Nutrient chapter

L-Isoleucine

Branched-chain essential amino acid.

78 recorded mechanisms · 19 availability situations · 7 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. Replacing sodium during mouse ileum uptake assays removed the sodium-dependent component of radiolabeled L-isoleucine uptake.

    Sodium ion → Isoleucine uptake in mouse ileum source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Everted mouse ileum; 1 mM L-isoleucine, five-minute uptake assay.
    limitations
    Does not imply extra dietary sodium improves absorption in sodium-replete people.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    An ion gradient helps the intestine take up this amino acid.
    primary_references
    Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 18–24

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Everted mouse ileum; 1 mM L-isoleucine, five-minute uptake assay. · source_derived_draft · unverified_draft

    ## isoleucine-intestinal-sodium An ion gradient helps the intestine take up this amino acid. Replacing sodium during mouse ileum uptake assays removed the sodium-dependent component of radiolabeled L-isoleucine uptake. Model: Everted mouse ileum; 1 mM L-isoleucine, five-minute uptake assay. Limitations: Does not imply extra dietary sodium improves absorption in sodium-replete people. Evidence access: Primary full text Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055
    Complete structured claim and evidence
  2. Ace2 deletion removed intestinal B0AT1 expression and abolished sodium-dependent isoleucine uptake in mouse ileum segments.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Ace2-null mouse intestine; expression, interaction and uptake assays.
    limitations
    Kidney accessory-protein dependence differs; not evidence that every change in ACE2 produces dietary isoleucine deficiency.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A working transporter also needs its accessory protein in this tissue.
    primary_references
    Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 26–32

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Ace2-null mouse intestine; expression, interaction and uptake assays. · source_derived_draft · unverified_draft

    ## isoleucine-intestinal-ace2 A working transporter also needs its accessory protein in this tissue. Ace2 deletion removed intestinal B0AT1 expression and abolished sodium-dependent isoleucine uptake in mouse ileum segments. Model: Ace2-null mouse intestine; expression, interaction and uptake assays. Limitations: Kidney accessory-protein dependence differs; not evidence that every change in ACE2 produces dietary isoleucine deficiency. Evidence access: Primary full text Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055
    Complete structured claim and evidence
  3. Human B0AT1 D173N and P265L variants retained activation by coexpressed mouse ACE2 but not human collectrin; A69T and R240Q were not activated by either partner.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human transporter variants in Xenopus oocytes with mouse ACE2 or human collectrin.
    limitations
    Mixed-species expression system; not a direct measurement of each patient intestine or kidney.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The same transporter mutation can behave differently with different helper proteins.
    primary_references
    Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 34–40

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human transporter variants in Xenopus oocytes with mouse ACE2 or human collectrin. · source_derived_draft · unverified_draft

    ## isoleucine-hartnup-partners The same transporter mutation can behave differently with different helper proteins. Human B0AT1 D173N and P265L variants retained activation by coexpressed mouse ACE2 but not human collectrin; A69T and R240Q were not activated by either partner. Model: Human transporter variants in Xenopus oocytes with mouse ACE2 or human collectrin. Limitations: Mixed-species expression system; not a direct measurement of each patient intestine or kidney. Evidence access: Primary full text Tissue-specific amino acid transporter partners ACE2 and collectrin differentially interact with hartnup mutations. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19185582/ · DOI 10.1053/j.gastro.2008.10.055
    Complete structured claim and evidence
  4. Human LAT1 with SLC3A2 transported large neutral amino acids and exchanged intracellular leucine or glutamine with extracellular substrates.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human proteins expressed in Xenopus oocytes; large-neutral-amino-acid panel.
    limitations
    Accessed abstract does not resolve a separate isoleucine kinetic value. Shared transport is not proof that an ordinary mixed meal causes deficiency.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Shared transport depends on amino acids on both sides of the membrane.
    primary_references
    Human L-type amino acid transporter 1 (LAT1): characterization of function and expression in tumor cell lines. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11557028/ · DOI 10.1016/s0005-2736(01)00384-4

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 42–48

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human proteins expressed in Xenopus oocytes; large-neutral-amino-acid panel. · source_derived_draft · unverified_draft

    ## isoleucine-lat1-exchange Shared transport depends on amino acids on both sides of the membrane. Human LAT1 with SLC3A2 transported large neutral amino acids and exchanged intracellular leucine or glutamine with extracellular substrates. Model: Human proteins expressed in Xenopus oocytes; large-neutral-amino-acid panel. Limitations: Accessed abstract does not resolve a separate isoleucine kinetic value. Shared transport is not proof that an ordinary mixed meal causes deficiency. Evidence access: Primary abstract Human L-type amino acid transporter 1 (LAT1): characterization of function and expression in tumor cell lines. · 2001 · https://pubmed.ncbi.nlm.nih.gov/11557028/ · DOI 10.1016/s0005-2736(01)00384-4
    Complete structured claim and evidence
  5. Slc25a44 loss reduced mitochondrial valine and leucine uptake; ectopic expression and reconstituted liposomes supported transporter function.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse brown adipocytes/Neuro2a and membrane/proteoliposome assays.
    limitations
    Direct transport tracers highlighted here were valine and leucine; do not relabel them as an isolated isoleucine transport assay.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Access to mitochondria is a separate gate from entry into the cell.
    primary_references
    BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x
    transport_effect
    raises The object already names mitochondrial BCAA uptake.
    transport_pool
    the mitochondrial matrix The object already names mitochondrial BCAA uptake.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 50–56

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse brown adipocytes/Neuro2a and membrane/proteoliposome assays. · source_derived_draft · unverified_draft

    ## isoleucine-mitochondrial-carrier Access to mitochondria is a separate gate from entry into the cell. Slc25a44 loss reduced mitochondrial valine and leucine uptake; ectopic expression and reconstituted liposomes supported transporter function. Model: Mouse brown adipocytes/Neuro2a and membrane/proteoliposome assays. Limitations: Direct transport tracers highlighted here were valine and leucine; do not relabel them as an isolated isoleucine transport assay. Evidence access: Primary full text BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x
    Complete structured claim and evidence
  6. Human supraclavicular BAT SLC25A44 mRNA increased after cold exposure and correlated with UCP1 and BCKDHA expression.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human cold-exposure BAT samples; expression correlations.
    limitations
    Observational expression evidence, not transporter gene manipulation or proof of isoleucine-specific clearance in humans.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Human tissue showed a coordinated change in the shared catabolic system.
    primary_references
    BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 58–64

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human cold-exposure BAT samples; expression correlations. · source_derived_draft · unverified_draft

    ## isoleucine-human-bat-carrier Human tissue showed a coordinated change in the shared catabolic system. Human supraclavicular BAT SLC25A44 mRNA increased after cold exposure and correlated with UCP1 and BCKDHA expression. Model: Human cold-exposure BAT samples; expression correlations. Limitations: Observational expression evidence, not transporter gene manipulation or proof of isoleucine-specific clearance in humans. Evidence access: Primary full text BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x
    Complete structured claim and evidence
  7. BAT-specific BCAA catabolic impairment reduced BCAA clearance and thermogenic fuel oxidation and promoted glucose intolerance in the tested mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse BAT-targeted Bckdha manipulation and metabolic assays.
    limitations
    Mixed BCAA pathway; not a claim that isolated isoleucine intake causes obesity.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Loss of a tissue processing route changed whole-body amino-acid handling.
    primary_references
    BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 66–72

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse BAT-targeted Bckdha manipulation and metabolic assays. · source_derived_draft · unverified_draft

    ## isoleucine-brown-fat-catabolic-loss Loss of a tissue processing route changed whole-body amino-acid handling. BAT-specific BCAA catabolic impairment reduced BCAA clearance and thermogenic fuel oxidation and promoted glucose intolerance in the tested mice. Model: Mouse BAT-targeted Bckdha manipulation and metabolic assays. Limitations: Mixed BCAA pathway; not a claim that isolated isoleucine intake causes obesity. Evidence access: Primary full text BCAA catabolism in brown fat controls energy homeostasis through SLC25A44. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31435015/ · DOI 10.1038/s41586-019-1503-x
    Complete structured claim and evidence
  8. BAT-specific Slc25a44 deletion blunted BCAA oxidation and non-shivering thermogenesis following intracerebroventricular PGE2.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse conditional knockout; PGE2 1.4 micrograms per mouse; valine oxidation readout.
    limitations
    Not an isoleucine-specific tracer result or a supplement treatment for fever.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The shared mitochondrial gate mattered during a defined fever response.
    primary_references
    Metabolic flexibility via mitochondrial BCAA carrier SLC25A44 is required for optimal fever. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33944778/ · DOI 10.7554/eLife.66865
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 74–80

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse conditional knockout; PGE2 1.4 micrograms per mouse; valine oxidation readout. · source_derived_draft · unverified_draft

    ## isoleucine-fever-carrier The shared mitochondrial gate mattered during a defined fever response. BAT-specific Slc25a44 deletion blunted BCAA oxidation and non-shivering thermogenesis following intracerebroventricular PGE2. Model: Mouse conditional knockout; PGE2 1.4 micrograms per mouse; valine oxidation readout. Limitations: Not an isoleucine-specific tracer result or a supplement treatment for fever. Evidence access: Primary full text Metabolic flexibility via mitochondrial BCAA carrier SLC25A44 is required for optimal fever. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33944778/ · DOI 10.7554/eLife.66865
    Complete structured claim and evidence
  9. Nitrogen-labeled valine and leucine supplied glutamate and alanine rapidly in brown-adipocyte tracing experiments.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse brown adipocytes with 15N-valine/leucine; cellular tracing.
    limitations
    Isoleucine is a connected BCAA substrate, but was not the tracer in these experiments.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Shared BCAA chemistry carries nitrogen as well as carbon.
    primary_references
    BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 82–88

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse brown adipocytes with 15N-valine/leucine; cellular tracing. · source_derived_draft · unverified_draft

    ## isoleucine-bcaa-nitrogen Shared BCAA chemistry carries nitrogen as well as carbon. Nitrogen-labeled valine and leucine supplied glutamate and alanine rapidly in brown-adipocyte tracing experiments. Model: Mouse brown adipocytes with 15N-valine/leucine; cellular tracing. Limitations: Isoleucine is a connected BCAA substrate, but was not the tracer in these experiments. Evidence access: Primary full text BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030
    Complete structured claim and evidence
  10. Impaired mitochondrial BCAA nitrogen flux reduced synthesis of downstream metabolites including glutathione and increased oxidative stress in the tested BAT system.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse BAT carrier-loss and isotope/metabolite experiments.
    limitations
    Does not establish isoleucine supplementation as a glutathione intervention; the traced amino acids and cell context remain explicit.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Transport and nitrogen handling can affect antioxidant production.
    primary_references
    BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 90–96

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse BAT carrier-loss and isotope/metabolite experiments. · source_derived_draft · unverified_draft

    ## isoleucine-bcaa-glutathione Transport and nitrogen handling can affect antioxidant production. Impaired mitochondrial BCAA nitrogen flux reduced synthesis of downstream metabolites including glutathione and increased oxidative stress in the tested BAT system. Model: Mouse BAT carrier-loss and isotope/metabolite experiments. Limitations: Does not establish isoleucine supplementation as a glutathione intervention; the traced amino acids and cell context remain explicit. Evidence access: Primary full text BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030
    Complete structured claim and evidence
  11. BAT-specific Slc25a44 knockout impaired BCAA clearance and insulin tolerance without a significant difference in energy expenditure or body weight in this study.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Conditional mouse knockout under defined temperature and diet conditions.
    limitations
    Different perturbations and conditions from prior Bckdha-loss thermogenesis work; no universal requirement for a weight change.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The metabolic effect was separable from measured heat production and weight.
    primary_references
    BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 98–104

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Conditional mouse knockout under defined temperature and diet conditions. · source_derived_draft · unverified_draft

    ## isoleucine-bat-insulin-beyond-heat The metabolic effect was separable from measured heat production and weight. BAT-specific Slc25a44 knockout impaired BCAA clearance and insulin tolerance without a significant difference in energy expenditure or body weight in this study. Model: Conditional mouse knockout under defined temperature and diet conditions. Limitations: Different perturbations and conditions from prior Bckdha-loss thermogenesis work; no universal requirement for a weight change. Evidence access: Primary full text BCAA-nitrogen flux in brown fat controls metabolic health independent of thermogenesis. · 2024 · https://pubmed.ncbi.nlm.nih.gov/38653240/ · DOI 10.1016/j.cell.2024.03.030
    Complete structured claim and evidence
  12. Human IARS1 aminoacylates tRNA-Ile with isoleucine for cytosolic translation; purified-protein aminoacylation assays were used to study this reaction.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human IARS1/tRNA assays and primary human fibroblasts.
    limitations
    Reaction role is distinct from the study-specific shortage substitution experiments.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A charging enzyme links free isoleucine to protein synthesis.
    primary_references
    Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 106–112

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human IARS1/tRNA assays and primary human fibroblasts. · source_derived_draft · unverified_draft

    ## isoleucine-iars-charging A charging enzyme links free isoleucine to protein synthesis. Human IARS1 aminoacylates tRNA-Ile with isoleucine for cytosolic translation; purified-protein aminoacylation assays were used to study this reaction. Model: Human IARS1/tRNA assays and primary human fibroblasts. Limitations: Reaction role is distinct from the study-specific shortage substitution experiments. Evidence access: Primary full text Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184
    Complete structured claim and evidence
  13. Under isoleucine restriction, healthy human fibroblasts incorporated valine at isoleucine codons; biochemical assays implicated IARS1-mediated valine misacylation.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Primary human fibroblasts, mass spectrometry and tRNA charging assays.
    limitations
    Amino-acid substitution is not proof of normal function for every affected protein or nutritional interchangeability.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Some cells preserve translation by sacrificing amino-acid accuracy.
    primary_references
    Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 114–120

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary human fibroblasts, mass spectrometry and tRNA charging assays. · source_derived_draft · unverified_draft

    ## isoleucine-valine-substitution Some cells preserve translation by sacrificing amino-acid accuracy. Under isoleucine restriction, healthy human fibroblasts incorporated valine at isoleucine codons; biochemical assays implicated IARS1-mediated valine misacylation. Model: Primary human fibroblasts, mass spectrometry and tRNA charging assays. Limitations: Amino-acid substitution is not proof of normal function for every affected protein or nutritional interchangeability. Evidence access: Primary full text Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184
    Complete structured claim and evidence
  14. Valine supplementation restored translation and proliferation during severe isoleucine deprivation in healthy fibroblasts but not in the tested IARS1-deficient fibroblasts.

