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'''α-Ketoisocaproic acid''' ('''α-KIC''') and its [[conjugate base]], '''α-ketoisocaproate''', are [[metabolic intermediate]]s in the [[Leucine metabolism|metabolic pathway for {{smallcaps all|L}}-leucine]].<ref name="ISSN position stand 2013" /> [[Leucine]] is a [[non-essential amino acid]], and its degradation is critical for many biological duties.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Leucine</ref> α-KIC is produced in one of the first steps of the pathway by [[branched-chain amino acid aminotransferase]] by transferring the [[amine]] on L-leucine onto [[alpha ketoglutarate]], and replacing that amine with a [[ketone]]. The degradation of L-leucine in the [[muscle]] to this compound allows for the production of the [[amino acid]]s [[alanine]] and [[Glutamate (neurotransmitter)|glutamate]] as well. In the [[liver]], α-KIC can be converted to a vast number of compounds depending on the [[enzyme]]s and [[Cofactor (biochemistry)|cofactors]] present, including [[cholesterol]], [[acetyl-CoA]], [[isovaleryl-CoA]], and other biological molecules. Isovaleryl-CoA is the main compound synthesized from ɑ-KIC.<ref name="Wilson1">Wilson JM, Fitschen PJ, Campbell B, Wilson GJ, Zanchi N, Taylor L, Wilborn C, Kalman DS, Stout JR, Hoffman JR, Ziegenfuss TN, Lopez HL, Kreider RB, Smith-Ryan AE, Antonio J (February 2013). "International Society of Sports Nutrition Position Stand: beta-hydroxy-beta-methylbutyrate (HMB)". Journal of the International Society of Sports Nutrition. 10 (1): 6. doi:10.1186/1550-2783-10-6. PMC 3568064. PMID 23374455.</ref><ref name="Zanchi1">Zanchi NE, Gerlinger-Romero F, Guimarães-Ferreira L, de Siqueira Filho MA, Felitti V, Lira FS, Seelaender M, Lancha AH (April 2011). "HMB supplementation: clinical and athletic performance-related effects and mechanisms of action". Amino Acids. 40 (4): 1015–1025. doi:10.1007/s00726-010-0678-0. PMID 20607321.</ref><ref name="Kohlmeier1">Kohlmeier M (May 2015). "Leucine". Nutrient Metabolism: Structures, Functions, and Genes (2nd ed.). Academic Press. pp. 385–388. {{ISBN|978-0-12-387784-0}}. Retrieved 6 June 2016.</ref> α-KIC is a key [[metabolite]] present in the [[urine]] of people with [[Maple syrup urine disease]], along with other [[branched-chain amino acid]]s.<ref>Strauss KA, Puffenberger EG, Carson VJ. Maple Syrup Urine Disease. 2006 Jan 30 [Updated 2020 Apr 23]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1319/ </ref> Derivatives of α-KIC have been studied in humans for their ability to improve physical performance during [[anaerobic exercise]] as a supplemental bridge between short-term and long-term exercise supplements. These studies show that α-KIC does not achieve this goal without other [[ergogenic]]<nowiki/>supplements present as well.<ref name="Stevens1">Stevens BR (August 2013). “Chapter 44 - An Overview of Glycine-Arginine-Alpha-Ketoisocaproic Acid (GAKIC) in Sports Nutrition”. Editor(s): Debasis Bagchi, Sreejayan Nair, Chandan K. Sen, Nutrition and Enhanced Sports Performance. Academic Press, Pages 433-438, {{ISBN|9780123964540}}, https://doi.org/10.1016/B978-0-12-396454-0.00044-8. (http://www.sciencedirect.com/science/article/pii/B9780123964540000448)</ref> α-KIC has also been observed to reduce [[skeletal muscle]] damage after eccentrically biased [[Resistance exercise|resistance exercises]] in people who do not usually perform those exercises.<ref name="Van1">Van Someren KA, Edwards AJ, Howatson G (August 2015). “Supplementation with beta-hydroxy-beta-methylbutyrate (HMB) and alpha-ketoisocaproic acid (KIC) reduces signs and symptoms of exercise-induced muscle damage in man”. Int J Sport Nutr Exerc Metab. 15(4):413-24. doi: 10.1123/ijsnem.15.4.413. PMID: 16286672. https://pubmed.ncbi.nlm.nih.gov/16286672/ </ref>
