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Publication : A β-hydroxybutyrate shunt pathway generates anti-obesity ketone metabolites.

First Author  Moya-Garzon MD Year  2024
Journal  Cell PubMed ID  39536746
Mgi Jnum  J:359501 Mgi Id  MGI:7788281
Doi  10.1016/j.cell.2024.10.032 Citation  Moya-Garzon MD, et al. (2024) A beta-hydroxybutyrate shunt pathway generates anti-obesity ketone metabolites. Cell
abstractText  beta-Hydroxybutyrate (BHB) is an abundant ketone body. To date, all known pathways of BHB metabolism involve the interconversion of BHB and primary energy intermediates. Here, we identify a previously undescribed BHB secondary metabolic pathway via CNDP2-dependent enzymatic conjugation of BHB and free amino acids. This BHB shunt pathway generates a family of anti-obesity ketone metabolites, the BHB-amino acids. Genetic ablation of CNDP2 in mice eliminates tissue amino acid BHB-ylation activity and reduces BHB-amino acid levels. The most abundant BHB-amino acid, BHB-Phe, is a ketosis-inducible congener of Lac-Phe that activates hypothalamic and brainstem neurons and suppresses feeding. Conversely, CNDP2-KO mice exhibit increased food intake and body weight following exogenous ketone ester supplementation or a ketogenic diet. CNDP2-dependent amino acid BHB-ylation and BHB-amino acid metabolites are also conserved in humans. Therefore, enzymatic amino acid BHB-ylation defines a ketone shunt pathway and bioactive ketone metabolites linked to energy balance.
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