    L-Valine → Protein translation in human fibroblasts source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Human fibroblast experiments; representative low isoleucine 1.02 micromolar and high valine 2330 micromolar conditions.
    limitations
    Culture conditions are not a recommended dietary ratio; two patient lines shared the investigated variants.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The rescue required functioning charging machinery.
    primary_references
    Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 122–128

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human fibroblast experiments; representative low isoleucine 1.02 micromolar and high valine 2330 micromolar conditions. · source_derived_draft · unverified_draft

    ## isoleucine-valine-translation-rescue The rescue required functioning charging machinery. Valine supplementation restored translation and proliferation during severe isoleucine deprivation in healthy fibroblasts but not in the tested IARS1-deficient fibroblasts. Model: Human fibroblast experiments; representative low isoleucine 1.02 micromolar and high valine 2330 micromolar conditions. Limitations: Culture conditions are not a recommended dietary ratio; two patient lines shared the investigated variants. Evidence access: Primary full text Isoleucine-to-valine substitutions support cellular physiology during isoleucine deprivation. · 2025 · https://pubmed.ncbi.nlm.nih.gov/39657787/ · DOI 10.1093/nar/gkae1184
    Complete structured claim and evidence
  15. IARS-deficient patient fibroblasts had reduced residual aminoacylation activity and greater growth sensitivity to low isoleucine.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Patient-derived human fibroblasts tested across isoleucine concentrations.
    limitations
    Do not assign the study temperature sensitivity in LARS/FARSB to IARS without evidence.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Low substrate can expose the limited reserve of a faulty enzyme.
    primary_references
    Treatment of ARS deficiencies with specific amino acids. · 2021 · https://pubmed.ncbi.nlm.nih.gov/34194004/ · DOI 10.1038/s41436-021-01249-z
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 130–136

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Patient-derived human fibroblasts tested across isoleucine concentrations. · source_derived_draft · unverified_draft

    ## isoleucine-iars-low-substrate Low substrate can expose the limited reserve of a faulty enzyme. IARS-deficient patient fibroblasts had reduced residual aminoacylation activity and greater growth sensitivity to low isoleucine. Model: Patient-derived human fibroblasts tested across isoleucine concentrations. Limitations: Do not assign the study temperature sensitivity in LARS/FARSB to IARS without evidence. Evidence access: Primary abstract Treatment of ARS deficiencies with specific amino acids. · 2021 · https://pubmed.ncbi.nlm.nih.gov/34194004/ · DOI 10.1038/s41436-021-01249-z
    Complete structured claim and evidence
  16. The IARS patients within a small personalized ARS-treatment series received cognate amino-acid supplementation and showed reported clinical benefit during follow-up.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Uncontrolled human case series with preclinical patient-cell testing; multiple different ARS disorders.
    limitations
    Do not attribute every pooled outcome to IARS or generalize to all IARS variants; not a randomized trial.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Some residual-function disorders may respond to carefully selected substrate support.
    primary_references
    Treatment of ARS deficiencies with specific amino acids. · 2021 · https://pubmed.ncbi.nlm.nih.gov/34194004/ · DOI 10.1038/s41436-021-01249-z
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 138–144

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Uncontrolled human case series with preclinical patient-cell testing; multiple different ARS disorders. · source_derived_draft · unverified_draft

    ## isoleucine-iars-clinical-supplement Some residual-function disorders may respond to carefully selected substrate support. The IARS patients within a small personalized ARS-treatment series received cognate amino-acid supplementation and showed reported clinical benefit during follow-up. Model: Uncontrolled human case series with preclinical patient-cell testing; multiple different ARS disorders. Limitations: Do not attribute every pooled outcome to IARS or generalize to all IARS variants; not a randomized trial. Evidence access: Primary abstract Treatment of ARS deficiencies with specific amino acids. · 2021 · https://pubmed.ncbi.nlm.nih.gov/34194004/ · DOI 10.1038/s41436-021-01249-z
    Complete structured claim and evidence
  17. Three individuals with biallelic IARS variants had zinc deficiency; one showed improved growth with zinc supplementation.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human family/variant study; yeast functional validation of variants.
    limitations
    An association and one treatment observation do not establish how IARS dysfunction caused low zinc or that all isoleucine shortages deplete zinc.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A coexisting nutrient shortage was documented in this rare genetic disorder.
    primary_references
    Biallelic IARS Mutations Cause Growth Retardation with Prenatal Onset, Intellectual Disability, Muscular Hypotonia, and Infantile Hepatopathy. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27426735/ · DOI 10.1016/j.ajhg.2016.05.027
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 146–152

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human family/variant study; yeast functional validation of variants. · source_derived_draft · unverified_draft

    ## isoleucine-iars-zinc-context A coexisting nutrient shortage was documented in this rare genetic disorder. Three individuals with biallelic IARS variants had zinc deficiency; one showed improved growth with zinc supplementation. Model: Human family/variant study; yeast functional validation of variants. Limitations: An association and one treatment observation do not establish how IARS dysfunction caused low zinc or that all isoleucine shortages deplete zinc. Evidence access: Primary abstract Biallelic IARS Mutations Cause Growth Retardation with Prenatal Onset, Intellectual Disability, Muscular Hypotonia, and Infantile Hepatopathy. · 2016 · https://pubmed.ncbi.nlm.nih.gov/27426735/ · DOI 10.1016/j.ajhg.2016.05.027
    Complete structured claim and evidence
  18. IARS2 knockdown and patient variants impaired respiratory complexes I and III; wild-type, but not tested mutant, IARS2 rescued respiration and ATP in knockdown cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human patient lymphocytes and IARS2-knockdown HEK293T cells with genetic rescue.
    limitations
    No dietary isoleucine rescue was demonstrated. Protein replacement is not equivalent to substrate supplementation.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Mitochondria need their own isoleucine-charging machinery.
    primary_references
    IARS2 mutations lead to Leigh syndrome with a combined oxidative phosphorylation deficiency. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39169373/ · DOI 10.1186/s13023-024-03310-x
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 154–160

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human patient lymphocytes and IARS2-knockdown HEK293T cells with genetic rescue. · source_derived_draft · unverified_draft

    ## isoleucine-iars2-respiration Mitochondria need their own isoleucine-charging machinery. IARS2 knockdown and patient variants impaired respiratory complexes I and III; wild-type, but not tested mutant, IARS2 rescued respiration and ATP in knockdown cells. Model: Human patient lymphocytes and IARS2-knockdown HEK293T cells with genetic rescue. Limitations: No dietary isoleucine rescue was demonstrated. Protein replacement is not equivalent to substrate supplementation. Evidence access: Primary abstract IARS2 mutations lead to Leigh syndrome with a combined oxidative phosphorylation deficiency. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39169373/ · DOI 10.1186/s13023-024-03310-x
    Complete structured claim and evidence
  19. Human BCAT2 transfers the isoleucine amino group through the PLP/PMP cycle, linking isoleucine/branched ketoacid interconversion to 2-oxoglutarate/glutamate.

    Experimental context and source evidence
    evidence_access
    Primary abstract; reaction-intermediate structural study
    experimental_model
    Human BCAT2 intermediate structures and established reaction chemistry.
    limitations
    Reversible enzyme chemistry; concentration and compartment determine net flux.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The first breakdown step passes nitrogen to another metabolite.
    primary_references
    Crystal structures of human mitochondrial branched chain aminotransferase reaction intermediates: ketimine and pyridoxamine phosphate forms. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12269802/ · DOI 10.1021/bi020221c

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 162–168

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human BCAT2 intermediate structures and established reaction chemistry. · source_derived_draft · unverified_draft

    ## isoleucine-bcat-reaction The first breakdown step passes nitrogen to another metabolite. Human BCAT2 transfers the isoleucine amino group through the PLP/PMP cycle, linking isoleucine/branched ketoacid interconversion to 2-oxoglutarate/glutamate. Model: Human BCAT2 intermediate structures and established reaction chemistry. Limitations: Reversible enzyme chemistry; concentration and compartment determine net flux. Evidence access: Primary abstract; reaction-intermediate structural study Crystal structures of human mitochondrial branched chain aminotransferase reaction intermediates: ketimine and pyridoxamine phosphate forms. · 2002 · https://pubmed.ncbi.nlm.nih.gov/12269802/ · DOI 10.1021/bi020221c
    Complete structured claim and evidence
  20. The isoleucine pathway in the primary biochemical study places BCKDH-mediated oxidative decarboxylation of the branched ketoacid upstream of 2-methylbutyryl-CoA.

    Experimental context and source evidence
    evidence_access
    Primary full text, pathway background
    experimental_model
    Established pathway shown in a human ECHS1 disease/biochemistry study; not a new BCKDH assay in that paper.
    limitations
    Cofactor and catalytic evidence is separately linked from existing ThDP/DLD records.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A shared BCAA enzyme commits the carbon skeleton to further breakdown.
    primary_references
    Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 170–176

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Established pathway shown in a human ECHS1 disease/biochemistry study; not a new BCKDH assay in that paper. · source_derived_draft · unverified_draft

    ## isoleucine-bckdh-carbon-step A shared BCAA enzyme commits the carbon skeleton to further breakdown. The isoleucine pathway in the primary biochemical study places BCKDH-mediated oxidative decarboxylation of the branched ketoacid upstream of 2-methylbutyryl-CoA. Model: Established pathway shown in a human ECHS1 disease/biochemistry study; not a new BCKDH assay in that paper. Limitations: Cofactor and catalytic evidence is separately linked from existing ThDP/DLD records. Evidence access: Primary full text, pathway background Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1
    Complete structured claim and evidence
  21. Human ACADSB supported oxidation of 2-methylbutyryl-CoA; patient fibroblast assays and expression studies distinguished this isoleucine enzyme from valine-related ACAD8.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human fibroblasts, sequence analysis and recombinant expression.
    limitations
    Does not make ACADSB and ACAD8 interchangeable.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Isoleucine and valine split into different enzyme routes after their shared early steps.
    primary_references
    Isolated 2-methylbutyrylglycinuria caused by short/branched-chain acyl-CoA dehydrogenase deficiency: identification of a new enzyme defect, resolution of its molecular basis, and evidence for distinct acyl-CoA dehydrogenases in isoleucine and valine metabolism. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11013134/ · DOI 10.1086/303105

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 178–184

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human fibroblasts, sequence analysis and recombinant expression. · source_derived_draft · unverified_draft

    ## isoleucine-acadsb-reaction Isoleucine and valine split into different enzyme routes after their shared early steps. Human ACADSB supported oxidation of 2-methylbutyryl-CoA; patient fibroblast assays and expression studies distinguished this isoleucine enzyme from valine-related ACAD8. Model: Human fibroblasts, sequence analysis and recombinant expression. Limitations: Does not make ACADSB and ACAD8 interchangeable. Evidence access: Primary abstract Isolated 2-methylbutyrylglycinuria caused by short/branched-chain acyl-CoA dehydrogenase deficiency: identification of a new enzyme defect, resolution of its molecular basis, and evidence for distinct acyl-CoA dehydrogenases in isoleucine and valine metabolism. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11013134/ · DOI 10.1086/303105
    Complete structured claim and evidence
  22. An ACADSB splice defect caused exon skipping, impaired 2-methylbutyryl-CoA oxidation and isolated 2-methylbutyrylglycinuria in the reported patient.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human patient fibroblast assays plus expression validation.
    limitations
    Single-patient mechanistic discovery does not determine severity for all screen-detected variants.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A breakdown block can be detected through an alternative excreted product.
    primary_references
    Isolated 2-methylbutyrylglycinuria caused by short/branched-chain acyl-CoA dehydrogenase deficiency: identification of a new enzyme defect, resolution of its molecular basis, and evidence for distinct acyl-CoA dehydrogenases in isoleucine and valine metabolism. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11013134/ · DOI 10.1086/303105
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 186–192

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human patient fibroblast assays plus expression validation. · source_derived_draft · unverified_draft

    ## isoleucine-acadsb-loss A breakdown block can be detected through an alternative excreted product. An ACADSB splice defect caused exon skipping, impaired 2-methylbutyryl-CoA oxidation and isolated 2-methylbutyrylglycinuria in the reported patient. Model: Human patient fibroblast assays plus expression validation. Limitations: Single-patient mechanistic discovery does not determine severity for all screen-detected variants. Evidence access: Primary abstract Isolated 2-methylbutyrylglycinuria caused by short/branched-chain acyl-CoA dehydrogenase deficiency: identification of a new enzyme defect, resolution of its molecular basis, and evidence for distinct acyl-CoA dehydrogenases in isoleucine and valine metabolism. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11013134/ · DOI 10.1086/303105
    Complete structured claim and evidence
  23. Human fibroblast and liver assays measured tiglyl-CoA hydration in the isoleucine branch; residual activity persisted despite ECHS1 deficiency, indicating overlapping hydratase capacity.