'''α-Ketoisocaproic acid''' ('''α-KIC''') and its [[conjugate base]], '''α-ketoisocaproate''', are [[metabolic intermediate]]s in the [[Leucine metabolism|metabolic pathway for {{smallcaps all|L}}-leucine]].<ref name="ISSN position stand 2013" /> [[Leucine]] is a [[non-essential amino acid]], and its degradation is critical for many biological duties.<ref>https://pubchem.ncbi.nlm.nih.gov/compound/Leucine</ref> α-KIC is produced in one of the first steps of the pathway by [[branched-chain amino acid aminotransferase]] by transferring the [[amine]] on L-leucine onto [[alpha ketoglutarate]], and replacing that amine with a [[ketone]]. The degradation of L-leucine in the [[muscle]] to this compound allows for the production of the [[amino acid]]s [[alanine]] and [[Glutamate (neurotransmitter)|glutamate]] as well. In the [[liver]], α-KIC can be converted to a vast number of compounds depending on the [[enzyme]]s and [[Cofactor (biochemistry)|cofactors]] present, including [[cholesterol]], [[acetyl-CoA]], [[isovaleryl-CoA]], and other biological molecules. Isovaleryl-CoA is the main compound synthesized from ɑ-KIC.<ref name="Wilson1">{{cite journal |last1=Wilson |first1=Jacob M. |last2=Fitschen |first2=Peter J. |last3=Campbell |first3=Bill |last4=Wilson |first4=Gabriel J. |last5=Zanchi |first5=Nelo |last6=Taylor |first6=Lem |last7=Wilborn |first7=Colin |last8=Kalman |first8=Douglas S. |last9=Stout |first9=Jeffrey R. |last10=Hoffman |first10=Jay R. |last11=Ziegenfuss |first11=Tim N. |last12=Lopez |first12=Hector L. |last13=Kreider |first13=Richard B. |last14=Smith-Ryan |first14=Abbie E. |last15=Antonio |first15=Jose |title=International Society of Sports Nutrition Position Stand: beta-hydroxy-beta-methylbutyrate (HMB) |journal=Journal of the International Society of Sports Nutrition |date=2 February 2013 |volume=10 |issue=1 |pages=6 |doi=10.1186/1550-2783-10-6 |pmid=23374455 |pmc=3568064 }}</ref><ref name="Zanchi1">{{cite journal |last1=Zanchi |first1=Nelo Eidy |last2=Gerlinger-Romero |first2=Frederico |last3=Guimarães-Ferreira |first3=Lucas |last4=de Siqueira Filho |first4=Mário Alves |last5=Felitti |first5=Vitor |last6=Lira |first6=Fabio Santos |last7=Seelaender |first7=Marília |last8=Lancha |first8=Antonio Herbert |title=HMB supplementation: clinical and athletic performance-related effects and mechanisms of action |journal=Amino Acids |date=April 2011 |volume=40 |issue=4 |pages=1015–1025 |doi=10.1007/s00726-010-0678-0 |pmid=20607321 }}</ref><ref name="Kohlmeier1">Kohlmeier M (May 2015). "Leucine". Nutrient Metabolism: Structures, Functions, and Genes (2nd ed.). Academic Press. pp. 385–388. {{ISBN|978-0-12-387784-0}}. Retrieved 6 June 2016.</ref> α-KIC is a key [[metabolite]] present in the [[urine]] of people with [[Maple syrup urine disease]], along with other [[branched-chain amino acid]]s.<ref name=NBK1319>{{cite book |first1=Kevin A |last1=Strauss |first2=Erik G |last2=Puffenberger |first3=Vincent J |last3=Carson |chapter=Maple Syrup Urine Disease |title=GeneReviews |chapterurl=https://www.ncbi.nlm.nih.gov/books/NBK1319/ }}</ref> Derivatives of α-KIC have been studied in humans for their ability to improve physical performance during [[anaerobic exercise]] as a supplemental bridge between short-term and long-term exercise supplements. These studies show that α-KIC does not achieve this goal without other [[ergogenic]]<nowiki/>supplements present as well.<ref name="Stevens1">{{cite journal |doi=10.1016/B978-0-12-396454-0.00044-8 }}</ref> α-KIC has also been observed to reduce [[skeletal muscle]] damage after eccentrically biased [[Resistance exercise|resistance exercises]] in people who do not usually perform those exercises.<ref name="Van1">{{cite journal |last1=Someren |first1=Ken A. van |last2=Edwards |first2=Adam J. |last3=Howatson |first3=Glyn |title=Supplementation with β-Hydroxy- β-Methylbutyrate (HMB) and α-Ketoisocaproic Acid (KIC) Reduces Signs and Symptoms of Exercise-Induced Muscle Damage in Man |journal=International Journal of Sport Nutrition and Exercise Metabolism |date=1 August 2005 |volume=15 |issue=4 |pages=413–424 |doi=10.1123/ijsnem.15.4.413 |pmid=16286672 }}</ref>


