN1 serine-supplementation pilot. · source_derived_draft · unverified_draft

    ## alanine-spt-human-serine The human pilot measured a biochemical response. A pilot study in 14 HSAN1 patients found reduced deoxysphingolipid levels during oral serine supplementation. Model: Small human HSAN1 serine-supplementation pilot. Limitations: Biomarker lowering alone does not establish neurological recovery, and the intervention was serine rather than alanine. Evidence access: Primary abstract Oral L-serine supplementation reduces production of neurotoxic deoxysphingolipids in mice and humans with hereditary sensory autonomic neuropathy type 1. · 2011 · https://pubmed.ncbi.nlm.nih.gov/22045570/ · DOI 10.1172/JCI57549
    Complete structured claim and evidence
  56. Serine/glycine restriction increased alanine-derived deoxysphingolipid synthesis in the tested colorectal cancer models and constrained growth.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human colorectal cancer cultures/spheroids with nutrient restriction and isotope tracing; accompanying mouse xenografts.
    limitations
    Cancer nutrient-restriction experiments are not a recommendation to restrict serine or glycine.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    The ratio of available substrates can redirect a shared enzyme even without the inherited neuropathy setting.
    primary_references
    Serine restriction alters sphingolipid diversity to constrain tumour growth. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32788725/ · DOI 10.1038/s41586-020-2609-x
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 456–462

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human colorectal cancer cultures/spheroids with nutrient restriction and isotope tracing; accompanying mouse xenografts. · source_derived_draft · unverified_draft

    ## alanine-serine-restriction-lipids The ratio of available substrates can redirect a shared enzyme even without the inherited neuropathy setting. Serine/glycine restriction increased alanine-derived deoxysphingolipid synthesis in the tested colorectal cancer models and constrained growth. Model: Human colorectal cancer cultures/spheroids with nutrient restriction and isotope tracing; accompanying mouse xenografts. Limitations: Cancer nutrient-restriction experiments are not a recommendation to restrict serine or glycine. Evidence access: Primary full text Serine restriction alters sphingolipid diversity to constrain tumour growth. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32788725/ · DOI 10.1038/s41586-020-2609-x
    Complete structured claim and evidence
  57. Targeting mitochondrial pyruvate transport promoted alanine oxidation, reduced deoxysphingolipid production and restored growth under serine/glycine-restricted conditions.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Colorectal cancer model metabolic interventions and tracing.
    limitations
    Context-specific rerouting; it does not establish a universal protective effect of MPC inhibition.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Changing use of alanine in mitochondria changed its availability to another pathway.
    primary_references
    Serine restriction alters sphingolipid diversity to constrain tumour growth. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32788725/ · DOI 10.1038/s41586-020-2609-x
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 464–470

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Colorectal cancer model metabolic interventions and tracing. · source_derived_draft · unverified_draft

    ## alanine-serine-mpc-interaction Changing use of alanine in mitochondria changed its availability to another pathway. Targeting mitochondrial pyruvate transport promoted alanine oxidation, reduced deoxysphingolipid production and restored growth under serine/glycine-restricted conditions. Model: Colorectal cancer model metabolic interventions and tracing. Limitations: Context-specific rerouting; it does not establish a universal protective effect of MPC inhibition. Evidence access: Primary full text Serine restriction alters sphingolipid diversity to constrain tumour growth. · 2020 · https://pubmed.ncbi.nlm.nih.gov/32788725/ · DOI 10.1038/s41586-020-2609-x
    Complete structured claim and evidence
  58. Alanine add-back increased apical System B and System L uptake within five minutes in depleted Caco-2 cells, increasing both apparent Km and Vmax.

    L-Alanine → Alanine transport in human Caco-2 cells source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human Caco-2 monolayers; sodium-dependent and sodium-independent transport assays.
    limitations
    Historical functional systems are not assigned to one modern transporter gene without direct evidence.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    What is already inside an intestinal cell can change how quickly amino acids cross its membrane.
    primary_references
    Posttranslational alanine trans-stimulation of zwitterionic amino acid transport systems in human intestinal Caco-2 cells. · 2002 · https://pubmed.ncbi.nlm.nih.gov/11971679/ · DOI 10.1006/jsre.2002.6406

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human Caco-2 monolayers; sodium-dependent and sodium-independent transport assays. · source_derived_draft · unverified_draft

