Abstract
Amyotrophic lateral sclerosis (ALS) is an adult-onset neurodegenerative disease whose etiology is still obscure. The most common mutations found in familiar ALS are localized in the gene codifying the copper-zinc superoxide dismutase 1 (SOD1) enzyme which, however, explains only about 20% of familiar ALS and 2% of the sporadic form of this disease.
The vast majority of patients is affected by the sporadic form of the disease and a possible role of environmental factors interacting with several defective genes may be suggested. In particular, several epidemiological studies have shown a higher risk of ALS among Italian and American soccer players; among the possible risk factors, the excessive use of dietary integrators, specifically the branched-chain amino acids (BCAAs) valine, isoleucine and leucine has attracted some interest.
The hypothesis of potential neurotoxic effects of BCAAs on brain functions is supported by the evidences that BCAAs enter the brain through a transporter located at the blood-brain barrier, where they contribute to de novo synthesis of glutamate, the principal excitatory neurotransmitter of the central nervous system.
In this chapter we will briefly present four studies investigating the potential neurotoxicity of BCAAs and their possible implication in neurodegenerative diseases with either in vitro or in vivo models.
Our in vitro results suggest that BCAAs are neurotoxic in both neuronal and astrocytic cultures through the overstimulation of glutamate pathways: BCAAs alter the expression of genes linked to oxidative stress and to immune properties of microglial cells, possibly favoring the onset of neurodegeneration. Furthermore, our in vivo findings confirmed that chronic dietary intake of BCAAs worsens the motor coordination deficit of the G93A-SOD1 mice, a transgenic model of ALS. In addition, the electrophysiological results indicated that the BCAA diet restored the glutamate neurotransmission, normally altered in this strain of mutated mice.
Overall, our experimental evidences provide a possible link between an environmental factor (high intake of BCAAs) and the increased risk of neurotoxic/neurodegenerative damage in individuals with a specific genetic predisposition.
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De Felice, A. et al. (2015). Branched Chain Amino Acids in Experimental Models of Amyotrophic Lateral Sclerosis. In: Rajendram, R., Preedy, V., Patel, V. (eds) Branched Chain Amino Acids in Clinical Nutrition. Nutrition and Health. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1923-9_19
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DOI: https://doi.org/10.1007/978-1-4939-1923-9_19
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