    Short-chain enoyl-CoA hydratase / ECHS1 → Tiglyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human ECHS1-deficient fibroblasts and liver; substrate-selective enzyme assays.
    limitations
    ECHS1 activity does not establish that it is the sole required isoleucine hydratase.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A reaction can have backup enzyme capacity in a tissue.
    primary_references
    Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 194–200

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human ECHS1-deficient fibroblasts and liver; substrate-selective enzyme assays. · source_derived_draft · unverified_draft

    ## isoleucine-tiglyl-hydration A reaction can have backup enzyme capacity in a tissue. Human fibroblast and liver assays measured tiglyl-CoA hydration in the isoleucine branch; residual activity persisted despite ECHS1 deficiency, indicating overlapping hydratase capacity. Model: Human ECHS1-deficient fibroblasts and liver; substrate-selective enzyme assays. Limitations: ECHS1 activity does not establish that it is the sole required isoleucine hydratase. Evidence access: Primary full text Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1
    Complete structured claim and evidence
  24. ECHS1-deficient patients showed a dominant valine-metabolism defect rather than the expected isolated isoleucine block; liver retained tiglyl-CoA hydration capacity.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Four-patient biochemical study with tissue enzyme comparisons.
    limitations
    Does not establish the same backup capacity in every cell type.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A pathway diagram alone can overstate an enzyme as an unavoidable gate.
    primary_references
    Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 202–208

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Four-patient biochemical study with tissue enzyme comparisons. · source_derived_draft · unverified_draft

    ## isoleucine-echs1-boundary A pathway diagram alone can overstate an enzyme as an unavoidable gate. ECHS1-deficient patients showed a dominant valine-metabolism defect rather than the expected isolated isoleucine block; liver retained tiglyl-CoA hydration capacity. Model: Four-patient biochemical study with tissue enzyme comparisons. Limitations: Does not establish the same backup capacity in every cell type. Evidence access: Primary full text Clinical and biochemical characterization of four patients with mutations in ECHS1. · 2015 · https://pubmed.ncbi.nlm.nih.gov/26081110/ · DOI 10.1186/s13023-015-0290-1
    Complete structured claim and evidence
  25. HSD17B10 encodes the 2-methyl-3-hydroxybutyryl-CoA dehydrogenase step of isoleucine metabolism.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Established biochemical function in a primary loss-of-function/rescue study.
    limitations
    The protein also has essential functions beyond this reaction; metabolic activity alone does not explain its disease phenotype.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Another enzyme changes the intermediate before the final carbon split.
    primary_references
    A non-enzymatic function of 17beta-hydroxysteroid dehydrogenase type 10 is required for mitochondrial integrity and cell survival. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20077426/ · DOI 10.1002/emmm.200900055

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 210–216

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Established biochemical function in a primary loss-of-function/rescue study. · source_derived_draft · unverified_draft

    ## isoleucine-hsd10-reaction Another enzyme changes the intermediate before the final carbon split. HSD17B10 encodes the 2-methyl-3-hydroxybutyryl-CoA dehydrogenase step of isoleucine metabolism. Model: Established biochemical function in a primary loss-of-function/rescue study. Limitations: The protein also has essential functions beyond this reaction; metabolic activity alone does not explain its disease phenotype. Evidence access: Primary abstract A non-enzymatic function of 17beta-hydroxysteroid dehydrogenase type 10 is required for mitochondrial integrity and cell survival. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20077426/ · DOI 10.1002/emmm.200900055
    Complete structured claim and evidence
  26. Loss and rescue experiments in conditional mouse-derived cells showed an HSD10 property independent of dehydrogenase activity was required for mitochondrial integrity and cell survival.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Mouse-derived cells and separate Xenopus embryo experiments; human clinical activity comparisons.
    limitations
    Does not justify treating the entire HSD10 disorder by restricting isoleucine.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A protein can be essential even when its named metabolic reaction is not the relevant failure.
    primary_references
    A non-enzymatic function of 17beta-hydroxysteroid dehydrogenase type 10 is required for mitochondrial integrity and cell survival. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20077426/ · DOI 10.1002/emmm.200900055
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 218–224

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse-derived cells and separate Xenopus embryo experiments; human clinical activity comparisons. · source_derived_draft · unverified_draft

    ## isoleucine-hsd10-noncatabolic A protein can be essential even when its named metabolic reaction is not the relevant failure. Loss and rescue experiments in conditional mouse-derived cells showed an HSD10 property independent of dehydrogenase activity was required for mitochondrial integrity and cell survival. Model: Mouse-derived cells and separate Xenopus embryo experiments; human clinical activity comparisons. Limitations: Does not justify treating the entire HSD10 disorder by restricting isoleucine. Evidence access: Primary abstract A non-enzymatic function of 17beta-hydroxysteroid dehydrogenase type 10 is required for mitochondrial integrity and cell survival. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20077426/ · DOI 10.1002/emmm.200900055
    Complete structured claim and evidence
  27. Human mitochondrial ACAT1/T2 degraded 2-methylacetoacetyl-CoA by CoA-dependent thiolysis, yielding the isoleucine-branch acetyl-CoA and propionyl-CoA products.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human T2 structural/kinetic study; established product chemistry.
    limitations
    ACAT1 here is acetyl-CoA acetyltransferase, not the cholesterol-esterifying SOAT1 enzyme sometimes called ACAT.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    One carbon skeleton feeds both an acetyl branch and a propionyl branch.
    primary_references
    Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 226–232

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human T2 structural/kinetic study; established product chemistry. · source_derived_draft · unverified_draft

    ## isoleucine-acat1-split One carbon skeleton feeds both an acetyl branch and a propionyl branch. Human mitochondrial ACAT1/T2 degraded 2-methylacetoacetyl-CoA by CoA-dependent thiolysis, yielding the isoleucine-branch acetyl-CoA and propionyl-CoA products. Model: Purified human T2 structural/kinetic study; established product chemistry. Limitations: ACAT1 here is acetyl-CoA acetyltransferase, not the cholesterol-esterifying SOAT1 enzyme sometimes called ACAT. Evidence access: Primary abstract Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192
    Complete structured claim and evidence
  28. Increasing KCl from 0 to 40 mM increased purified human T2 turnover approximately threefold for both acetoacetyl-CoA and 2-methylacetoacetyl-CoA.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Purified human enzyme and potassium-bound structures.
    limitations
    Assay activation is not proof that extra potassium accelerates isoleucine breakdown in a potassium-replete person.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Potassium changed the activity of an enzyme shared by isoleucine and ketone processing.
    primary_references
    Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 234–240

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Purified human enzyme and potassium-bound structures. · source_derived_draft · unverified_draft

    ## isoleucine-acat1-potassium Potassium changed the activity of an enzyme shared by isoleucine and ketone processing. Increasing KCl from 0 to 40 mM increased purified human T2 turnover approximately threefold for both acetoacetyl-CoA and 2-methylacetoacetyl-CoA. Model: Purified human enzyme and potassium-bound structures. Limitations: Assay activation is not proof that extra potassium accelerates isoleucine breakdown in a potassium-replete person. Evidence access: Primary abstract Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192
    Complete structured claim and evidence
  29. Human T2 structures identified a copurified chloride ion at a high-affinity site near catalytic loops at the dimer interface.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Human T2 crystallography.
    limitations
    Binding-site evidence does not establish dietary chloride limitation or clinical repletion effects.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A second ion occupies a structural site in the same enzyme.
    primary_references
    Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 242–248

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human T2 crystallography. · source_derived_draft · unverified_draft

    ## isoleucine-acat1-chloride A second ion occupies a structural site in the same enzyme. Human T2 structures identified a copurified chloride ion at a high-affinity site near catalytic loops at the dimer interface. Model: Human T2 crystallography. Limitations: Binding-site evidence does not establish dietary chloride limitation or clinical repletion effects. Evidence access: Primary abstract Crystallographic and kinetic studies of human mitochondrial acetoacetyl-CoA thiolase: the importance of potassium and chloride ions for its structure and function. · 2007 · https://pubmed.ncbi.nlm.nih.gov/17371050/ · DOI 10.1021/bi6026192
    Complete structured claim and evidence
  30. Two HSD10 and four ACAT1 deficiency cases shared elevated 2-methyl-3-hydroxybutyrate/tiglylglycine patterns but had different clinical courses.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Six-patient human clinical and molecular study.
    limitations
    Small series; the suggested neurosteroid explanation was not experimentally proven by these comparisons.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Similar metabolite readings can arise from different machinery failures.
    primary_references
    Clinical and molecular analysis of 6 Chinese patients with isoleucine metabolism defects: identification of 3 novel mutations in the HSD17B10 and ACAT1 gene. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28875337/ · DOI 10.1007/s11011-017-0097-y
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 250–256

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Six-patient human clinical and molecular study. · source_derived_draft · unverified_draft

    ## isoleucine-catabolic-differential Similar metabolite readings can arise from different machinery failures. Two HSD10 and four ACAT1 deficiency cases shared elevated 2-methyl-3-hydroxybutyrate/tiglylglycine patterns but had different clinical courses. Model: Six-patient human clinical and molecular study. Limitations: Small series; the suggested neurosteroid explanation was not experimentally proven by these comparisons. Evidence access: Primary abstract Clinical and molecular analysis of 6 Chinese patients with isoleucine metabolism defects: identification of 3 novel mutations in the HSD17B10 and ACAT1 gene. · 2017 · https://pubmed.ncbi.nlm.nih.gov/28875337/ · DOI 10.1007/s11011-017-0097-y
    Complete structured claim and evidence
  31. BCKDK phosphorylates BCKDH E1-alpha; inactivating human BCKDK variants reduced E1-alpha phosphorylation and circulating BCAAs.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human families with biallelic BCKDK variants and supporting mouse experiments.
    limitations
    This is a rare genetic syndrome, not a general explanation for autism.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A kinase normally slows amino-acid breakdown.
    primary_references
    Mutations in BCKD-kinase lead to a potentially treatable form of autism with epilepsy. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22956686/ · DOI 10.1126/science.1224631
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 258–264

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human families with biallelic BCKDK variants and supporting mouse experiments. · source_derived_draft · unverified_draft

    ## isoleucine-bckdk-brake A kinase normally slows amino-acid breakdown. BCKDK phosphorylates BCKDH E1-alpha; inactivating human BCKDK variants reduced E1-alpha phosphorylation and circulating BCAAs. Model: Human families with biallelic BCKDK variants and supporting mouse experiments. Limitations: This is a rare genetic syndrome, not a general explanation for autism. Evidence access: Primary abstract Mutations in BCKD-kinase lead to a potentially treatable form of autism with epilepsy. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22956686/ · DOI 10.1126/science.1224631
    Complete structured claim and evidence
  32. Dietary BCAA supplementation improved neurobehavioral abnormalities in Bckdk-knockout mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Bckdk-knockout mouse dietary rescue.
    limitations
    Mixture intervention; cannot assign rescue uniquely to isoleucine or infer benefit in unrelated disorders.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Replacing the shared substrates helped in the excessive-breakdown model.
    primary_references
    Mutations in BCKD-kinase lead to a potentially treatable form of autism with epilepsy. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22956686/ · DOI 10.1126/science.1224631
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 266–272

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

    ## isoleucine-bckdk-mouse-rescue Replacing the shared substrates helped in the excessive-breakdown model. Dietary BCAA supplementation improved neurobehavioral abnormalities in Bckdk-knockout mice. Model: Bckdk-knockout mouse dietary rescue. Limitations: Mixture intervention; cannot assign rescue uniquely to isoleucine or infer benefit in unrelated disorders. Evidence access: Primary abstract Mutations in BCKD-kinase lead to a potentially treatable form of autism with epilepsy. · 2012 · https://pubmed.ncbi.nlm.nih.gov/22956686/ · DOI 10.1126/science.1224631
    Complete structured claim and evidence
  33. PP2Cm bound the BCKDH complex and promoted substrate-dependent dephosphorylation of E1-alpha Ser293.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse and cultured-cell protein interaction/phosphorylation experiments.
    limitations
    Rate depends on substrate and regulatory state; this is a shared BCAA step.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A phosphatase removes the inhibitory mark and permits more breakdown.
    primary_references
    Protein phosphatase 2Cm is a critical regulator of branched-chain amino acid catabolism in mice and cultured cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19411760/ · DOI 10.1172/JCI38151

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 274–280

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse and cultured-cell protein interaction/phosphorylation experiments. · source_derived_draft · unverified_draft

    ## isoleucine-ppm1k-activation A phosphatase removes the inhibitory mark and permits more breakdown. PP2Cm bound the BCKDH complex and promoted substrate-dependent dephosphorylation of E1-alpha Ser293. Model: Mouse and cultured-cell protein interaction/phosphorylation experiments. Limitations: Rate depends on substrate and regulatory state; this is a shared BCAA step. Evidence access: Primary abstract Protein phosphatase 2Cm is a critical regulator of branched-chain amino acid catabolism in mice and cultured cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19411760/ · DOI 10.1172/JCI38151
    Complete structured claim and evidence
  34. Ppm1k loss abolished substrate-induced E1-alpha dephosphorylation and impaired BCAA catabolism in mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Ppm1k-deficient mice and cultured cells.
    limitations
    Mouse MSUD-like phenotype is not a diagnosis of dietary BCAA excess.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Failure to release the brake can produce accumulation rather than shortage.
    primary_references
    Protein phosphatase 2Cm is a critical regulator of branched-chain amino acid catabolism in mice and cultured cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19411760/ · DOI 10.1172/JCI38151
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 282–288

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Ppm1k-deficient mice and cultured cells. · source_derived_draft · unverified_draft

    ## isoleucine-ppm1k-loss Failure to release the brake can produce accumulation rather than shortage. Ppm1k loss abolished substrate-induced E1-alpha dephosphorylation and impaired BCAA catabolism in mice. Model: Ppm1k-deficient mice and cultured cells. Limitations: Mouse MSUD-like phenotype is not a diagnosis of dietary BCAA excess. Evidence access: Primary abstract Protein phosphatase 2Cm is a critical regulator of branched-chain amino acid catabolism in mice and cultured cells. · 2009 · https://pubmed.ncbi.nlm.nih.gov/19411760/ · DOI 10.1172/JCI38151
    Complete structured claim and evidence
  35. Isoleucine at 80-200 micromolar and valine at 250-500 micromolar reduced leucine transamination/oxidation by up to 25% in human peripheral lymphocytes.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Isolated human lymphocyte concentration-response assays.
    limitations
    Does not quantify whole-body competition after a meal or prove a nutritional deficiency.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Shared breakdown machinery can create substrate interactions.
    primary_references
    Assessment of effects of amino acids and branched chain keto acids on leucine oxidation in human lymphocytes. · 1988 · https://pubmed.ncbi.nlm.nih.gov/2905828/ · DOI 10.3109/00365518809085769

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 290–296

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Isolated human lymphocyte concentration-response assays. · source_derived_draft · unverified_draft