    ## alanine-intestinal-transstimulation What is already inside an intestinal cell can change how quickly amino acids cross its membrane. Alanine add-back increased apical System B and System L uptake within five minutes in depleted Caco-2 cells, increasing both apparent Km and Vmax. Model: Human Caco-2 monolayers; sodium-dependent and sodium-independent transport assays. Limitations: Historical functional systems are not assigned to one modern transporter gene without direct evidence. Evidence access: Primary abstract Posttranslational alanine trans-stimulation of zwitterionic amino acid transport systems in human intestinal Caco-2 cells. · 2002 · https://pubmed.ncbi.nlm.nih.gov/11971679/ · DOI 10.1006/jsre.2002.6406
    Complete structured claim and evidence
  59. Other substrates of System B or L increased alanine uptake, whereas nonsubstrates did not; cycloheximide/actinomycin did not block acute activation and ATB0 mRNA did not change.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human Caco-2 substrate challenges and expression/inhibitor measurements.
    limitations
    No blanket claim that all amino acids compete or that one oral mixture improves absorption.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Shared transport can produce rapid nutrient interactions without making new transporter protein.
    primary_references
    Posttranslational alanine trans-stimulation of zwitterionic amino acid transport systems in human intestinal Caco-2 cells. · 2002 · https://pubmed.ncbi.nlm.nih.gov/11971679/ · DOI 10.1006/jsre.2002.6406

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human Caco-2 substrate challenges and expression/inhibitor measurements. · source_derived_draft · unverified_draft

    ## alanine-intestinal-other-substrates Shared transport can produce rapid nutrient interactions without making new transporter protein. Other substrates of System B or L increased alanine uptake, whereas nonsubstrates did not; cycloheximide/actinomycin did not block acute activation and ATB0 mRNA did not change. Model: Human Caco-2 substrate challenges and expression/inhibitor measurements. Limitations: No blanket claim that all amino acids compete or that one oral mixture improves absorption. Evidence access: Primary abstract Posttranslational alanine trans-stimulation of zwitterionic amino acid transport systems in human intestinal Caco-2 cells. · 2002 · https://pubmed.ncbi.nlm.nih.gov/11971679/ · DOI 10.1006/jsre.2002.6406
    Complete structured claim and evidence
  60. Resveratrol at 300 micromolar for 30 minutes reduced alanine-evoked short-circuit current in isolated porcine intestinal preparations.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Pig jejunum/ileum Ussing chambers; alanine challenge.
    limitations
    Current is a functional proxy; associated AMPK/PKA changes were not established as the cause. No human malabsorption conclusion follows.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A second compound altered the electrical transport response to alanine.
    primary_references
    Resveratrol Inhibits Porcine Intestinal Glucose and Alanine Transport: Potential Roles of Na⁺/K⁺-ATPase Activity, Protein Kinase A, AMP-Activated Protein Kinase and the Association of Selected Nutrient Transport Proteins with Detergent Resistant Membranes. · 2018 · https://pubmed.ncbi.nlm.nih.gov/29510506/ · DOI 10.3390/nu10030302

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Pig jejunum/ileum Ussing chambers; alanine challenge. · source_derived_draft · unverified_draft

    ## alanine-intestinal-resveratrol A second compound altered the electrical transport response to alanine. Resveratrol at 300 micromolar for 30 minutes reduced alanine-evoked short-circuit current in isolated porcine intestinal preparations. Model: Pig jejunum/ileum Ussing chambers; alanine challenge. Limitations: Current is a functional proxy; associated AMPK/PKA changes were not established as the cause. No human malabsorption conclusion follows. Evidence access: Primary full text Resveratrol Inhibits Porcine Intestinal Glucose and Alanine Transport: Potential Roles of Na⁺/K⁺-ATPase Activity, Protein Kinase A, AMP-Activated Protein Kinase and the Association of Selected Nutrient Transport Proteins with Detergent Resistant Membranes. · 2018 · https://pubmed.ncbi.nlm.nih.gov/29510506/ · DOI 10.3390/nu10030302
    Complete structured claim and evidence
  61. TGF-beta increased alanine synthesis in normal and IPF human lung fibroblasts, with GPT2 as the principal examined synthesis enzyme regulated by the glutamine/glutamate/2-oxoglutarate axis.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human lung fibroblast cultures; TGF-beta 2 ng/mL and metabolic perturbations.
    limitations
    Medium composition matters; this is not proof that alanine intake causes lung fibrosis.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A differentiation signal coordinates alanine production with other amino-acid metabolism.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449

