Abstract
The link between branched-chain amino acids (BCAAs) and obesity has been known for decades but the functional role of BCAA metabolism in white adipose tissue (WAT) of obese individuals remains vague. Here, we show that mice with adipose tissue knockout of Bcat2, which converts BCAAs to branched-chain keto acids (BCKAs), are resistant to high-fat diet-induced obesity due to increased inguinal WAT browning and thermogenesis. Mechanistically, acetyl-CoA derived from BCKA suppresses WAT browning by acetylation of PR domain-containing protein 16 (PRDM16) at K915, disrupting the interaction between PRDM16 and peroxisome proliferator-activated receptor-γ (PPARγ) to maintain WAT characteristics. Depletion of BCKA-derived acetyl-CoA robustly prompts WAT browning and energy expenditure. In contrast, BCKA supplementation re-establishes high-fat diet-induced obesity in Bcat2 knockout mice. Moreover, telmisartan, an anti-hypertension drug, significantly represses Bcat2 activity via direct binding, resulting in enhanced WAT browning and reduced adiposity. Strikingly, BCKA supplementation reverses the lean phenotype conferred by telmisartan. Thus, we uncover the critical role of the BCAA–BCKA axis in WAT browning.
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Data availability
The acetylation sites were found in the protein PTM database (www.phosphosite.org). The structure of BCAT2 was downloaded from the Protein Data Bank (https://www.rcsb.org/structure/1kta). The structure of telmisartan was downloaded from PubChem (https://pubchem.ncbi.nlm.nih.gov/compound/65999). The data used to generate the main results shown in the main figures and extended figures are available as source data. Source data including uncropped western blots are provided with this paper or upon request from the corresponding authors. All data supporting the findings of this study are available from the corresponding authors on reasonable request.
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Acknowledgements
We thank members of the Lei Laboratory for discussion throughout this study and the Biomedical Core Facility of Fudan University for technical support. We thank Q.-R. Ding for providing Adiponectin-Cre mice. This work was supported by the National Key R&D Program of China (grant nos. 2020YFA0803400/2020YFA0803402 and 2019YFA0801703 to Q.-Y.L.), the Natural Science Foundation of China (grant nos. 81790250/81790253, 91959202 and 82121004 to Q.-Y.L.; grant no. 81902821 to Q.-X.M; grant no. 81872240 to M.Y.; grant no. 81770844 and 82070870 to H.-Y.H) and the Innovation Program of Shanghai Municipal Education Commission (grant no. N173606 to Q.-Y.L.).
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Q.-X.M., W.-Y.Z., H.-Y.H., D.J. X.-C.L. and J.-T.L. performed the experiments. Q.-X.M., W.-Y.Z. and X.-C.L. analysed the data. Q.-X.M., M.Y., F.X. and H.-Y.H. cowrote the manuscript. Y.-L.W. provided the FDA-approved drug library. Z.-J.C. gave advice for animal experiments. L.Z. performed the LC–MS experiment. M.Y., H.-Y.H. and F.X. provided intellectual discussion. Q.-Y.L. conceived the idea, designed and supervised the study, analysed the data and cowrote the manuscript.
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Extended data
Extended Data Fig. 1 Loss of Bcat2 in adipocytes protects mice against obesity.