    ## isoleucine-bcaa-competition Shared breakdown machinery can create substrate interactions. Isoleucine at 80-200 micromolar and valine at 250-500 micromolar reduced leucine transamination/oxidation by up to 25% in human peripheral lymphocytes. Model: Isolated human lymphocyte concentration-response assays. Limitations: Does not quantify whole-body competition after a meal or prove a nutritional deficiency. Evidence access: Primary abstract Assessment of effects of amino acids and branched chain keto acids on leucine oxidation in human lymphocytes. · 1988 · https://pubmed.ncbi.nlm.nih.gov/2905828/ · DOI 10.3109/00365518809085769
    Complete structured claim and evidence
  36. Phenylbutyrate inhibited recombinant BCKDH kinase, reduced E1-alpha phosphorylation and increased overall BCKDH activity in the reported assays.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Recombinant enzyme assays with supporting cellular/in-vivo experiments.
    limitations
    Protein species is not inferred from the patient part of the paper; activity responses varied among disease samples.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A medicine can remove the brake on BCAA breakdown.
    primary_references
    Phenylbutyrate therapy for maple syrup urine disease. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21098507/ · DOI 10.1093/hmg/ddq507

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 298–304

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Recombinant enzyme assays with supporting cellular/in-vivo experiments. · source_derived_draft · unverified_draft

    ## isoleucine-phenylbutyrate-kinase A medicine can remove the brake on BCAA breakdown. Phenylbutyrate inhibited recombinant BCKDH kinase, reduced E1-alpha phosphorylation and increased overall BCKDH activity in the reported assays. Model: Recombinant enzyme assays with supporting cellular/in-vivo experiments. Limitations: Protein species is not inferred from the patient part of the paper; activity responses varied among disease samples. Evidence access: Primary abstract Phenylbutyrate therapy for maple syrup urine disease. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21098507/ · DOI 10.1093/hmg/ddq507
    Complete structured claim and evidence
  37. Sodium phenylbutyrate-treated urea-cycle-disorder patients had lower circulating BCAAs despite adequate protein intake; low steady-state BCAAs were also observed in treated controls.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human stable-isotope-study sampling and treated control comparisons.
    limitations
    Mixed BCAA effect; dietary decisions in urea-cycle disorders require the full clinical context.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A low amino-acid pool can reflect drug-related handling, not just low intake.
    primary_references
    New insights in nutritional management and amino acid supplementation in urea cycle disorders. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20299258/ · DOI 10.1016/j.ymgme.2010.02.019
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 306–312

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human stable-isotope-study sampling and treated control comparisons. · source_derived_draft · unverified_draft

    ## isoleucine-phenylbutyrate-plasma A low amino-acid pool can reflect drug-related handling, not just low intake. Sodium phenylbutyrate-treated urea-cycle-disorder patients had lower circulating BCAAs despite adequate protein intake; low steady-state BCAAs were also observed in treated controls. Model: Human stable-isotope-study sampling and treated control comparisons. Limitations: Mixed BCAA effect; dietary decisions in urea-cycle disorders require the full clinical context. Evidence access: Primary abstract New insights in nutritional management and amino acid supplementation in urea cycle disorders. · 2010 · https://pubmed.ncbi.nlm.nih.gov/20299258/ · DOI 10.1016/j.ymgme.2010.02.019
    Complete structured claim and evidence
  38. Phenylbutyrate reduced BCAA/BCKA pools in controls and some late-onset/intermediate MSUD patients; cultured-cell responses did not simply predict the clinical biochemical response.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Small human treatment study plus patient-cell assays.
    limitations
    Not universal MSUD efficacy or long-term outcome evidence.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The same drug interaction can help or deplete depending on the disease and remaining enzyme function.
    primary_references
    Phenylbutyrate therapy for maple syrup urine disease. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21098507/ · DOI 10.1093/hmg/ddq507
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 314–320

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Small human treatment study plus patient-cell assays. · source_derived_draft · unverified_draft

    ## isoleucine-msud-drug-response The same drug interaction can help or deplete depending on the disease and remaining enzyme function. Phenylbutyrate reduced BCAA/BCKA pools in controls and some late-onset/intermediate MSUD patients; cultured-cell responses did not simply predict the clinical biochemical response. Model: Small human treatment study plus patient-cell assays. Limitations: Not universal MSUD efficacy or long-term outcome evidence. Evidence access: Primary abstract Phenylbutyrate therapy for maple syrup urine disease. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21098507/ · DOI 10.1093/hmg/ddq507
    Complete structured claim and evidence
  39. An infant on MSUD treatment developed dermatitis, diarrhea and hair loss associated with isoleucine deficiency; skin lesions resolved after combined dietary correction and topical treatment.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Human case report; isoleucine replacement, leucine restriction and topical mometasone used together.
    limitations
    Combined treatment prevents assigning the entire response to one intervention; not a general dermatitis diagnosis.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Restricting a breakdown substrate too far can damage tissues that still need it.
    primary_references
    Acrodermatitis dysmetabolica secondary to isoleucine deficiency in infant with maple syrup urine disease. · 2023 · https://pubmed.ncbi.nlm.nih.gov/38327590/ · DOI 10.4081/dr.2023.9750
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 322–328

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human case report; isoleucine replacement, leucine restriction and topical mometasone used together. · source_derived_draft · unverified_draft

    ## isoleucine-shortage-skin Restricting a breakdown substrate too far can damage tissues that still need it. An infant on MSUD treatment developed dermatitis, diarrhea and hair loss associated with isoleucine deficiency; skin lesions resolved after combined dietary correction and topical treatment. Model: Human case report; isoleucine replacement, leucine restriction and topical mometasone used together. Limitations: Combined treatment prevents assigning the entire response to one intervention; not a general dermatitis diagnosis. Evidence access: Primary abstract Acrodermatitis dysmetabolica secondary to isoleucine deficiency in infant with maple syrup urine disease. · 2023 · https://pubmed.ncbi.nlm.nih.gov/38327590/ · DOI 10.4081/dr.2023.9750
    Complete structured claim and evidence
  40. A critically ill newborn with MSUD developed corneal epithelial loss with skin and intestinal symptoms during isolated isoleucine deficiency.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary abstract
    experimental_model
    Single infant case during intensive metabolic dietary treatment.
    limitations
    Case attribution does not define a universal plasma threshold or the molecular epithelial mechanism.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Inadequate supply can affect more than muscle or growth.
    primary_references
    Corneal deepithelialization caused by acute deficiency of isoleucine during treatment of a patient with maple syrup urine disease. · 1996 · https://pubmed.ncbi.nlm.nih.gov/8741119/ · DOI 10.1111/j.1600-0420.1996.tb00386.x
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 330–336

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Single infant case during intensive metabolic dietary treatment. · source_derived_draft · unverified_draft

    ## isoleucine-shortage-cornea Inadequate supply can affect more than muscle or growth. A critically ill newborn with MSUD developed corneal epithelial loss with skin and intestinal symptoms during isolated isoleucine deficiency. Model: Single infant case during intensive metabolic dietary treatment. Limitations: Case attribution does not define a universal plasma threshold or the molecular epithelial mechanism. Evidence access: Primary abstract Corneal deepithelialization caused by acute deficiency of isoleucine during treatment of a patient with maple syrup urine disease. · 1996 · https://pubmed.ncbi.nlm.nih.gov/8741119/ · DOI 10.1111/j.1600-0420.1996.tb00386.x
    Complete structured claim and evidence
  41. A single 0.3 g/kg oral isoleucine dose reduced glucose at 30 and 60 minutes after a 2 g/kg glucose bolus in rats.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Normal rats; BCAAs compared at matched doses.
    limitations
    Not a human diabetes intervention or equivalent to prolonged high-isoleucine feeding.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    An acute dose changed the handling of a glucose challenge.
    primary_references
    Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 338–344

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Normal rats; BCAAs compared at matched doses. · source_derived_draft · unverified_draft

    ## isoleucine-acute-rat-glucose An acute dose changed the handling of a glucose challenge. A single 0.3 g/kg oral isoleucine dose reduced glucose at 30 and 60 minutes after a 2 g/kg glucose bolus in rats. Model: Normal rats; BCAAs compared at matched doses. Limitations: Not a human diabetes intervention or equivalent to prolonged high-isoleucine feeding. Evidence access: Primary abstract Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039
    Complete structured claim and evidence
  42. Isoleucine at 1-10 mM increased 2-deoxyglucose uptake in insulin-free C2C12 myotube assays.

    L-Isoleucine → Glucose uptake in mouse C2C12 myotubes source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse C2C12 cells; millimolar amino-acid exposures.
    limitations
    Insulin-free culture is not proof of insulin independence in all intact organisms.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Muscle cells responded without added insulin in this experiment.
    primary_references
    Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 346–352

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse C2C12 cells; millimolar amino-acid exposures. · source_derived_draft · unverified_draft

    ## isoleucine-myotube-glucose Muscle cells responded without added insulin in this experiment. Isoleucine at 1-10 mM increased 2-deoxyglucose uptake in insulin-free C2C12 myotube assays. Model: Mouse C2C12 cells; millimolar amino-acid exposures. Limitations: Insulin-free culture is not proof of insulin independence in all intact organisms. Evidence access: Primary abstract Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039
    Complete structured claim and evidence
  43. Pharmacological experiments implicated PI3K, while mTOR inhibition did not account for the isoleucine glucose-uptake response.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Mouse C2C12 myotubes; pathway inhibitor experiments.
    limitations
    Inhibitor evidence does not establish direct binding of isoleucine to PI3K or identify the upstream sensor.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    This effect was not simply the familiar mTOR protein-growth pathway.
    primary_references
    Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 354–360

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse C2C12 myotubes; pathway inhibitor experiments. · source_derived_draft · unverified_draft

    ## isoleucine-myotube-pi3k This effect was not simply the familiar mTOR protein-growth pathway. Pharmacological experiments implicated PI3K, while mTOR inhibition did not account for the isoleucine glucose-uptake response. Model: Mouse C2C12 myotubes; pathway inhibitor experiments. Limitations: Inhibitor evidence does not establish direct binding of isoleucine to PI3K or identify the upstream sensor. Evidence access: Primary abstract Isoleucine, a potent plasma glucose-lowering amino acid, stimulates glucose uptake in C2C12 myotubes. · 2003 · https://pubmed.ncbi.nlm.nih.gov/14651987/ · DOI 10.1016/j.bbrc.2003.11.039
    Complete structured claim and evidence
  44. Oral isoleucine increased tracer-measured muscle glucose uptake by 73% in food-deprived rats without increased AMPK activity; AMPK-alpha2 activity decreased.

    L-Isoleucine → Glucose uptake in rat skeletal muscle source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Rat oral exposure and tissue tracer/kinase assays; dose not resolved in accessed abstract.
    limitations
    Acute food-deprived rat context, not a human dose-response or long-term outcome.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Glucose uptake increased without the often-assumed AMPK activation.
    primary_references
    Isoleucine, a blood glucose-lowering amino acid, increases glucose uptake in rat skeletal muscle in the absence of increases in AMP-activated protein kinase activity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/16140883/ · DOI 10.1093/jn/135.9.2103

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 362–368

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Rat oral exposure and tissue tracer/kinase assays; dose not resolved in accessed abstract. · source_derived_draft · unverified_draft

    ## isoleucine-rat-ampk-boundary Glucose uptake increased without the often-assumed AMPK activation. Oral isoleucine increased tracer-measured muscle glucose uptake by 73% in food-deprived rats without increased AMPK activity; AMPK-alpha2 activity decreased. Model: Rat oral exposure and tissue tracer/kinase assays; dose not resolved in accessed abstract. Limitations: Acute food-deprived rat context, not a human dose-response or long-term outcome. Evidence access: Primary abstract Isoleucine, a blood glucose-lowering amino acid, increases glucose uptake in rat skeletal muscle in the absence of increases in AMP-activated protein kinase activity. · 2005 · https://pubmed.ncbi.nlm.nih.gov/16140883/ · DOI 10.1093/jn/135.9.2103
    Complete structured claim and evidence
  45. A 67% isoleucine reduction in formulated diets increased glucose infusion requirements and hepatic insulin sensitivity during clamps in mice.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse isocaloric amino-acid-defined diets; other amino acids adjusted to maintain amino-acid calories.
    limitations
    Restriction is not complete deprivation; human isolated-isoleucine restriction efficacy was not tested.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Reduced chronic supply changed liver glucose regulation in this dietary context.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 370–376

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse isocaloric amino-acid-defined diets; other amino acids adjusted to maintain amino-acid calories. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-clamp Reduced chronic supply changed liver glucose regulation in this dietary context. A 67% isoleucine reduction in formulated diets increased glucose infusion requirements and hepatic insulin sensitivity during clamps in mice. Model: Mouse isocaloric amino-acid-defined diets; other amino acids adjusted to maintain amino-acid calories. Limitations: Restriction is not complete deprivation; human isolated-isoleucine restriction efficacy was not tested. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  46. The reduced-isoleucine diet increased hepatic FGF21 expression and circulating FGF21, with adipose UCP1-associated changes and increased energy expenditure.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse formulated-diet and tissue studies.
    limitations
    Co-change alone does not show that every metabolic benefit depends on FGF21.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Dietary composition elicited a liver-to-adipose hormonal response.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 378–384

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse formulated-diet and tissue studies. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-fgf21 Dietary composition elicited a liver-to-adipose hormonal response. The reduced-isoleucine diet increased hepatic FGF21 expression and circulating FGF21, with adipose UCP1-associated changes and increased energy expenditure. Model: Mouse formulated-diet and tissue studies. Limitations: Co-change alone does not show that every metabolic benefit depends on FGF21. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  47. Whole-body Fgf21 deletion blunted low-isoleucine-induced energy expenditure and hyperphagia but did not abolish improved glucose tolerance.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Fgf21-knockout mice and littermate diet comparisons.
    limitations
    Do not label FGF21 a required mediator of all isoleucine-restriction effects.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Different outcomes used partly different routes.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 386–392

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Fgf21-knockout mice and littermate diet comparisons. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-fgf21-loss Different outcomes used partly different routes. Whole-body Fgf21 deletion blunted low-isoleucine-induced energy expenditure and hyperphagia but did not abolish improved glucose tolerance. Model: Fgf21-knockout mice and littermate diet comparisons. Limitations: Do not label FGF21 a required mediator of all isoleucine-restriction effects. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  48. Low isoleucine improved glucose tolerance and body composition despite liver-specific Tsc1 deletion and constitutive hepatic mTORC1 activity.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse liver-specific Tsc1 knockout and littermate dietary experiments.
    limitations
    Does not exclude mTOR roles in other organs or settings.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Suppressing liver mTORC1 was not necessary for these outcomes.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 394–400

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse liver-specific Tsc1 knockout and littermate dietary experiments. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-mtor-boundary Suppressing liver mTORC1 was not necessary for these outcomes. Low isoleucine improved glucose tolerance and body composition despite liver-specific Tsc1 deletion and constitutive hepatic mTORC1 activity. Model: Mouse liver-specific Tsc1 knockout and littermate dietary experiments. Limitations: Does not exclude mTOR roles in other organs or settings. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  49. Liver-specific Gcn2 deletion did not prevent low-isoleucine improvements in glucose tolerance or body-composition measures.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary full text
    experimental_model
    Mouse liver-specific Gcn2 knockout, twelve-day and three-week glucose tests.
    limitations
    Not equivalent to complete cellular starvation or loss of GCN2 in every tissue.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A common amino-acid stress sensor was dispensable in this liver/diet experiment.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 402–408

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse liver-specific Gcn2 knockout, twelve-day and three-week glucose tests. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-gcn2-boundary A common amino-acid stress sensor was dispensable in this liver/diet experiment. Liver-specific Gcn2 deletion did not prevent low-isoleucine improvements in glucose tolerance or body-composition measures. Model: Mouse liver-specific Gcn2 knockout, twelve-day and three-week glucose tests. Limitations: Not equivalent to complete cellular starvation or loss of GCN2 in every tissue. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  50. Higher dietary isoleucine content was associated with higher BMI in the study human dietary analysis.