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    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human lung fibroblast cultures; TGF-beta 2 ng/mL and metabolic perturbations. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-synthesis A differentiation signal coordinates alanine production with other amino-acid metabolism. TGF-beta increased alanine synthesis in normal and IPF human lung fibroblasts, with GPT2 as the principal examined synthesis enzyme regulated by the glutamine/glutamate/2-oxoglutarate axis. Model: Human lung fibroblast cultures; TGF-beta 2 ng/mL and metabolic perturbations. Limitations: Medium composition matters; this is not proof that alanine intake causes lung fibrosis. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  62. SLC38A2 mediated alanine and glutamine uptake in human lung fibroblasts and increased with TGF-beta exposure or alanine deprivation.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Normal and IPF human lung fibroblast transporter experiments.
    limitations
    Dual transport does not by itself prove clinically relevant competition at ordinary plasma concentrations.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    A shared importer links access to two amino acids.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 504–510

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Normal and IPF human lung fibroblast transporter experiments. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-transporter A shared importer links access to two amino acids. SLC38A2 mediated alanine and glutamine uptake in human lung fibroblasts and increased with TGF-beta exposure or alanine deprivation. Model: Normal and IPF human lung fibroblast transporter experiments. Limitations: Dual transport does not by itself prove clinically relevant competition at ordinary plasma concentrations. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  63. GPT2 inhibition lowered alanine and reduced TGF-beta-induced alpha-SMA and COL1A1 expression; 2 mM exogenous alanine rescued these readouts.

    L-Alanine → Human lung myofibroblast differentiation source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human lung fibroblast perturbation and add-back experiments.
    limitations
    Marker rescue in cells is not a clinical fibrosis outcome.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Alanine add-back bypassed part of the inhibited synthesis pathway.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 512–518

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human lung fibroblast perturbation and add-back experiments. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-gpt2-rescue Alanine add-back bypassed part of the inhibited synthesis pathway. GPT2 inhibition lowered alanine and reduced TGF-beta-induced alpha-SMA and COL1A1 expression; 2 mM exogenous alanine rescued these readouts. Model: Human lung fibroblast perturbation and add-back experiments. Limitations: Marker rescue in cells is not a clinical fibrosis outcome. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  64. Isotope experiments showed alanine supplying carbon and nitrogen to glutamate and proline synthesis in human lung fibroblasts, particularly during glutamine deprivation.

    L-Alanine → L-Proline source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human fibroblast stable-isotope tracing under specified media conditions.
    limitations
    Atom contribution is not a one-step alanine-to-proline reaction; other enzymes, carbon sources and cofactors remain necessary.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    One amino acid can supply material used to make another.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 520–526

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human fibroblast stable-isotope tracing under specified media conditions. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-proline One amino acid can supply material used to make another. Isotope experiments showed alanine supplying carbon and nitrogen to glutamate and proline synthesis in human lung fibroblasts, particularly during glutamine deprivation. Model: Human fibroblast stable-isotope tracing under specified media conditions. Limitations: Atom contribution is not a one-step alanine-to-proline reaction; other enzymes, carbon sources and cofactors remain necessary. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  65. Combined inhibition of alanine synthesis and uptake suppressed fibrogenic responses in human fibroblasts and precision-cut lung slices.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human cells and ex vivo lung tissue; metabolic perturbations.
    limitations
    Preclinical work, not an established human antifibrotic therapy. The final paper and its preprint are one study lineage.
    nutrient_topic
    L-Alanine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Alanine
    plain_language
    Blocking both supply routes had a stronger mechanistic rationale than assuming only one route mattered.
    primary_references
    TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19) · lines 528–534

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cells and ex vivo lung tissue; metabolic perturbations. · source_derived_draft · unverified_draft

    ## alanine-fibroblast-dual-block Blocking both supply routes had a stronger mechanistic rationale than assuming only one route mattered. Combined inhibition of alanine synthesis and uptake suppressed fibrogenic responses in human fibroblasts and precision-cut lung slices. Model: Human cells and ex vivo lung tissue; metabolic perturbations. Limitations: Preclinical work, not an established human antifibrotic therapy. The final paper and its preprint are one study lineage. Evidence access: Primary full text TGF-β coordinates alanine synthesis and import for myofibroblast differentiation in pulmonary fibrosis. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42024472/ · DOI 10.1172/jci.insight.199449
    Complete structured claim and evidence
  66. Recombinant human GPT2 catalyzed alanine transamination, confirming a second human alanine aminotransferase distinct from GPT.