(a) Bcat1 is not expressed in iWAT, gWAT and BAT. Bcat2 protein levels as indicated were quantified and normalized against Tubulin. Representative result from 2 independent biological experiments. (b and c) Bcat2 expression in indicated organs from adipose tissue specific Bcat2KO mice. Bcat2 protein levels as indicated were quantified and normalized against Tubulin. n=1. (d) Plasma BCAA levels in Bcat2WT and Bcat2KO mice. n=5–6 mice. (e) Body weight of Bcat2WT and Bcat2KO mice fed with normal chow diet. n=5–6 mice. (f) Food intake is similar in Bcat2WT and Bcat2KO mice fed with normal chow food. Representative mean value from 5 mice in a cage. (g) Bcat2 KO prevents HFD-induced weight gain. Body weight was measured after 13-week HFD feeding. n=6 mice. (h) Computed tomography imaging showed Bcat2 KO prevents HFD-induced fat tissue weight gain. n=3 mice. (i) High fat Food intake is similar in Bcat2WT and Bcat2KO mice. (j) GTT and ITT experiment in Bcat2WT and Bcat2KO mice. n=6 mice. (k) Bcat2 KO has no effect on other main organ weights. Weights of indicated organs derived from Bcat2WT and Bcat2KO mice fed with HFD were measured. n=6 mice. (l) Bcat2 KO prevents HFD-induced fatty liver. Representative result from 4 mice. (m) Bcat2 KO decreases adipocyte size. Adipocyte sizes of iWAT from Bcat2WT and Bcat2KO mice fed with HFD were calculated from the H&E staining results. n=6 per group. (n) No morphological change is observed in muscle from Bcat2KO mouse via HE staining analysis. Representative H&E staining of muscle derived from Bcat2WT and Bcat2KO mice fed with HFD. Representative result from 4 mice. Bars and error bars represent mean values and SDs, with biologically individual data points shown. n, cohort size. P values are derived from unpaired, two-tailed t-test.
Extended Data Fig. 2 Bcat2 in iWAT protects mice against obesity.
Loss of (a-b) Cre is expressed and Bcat2 is KO in iWAT from injecting AAV-Cre mice but not other organs or AAV-GFP mice, proved by IHC and WB. Bcat2 protein levels as indicated were quantified and normalized against Tubulin. n=2 mice. (c) iWAT-Bcat2 KO prevents HFD-induced weight gain. n=5 mice. (d) Food intake is similar in Bcat2WT and Bcat iWAT-KO mice fed with normal chow food. Representative mean value from 5 mice in a cage. (e) GTT, ITT, and serum markers indicated from WT and Bcat iWAT-KO mice. n=5 mice. (f) iWAT-Bcat2 KO prevents HFD-induced fatty liver. Representative result from 4 mice. (g) Bcat2 KO has no effect on mTORc1 activation. iWAT tissue from overnight starvation mice as a negative control and re-feed as positive control. p-4ebp protein levels as indicated were quantified and normalized against total 4ebp. n=3 mice. Bars and error bars represent mean values and SDs, with biologically individual data points shown. n, cohort size. P values are derived from unpaired, two-tailed t-test.
Extended Data Fig. 3 Metabolic changes of Bcat2KO mice.
(a) Bcat2 KO enhances whole body energy expenditure. Oxygen consumption, carbon dioxide generation, RER and heat production of mice fed with HFD were measured. n=5 mice. (b) Bcat2 KO has no effect on mice movement activity. n=5 mice. (c) Oxygen consumption, carbon dioxide generation, and heat production data were analyzed with total body mass as covariate. n=5 mice. (d) Thermal infrared imaging showed the temperature at interscapular area of Bcat2KO mice is significantly higher than that of Bcat2WT mice. n=4 mice. (e) Ucp1 and Cidea protein expression in iWAT from different group of mice. BAT was used as a positive control. Ucp1 protein levels from the indicated tissues were quantified and normalized against Tubulin. n=3 mice. (f) Bcat2 KO increases Ucp1 expression in BAT compared to WT fed with HFD. Representative images of Ucp1 immunohistochemistry (IHC) in BAT. WT from normal chow diet (NCD) as a control. Representative result from 4 mice. (g) iWAT-Bcat2 KO enhances whole body energy expenditure. Oxygen consumption, carbon dioxide generation, RER and heat production of mice fed with HFD were measured. n=5. (h) Oxygen consumption, carbon dioxide generation, and heat production data were analyzed with total body mass as covariate. n=5. (i) iWAT-Bcat2 KO has no effect on mice movement activity. n=5. (j) Thermal infrared imaging showed the temperature at interscapular area of Bcat2 iWAT-KO mice is significantly higher than that of Bcat2WT mice. n=4. (k) iWAT-Bcat2 KO increases Ucp1 expression in BAT compared to WT fed with HFD. Representative result from 4 mice. (l) High BCAA hyper-activates mTORc1 and disturbs Ucp1 expression. Ucp1 protein levels from the indicated tissues were quantified and normalized against Tubulin. Representative result from 2 independent biological experiments. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test (except for c and h). Energy expenditure in c and h was analyzed by ANCOVA, with body weight included as a covariat.