==Biological Activity==
==Biological Activity==
===Supplements===
===Supplements===
α-KIC has been studied as a [[nutritional supplement]] to aid in the performance of strenuous physical activity. Studies have shown that taking ɑ-KIC and its derivatives before acute physical activity led to an increase in muscle work by 10%, as well as a decrease in muscle [[fatigue]] during the early phase of the physical activity.<ref name="Stevens1"/> When taken with other supplements over a two week period, such as [[Beta-Hydroxy beta-methylbutyric acid|beta-hydroxy beta-methylbutyrate]] (HMB), participants reported delayed onset of [[muscle soreness]], as well as other positive effects such as increased muscle girth.<ref name="Van1"/> It is important to note that studies have also suggested that ɑ-KIC taken alone did not have any significant positive impacts on physical performance, so it should be taken in conjunction with other ergogenic substances.<ref>Yarrow JF., Parr JJ, White LJ, Borsa PA, Stevens BR (July 2007). “The effects of short-term alpha-ketoisocaproic acid supplementation on exercise performance: a randomized controlled trial”. Journal of the International Society of Sports Nutrition, 4, 2. https://doi.org/10.1186/1550-2783-4-2</ref> ɑ-KIC is not available as a supplement on its own, but its aminated form HMB is available in calcium salt capsules or powder.<ref name="Wilson1"/>
α-KIC has been studied as a [[nutritional supplement]] to aid in the performance of strenuous physical activity. Studies have shown that taking ɑ-KIC and its derivatives before acute physical activity led to an increase in muscle work by 10%, as well as a decrease in muscle [[fatigue]] during the early phase of the physical activity.<ref name="Stevens1"/> When taken with other supplements over a two week period, such as [[Beta-Hydroxy beta-methylbutyric acid|beta-hydroxy beta-methylbutyrate]] (HMB), participants reported delayed onset of [[muscle soreness]], as well as other positive effects such as increased muscle girth.<ref name="Van1"/> It is important to note that studies have also suggested that ɑ-KIC taken alone did not have any significant positive impacts on physical performance, so it should be taken in conjunction with other ergogenic substances.<ref>{{cite journal |last1=Yarrow |first1=Joshua F |last2=Parr |first2=Jeffrey J |last3=White |first3=Lesley J |last4=Borsa |first4=Paul A |last5=Stevens |first5=Bruce R |title=The effects of short-term alpha-ketoisocaproic acid supplementation on exercise performance: a randomized controlled trial |journal=Journal of the International Society of Sports Nutrition |date=December 2007 |volume=4 |issue=1 |pages=2 |doi=10.1186/1550-2783-4-2 }}</ref> ɑ-KIC is not available as a supplement on its own, but its aminated form HMB is available in calcium salt capsules or powder.<ref name="Wilson1"/>