    L-Isoleucine → Dietary isoleucine and BMI association source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human food-frequency/dietary observational analysis.
    limitations
    Diet reporting, other dietary components and reverse causation can affect the result.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The human evidence here is an association, not a restriction trial.
    primary_references
    The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 410–416

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human food-frequency/dietary observational analysis. · source_derived_draft · unverified_draft

    ## isoleucine-human-diet-association The human evidence here is an association, not a restriction trial. Higher dietary isoleucine content was associated with higher BMI in the study human dietary analysis. Model: Human food-frequency/dietary observational analysis. Limitations: Diet reporting, other dietary components and reverse causation can affect the result. Evidence access: Primary full text The adverse metabolic effects of branched-chain amino acids are mediated by isoleucine and valine. · 2021 · https://pubmed.ncbi.nlm.nih.gov/33887198/ · DOI 10.1016/j.cmet.2021.03.025
    Complete structured claim and evidence
  51. Isoleucine-restricted feeding beginning at six months extended lifespan in male and female genetically heterogeneous UM-HET3 mice, more strongly in males.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    UM-HET3 mice; 67% dietary isoleucine reduction with controlled diet formulation.
    limitations
    Not a human lifespan finding, and not an independent laboratory replication of all prior Lamming-group diet findings.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A controlled mouse study found an age- and sex-dependent longevity effect.
    primary_references
    Dietary restriction of isoleucine increases healthspan and lifespan of genetically heterogeneous mice. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37939658/ · DOI 10.1016/j.cmet.2023.10.005

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 418–424

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · UM-HET3 mice; 67% dietary isoleucine reduction with controlled diet formulation. · source_derived_draft · unverified_draft

    ## isoleucine-restriction-lifespan A controlled mouse study found an age- and sex-dependent longevity effect. Isoleucine-restricted feeding beginning at six months extended lifespan in male and female genetically heterogeneous UM-HET3 mice, more strongly in males. Model: UM-HET3 mice; 67% dietary isoleucine reduction with controlled diet formulation. Limitations: Not a human lifespan finding, and not an independent laboratory replication of all prior Lamming-group diet findings. Evidence access: Primary full text Dietary restriction of isoleucine increases healthspan and lifespan of genetically heterogeneous mice. · 2023 · https://pubmed.ncbi.nlm.nih.gov/37939658/ · DOI 10.1016/j.cmet.2023.10.005
    Complete structured claim and evidence
  52. Starting 67% isoleucine restriction at twenty months improved selected metabolic/frailty measures but reduced grip strength in both sexes and produced mixed sex-dependent cardiac effects.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Aged male and female C57BL/6J.Nia mice.
    limitations
    Not evidence that severe restriction is desirable in older humans; differs from the six-month-start longevity experiment.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A diet can improve some endpoints while worsening others.
    primary_references
    Late-life protein or isoleucine restriction impacts physiological and molecular signatures of aging. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39604703/ · DOI 10.1038/s43587-024-00744-7

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 426–432

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Aged male and female C57BL/6J.Nia mice. · source_derived_draft · unverified_draft

    ## isoleucine-late-life-tradeoff A diet can improve some endpoints while worsening others. Starting 67% isoleucine restriction at twenty months improved selected metabolic/frailty measures but reduced grip strength in both sexes and produced mixed sex-dependent cardiac effects. Model: Aged male and female C57BL/6J.Nia mice. Limitations: Not evidence that severe restriction is desirable in older humans; differs from the six-month-start longevity experiment. Evidence access: Primary abstract Late-life protein or isoleucine restriction impacts physiological and molecular signatures of aging. · 2024 · https://pubmed.ncbi.nlm.nih.gov/39604703/ · DOI 10.1038/s43587-024-00744-7
    Complete structured claim and evidence
  53. L-isoleucine and selected analogs induced epithelial beta-defensin transcription with NF-kappaB/Rel activation in the study assays.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Epithelial expression study; precise species/construct not resolved in accessed abstract.
    limitations
    A pattern-recognition receptor was hypothesized, not identified; not clinical immunity enhancement.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The free amino acid can act as a signal in an epithelial model.
    primary_references
    An essential amino acid induces epithelial beta -defensin expression. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11058160/ · DOI 10.1073/pnas.220424597

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 434–440

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Epithelial expression study; precise species/construct not resolved in accessed abstract. · source_derived_draft · unverified_draft

    ## isoleucine-epithelial-defensin The free amino acid can act as a signal in an epithelial model. L-isoleucine and selected analogs induced epithelial beta-defensin transcription with NF-kappaB/Rel activation in the study assays. Model: Epithelial expression study; precise species/construct not resolved in accessed abstract. Limitations: A pattern-recognition receptor was hypothesized, not identified; not clinical immunity enhancement. Evidence access: Primary abstract An essential amino acid induces epithelial beta -defensin expression. · 2000 · https://pubmed.ncbi.nlm.nih.gov/11058160/ · DOI 10.1073/pnas.220424597
    Complete structured claim and evidence
  54. L-isoleucine induced human beta-defensin-2 expression in A549 cells; the D-isoleucine comparison did not reproduce induction.

    L-Isoleucine → Human beta-defensin 2 source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Human A549 cells; reported peak L-form response at 25 micrograms/mL for eighteen hours.
    limitations
    Cancer-derived cell line and defined exposure; not a demonstrated dietary effect in human airways.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Chirality mattered in the airway-cell experiment.
    primary_references
    Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 442–448

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Human A549 cells; reported peak L-form response at 25 micrograms/mL for eighteen hours. · source_derived_draft · unverified_draft

    ## isoleucine-human-airway-defensin Chirality mattered in the airway-cell experiment. L-isoleucine induced human beta-defensin-2 expression in A549 cells; the D-isoleucine comparison did not reproduce induction. Model: Human A549 cells; reported peak L-form response at 25 micrograms/mL for eighteen hours. Limitations: Cancer-derived cell line and defined exposure; not a demonstrated dietary effect in human airways. Evidence access: Primary full text Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x
    Complete structured claim and evidence
  55. Intratracheal isoleucine at 250 micrograms every forty-eight hours increased beta-defensins 3/4 in mice with established pulmonary tuberculosis.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    BALB/c mice treated after sixty days of H37Rv or MDR-isolate infection.
    limitations
    Route is intratracheal, not oral nutrition; does not establish a substitute for human antimicrobial treatment.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Local airway delivery changed innate-defense expression in infected mice.
    primary_references
    Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 450–456

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · BALB/c mice treated after sixty days of H37Rv or MDR-isolate infection. · source_derived_draft · unverified_draft

    ## isoleucine-mouse-tb-defensin Local airway delivery changed innate-defense expression in infected mice. Intratracheal isoleucine at 250 micrograms every forty-eight hours increased beta-defensins 3/4 in mice with established pulmonary tuberculosis. Model: BALB/c mice treated after sixty days of H37Rv or MDR-isolate infection. Limitations: Route is intratracheal, not oral nutrition; does not establish a substitute for human antimicrobial treatment. Evidence access: Primary full text Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x
    Complete structured claim and evidence
  56. The same local isoleucine regimen reduced lung bacillary load and tissue injury alongside defensin induction.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse progressive pulmonary tuberculosis; 250 micrograms intratracheally every forty-eight hours.
    limitations
    No defensin-specific genetic rescue demonstrated exclusive mediation; human efficacy not tested.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The animal study measured infection outcomes as well as gene expression.
    primary_references
    Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 458–464

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse progressive pulmonary tuberculosis; 250 micrograms intratracheally every forty-eight hours. · source_derived_draft · unverified_draft

    ## isoleucine-mouse-tb-outcome The animal study measured infection outcomes as well as gene expression. The same local isoleucine regimen reduced lung bacillary load and tissue injury alongside defensin induction. Model: Mouse progressive pulmonary tuberculosis; 250 micrograms intratracheally every forty-eight hours. Limitations: No defensin-specific genetic rescue demonstrated exclusive mediation; human efficacy not tested. Evidence access: Primary full text Induction of β-defensins by l-isoleucine as novel immunotherapy in experimental murine tuberculosis. · 2011 · https://pubmed.ncbi.nlm.nih.gov/21235540/ · DOI 10.1111/j.1365-2249.2010.04313.x
    Complete structured claim and evidence
  57. Isotope tracing and controlled subcellular acyl-CoA measurement identified isoleucine as a major source of nuclear propionyl-CoA and histone propionyl groups in the tested cells.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    SILEC-SF fractionation/tracing; specific cell lines and exposure not resolved in accessed abstract.
    limitations
    Not a claim that all tissues use the same carbon source or that oral isoleucine controls human gene expression.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    An amino-acid carbon skeleton can reach a chromatin modification.
    primary_references
    Quantitative subcellular acyl-CoA analysis reveals distinct nuclear metabolism and isoleucine-dependent histone propionylation. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34856123/ · DOI 10.1016/j.molcel.2021.11.006

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 466–472

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · SILEC-SF fractionation/tracing; specific cell lines and exposure not resolved in accessed abstract. · source_derived_draft · unverified_draft

    ## isoleucine-nuclear-propionyl An amino-acid carbon skeleton can reach a chromatin modification. Isotope tracing and controlled subcellular acyl-CoA measurement identified isoleucine as a major source of nuclear propionyl-CoA and histone propionyl groups in the tested cells. Model: SILEC-SF fractionation/tracing; specific cell lines and exposure not resolved in accessed abstract. Limitations: Not a claim that all tissues use the same carbon source or that oral isoleucine controls human gene expression. Evidence access: Primary abstract Quantitative subcellular acyl-CoA analysis reveals distinct nuclear metabolism and isoleucine-dependent histone propionylation. · 2022 · https://pubmed.ncbi.nlm.nih.gov/34856123/ · DOI 10.1016/j.molcel.2021.11.006
    Complete structured claim and evidence
  58. A pancreatic-cancer preprint traced isoleucine carbon prominently into propionyl-CoA in mouse KPC and human PDA cell lines, with smaller contributions to acetyl-CoA/succinyl-CoA in those assays.

    L-Isoleucine → Propionyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary preprint full text; not peer reviewed
    experimental_model
    Mouse KPC2838c3/KPC6419c5 and human MIA-PaCa-2, Panc-1, HPAC and patient-derived cells.
    limitations
    Primary preprint, not peer reviewed; fractional tracer contribution is not absolute pathway flux.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Cancer-cell carbon allocation favored one branch of the pathway.
    primary_references
    A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 474–480

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse KPC2838c3/KPC6419c5 and human MIA-PaCa-2, Panc-1, HPAC and patient-derived cells. · source_derived_draft · unverified_draft

    ## isoleucine-pancreatic-preprint-flux Cancer-cell carbon allocation favored one branch of the pathway. A pancreatic-cancer preprint traced isoleucine carbon prominently into propionyl-CoA in mouse KPC and human PDA cell lines, with smaller contributions to acetyl-CoA/succinyl-CoA in those assays. Model: Mouse KPC2838c3/KPC6419c5 and human MIA-PaCa-2, Panc-1, HPAC and patient-derived cells. Limitations: Primary preprint, not peer reviewed; fractional tracer contribution is not absolute pathway flux. Evidence access: Primary preprint full text; not peer reviewed A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241
    Complete structured claim and evidence
  59. In the preprint, propionate rescued propionyl-CoA and selected histone propionylation after combined isoleucine/valine deprivation, but did not restore proliferation.

    Propionate → Histone propionylation in PDA cell models source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_access
    Primary preprint full text; not peer reviewed
    experimental_model
    Mouse KPC and human PDA cell assays; combined Ile/Val removal, twenty-four hours.
    limitations
    Preprint; deprivation of two amino acids cannot be attributed exclusively to one.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Restoring one carbon product did not replace essential amino-acid supply.
    primary_references
    A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 482–488

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse KPC and human PDA cell assays; combined Ile/Val removal, twenty-four hours. · source_derived_draft · unverified_draft

    ## isoleucine-pancreatic-preprint-rescue Restoring one carbon product did not replace essential amino-acid supply. In the preprint, propionate rescued propionyl-CoA and selected histone propionylation after combined isoleucine/valine deprivation, but did not restore proliferation. Model: Mouse KPC and human PDA cell assays; combined Ile/Val removal, twenty-four hours. Limitations: Preprint; deprivation of two amino acids cannot be attributed exclusively to one. Evidence access: Primary preprint full text; not peer reviewed A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241
    Complete structured claim and evidence
  60. The preprint reported that excluding BCKDH machinery from nuclei suppressed histone propionylation and associated gene-expression responses in PDA models.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_access
    Primary preprint full text; not peer reviewed
    experimental_model
    Engineered mouse KPC PDA cells; nuclear-exclusion/localization experiments.
    limitations
    Preprint and compartment-engineering result; not established as a general nuclear pathway in healthy human tissue.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The location of an enzyme complex influenced which cellular process used its products.
    primary_references
    A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 490–496

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Engineered mouse KPC PDA cells; nuclear-exclusion/localization experiments. · source_derived_draft · unverified_draft

    ## isoleucine-pancreatic-preprint-nuclear The location of an enzyme complex influenced which cellular process used its products. The preprint reported that excluding BCKDH machinery from nuclei suppressed histone propionylation and associated gene-expression responses in PDA models. Model: Engineered mouse KPC PDA cells; nuclear-exclusion/localization experiments. Limitations: Preprint and compartment-engineering result; not established as a general nuclear pathway in healthy human tissue. Evidence access: Primary preprint full text; not peer reviewed A nuclear branched-chain amino acid catabolism pathway controls histone propionylation in pancreatic cancer. · 2025 · https://pubmed.ncbi.nlm.nih.gov/40568091/ · DOI 10.1101/2025.04.23.650241
    Complete structured claim and evidence
  61. A 2026 prostate-cancer study identified isoleucine and valine catabolism as major sources of intracellular propionyl-CoA in its experimental models.