Extended Data Fig. 4 Mechanism of browning in Bcat2 KO primary adipocytes.
(a) Bcat2 expression is induced along with the SVF-derived primary adipocytes. Bcat2 protein levels as indicated were quantified and normalized against Tubulin. n=1. (b) Bcat1 is not detectable in primary adipocytes. Bcat1 protein levels as indicated were quantified and normalized against Tubulin. n=1. (c) Bcat2 KO increases the mRNA levels of thermogenesis associated genes. n=3. (d) Bcat2 putting back decreases Ucp1 protein expression and mRNA expression of Ucp1, Cidea and Cox8b. Bcat2 was put back by adenovirus carrying Bcat2. Ucp1 protein levels as indicated were quantified and normalized against Tubulin. n=3 independent cultures. (e) Bcat2 KO has no effect on primary adipocytes differentiation rate. Oil-red O staining was performed with mature adipocytes at day 6. Representative result from 2 independent biological experiments. (f) Bcat2 KO has no effect on adipogenesis markers. Fabp4 protein levels as indicated were quantified and normalized against Tubulin. n=3 independent cultures. (g) BCKA downregulates Cidea expression in a dose dependent manner in Bcat2 KO adipocytes. Cidea protein levels as indicated were quantified and normalized against Tubulin. Representative result from 2 independent biological experiments. (h) Bcat2 KO has no effect on the protein levels of Prdm16, Pparγ and Pgc1α. The indicated protein levels were quantified and normalized against Tubulin. n=2 independent cultures. Representative result from 2 independent biological experiments. (i) KO Bcat2 enhances the binding between Pparγ and Prdm16. Pparγ pulled down by Prdm16 was normalized against immunoprecipitated Prdm16. Representative result from 2 independent biological experiments. (j-k). Long term treatment of BCKA or Ac-CoA inhibited Ucp1 expression level. SVF cells were induced to adipocytes with BCKA, Acetyl coenzyme A sodium salt 2-Methylbutyryl-L-carnitine (L-carnitine), Isovaleryl-L-carnitine (IL-carnitine), Isobutyryl-L-carnitine (V-carnitine). +: 0.2 mM, ++: 0.4 mM. Of note, adipocytes were treated with indicated metabolites from induction on day 0 to mature on day 7. Ucp1 protein levels as indicated were quantified and normalized against Tubulin. Representative result from 2 biological experiments. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test.
Extended Data Fig. 5 Acetylation of Prdm16 in Bcat2 KO primary adipocytes.