===Applications===
===Applications===
Line 71: Line 71:


==Toxicity==
==Toxicity==
Multiple studies have demonstrated that there have been no adverse effects on humans nor animals that ingested α-KIC or HMB.<ref>Nissen S, Sharp RL, Panton L, Vukovich M, Trappe S, Fuller JC Jr. (August 2007). “Beta-hydroxy-beta-methylbutyrate (HMB) supplementation in humans is safe and may decrease cardiovascular risk factors.” J Nutr.130(8):1937-45. doi: 10.1093/jn/130.8.1937. PMID: 10917905. https://pubmed.ncbi.nlm.nih.gov/10917905/</ref><ref>Baxter JH, Carlos JL, Thurmond J, Rehani RN, Bultman J, Frost D (December 2005). “Dietary toxicity of calcium β-hydroxy-β-methyl butyrate (CaHMB)”. Food and Chemical Toxicology. 43,12, 1731-1741, ISSN 0278-6915, https://doi.org/10.1016/j.fct.2005.05.016. (http://www.sciencedirect.com/science/article/pii/S0278691505001602)</ref>
Multiple studies have demonstrated that there have been no adverse effects on humans nor animals that ingested α-KIC or HMB.<ref>{{cite journal |last1=Nissen |first1=S. |last2=Sharp |first2=R. L. |last3=Panton |first3=L. |last4=Vukovich |first4=M. |last5=Trappe |first5=S. |last6=Fuller |first6=J. C. |title=β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Humans Is Safe and May Decrease Cardiovascular Risk Factors |journal=The Journal of Nutrition |date=1 August 2000 |volume=130 |issue=8 |pages=1937–1945 |doi=10.1093/jn/130.8.1937 |pmid=10917905 }}</ref><ref>{{cite journal |last1=Baxter |first1=J.H. |last2=Carlos |first2=J.L. |last3=Thurmond |first3=J. |last4=Rehani |first4=R.N. |last5=Bultman |first5=J. |last6=Frost |first6=D. |title=Dietary toxicity of calcium β-hydroxy-β-methyl butyrate (CaHMB) |journal=Food and Chemical Toxicology |date=December 2005 |volume=43 |issue=12 |pages=1731–1741 |doi=10.1016/j.fct.2005.05.016 }}</ref>


==Medical Use==
==Medical Use==
Branched-chain alpha-keto acids such as α-KIC are found in high concentrations in the urine of people who suffer from Maple Syrup Urine Disease. This is disease is caused by a partial [[Branched-chain alpha-keto acid dehydrogenase complex|branched-chain alpha-keto acid dehydrogenase]] deficiency, which leads to a buildup of branched-chain alpha-keto acids, including α-KIC and HMB.<ref name="Strauss1">Strauss KA, Wardley B, Robinson D, Hendrickson C, Rider NL, Puffenberger EG, Shelmer D, Moser AB, Morton HD (April 2010). “Classical maple syrup urine disease and brain development: Principles of management and formula design”. Molecular Genetics and Metabolism. 99, 4, 333-345. DOI: https://doi.org/10.1016/j.ymgme.2009.12.007</ref> These keto-acids build up in the [[liver]],<ref name="Wilson1"/><ref name="Zanchi1"/><ref name="Kohlmeier1"/> and since limited isovaleryl-CoA can be produced, these keto-acids must be [[excrete]]<nowiki/>d in the urine as α-KIC, HMB, and many other similar [[keto acid]]s. Flare-ups in people who have this condition are caused due to poor diet.<ref name="Strauss2">Strauss KA, Puffenberger EG, Carson VJ. Maple Syrup Urine Disease. 2006 Jan 30 [Updated 2020 Apr 23]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1319/ </ref> Symptoms of Maple Syrup Urine Disease include sweet smelling urine, [[irritability]], [[lethargy]], and in serious cases [[edema]] of the brain, [[apnea]], [[coma]], or [[respiratory failure]].<ref name="Strauss1"/><ref name="Strauss2"/> Treatment includes lowering leucine intake and a specialized diet to make up for the lack of leucine ingestion.<ref name="Strauss2"/>
Branched-chain alpha-keto acids such as α-KIC are found in high concentrations in the urine of people who suffer from Maple Syrup Urine Disease. This is disease is caused by a partial [[Branched-chain alpha-keto acid dehydrogenase complex|branched-chain alpha-keto acid dehydrogenase]] deficiency, which leads to a buildup of branched-chain alpha-keto acids, including α-KIC and HMB.<ref name="Strauss1">{{cite journal |last1=Strauss |first1=Kevin A. |last2=Wardley |first2=Bridget |last3=Robinson |first3=Donna |last4=Hendrickson |first4=Christine |last5=Rider |first5=Nicholas L. |last6=Puffenberger |first6=Erik G. |last7=Shelmer |first7=Diana |last8=Moser |first8=Ann B. |last9=Morton |first9=D. Holmes |title=Classical maple syrup urine disease and brain development: Principles of management and formula design |journal=Molecular Genetics and Metabolism |date=April 2010 |volume=99 |issue=4 |pages=333–345 |doi=10.1016/j.ymgme.2009.12.007 }}</ref> These keto-acids build up in the [[liver]],<ref name="Wilson1"/><ref name="Zanchi1"/><ref name="Kohlmeier1"/> and since limited isovaleryl-CoA can be produced, these keto-acids must be [[excrete]]<nowiki/>d in the urine as α-KIC, HMB, and many other similar [[keto acid]]s. Flare-ups in people who have this condition are caused due to poor diet.<ref name=NBK1319/> Symptoms of Maple Syrup Urine Disease include sweet smelling urine, [[irritability]], [[lethargy]], and in serious cases [[edema]] of the brain, [[apnea]], [[coma]], or [[respiratory failure]].<ref name="Strauss1"/><ref name=NBK1319/> Treatment includes lowering leucine intake and a specialized diet to make up for the lack of leucine ingestion.<ref name=NBK1319/>