    L-Isoleucine → Propionyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Prostate-cancer cell and tumor models; detailed species/exposure unresolved in accessed abstract.
    limitations
    Not proof that dietary intake causes prostate cancer or that restriction treats patients.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    Two amino-acid branches converged on the same signaling metabolite.
    primary_references
    Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 498–504

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Prostate-cancer cell and tumor models; detailed species/exposure unresolved in accessed abstract. · source_derived_draft · unverified_draft

    ## isoleucine-prostate-carbon Two amino-acid branches converged on the same signaling metabolite. A 2026 prostate-cancer study identified isoleucine and valine catabolism as major sources of intracellular propionyl-CoA in its experimental models. Model: Prostate-cancer cell and tumor models; detailed species/exposure unresolved in accessed abstract. Limitations: Not proof that dietary intake causes prostate cancer or that restriction treats patients. Evidence access: Primary abstract Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z
    Complete structured claim and evidence
  62. Propionyl-CoA-dependent site-specific lysine propionylation stabilized nuclear SREBP2 and increased its transcriptional activity in the reported prostate-cancer models.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Primary prostate-cancer mechanistic study; exact construct and lysine site not resolved in accessed abstract.
    limitations
    Site identity is not guessed; clinical target engagement was not established.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    A breakdown product changed the stability of a lipid-regulating transcription factor.
    primary_references
    Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 506–512

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Primary prostate-cancer mechanistic study; exact construct and lysine site not resolved in accessed abstract. · source_derived_draft · unverified_draft

    ## isoleucine-prostate-srebp2 A breakdown product changed the stability of a lipid-regulating transcription factor. Propionyl-CoA-dependent site-specific lysine propionylation stabilized nuclear SREBP2 and increased its transcriptional activity in the reported prostate-cancer models. Model: Primary prostate-cancer mechanistic study; exact construct and lysine site not resolved in accessed abstract. Limitations: Site identity is not guessed; clinical target engagement was not established. Evidence access: Primary abstract Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z
    Complete structured claim and evidence
  63. The reported SREBP2 activation promoted cholesterol biosynthesis and supported de novo androgen production and androgen-receptor signaling under metabolic/androgen-deprivation stress.

    Experimental context and source evidence
    evidence_access
    Primary abstract
    experimental_model
    Prostate-cancer experimental models.
    limitations
    Does not imply a testosterone-boosting effect of supplements or a human dietary cancer treatment.
    nutrient_topic
    L-Isoleucine collection; species, compartment, exposure, co-substrates and manipulation remain explicit. · L-Isoleucine
    plain_language
    The pathway linked amino-acid carbon handling to lipid and hormone-related tumor adaptation.
    primary_references
    Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z

    L-Isoleucine: transport, translation, catabolism and cross-nutrient mechanisms (2026-09-19) · lines 514–520

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Prostate-cancer experimental models. · source_derived_draft · unverified_draft

    ## isoleucine-prostate-cholesterol The pathway linked amino-acid carbon handling to lipid and hormone-related tumor adaptation. The reported SREBP2 activation promoted cholesterol biosynthesis and supported de novo androgen production and androgen-receptor signaling under metabolic/androgen-deprivation stress. Model: Prostate-cancer experimental models. Limitations: Does not imply a testosterone-boosting effect of supplements or a human dietary cancer treatment. Evidence access: Primary abstract Isoleucine and valine promote prostate cancer progression via propionyl-CoA-mediated cholesterol metabolism. · 2026 · https://pubmed.ncbi.nlm.nih.gov/42625032/ · DOI 10.1038/s42255-026-01583-z
    Complete structured claim and evidence
  64. Human BCAT2 crystal structures show PLP covalently linked to the active-site lysine in active enzyme forms.

    Experimental context and source evidence
    cross_nutrient
    B6 participates in essential branched-chain amino-acid metabolism.
    experimental_model
    Purified recombinant human BCAT2 crystallography
    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
    Mitochondrial branched-chain amino-acid metabolism uses bound active B6.
    primary_references
    [b6-bcat2-2001] The structure of human mitochondrial branched-chain aminotransferase (2001). https://doi.org/10.1107/S0907444901001925 DOI: 10.1107/S0907444901001925
    tissue_or_cell_type
    Purified recombinant protein; no intact tissue

    Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 694–704

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified recombinant human BCAT2 crystallography · source_derived_draft · unverified_draft

    ### b6-met-bcat2-plp Human BCAT2 crystal structures show PLP covalently linked to the active-site lysine in active enzyme forms. Condition category: normal nutrient_topic: Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mitochondrial branched-chain amino-acid metabolism uses bound active B6. organism: Homo sapiens tissue_or_cell_type: Purified recombinant protein; no intact tissue experimental_model: Purified recombinant human BCAT2 crystallography limitations: Purified-enzyme evidence does not define dietary requirements or cellular PLP thresholds. cross_nutrient: B6 participates in essential branched-chain amino-acid metabolism. [b6-bcat2-2001] The structure of human mitochondrial branched-chain aminotransferase (2001). https://doi.org/10.1107/S0907444901001925 DOI: 10.1107/S0907444901001925
    Complete structured claim and evidence
  65. Human BCAT2 structures capture the isoleucine ketimine and PMP forms of its amino-transfer cycle.

    Experimental context and source evidence
    experimental_model
    Human BCAT2 reaction-intermediate crystallography
    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
    The cofactor cycles between PLP and PMP as it carries an amino group.
    primary_references
    [b6-bcat2-2002] Crystal structures of human mitochondrial branched chain aminotransferase reaction intermediates: ketimine and pyridoxamine phosphate forms (2002). https://pubmed.ncbi.nlm.nih.gov/12269802/ DOI: 10.1021/bi020221c
    tissue_or_cell_type
    Purified recombinant protein; no intact tissue

    Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 706–715

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human BCAT2 reaction-intermediate crystallography · source_derived_draft · unverified_draft

    ### b6-met-bcat2-pmp Human BCAT2 structures capture the isoleucine ketimine and PMP forms of its amino-transfer cycle. Condition category: normal nutrient_topic: Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. plain_language: The cofactor cycles between PLP and PMP as it carries an amino group. organism: Homo sapiens tissue_or_cell_type: Purified recombinant protein; no intact tissue experimental_model: Human BCAT2 reaction-intermediate crystallography limitations: Purified-enzyme evidence does not define dietary requirements or cellular PLP thresholds. [b6-bcat2-2002] Crystal structures of human mitochondrial branched chain aminotransferase reaction intermediates: ketimine and pyridoxamine phosphate forms (2002). https://pubmed.ncbi.nlm.nih.gov/12269802/ DOI: 10.1021/bi020221c
    Complete structured claim and evidence
  66. Human BCKDH E1 decarboxylates a branched-chain alpha-ketoacid using ThDP and reductively acylates the lipoylated DBT domain.

    Experimental context and source evidence
    cross_nutrient
    Thiamine and protein-bound lipoate connect branched-chain amino-acid catabolism; CoA and DLD act later.
    evidence
    [{"paper_key": "li-2004-bckdh", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}]
    experimental_model
    Recombinant human E1b and E2b lipoyl domain assays.
    limitations
    Purified-system evidence; nutritional response was not tested.
    nutrient
    Thiamine (vitamin B1) · Thiamine (vitamin B1)
    nutrient_topic
    Thiamine research collection; topical membership is not evidence of a direct dietary effect. · Thiamine (vitamin B1)
    organism
    Homo sapiens
    plain_language
    B1 helps process ketoacids formed from branched-chain amino acids; the acyl fragment then moves to a lipoyl carrier on E2.
    primary_references
    [li-2004-bckdh] Cross-talk between thiamin diphosphate binding and phosphorylation loop conformation in human branched-chain alpha-keto acid decarboxylase/dehydrogenase (2004). https://pubmed.ncbi.nlm.nih.gov/15166214/ DOI: 10.1074/jbc.m403611200
    tissue_or_cell_type
    Purified proteins

    Thiamine: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 773–785

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human E1b and E2b lipoyl domain assays. · source_derived_draft · unverified_draft

    ### b1-bckdh-ketoacid-acylation Human BCKDH E1 decarboxylates a branched-chain alpha-ketoacid using ThDP and reductively acylates the lipoylated DBT domain. Condition category: normal nutrient_topic: Thiamine research collection; topical membership is not evidence of a direct dietary effect. plain_language: B1 helps process ketoacids formed from branched-chain amino acids; the acyl fragment then moves to a lipoyl carrier on E2. organism: Homo sapiens tissue_or_cell_type: Purified proteins experimental_model: Recombinant human E1b and E2b lipoyl domain assays. limitations: Purified-system evidence; nutritional response was not tested. evidence: [{"paper_key": "li-2004-bckdh", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}] cross_nutrient: Thiamine and protein-bound lipoate connect branched-chain amino-acid catabolism; CoA and DLD act later. nutrient: Thiamine (vitamin B1) [li-2004-bckdh] Cross-talk between thiamin diphosphate binding and phosphorylation loop conformation in human branched-chain alpha-keto acid decarboxylase/dehydrogenase (2004). https://pubmed.ncbi.nlm.nih.gov/15166214/ DOI: 10.1074/jbc.m403611200
    Complete structured claim and evidence
  67. Human DLD uses bound FAD and transiently bound NAD+ to oxidize dihydrolipoamide; NADH-bound structures place its nicotinamide ring beside FAD.

    DLD → Protein-bound reduced dihydrolipoyl-lysine source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    B1 performs E1 carbon chemistry; B2-derived FAD and the niacin-related NAD cofactor participate in the separate shared E3 reaction.
    evidence
    [{"paper_key": "brautigam-2005-dld", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}]
    experimental_model
    Human DLD crystallography with NAD+ and NADH.
    limitations
    Cofactor chemistry does not establish dietary B2/B3 limitation or prove rescue of B1 deficiency.
    nutrient
    Thiamine (vitamin B1) · Thiamine (vitamin B1)
    nutrient_topic
    Thiamine research collection; topical membership is not evidence of a direct dietary effect. · Thiamine (vitamin B1)
    organism
    Homo sapiens
    plain_language
    The shared E3 protein resets reduced lipoyl carriers using the B2-derived flavin and B3-related NAD system, allowing another round of B1-dependent turnover.
    primary_references
    [brautigam-2005-dld] Crystal structure of human dihydrolipoamide dehydrogenase: NAD+/NADH binding and the structural basis of disease-causing mutations (2005). https://pubmed.ncbi.nlm.nih.gov/15946682/ DOI: 10.1016/j.jmb.2005.05.014
    tissue_or_cell_type
    Purified enzyme

    Thiamine: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 717–729

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human DLD crystallography with NAD+ and NADH. · source_derived_draft · unverified_draft

    ### b1-dld-fad-nad-lipoyl-regeneration Human DLD uses bound FAD and transiently bound NAD+ to oxidize dihydrolipoamide; NADH-bound structures place its nicotinamide ring beside FAD. Condition category: normal nutrient_topic: Thiamine research collection; topical membership is not evidence of a direct dietary effect. plain_language: The shared E3 protein resets reduced lipoyl carriers using the B2-derived flavin and B3-related NAD system, allowing another round of B1-dependent turnover. organism: Homo sapiens tissue_or_cell_type: Purified enzyme experimental_model: Human DLD crystallography with NAD+ and NADH. limitations: Cofactor chemistry does not establish dietary B2/B3 limitation or prove rescue of B1 deficiency. evidence: [{"paper_key": "brautigam-2005-dld", "source_bundle": "artifacts/thiamine_metabolism_sources.json", "passage_ids": ["abstract"], "locator": "Primary publication abstract", "preservation": "Exact text retained in the source bundle; full source document retained when openly retrievable."}] cross_nutrient: B1 performs E1 carbon chemistry; B2-derived FAD and the niacin-related NAD cofactor participate in the separate shared E3 reaction. nutrient: Thiamine (vitamin B1) [brautigam-2005-dld] Crystal structure of human dihydrolipoamide dehydrogenase: NAD+/NADH binding and the structural basis of disease-causing mutations (2005). https://pubmed.ncbi.nlm.nih.gov/15946682/ DOI: 10.1016/j.jmb.2005.05.014
    Complete structured claim and evidence
  68. Adenosylcobalamin-loaded human MMUT converts (R)-methylmalonyl-CoA to succinyl-CoA in the coupled enzyme assay.

    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Full text Results; Figures 2-4; cofactor off-loading and MMUT activity Methods
    experimental_model
    Purified human proteins
    exposure
    AdoCbl-loaded MMUT and methylmalonyl-CoA; thiokinase-coupled readout
    limitations
    Product formation is a coupled assay; cellular net flux was not measured.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Homo sapiens
    plain_language
    Purified human MMUT used activated B12 to make succinyl-CoA from the matching methylmalonyl-CoA epimer.
    primary_references
    [mascarenhas-2023-nanoassembly] Architecture of the human G-protein-methylmalonyl-CoA mutase nanoassembly for B12 delivery and repair. (2023). https://pubmed.ncbi.nlm.nih.gov/37468522/ DOI: 10.1038/s41467-023-40077-4
    tissue_or_cell_type
    Purified protein assay

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1103–1115

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human proteins · source_derived_draft · unverified_draft

    ### mmut-isomerizes-r-methylmalonyl-coa Adenosylcobalamin-loaded human MMUT converts (R)-methylmalonyl-CoA to succinyl-CoA in the coupled enzyme assay. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Purified human MMUT used activated B12 to make succinyl-CoA from the matching methylmalonyl-CoA epimer. organism: Homo sapiens tissue_or_cell_type: Purified protein assay experimental_model: Purified human proteins limitations: Product formation is a coupled assay; cellular net flux was not measured. exposure: AdoCbl-loaded MMUT and methylmalonyl-CoA; thiokinase-coupled readout cross_nutrient: false evidence_location: Full text Results; Figures 2-4; cofactor off-loading and MMUT activity Methods [mascarenhas-2023-nanoassembly] Architecture of the human G-protein-methylmalonyl-CoA mutase nanoassembly for B12 delivery and repair. (2023). https://pubmed.ncbi.nlm.nih.gov/37468522/ DOI: 10.1038/s41467-023-40077-4
    Complete structured claim and evidence
  69. Human PCC supplies (S)-methylmalonyl-CoA by propionyl-CoA carboxylation upstream of the MCEE-MMUT sequence examined in fibroblast assays.