(a) Acetate at high but not low doses reverse the effects of Bcat2 KO in mature adipocytes. The acetylation level of Prdm16 as indicated was normalized against immunoprecipitated Prdm16. Representative result from 2 independent biological experiments. (b) TSA increase the acetylation level of Prdm16 but not Pparγ, Pgc1a. TSA: trichostatin A, 8hr with 10uM. NAM: nicotinamide, 8hr with 3mM. N+T: both NAM and TSA. The acetylation level of indicated protein was normalized against immunoprecipitated indicated protein, respectively. (c) Hdac6 decreases the acetylation level of exogeneous Prdm16. Flag-prdm16 and HA-Hdacs were overexpressed in 293T cells. The acetylation level of Prdm16 as indicated was normalized against immunoprecipitated Prdm16-flag. Representative result from 3 independent biological experiments. (d) P300 increases the acetylation level of exogeneous Prdm16. Flag-prdm16 and HATs were overexpressed in 293T cells. The acetylation level of Prdm16 as indicated was normalized against immunoprecipitated Prdm16-flag. Representative result from 3 independent biological experiments. (e) KO Bcat2 decreases the acetylation level of exogeneous Prdm16. The acetylation level of Prdm16 as indicated was normalized against immunoprecipitated Prdm16-flag. Representative result from 2 independent biological experiments. (f) K915 of Prdm16 is conserved in indicated species. (g) K915R mutation abolishes the acetylation level of Prdm16 induced by TSA. The acetylation level of Prdm16 as indicated was normalized against immunoprecipitated Prdm16-flag. Representative result from 2 independent biological experiments. (h) Prdm16K915Q weakens its effect on Ucp1 and Cidea expression. Prdm16WT or Prdm16K915Q mutant was overexpressed into Bcat2 KO adipocytes. Ucp1 protein levels as indicated were quantified and normalized against immunoprecipitated Prdm16WT or Prdm16K915Q protein. n=3 independent cultures. (i) Prdm16K915Q suppresses oxygen consumption rate (OCR). n=3 independent cultures. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test.
Extended Data Fig. 6 BCKA rescue phenotype induced by Bcat2 KO.
(a) BCKA (KMV and KIC, not including KIV) was supplemented in drinking water at 0.5,1 and 2 mg/ml. Body weight data are showed under HFD. n=5 mice. (b) BCKA supplement doesn’t affect body weight. n=5 mice. (c) BCKA supplement doesn’t affect water intake. Representative mean value from 5 mice in a cage. (d) BCKA supplement doesn’t affect food intake. Representative mean value from 5 mice in a cage. (e) BCKA (KMV and KIC, not including KIV) supplement increase KMV and KIC concentrations in serum. n=3 mice. (f) BCKA supplement rescues body weight. n=5 mice. (g) BCKA restore Bcat2 KO-decreased glucose intolerance and insulin tolerance. n=5 mice. (h) BCKA supplement rescues fatty liver. Representative result from 4 mice. (i) BCKA supplement increase KMV and KIC concentrations in iWAT. n=3 mice. (j) BCKA restore Bcat2 KO-increased Cidea expression in iWAT. Cidea protein levels as indicated were quantified and normalized against Tubulin. n=3 mice. (k) The acetylation level of Prdm16 from BAT. The acetylation level of Prdm16 was normalized against immunoprecipitated Prdm16 protein as indicated. n=3 mice. (l) Ac-CoA level decreases in BAT from Bcat2 Adipose KO mice. n=3 biological independent experiments. (m-n) Ucp1, Prdm16 and Pgc1α expression levels of iWAT and BAT. The protein levels as indicated were quantified and normalized against Tubulin. n=3 mice (m) and n=6 mice (n). Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test (except a and g), or repeated-measures 2-way ANOVA followed by Sidak’s multiple-comparison test (Fig. a and g).
Extended Data Fig. 7 Screening FDA approved drug library for BCAT2 inhibitor.
Sketch map for screening BCAT2 inhibitor from FDA proved library. (b) Repeat data of top 8 compounds from the first-round screen. n=3 biological independent experiments. (c) TEL inhibits human BCAT2 enzyme activity. OD of NADH changes was shown in left panel. BCAT protein was purified from E.Coli and incubated with TEL for 1h, followed by measuring enzyme activity. n=3 biological independent experiments. (d) Other compounds from Sartan catalogue have no effect on BCAT2 activity. n=3 biological independent experiments. (e) TEL inhibits mouse Bcat2 enzyme activity. OD of NADH changes was shown in left panel. NIH3T3 cells transfected with Flag-Bcat2 were treated with TEL for 24h, followed by IP Flag and measuring enzyme activity. n=3 biological independent experiments. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test.
Extended Data Fig. 8 TEL promotes iWAT browning.