==Leucine metabolism==
==Leucine metabolism==

Revision as of 18:01, 8 December 2020

α-Ketoisocaproic acid
Skeletal formula of alpha-ketoisocaproic acid
Names
IUPAC name
4-Methyl-2-oxopentanoic acid
Systematic IUPAC name
4-Methyl-2-oxopentanoic acid[1]
Other names
4-Methyl-2-oxovaleric acid
Identifiers
3D model (JSmol)
3DMet
1701823
ChEBI
ChEMBL
ChemSpider
DrugBank
ECHA InfoCard 100.011.304 Edit this at Wikidata
EC Number
  • 212-435-5
KEGG
MeSH Alpha-ketoisocaproic+acid
UNII
UN number 3265
  • InChI=1S/C6H10O3/c1-4(2)3-5(7)6(8)9/h4H,3H2,1-2H3,(H,8,9) checkY
    Key: BKAJNAXTPSGJCU-UHFFFAOYSA-N checkY
  • InChI=1/C6H10O3/c1-4(2)3-5(7)6(8)9/h4H,3H2,1-2H3,(H,8,9)
    Key: BKAJNAXTPSGJCU-UHFFFAOYAG
  • CC(C)CC(=O)C(O)=O
  • O=C(C(=O)O)CC(C)C
Properties
C6H10O3
Molar mass 130.143 g·mol−1
Density 1.055 g cm−3 (at 20 °C)
Melting point 8 to 10 °C (46 to 50 °F; 281 to 283 K)
Boiling point 85 °C (185 °F; 358 K) at 13 mmHg
log P 0.133
Acidity (pKa) 2.651
Basicity (pKb) 11.346
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
checkY verify (what is checkY☒N ?)

α-Ketoisocaproic acid (α-KIC) and its conjugate base, α-ketoisocaproate, are metabolic intermediates in the metabolic pathway for L-leucine.[2] Leucine is a non-essential amino acid, and its degradation is critical for many biological duties.[3] α-KIC is produced in one of the first steps of the pathway by branched-chain amino acid aminotransferase by transferring the amine on L-leucine onto alpha ketoglutarate, and replacing that amine with a ketone. The degradation of L-leucine in the muscle to this compound allows for the production of the amino acids alanine and glutamate as well. In the liver, α-KIC can be converted to a vast number of compounds depending on the enzymes and cofactors present, including cholesterol, acetyl-CoA, isovaleryl-CoA, and other biological molecules. Isovaleryl-CoA is the main compound synthesized from ɑ-KIC.[4][5][6] α-KIC is a key metabolite present in the urine of people with Maple syrup urine disease, along with other branched-chain amino acids.[7] Derivatives of α-KIC have been studied in humans for their ability to improve physical performance during anaerobic exercise as a supplemental bridge between short-term and long-term exercise supplements. These studies show that α-KIC does not achieve this goal without other ergogenicsupplements present as well.[8] α-KIC has also been observed to reduce skeletal muscle damage after eccentrically biased resistance exercises in people who do not usually perform those exercises.[9]