    Human propionyl-CoA carboxylase / PCC → Propionyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Indexed primary abstract; Full text Methods 2.6 and Results 3.6; Figure 5
    experimental_model
    Human fibroblast PCC and coupled-pathway assays
    exposure
    Propionyl-CoA, ATP and bicarbonate in enzyme pathway
    limitations
    Pathway assignment combines human PCC characterization with coupled assays; it is not a simultaneous dietary biotin/B12 intervention.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Homo sapiens
    plain_language
    Biotin-dependent PCC makes the precursor that must be rearranged before human MMUT can use B12 on it.
    primary_references
    [hsia-1979-pcc] Human propionyl CoA carboxylase: some properties of the partially purified enzyme in fibroblasts from controls and patients with propionic acidemia. (1979). https://pubmed.ncbi.nlm.nih.gov/481943/ DOI: 10.1203/00006450-197906000-00005 [heuberger-2019-mcee] Genetic, structural, and functional analysis of pathogenic variations causing methylmalonyl-CoA epimerase deficiency. (2019). https://pubmed.ncbi.nlm.nih.gov/30682498/ DOI: 10.1016/j.bbadis.2019.01.021
    tissue_or_cell_type
    Fibroblasts

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1159–1172

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human fibroblast PCC and coupled-pathway assays · source_derived_draft · unverified_draft

    ### pcc-carboxylation-upstream-b12 Human PCC supplies (S)-methylmalonyl-CoA by propionyl-CoA carboxylation upstream of the MCEE-MMUT sequence examined in fibroblast assays. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Biotin-dependent PCC makes the precursor that must be rearranged before human MMUT can use B12 on it. organism: Homo sapiens tissue_or_cell_type: Fibroblasts experimental_model: Human fibroblast PCC and coupled-pathway assays limitations: Pathway assignment combines human PCC characterization with coupled assays; it is not a simultaneous dietary biotin/B12 intervention. exposure: Propionyl-CoA, ATP and bicarbonate in enzyme pathway cross_nutrient: true evidence_location: Indexed primary abstract; Full text Methods 2.6 and Results 3.6; Figure 5 [hsia-1979-pcc] Human propionyl CoA carboxylase: some properties of the partially purified enzyme in fibroblasts from controls and patients with propionic acidemia. (1979). https://pubmed.ncbi.nlm.nih.gov/481943/ DOI: 10.1203/00006450-197906000-00005 [heuberger-2019-mcee] Genetic, structural, and functional analysis of pathogenic variations causing methylmalonyl-CoA epimerase deficiency. (2019). https://pubmed.ncbi.nlm.nih.gov/30682498/ DOI: 10.1016/j.bbadis.2019.01.021
    Complete structured claim and evidence
  70. Human MCEE interconverts methylmalonyl-CoA epimers, supplying the (R) form for MMUT; MCEE expression increased coupled succinate production.

    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Full text Methods 2.6 and Results 3.6; Figure 5
    experimental_model
    Human fibroblast lysates overexpressing MCEE and/or MMUT
    exposure
    Radiolabeled propionyl-CoA; MCEE/MMUT expression and AdoCbl
    limitations
    Coupled labeled hydrolysis-product assay; MCEE being limiting here is not a universal in-vivo rate limitation.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Homo sapiens
    plain_language
    Human fibroblast assays showed why the epimerase step matters before the B12 enzyme.
    primary_references
    [heuberger-2019-mcee] Genetic, structural, and functional analysis of pathogenic variations causing methylmalonyl-CoA epimerase deficiency. (2019). https://pubmed.ncbi.nlm.nih.gov/30682498/ DOI: 10.1016/j.bbadis.2019.01.021
    tissue_or_cell_type
    Fibroblasts

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1174–1186

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human fibroblast lysates overexpressing MCEE and/or MMUT · source_derived_draft · unverified_draft

    ### mcee-epimerizes-methylmalonyl-coa Human MCEE interconverts methylmalonyl-CoA epimers, supplying the (R) form for MMUT; MCEE expression increased coupled succinate production. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Human fibroblast assays showed why the epimerase step matters before the B12 enzyme. organism: Homo sapiens tissue_or_cell_type: Fibroblasts experimental_model: Human fibroblast lysates overexpressing MCEE and/or MMUT limitations: Coupled labeled hydrolysis-product assay; MCEE being limiting here is not a universal in-vivo rate limitation. exposure: Radiolabeled propionyl-CoA; MCEE/MMUT expression and AdoCbl cross_nutrient: false evidence_location: Full text Methods 2.6 and Results 3.6; Figure 5 [heuberger-2019-mcee] Genetic, structural, and functional analysis of pathogenic variations causing methylmalonyl-CoA epimerase deficiency. (2019). https://pubmed.ncbi.nlm.nih.gov/30682498/ DOI: 10.1016/j.bbadis.2019.01.021
    Complete structured claim and evidence
  71. PCC partially purified from control human fibroblasts contained biotin.

    Human propionyl-CoA carboxylase / PCC → Biotin source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Indexed primary abstract
    experimental_model
    Partially purified human fibroblast PCC
    exposure
    Control fibroblast enzyme fraction
    limitations
    Biotin content in an enzyme preparation; does not establish whole-body biotin thresholds.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Homo sapiens
    plain_language
    Human fibroblast PCC carried biotin, a different vitamin required upstream of the B12-dependent step.
    primary_references
    [hsia-1979-pcc] Human propionyl CoA carboxylase: some properties of the partially purified enzyme in fibroblasts from controls and patients with propionic acidemia. (1979). https://pubmed.ncbi.nlm.nih.gov/481943/ DOI: 10.1203/00006450-197906000-00005
    tissue_or_cell_type
    Fibroblasts

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1145–1157

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Partially purified human fibroblast PCC · source_derived_draft · unverified_draft

    ### human-pcc-biotin PCC partially purified from control human fibroblasts contained biotin. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Human fibroblast PCC carried biotin, a different vitamin required upstream of the B12-dependent step. organism: Homo sapiens tissue_or_cell_type: Fibroblasts experimental_model: Partially purified human fibroblast PCC limitations: Biotin content in an enzyme preparation; does not establish whole-body biotin thresholds. exposure: Control fibroblast enzyme fraction cross_nutrient: true evidence_location: Indexed primary abstract [hsia-1979-pcc] Human propionyl CoA carboxylase: some properties of the partially purified enzyme in fibroblasts from controls and patients with propionic acidemia. (1979). https://pubmed.ncbi.nlm.nih.gov/481943/ DOI: 10.1203/00006450-197906000-00005
    Complete structured claim and evidence
  72. PCCA contains the biotin-carboxylase and biotin-carrier domains of human PCC.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/biotin-research/20725044.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "825bf28b9f35a8d45f8d08d883fa200bd430336b0558db035ce4fd1c5ef19053", "start_char": 0, "end_char": 1921, "text_sha256": "825bf28b9f35a8d45f8d08d883fa200bd430336b0558db035ce4fd1c5ef19053"}
    experimental_model
    Bacterial PCC crystallography and separate 15-angstrom human PCC cryo-EM reconstruction
    exposure
    Structural analysis
    limitations
    Atomic bacterial positions are not high-resolution human measurements. Human cryo-EM establishes the overall assembly at lower resolution.
    nutrient_topic
    Biotin research collection; topical membership is not evidence of a direct dietary effect. · Biotin
    organism
    Homo sapiens; bacterial PCC comparison
    plain_language
    The alpha subunit handles biotin loading with the carboxyl group and carries that group onward.
    primary_references
    [b7-p20725044] Crystal structure of the alpha(6)beta(6) holoenzyme of propionyl-coenzyme A carboxylase. (2010). https://pubmed.ncbi.nlm.nih.gov/20725044/ DOI: 10.1038/nature09302
    tissue_or_cell_type
    Purified PCC complexes

    Biotin: carboxylases, recycling, deficiency and nutrient interactions (2026-09-17) · lines 598–609

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Bacterial PCC crystallography and separate 15-angstrom human PCC cryo-EM reconstruction · source_derived_draft · unverified_draft

    ### b7-pcc-pcca PCCA contains the biotin-carboxylase and biotin-carrier domains of human PCC. Condition category: normal nutrient_topic: Biotin research collection; topical membership is not evidence of a direct dietary effect. plain_language: The alpha subunit handles biotin loading with the carboxyl group and carries that group onward. organism: Homo sapiens; bacterial PCC comparison tissue_or_cell_type: Purified PCC complexes experimental_model: Bacterial PCC crystallography and separate 15-angstrom human PCC cryo-EM reconstruction limitations: Atomic bacterial positions are not high-resolution human measurements. Human cryo-EM establishes the overall assembly at lower resolution. exposure: Structural analysis evidence_span: {"source_cache": "artifacts/biotin-research/20725044.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "825bf28b9f35a8d45f8d08d883fa200bd430336b0558db035ce4fd1c5ef19053", "start_char": 0, "end_char": 1921, "text_sha256": "825bf28b9f35a8d45f8d08d883fa200bd430336b0558db035ce4fd1c5ef19053"} [b7-p20725044] Crystal structure of the alpha(6)beta(6) holoenzyme of propionyl-coenzyme A carboxylase. (2010). https://pubmed.ncbi.nlm.nih.gov/20725044/ DOI: 10.1038/nature09302
    Complete structured claim and evidence
  73. Carbon-13 isoleucine supplied lipogenic propionyl-CoA in cultured 3T3-L1 adipocytes.

    L-Isoleucine → Propionyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Full text Results; Figures 6-8 and isotope model
    experimental_model
    Differentiated mouse 3T3-L1 adipocytes
    exposure
    24-hour [U-13C]isoleucine tracing
    limitations
    Mouse cell culture; isotope labeling and model assumptions do not establish human dietary carbon fractions.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Mus musculus
    plain_language
    Mouse fat-cell tracing identified isoleucine as another source of the B12-pathway precursor.
    primary_references
    [crown-2015-bcaa-fatty-acids] Catabolism of Branched Chain Amino Acids Contributes Significantly to Synthesis of Odd-Chain and Even-Chain Fatty Acids in 3T3-L1 Adipocytes. (2015). https://pubmed.ncbi.nlm.nih.gov/26710334/ DOI: 10.1371/journal.pone.0145850
    tissue_or_cell_type
    Adipocytes

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1230–1242

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Differentiated mouse 3T3-L1 adipocytes · source_derived_draft · unverified_draft

    ### isoleucine-propionyl-coa-lipogenesis Carbon-13 isoleucine supplied lipogenic propionyl-CoA in cultured 3T3-L1 adipocytes. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mouse fat-cell tracing identified isoleucine as another source of the B12-pathway precursor. organism: Mus musculus tissue_or_cell_type: Adipocytes experimental_model: Differentiated mouse 3T3-L1 adipocytes limitations: Mouse cell culture; isotope labeling and model assumptions do not establish human dietary carbon fractions. exposure: 24-hour [U-13C]isoleucine tracing cross_nutrient: true evidence_location: Full text Results; Figures 6-8 and isotope model [crown-2015-bcaa-fatty-acids] Catabolism of Branched Chain Amino Acids Contributes Significantly to Synthesis of Odd-Chain and Even-Chain Fatty Acids in 3T3-L1 Adipocytes. (2015). https://pubmed.ncbi.nlm.nih.gov/26710334/ DOI: 10.1371/journal.pone.0145850
    Complete structured claim and evidence
  74. Fatty-acid fragment labeling identified propionyl-CoA as the primer for odd-chain fatty-acid synthesis in 3T3-L1 adipocytes.