(a) TEL upregulates Cidea expression in primary adipocytes and BCKA rescues this effect. Ucp1 protein levels as indicated were quantified and normalized against Tubulin. n=2 independent cultures. (b) Bcat2 over-expression attenuates the effect of TEL on Ucp1. Ucp1 protein levels as indicated were quantified and normalized against Tubulin. Representative result from 2 independent experiments. (c) TEL reduces acetyl-CoA levels in primary adipocytes. n=3 biological independent experiments. (d) Computed tomography imaging showed TEL prevents mice from HFD induced fate tissue weight gain. n=3 mice. (e) TEL has no effect on food intake. Representative mean value from 5 mice in a cage. (f-g) GTT and ITT from HFD and telmisartan group mice. n=6 mice. (h) Serum markers as indicated from HFD and telmisartan group mice. n=7 mice. (i-j) TEL protects mice from HFD induced hypertension and tachycardia. n=6 mice. (k) TEL has no effect on other main organ weights. n=7 mice. (l) TEL prevents HFD-induced fatty liver. Representative result from 4 mice. (m) In vivo metabolism data from HFD and TEL group mice. n=5 mice. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test (c, d, h-j, m-n), or repeated-measures 2-way ANOVA followed by Sidak’s multiple-comparison test (f, g).
Extended Data Fig. 9 TEL promotes iWAT browning and energy expenditure.
(a) Energy expenditure was analyzed by ANCOVA, with body weight included as a covariate. n=5 mice. (b-c) TEL increases body temperature under cold exposure but not room temperature. The representative rectal temperatures were shown. n=5 (Control) and n=6 (TEL). (d) Temperature at interscapular area of TEL treated mice is significantly higher than that of control mice showed by thermal infrared imaging. n=4 mice. (e) TEL upregulates thermogenesis related gene expression. n=6. (f) TEL increases Cidea expression in iWAT. Cidea protein levels as indicated were quantified and normalized against Tubulin. n=3. (g) TEL increases Ucp1 expression in BAT. Representative images of Ucp1 immunohistochemistry (IHC) in BAT from mice fed with HFD. Representative result from 4 mice. (h) TEL decreases body weight of obesity mice. n=5 mice. (i) GTT and ITT data from HFD and telmisartan group. n=5 mice. (j) Fat tissue weights of HFD and TEL group mice. n=6 mice. (k) TEL upregulates Ucp1 expression. TEL was given post obesity. Ucp1 protein levels as indicated were quantified and normalized against Tubulin. n=5. Bars and error bars represent mean values and SDs, with biologically individual data points shown. P values are derived from unpaired, two-tailed t-test (b, d, e, j), or repeated-measures 2-way ANOVA followed by Sidak’s multiple-comparison test (c, h, i). Energy expenditure in Fig.a was analyzed by ANCOVA, with body weight included as a covariate.
Extended Data Fig. 10 BCKA reverses the lean phenotype conferred by TEL.
(a)Body weight gain from mice as indicated groups. n=5 mice. (b) GTT and ITT data from mice as indicated groups. n=5 mice. (c) HE staining of liver histology from mice as indicated groups. Representative result from 4 mice. (d) Ucp1 and Cidea expression for iWAT from mice as indicated groups. Ucp1 and Cidea protein levels as indicated were quantified and normalized against Tubulin. n=3 mice. Bars and error bars represent mean values and SDs, with biologically individual data points shown. n, cohort size. P values are derived from unpaired, two-tailed t-test (a), or repeated-measures 2-way ANOVA followed by Sidak’s multiple-comparison test (b).
Supplementary information
Supplementary Information
Supplementary Table 1, primers used in this study.
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Ma, QX., Zhu, WY., Lu, XC. et al. BCAA–BCKA axis regulates WAT browning through acetylation of PRDM16. Nat Metab 4, 106–122 (2022). https://doi.org/10.1038/s42255-021-00520-6
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DOI: https://doi.org/10.1038/s42255-021-00520-6
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