    Experimental context and source evidence
    experimental_model
    Human GPT2 expressed in E. coli
    limitations
    Functional-expression evidence; this study did not quantify B6-deficiency sensitivity.
    nutrient_topic
    Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B6
    organism
    Homo sapiens
    plain_language
    Human alanine metabolism has a separately encoded second enzyme.
    primary_references
    [b6-gpt2-2002] cDNA cloning, genomic structure, chromosomal mapping, and functional expression of a novel human alanine aminotransferase (2002). https://pubmed.ncbi.nlm.nih.gov/11863375/ DOI: 10.1006/geno.2002.6722
    tissue_or_cell_type
    Purified recombinant protein; no intact tissue

    Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 776–785

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human GPT2 expressed in E. coli · source_derived_draft · unverified_draft

    ### b6-met-gpt2-reaction Recombinant human GPT2 catalyzed alanine transamination, confirming a second human alanine aminotransferase distinct from GPT. Condition category: normal nutrient_topic: Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Human alanine metabolism has a separately encoded second enzyme. organism: Homo sapiens tissue_or_cell_type: Purified recombinant protein; no intact tissue experimental_model: Human GPT2 expressed in E. coli limitations: Functional-expression evidence; this study did not quantify B6-deficiency sensitivity. [b6-gpt2-2002] cDNA cloning, genomic structure, chromosomal mapping, and functional expression of a novel human alanine aminotransferase (2002). https://pubmed.ncbi.nlm.nih.gov/11863375/ DOI: 10.1006/geno.2002.6722
    Complete structured claim and evidence
  67. Human GPT catalyzes reversible amino transfer between alanine and 2-oxoglutarate, producing pyruvate and glutamate.

    Experimental context and source evidence
    experimental_model
    Purified human cytosolic GOT1 and GPT; coupled kinetic assays
    exposure
    Kinetic assays at pH 7.4 and 37 C
    limitations
    Purified-enzyme evidence does not define dietary requirements or cellular PLP thresholds.
    nutrient_topic
    Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B6
    organism
    Homo sapiens
    plain_language
    B6-dependent alanine transamination links nitrogen transfer to pyruvate metabolism.
    primary_references
    [b6-transaminases-2022] Using Steady-State Kinetics to Quantitate Substrate Selectivity and Specificity: A Case Study with Two Human Transaminases. (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC8875635/ DOI: 10.3390/molecules27041398
    tissue_or_cell_type
    Purified recombinant protein; no intact tissue

    Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 753–763

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human cytosolic GOT1 and GPT; coupled kinetic assays · source_derived_draft · unverified_draft

    ### b6-met-gpt-reaction Human GPT catalyzes reversible amino transfer between alanine and 2-oxoglutarate, producing pyruvate and glutamate. Condition category: normal nutrient_topic: Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. plain_language: B6-dependent alanine transamination links nitrogen transfer to pyruvate metabolism. organism: Homo sapiens tissue_or_cell_type: Purified recombinant protein; no intact tissue experimental_model: Purified human cytosolic GOT1 and GPT; coupled kinetic assays limitations: Purified-enzyme evidence does not define dietary requirements or cellular PLP thresholds. exposure: Kinetic assays at pH 7.4 and 37 C [b6-transaminases-2022] Using Steady-State Kinetics to Quantitate Substrate Selectivity and Specificity: A Case Study with Two Human Transaminases. (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC8875635/ DOI: 10.3390/molecules27041398
    Complete structured claim and evidence
  68. The human PNPO structure localized tightly bound FMN at the conserved catalytic site of the homodimer.