Biological Activity

Supplements

α-KIC has been studied as a nutritional supplement to aid in the performance of strenuous physical activity. Studies have shown that taking ɑ-KIC and its derivatives before acute physical activity led to an increase in muscle work by 10%, as well as a decrease in muscle fatigue during the early phase of the physical activity.[8] When taken with other supplements over a two week period, such as beta-hydroxy beta-methylbutyrate (HMB), participants reported delayed onset of muscle soreness, as well as other positive effects such as increased muscle girth.[9] It is important to note that studies have also suggested that ɑ-KIC taken alone did not have any significant positive impacts on physical performance, so it should be taken in conjunction with other ergogenic substances.[10] ɑ-KIC is not available as a supplement on its own, but its aminated form HMB is available in calcium salt capsules or powder.[4]

Applications

The biochemical implications of α-KIC are largely connected to other biochemical pathways. Protein Synthesis, skeletal muscle regeneration, and skeletal muscle proteolysis have all been noted to change when ɑ-KIC is taken. There is not much research into the specific mechanisms taking part in these processes, but there is a noticeable correlation between ɑ-KIC ingestion and increased skeletal muscle protein synthesis, regeneration, and proteolysis.[4]

Toxicity

Multiple studies have demonstrated that there have been no adverse effects on humans nor animals that ingested α-KIC or HMB.[11][12]

Medical Use

Branched-chain alpha-keto acids such as α-KIC are found in high concentrations in the urine of people who suffer from Maple Syrup Urine Disease. This is disease is caused by a partial branched-chain alpha-keto acid dehydrogenase deficiency, which leads to a buildup of branched-chain alpha-keto acids, including α-KIC and HMB.[13] These keto-acids build up in the liver,[4][5][6] and since limited isovaleryl-CoA can be produced, these keto-acids must be excreted in the urine as α-KIC, HMB, and many other similar keto acids. Flare-ups in people who have this condition are caused due to poor diet.[7] Symptoms of Maple Syrup Urine Disease include sweet smelling urine, irritability, lethargy, and in serious cases edema of the brain, apnea, coma, or respiratory failure.[13][7] Treatment includes lowering leucine intake and a specialized diet to make up for the lack of leucine ingestion.[7]

