Lu · Frontiers of medicine 2013 · narrative review · n=?

Insulin resistance and the metabolism of branched-chain amino acids.

Cited 128 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of epidemiological and mechanistic literature without systematic methodology or primary human data

PubMed 23385611 · doi:10.1007/s11684-013-0255-5 · record verified 2026-08-31

What was done

This is a narrative review summarizing epidemiological and mechanistic literature on the relationship between insulin resistance and branched-chain amino acid (BCAA) metabolism (valine, leucine, and isoleucine).

What was found

The abstract reports general background figures: BCAAs account for 35% of essential amino acids in muscle proteins and 40% of preformed amino acids required by mammals. It notes that circulating BCAA concentrations are elevated in insulin resistance and insulin deficiency, and that BCAAs are involved in regulating glucose homeostasis and body weight. No quantitative study results or effect estimates are reported in the abstract.

Why it matters

It highlights that insulin resistance affects global metabolic networks beyond carbohydrates, establishing altered amino acid metabolism as a key feature of metabolic dysregulation.

Limits

As a narrative review, it lacks systematic search methodology, formal quality assessment of included studies, and quantitative synthesis. The abstract does not provide primary data or specific effect sizes.

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