    Experimental context and source evidence
    cross_nutrient
    B2-FMN is a cofactor for B6 activation.
    evidence_location
    Results: kinetic properties; Table 1; FMN-binding structure
    experimental_model
    Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C.
    exposure
    Purified-enzyme assay
    limitations
    Biochemical evidence does not establish a dietary threshold or supplementation benefit.
    nutrient_topic
    Riboflavin research collection; topical membership is not evidence of a direct dietary effect. · Riboflavin (vitamin B2)
    organism
    Homo sapiens
    plain_language
    PNPO uses the FMN form of vitamin B2.
    primary_references
    [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    tissue_or_cell_type
    Purified recombinant enzyme; no intact tissue

    Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1136–1148

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. · source_derived_draft · unverified_draft

    ### b2-pnpo-fmn-binding The human PNPO structure localized tightly bound FMN at the conserved catalytic site of the homodimer. Condition category: normal nutrient_topic: Riboflavin research collection; topical membership is not evidence of a direct dietary effect. plain_language: PNPO uses the FMN form of vitamin B2. organism: Homo sapiens tissue_or_cell_type: Purified recombinant enzyme; no intact tissue experimental_model: Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. limitations: Biochemical evidence does not establish a dietary threshold or supplementation benefit. exposure: Purified-enzyme assay cross_nutrient: B2-FMN is a cofactor for B6 activation. evidence_location: Results: kinetic properties; Table 1; FMN-binding structure [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    Complete structured claim and evidence
  69. Purified human PNPO converted PNP to PLP with a turnover number of 0.19 per second at 37 C.

    Experimental context and source evidence
    cross_nutrient
    B2-dependent oxidation activates one B6 precursor.
    evidence_location
    Results: kinetic properties; Table 1; FMN-binding structure
    experimental_model
    Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C.
    exposure
    Purified-enzyme assay
    limitations
    Biochemical evidence does not establish a dietary threshold or supplementation benefit.
    nutrient_topic
    Riboflavin research collection; topical membership is not evidence of a direct dietary effect. · Riboflavin (vitamin B2)
    organism
    Homo sapiens
    plain_language
    PNPO changes phosphorylated pyridoxine into active B6.
    primary_references
    [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    tissue_or_cell_type
    Purified recombinant enzyme; no intact tissue

    Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1150–1162

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. · source_derived_draft · unverified_draft

    ### b2-pnpo-pnp-oxidation Purified human PNPO converted PNP to PLP with a turnover number of 0.19 per second at 37 C. Condition category: normal nutrient_topic: Riboflavin research collection; topical membership is not evidence of a direct dietary effect. plain_language: PNPO changes phosphorylated pyridoxine into active B6. organism: Homo sapiens tissue_or_cell_type: Purified recombinant enzyme; no intact tissue experimental_model: Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. limitations: Biochemical evidence does not establish a dietary threshold or supplementation benefit. exposure: Purified-enzyme assay cross_nutrient: B2-dependent oxidation activates one B6 precursor. evidence_location: Results: kinetic properties; Table 1; FMN-binding structure [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    Complete structured claim and evidence
  70. Human PNPO also converted PMP to PLP, with a turnover number of 0.20 per second at 37 C.

    Experimental context and source evidence
    cross_nutrient
    A second B6 precursor depends on the FMN enzyme.
    evidence_location
    Results: kinetic properties; Table 1; FMN-binding structure
    experimental_model
    Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C.
    exposure
    Purified-enzyme assay
    limitations
    Biochemical evidence does not establish a dietary threshold or supplementation benefit.
    nutrient_topic
    Riboflavin research collection; topical membership is not evidence of a direct dietary effect. · Riboflavin (vitamin B2)
    organism
    Homo sapiens
    plain_language
    Phosphorylated pyridoxamine enters the same activation enzyme.
    primary_references
    [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    tissue_or_cell_type
    Purified recombinant enzyme; no intact tissue

    Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1164–1176

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. · source_derived_draft · unverified_draft