    Propionyl-CoA → Odd-chain fatty acid synthesis source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Full text Results; Figures 6-8 and isotope model
    experimental_model
    Differentiated mouse 3T3-L1 adipocytes
    exposure
    Parallel carbon-13 tracer and GC-MS fragment analysis
    limitations
    Mouse cell culture; isotope labeling and model assumptions do not establish human dietary carbon fractions.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Mus musculus
    plain_language
    These mouse fat cells could divert the B12-pathway precursor into odd-chain fats.
    primary_references
    [crown-2015-bcaa-fatty-acids] Catabolism of Branched Chain Amino Acids Contributes Significantly to Synthesis of Odd-Chain and Even-Chain Fatty Acids in 3T3-L1 Adipocytes. (2015). https://pubmed.ncbi.nlm.nih.gov/26710334/ DOI: 10.1371/journal.pone.0145850
    tissue_or_cell_type
    Adipocytes

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1244–1256

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Differentiated mouse 3T3-L1 adipocytes · source_derived_draft · unverified_draft

    ### propionyl-primes-odd-chain-fatty-acids Fatty-acid fragment labeling identified propionyl-CoA as the primer for odd-chain fatty-acid synthesis in 3T3-L1 adipocytes. Condition category: normal nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: These mouse fat cells could divert the B12-pathway precursor into odd-chain fats. organism: Mus musculus tissue_or_cell_type: Adipocytes experimental_model: Differentiated mouse 3T3-L1 adipocytes limitations: Mouse cell culture; isotope labeling and model assumptions do not establish human dietary carbon fractions. exposure: Parallel carbon-13 tracer and GC-MS fragment analysis cross_nutrient: false evidence_location: Full text Results; Figures 6-8 and isotope model [crown-2015-bcaa-fatty-acids] Catabolism of Branched Chain Amino Acids Contributes Significantly to Synthesis of Odd-Chain and Even-Chain Fatty Acids in 3T3-L1 Adipocytes. (2015). https://pubmed.ncbi.nlm.nih.gov/26710334/ DOI: 10.1371/journal.pone.0145850
    Complete structured claim and evidence
  75. Adding 2.5 micromolar B12 during ECHDC1-knockout L929 adipocyte differentiation lowered whole-cell methylmalonyl-CoA approximately 20-fold.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    evidence_location
    Full text Results: vitamin B12 supplementation; Figure 4g-u
    experimental_model
    Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u)
    exposure
    ECHDC1 knockout; 2.5 micromolar supplementary B12 during differentiation
    limitations
    Whole-cell LC-MS pools; no compartment or epimer resolution and no direct pathway flux measurement.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Mus musculus
    plain_language
    B12 addition sharply lowered this measured precursor pool in cultured mouse adipocytes. The cells had ECHDC1 deleted.
    primary_references
    [dewulf-2019-l929-b12] The synthesis of branched-chain fatty acids is limited by enzymatic decarboxylation of ethyl- and methylmalonyl-CoA. (2019). https://pubmed.ncbi.nlm.nih.gov/31416829/ DOI: 10.1042/bcj20190500
    tissue_or_cell_type
    Adipocytes
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1258–1270

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u) · source_derived_draft · unverified_draft

    ### l929-b12-lowers-methylmalonyl-pool Adding 2.5 micromolar B12 during ECHDC1-knockout L929 adipocyte differentiation lowered whole-cell methylmalonyl-CoA approximately 20-fold. Condition category: machinery_impairment nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: B12 addition sharply lowered this measured precursor pool in cultured mouse adipocytes. The cells had ECHDC1 deleted. organism: Mus musculus tissue_or_cell_type: Adipocytes experimental_model: Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u) limitations: Whole-cell LC-MS pools; no compartment or epimer resolution and no direct pathway flux measurement. exposure: ECHDC1 knockout; 2.5 micromolar supplementary B12 during differentiation cross_nutrient: false evidence_location: Full text Results: vitamin B12 supplementation; Figure 4g-u [dewulf-2019-l929-b12] The synthesis of branched-chain fatty acids is limited by enzymatic decarboxylation of ethyl- and methylmalonyl-CoA. (2019). https://pubmed.ncbi.nlm.nih.gov/31416829/ DOI: 10.1042/bcj20190500
    Complete structured claim and evidence
  76. B12 supplementation lowered the measured propionyl-CoA pool approximately fourfold in differentiating ECHDC1-knockout L929 adipocytes.

    Vitamin B12 (cobalamins) → Propionyl-CoA source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    evidence_location
    Full text Results: vitamin B12 supplementation; Figure 4g-u
    experimental_model
    Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u)
    exposure
    ECHDC1 knockout; 2.5 micromolar supplementary B12 during differentiation
    limitations
    Whole-cell LC-MS pools; no compartment or epimer resolution and no direct pathway flux measurement.
    nutrient_topic
    Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B12 (cobalamins)
    organism
    Mus musculus
    plain_language
    In the same mouse-cell experiment, B12 also lowered the upstream propionyl-CoA pool. The cells had ECHDC1 deleted.
    primary_references
    [dewulf-2019-l929-b12] The synthesis of branched-chain fatty acids is limited by enzymatic decarboxylation of ethyl- and methylmalonyl-CoA. (2019). https://pubmed.ncbi.nlm.nih.gov/31416829/ DOI: 10.1042/bcj20190500
    tissue_or_cell_type
    Adipocytes
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin B12: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1272–1284

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u) · source_derived_draft · unverified_draft

    ### l929-b12-lowers-propionyl-pool B12 supplementation lowered the measured propionyl-CoA pool approximately fourfold in differentiating ECHDC1-knockout L929 adipocytes. Condition category: machinery_impairment nutrient_topic: Vitamin B12 research collection; topical membership is not evidence of a direct dietary effect. plain_language: In the same mouse-cell experiment, B12 also lowered the upstream propionyl-CoA pool. The cells had ECHDC1 deleted. organism: Mus musculus tissue_or_cell_type: Adipocytes experimental_model: Differentiating ECHDC1-knockout mouse L929 adipocytes (Figure 4g-u) limitations: Whole-cell LC-MS pools; no compartment or epimer resolution and no direct pathway flux measurement. exposure: ECHDC1 knockout; 2.5 micromolar supplementary B12 during differentiation cross_nutrient: false evidence_location: Full text Results: vitamin B12 supplementation; Figure 4g-u [dewulf-2019-l929-b12] The synthesis of branched-chain fatty acids is limited by enzymatic decarboxylation of ethyl- and methylmalonyl-CoA. (2019). https://pubmed.ncbi.nlm.nih.gov/31416829/ DOI: 10.1042/bcj20190500
    Complete structured claim and evidence
  77. In those LIPT1-deficient fibroblasts, PDH activity increased only moderately, OGDH showed no increase, and the leucine-flux assay showed no BCKDH rescue.

    Lipoic acid → Human pyruvate dehydrogenase complex source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/ala-research/24341803.fulltext.txt", "locator": "Exact primary full-text span; zero-based, end-exclusive Unicode character offsets", "file_sha256": "44f3fc89f065e58c1deb82f02c93a3654504f002fbc051d00a7703d3fbe6764b", "start_char": 19977, "end_char": 20689, "text_sha256": "3a495a2251965512793b341794c86b5caedc8525754344b8bba51281e7802a79"}
    experimental_model
    LIPT1 patient fibroblasts with supplementation and genetic complementation
    exposure
    Lipoic acid 10 or 100 micromolar for three weeks
    limitations
    Partial biochemical changes do not establish restored lipoylation or clinical efficacy. Historical pathway speculation is not imported as current enzymology.
    nutrient_topic
    Alpha-lipoic acid research collection; topical membership is not evidence of a direct dietary effect. · Lipoic acid
    organism
    Human
    plain_language
    A lower lactate measurement did not mean all affected enzyme systems were repaired.
    primary_references
    [ala-p24341803] Mutations in human lipoyltransferase gene LIPT1 cause a Leigh disease with secondary deficiency for pyruvate and alpha-ketoglutarate dehydrogenase. (2013). https://pubmed.ncbi.nlm.nih.gov/24341803/ DOI: 10.1186/1750-1172-8-192
    tissue_or_cell_type
    Patient and control fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Alpha-lipoic acid: cofactor assembly, redox signaling and nutrient interactions (2026-09-17) · lines 494–505

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · LIPT1 patient fibroblasts with supplementation and genetic complementation · source_derived_draft · unverified_draft

    ### ala-lipt1-enzyme-partial-response In those LIPT1-deficient fibroblasts, PDH activity increased only moderately, OGDH showed no increase, and the leucine-flux assay showed no BCKDH rescue. Condition category: machinery_impairment nutrient_topic: Alpha-lipoic acid research collection; topical membership is not evidence of a direct dietary effect. plain_language: A lower lactate measurement did not mean all affected enzyme systems were repaired. organism: Human tissue_or_cell_type: Patient and control fibroblasts experimental_model: LIPT1 patient fibroblasts with supplementation and genetic complementation limitations: Partial biochemical changes do not establish restored lipoylation or clinical efficacy. Historical pathway speculation is not imported as current enzymology. exposure: Lipoic acid 10 or 100 micromolar for three weeks evidence_span: {"source_cache": "artifacts/ala-research/24341803.fulltext.txt", "locator": "Exact primary full-text span; zero-based, end-exclusive Unicode character offsets", "file_sha256": "44f3fc89f065e58c1deb82f02c93a3654504f002fbc051d00a7703d3fbe6764b", "start_char": 19977, "end_char": 20689, "text_sha256": "3a495a2251965512793b341794c86b5caedc8525754344b8bba51281e7802a79"} [ala-p24341803] Mutations in human lipoyltransferase gene LIPT1 cause a Leigh disease with secondary deficiency for pyruvate and alpha-ketoglutarate dehydrogenase. (2013). https://pubmed.ncbi.nlm.nih.gov/24341803/ DOI: 10.1186/1750-1172-8-192
    Complete structured claim and evidence
  78. Hypusination disruption lowered expression of methylmalonyl-CoA mutase; its mitochondrial targeting sequence increased reporter dependence on eIF5A.

    Experimental context and source evidence
    evidence_access
    Primary full text
    experimental_model
    Mouse macrophage/MEF protein experiments and targeting-sequence reporters.
    limitations
    This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence.
    nutrient_topic
    Spermidine collection; molecular form, preparation, species, exposure and manipulation remain explicit. · Spermidine
    plain_language
    Making a cofactor-dependent enzyme is another potential bottleneck.
    primary_references
    Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003

    Spermidine: biosynthesis, hypusination, transport and cross-nutrient mechanisms (2026-09-19) · lines 286–292

    AI-assisted research curation; primary references, access levels and experimental limitations individually identified. Not publisher full text. · supports · Mouse macrophage/MEF protein experiments and targeting-sequence reporters. · source_derived_draft · unverified_draft

    ## spermidine-mitochondrial-target-mmut Making a cofactor-dependent enzyme is another potential bottleneck. Hypusination disruption lowered expression of methylmalonyl-CoA mutase; its mitochondrial targeting sequence increased reporter dependence on eIF5A. Model: Mouse macrophage/MEF protein experiments and targeting-sequence reporters. Limitations: This is protein expression, not proof of riboflavin, CoA or B12 deficiency; the relevant cofactor requires separate evidence. Evidence access: Primary full text Polyamines and eIF5A Hypusination Modulate Mitochondrial Respiration and Macrophage Activation. · 2019 · https://pubmed.ncbi.nlm.nih.gov/31130465/ · DOI 10.1016/j.cmet.2019.05.003
    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.

Transport can fail despite an available substrate

Condition: machinery_impairment · Accessory-protein deletion or transporter variants.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Impaired intestinal uptake or altered partner-dependent transporter activation.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Brown-fat catabolic loss changes systemic clearance

Condition: machinery_impairment · BAT Bckdha impairment in mice.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Reduced BCAA clearance and thermogenic fuel oxidation in the tested model.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Mitochondrial transport supports the measured fever response

Condition: machinery_impairment · BAT-specific Slc25a44 deletion and central PGE2 challenge.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Blunted oxidation and heat response in the mouse experiment.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Nitrogen handling links transport with antioxidant and insulin endpoints

Condition: machinery_impairment · BAT mitochondrial BCAA carrier loss.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Altered metabolite synthesis/oxidative stress and systemic insulin tolerance without obligatory weight change.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Valine substitution can sustain some translation during severe shortage

Condition: nutrient_deficiency · Severe isoleucine deprivation in human fibroblast media.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: IARS1-dependent substitution and reporter/proliferation rescue in healthy cells.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Reduced charging reserve increases sensitivity to low isoleucine

Condition: machinery_impairment · Residual-function IARS1 disease.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Greater cellular substrate sensitivity and reported benefit in a small personalized supplementation series.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

A coexisting zinc shortage does not identify its own cause

Condition: biomarker_context · Human biallelic IARS1 disease with measured zinc deficiency.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Growth response to zinc in one reported individual; mechanism unresolved.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Mitochondrial translation machinery can impair respiration

Condition: machinery_impairment · IARS2 variants or knockdown.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Complex I/III, respiration and ATP defects rescued by wild-type gene expression.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

The isoleucine-specific oxidation branch can be blocked

Condition: machinery_impairment · ACADSB splice defect.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Reduced oxidation and 2-methylbutyrylglycine accumulation.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

A listed pathway enzyme may have tissue-specific backup

Condition: machinery_impairment · Human ECHS1 deficiency.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Dominant valine phenotype with retained tiglyl-CoA processing in some tissues.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Noncatabolic enzyme functions change disease interpretation

Condition: machinery_impairment · HSD10 loss or comparison with ACAT1 deficiency.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Mitochondrial failure and differing clinical courses despite overlapping metabolite patterns.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Loss of the brake can cause excessive BCAA breakdown

Condition: machinery_impairment · BCKDK inactivation.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Low BCAA pools; mixture supplementation rescues measured mouse phenotypes.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Failure to release the brake can impair breakdown

Condition: machinery_impairment · Ppm1k deletion in mice.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Loss of substrate-driven BCKDH activation and BCAA accumulation.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

A medicine can change the circulating BCAA pool

Condition: biomarker_context · Sodium phenylbutyrate exposure.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Lower circulating BCAAs despite adequate protein in the reported setting.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Drug response depends on remaining catabolic function

Condition: machinery_impairment · Selected MSUD genotypes under phenylbutyrate exposure.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Variable biochemical lowering; cell response does not simply predict patient response.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Too much restriction can injure skin, gut and cornea

Condition: nutrient_deficiency · Isoleucine deficiency during tightly restricted MSUD treatment.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Case-reported epithelial injury; nutritional balance remains necessary despite the breakdown disorder.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Different dietary outcomes have different signaling requirements

Condition: machinery_impairment · Genetic Fgf21, hepatic Tsc1 or hepatic Gcn2 manipulation during low-isoleucine feeding.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: FGF21 explains part of the response; hepatic mTORC1 suppression and GCN2 are dispensable for selected outcomes.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Restoring a metabolite does not replace missing amino acids

Condition: nutrient_deficiency · Combined isoleucine/valine deprivation in PDA cells.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Propionate rescues selected acylation but not proliferation; preprint result.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

Enzyme location can redirect carbon toward chromatin

Condition: machinery_impairment · Engineered nuclear exclusion of BCKDH machinery in PDA cells.

Normal role: Isoleucine supports protein synthesis and metabolic branches when transport, enzymes and cofactors are functional.

Recorded consequence: Reduced histone propionylation and associated expression in a preprint model.

Scope: Species, tissue, manipulation, exposure and clinical context are explicit on the linked claims.

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.

  • Alpha-lipoic acid: cofactor assembly, redox signaling 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
  • Biotin: carboxylases, recycling, 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
  • L-Isoleucine: transport, translation, catabolism 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
  • Spermidine: biosynthesis, hypusination, transport 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
  • Thiamine: 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 B12: 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.

      Your LLM prompt is ready

      This browser would not copy it automatically. Select the text below, copy it, and paste it into your LLM.

      Evidence, AI assistance and curation standards