Leucine metabolism

References

  1. ^ CID 70 from PubChem
  2. ^ a b c Wilson JM, Fitschen PJ, Campbell B, Wilson GJ, Zanchi N, Taylor L, Wilborn C, Kalman DS, Stout JR, Hoffman JR, Ziegenfuss TN, Lopez HL, Kreider RB, Smith-Ryan AE, Antonio J (February 2013). "International Society of Sports Nutrition Position Stand: beta-hydroxy-beta-methylbutyrate (HMB)". Journal of the International Society of Sports Nutrition. 10 (1): 6. doi:10.1186/1550-2783-10-6. PMC 3568064. PMID 23374455.
  3. ^ https://pubchem.ncbi.nlm.nih.gov/compound/Leucine
  4. ^ a b c d Wilson, Jacob M.; Fitschen, Peter J.; Campbell, Bill; Wilson, Gabriel J.; Zanchi, Nelo; Taylor, Lem; Wilborn, Colin; Kalman, Douglas S.; Stout, Jeffrey R.; Hoffman, Jay R.; Ziegenfuss, Tim N.; Lopez, Hector L.; Kreider, Richard B.; Smith-Ryan, Abbie E.; Antonio, Jose (2 February 2013). "International Society of Sports Nutrition Position Stand: beta-hydroxy-beta-methylbutyrate (HMB)". Journal of the International Society of Sports Nutrition. 10 (1): 6. doi:10.1186/1550-2783-10-6. PMC 3568064. PMID 23374455.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  5. ^ a b Zanchi, Nelo Eidy; Gerlinger-Romero, Frederico; Guimarães-Ferreira, Lucas; de Siqueira Filho, Mário Alves; Felitti, Vitor; Lira, Fabio Santos; Seelaender, Marília; Lancha, Antonio Herbert (April 2011). "HMB supplementation: clinical and athletic performance-related effects and mechanisms of action". Amino Acids. 40 (4): 1015–1025. doi:10.1007/s00726-010-0678-0. PMID 20607321.
  6. ^ a b Kohlmeier M (May 2015). "Leucine". Nutrient Metabolism: Structures, Functions, and Genes (2nd ed.). Academic Press. pp. 385–388. ISBN 978-0-12-387784-0. Retrieved 6 June 2016.
  7. ^ a b c d Strauss, Kevin A; Puffenberger, Erik G; Carson, Vincent J. "Maple Syrup Urine Disease". GeneReviews. {{cite book}}: External link in |chapterurl= (help); Unknown parameter |chapterurl= ignored (|chapter-url= suggested) (help)
  8. ^ a b . doi:10.1016/B978-0-12-396454-0.00044-8. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  9. ^ a b Someren, Ken A. van; Edwards, Adam J.; Howatson, Glyn (1 August 2005). "Supplementation with β-Hydroxy- β-Methylbutyrate (HMB) and α-Ketoisocaproic Acid (KIC) Reduces Signs and Symptoms of Exercise-Induced Muscle Damage in Man". International Journal of Sport Nutrition and Exercise Metabolism. 15 (4): 413–424. doi:10.1123/ijsnem.15.4.413. PMID 16286672.
  10. ^ Yarrow, Joshua F; Parr, Jeffrey J; White, Lesley J; Borsa, Paul A; Stevens, Bruce R (December 2007). "The effects of short-term alpha-ketoisocaproic acid supplementation on exercise performance: a randomized controlled trial". Journal of the International Society of Sports Nutrition. 4 (1): 2. doi:10.1186/1550-2783-4-2.{{cite journal}}: CS1 maint: unflagged free DOI (link)
  11. ^ Nissen, S.; Sharp, R. L.; Panton, L.; Vukovich, M.; Trappe, S.; Fuller, J. C. (1 August 2000). "β-Hydroxy-β-Methylbutyrate (HMB) Supplementation in Humans Is Safe and May Decrease Cardiovascular Risk Factors". The Journal of Nutrition. 130 (8): 1937–1945. doi:10.1093/jn/130.8.1937. PMID 10917905.
  12. ^ Baxter, J.H.; Carlos, J.L.; Thurmond, J.; Rehani, R.N.; Bultman, J.; Frost, D. (December 2005). "Dietary toxicity of calcium β-hydroxy-β-methyl butyrate (CaHMB)". Food and Chemical Toxicology. 43 (12): 1731–1741. doi:10.1016/j.fct.2005.05.016.
  13. ^ a b Strauss, Kevin A.; Wardley, Bridget; Robinson, Donna; Hendrickson, Christine; Rider, Nicholas L.; Puffenberger, Erik G.; Shelmer, Diana; Moser, Ann B.; Morton, D. Holmes (April 2010). "Classical maple syrup urine disease and brain development: Principles of management and formula design". Molecular Genetics and Metabolism. 99 (4): 333–345. doi:10.1016/j.ymgme.2009.12.007.
  14. ^ a b Kohlmeier M (May 2015). "Leucine". Nutrient Metabolism: Structures, Functions, and Genes (2nd ed.). Academic Press. pp. 385–388. ISBN 978-0-12-387784-0. Retrieved 6 June 2016. Energy fuel: Eventually, most Leu is broken down, providing about 6.0kcal/g. About 60% of ingested Leu is oxidized within a few hours ... Ketogenesis: A significant proportion (40% of an ingested dose) is converted into acetyl-CoA and thereby contributes to the synthesis of ketones, steroids, fatty acids, and other compounds
    Figure 8.57: Metabolism of L-leucine