    ### b2-pnpo-pmp-oxidation Human PNPO also converted PMP to PLP, with a turnover number of 0.20 per second at 37 C. Condition category: normal nutrient_topic: Riboflavin research collection; topical membership is not evidence of a direct dietary effect. plain_language: Phosphorylated pyridoxamine enters the same activation enzyme. organism: Homo sapiens tissue_or_cell_type: Purified recombinant enzyme; no intact tissue experimental_model: Recombinant human PNPO expressed in E. coli; crystallography and purified-enzyme kinetics at 37 C. limitations: Biochemical evidence does not establish a dietary threshold or supplementation benefit. exposure: Purified-enzyme assay cross_nutrient: A second B6 precursor depends on the FMN enzyme. evidence_location: Results: kinetic properties; Table 1; FMN-binding structure [musayev2003] Structure and properties of recombinant human pyridoxine 5'-phosphate oxidase. (2003). https://pubmed.ncbi.nlm.nih.gov/12824491/ DOI: 10.1110/ps.0356203
    Complete structured claim and evidence
  71. N-acetylglutamate binding reshaped human CPS1 and established the channel linking its two phosphorylation sites.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/citrulline-research/26592762.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "55b398f0f6c85b023e3eee96e6841df398d328bc8201dfb5207147aa871be581", "start_char": 0, "end_char": 1079, "text_sha256": "55b398f0f6c85b023e3eee96e6841df398d328bc8201dfb5207147aa871be581"}
    experimental_model
    Human recombinant enzyme crystallography and mutation analysis
    exposure
    Structures without NAG and with NAG plus nucleotides
    limitations
    Mechanism of enzyme activation; clinical effects of adding nutritional cofactors were not tested.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human CPS1
    plain_language
    An activator switches the upstream nitrogen-handling enzyme into a functional shape.
    primary_references
    [citrulline-p26592762] Structure of human carbamoyl phosphate synthetase: deciphering the on/off switch of human ureagenesis. (2015). https://pubmed.ncbi.nlm.nih.gov/26592762/ DOI: 10.1038/srep16950
    tissue_or_cell_type
    Mitochondrial carbamoyl-phosphate synthesis

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 229–240

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant enzyme crystallography and mutation analysis · source_derived_draft · unverified_draft

    ### citrulline-cps1-nag N-acetylglutamate binding reshaped human CPS1 and established the channel linking its two phosphorylation sites. Condition category: normal nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: An activator switches the upstream nitrogen-handling enzyme into a functional shape. organism: Human CPS1 tissue_or_cell_type: Mitochondrial carbamoyl-phosphate synthesis experimental_model: Human recombinant enzyme crystallography and mutation analysis limitations: Mechanism of enzyme activation; clinical effects of adding nutritional cofactors were not tested. exposure: Structures without NAG and with NAG plus nucleotides evidence_span: {"source_cache": "artifacts/citrulline-research/26592762.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "55b398f0f6c85b023e3eee96e6841df398d328bc8201dfb5207147aa871be581", "start_char": 0, "end_char": 1079, "text_sha256": "55b398f0f6c85b023e3eee96e6841df398d328bc8201dfb5207147aa871be581"} [citrulline-p26592762] Structure of human carbamoyl phosphate synthetase: deciphering the on/off switch of human ureagenesis. (2015). https://pubmed.ncbi.nlm.nih.gov/26592762/ DOI: 10.1038/srep16950
    Complete structured claim and evidence
  72. CPS1 uses two ATP-dependent phosphorylation steps to convert bicarbonate and ammonia into carbamoyl phosphate.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/citrulline-research/26592762.fulltext.txt", "locator": "Primary full-text span; zero-based, end-exclusive Unicode character offsets", "file_sha256": "9807338d87ba1b5602512aa3765c7cc48d391595cc1f35e6a43bcbe1250d3c7d", "start_char": 1169, "end_char": 1477, "text_sha256": "c5e2a8e1d3e3a09064b7b233635f7d573f8761b3f6ae18a68bc9b102a2d5874c"}
    experimental_model
    Human recombinant enzyme crystallography and mutation analysis
    exposure
    Structures without NAG and with NAG plus nucleotides
    limitations
    Mechanism of enzyme activation; clinical effects of adding nutritional cofactors were not tested.
    nutrient_topic
    Citrulline research collection; topical membership is not evidence of a direct dietary effect. · L-Citrulline
    organism
    Human CPS1
    plain_language
    The upstream part of citrulline synthesis consumes energy to handle ammonia.
    primary_references
    [citrulline-p26592762] Structure of human carbamoyl phosphate synthetase: deciphering the on/off switch of human ureagenesis. (2015). https://pubmed.ncbi.nlm.nih.gov/26592762/ DOI: 10.1038/srep16950
    tissue_or_cell_type
    Mitochondrial carbamoyl-phosphate synthesis

    Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17) · lines 242–253

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant enzyme crystallography and mutation analysis · source_derived_draft · unverified_draft

    ### citrulline-cps1-product CPS1 uses two ATP-dependent phosphorylation steps to convert bicarbonate and ammonia into carbamoyl phosphate. Condition category: normal nutrient_topic: Citrulline research collection; topical membership is not evidence of a direct dietary effect. plain_language: The upstream part of citrulline synthesis consumes energy to handle ammonia. organism: Human CPS1 tissue_or_cell_type: Mitochondrial carbamoyl-phosphate synthesis experimental_model: Human recombinant enzyme crystallography and mutation analysis limitations: Mechanism of enzyme activation; clinical effects of adding nutritional cofactors were not tested. exposure: Structures without NAG and with NAG plus nucleotides evidence_span: {"source_cache": "artifacts/citrulline-research/26592762.fulltext.txt", "locator": "Primary full-text span; zero-based, end-exclusive Unicode character offsets", "file_sha256": "9807338d87ba1b5602512aa3765c7cc48d391595cc1f35e6a43bcbe1250d3c7d", "start_char": 1169, "end_char": 1477, "text_sha256": "c5e2a8e1d3e3a09064b7b233635f7d573f8761b3f6ae18a68bc9b102a2d5874c"} [citrulline-p26592762] Structure of human carbamoyl phosphate synthetase: deciphering the on/off switch of human ureagenesis. (2015). https://pubmed.ncbi.nlm.nih.gov/26592762/ DOI: 10.1038/srep16950
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

Activated and memory T cells can outstrip alanine supply

Condition: nutrient_deficiency · Mouse T cells are activated or restimulated in dialyzed-serum medium.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine add-back restores selected translation, growth and cytokine readouts.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Alanine can support growth when glucose is experimentally limited

Condition: nutrient_deficiency · Human PDAC cultures receive 0.5 mM glucose.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine or pyruvate rescues proliferation in the tested culture.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Serine restriction changes alanine use in sphingolipid synthesis

Condition: nutrient_deficiency · Serine/glycine are restricted in colorectal cancer models.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine-derived deoxysphingolipids increase; changing mitochondrial alanine use modifies the response.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Defective AGXT can interrupt alanine-to-glyoxylate nitrogen transfer

Condition: machinery_impairment · Human AGXT carries the G82E disease-associated variant.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Cofactor binding and catalytic cycling are impaired despite retained saturated binding capacity.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Alanine needs an intact tRNA-loading enzyme

Condition: machinery_impairment · Yeast ALA1 is disrupted.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Human alanyl-tRNA synthetase expression rescues growth in the complementation model.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Autophagy affects the alanine supplied by stromal cells

Condition: machinery_impairment · ATG5 or ATG7 is knocked down in human stellate cells.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine secretion and metabolic support to neighboring PDAC cells decline.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Impaired import or mitochondrial carbon entry changes alanine supply

Condition: machinery_impairment · SLC38A2 is genetically suppressed or MPC is inhibited in PDAC models.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alternative synthesis/import demands and growth responses depend on which route is disrupted.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Changing alanine enzyme activity changes liver responses

Condition: machinery_impairment · Mouse hepatic Gpt2 or rat-cell GPT/ALT1 is reduced in separate experiments.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Glucose-from-alanine flux or acute AMPK activation changes according to model and metabolic state.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Genetic GPT2 loss is more than low dietary alanine

Condition: machinery_impairment · Human loss-of-function variants or mouse Gpt2 deletion impair machinery.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Neuronal metabolism and growth are affected; mouse alanine rescue is incomplete.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Altered SPT substrate choice makes amino-acid balance consequential

Condition: machinery_impairment · HSAN1-associated SPTLC1 variants alter substrate selection.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine and serine interventions modify deoxysphingolipids, with different endpoints and exposure in cells, mice and patients.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

Fibroblasts can use both synthesis and import

Condition: machinery_impairment · GPT2 alone or alanine synthesis and uptake together are inhibited.

Normal role: Alanine is synthesized, transported and incorporated or metabolized according to cell demand and intact enzyme/cofactor machinery.

Recorded consequence: Alanine add-back can rescue selected markers; dual blockade suppresses fibrogenic readouts in human cell/tissue models.

Scope: Species, exposure, cell type and experimental manipulation are retained on every linked claim.

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • Citrulline: arginine recycling, nitrogen disposal and nutrient connections (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • L-Alanine: carbon, nitrogen, protein synthesis and cross-nutrient mechanisms (2026-09-19)AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · unverified_draftRead preserved source
  • Riboflavin: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

    Open questions in this collection

    Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

      Chapters are assembled from supplied drafts and curated literature summaries. Statements remain unverified against the primary studies, and the ledger is not medical advice.

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      Evidence, AI assistance and curation standards