Evidence map›Paper›PMID 39302872›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2025

Apparent Saturation of Branched-Chain Amino Acid Catabolism After High Dietary Milk Protein Intake in Healthy Adults.

Emily Newton-Tanzer, Sultan Nilay Can, Hans Demmelmair, Jeannie Horak, Lesca Holdt, Berthold Koletzko, Veit Grote

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emily Newton-TanzerDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0009-0007-9627-8275
Sultan Nilay CanDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0000-0002-0225-873X
Hans DemmelmairDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0000-0001-7812-5178
Jeannie HorakDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0000-0002-0873-9358
Lesca HoldtInstitute of Laboratory Medicine, LMU University Hospital, LMU Munich, 80337 Munich, Germany.ORCID 0000-0001-5735-4975
Berthold KoletzkoDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0000-0002-5345-7165
Veit GroteDivision of Metabolic and Nutritional Medicine, Department Paediatrics, Dr. von Hauner Children's Hospital, LMU University Hospital, LMU Munich, and the German Center for Child and Adolescent Health, site Munich, 80337 Munich, Germany.ORCID 0000-0001-7168-2385

Funding

BiomarKid ProjectBMBFCapacity Building to Improve Early Nutrition and Health in South Africa 598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JPDeutsches Zentrum für Kinder- und JugendgesundheitElse Kröner-Fresenius-FoundationElse Kröner-Seniorprofessor of Paediatrics at LMU-University of MunichErasmus Plus Programmes Early Nutrition eAcademy Southeast Asia 573651-EPP-1-2016-1-DE-EPPKA2-CBHE-JPEuropean CommissionEuropean Danube Programme CD-SkillsEuropean Interreg Programme Focus CD-CE111European Joint Programming Initiative Projects NutriPROGRAM and EndObesityEuropean Research Council ERC-2012-AdG-no.322605German Ministry of Education and Research 01 GI 0825German Research Council INST 409/224-1 FUGGGerman Research Council Ko912/12-1H2020 Programmes DYNAHEALTH- 633595 und Lifecycle-733206JPI HDHL Prephobes 01EA2101JPI HDHL Prephobes JPI HDHL STAMIFY 01EA2203ALMU Medical FacultyLMU University HospitalNestec, Ltd.Société des Produits Nestlé S.A.
6 · The paper itself

Abstract

contextMilk protein contains high concentrations of branched-chain amino acids (BCAA) that play a critical role in anabolism and are implicated in the onset of obesity and chronic disease. Characterizing BCAA catabolism in the postprandial phase could elucidate the impact of protein intake on obesity risk established in the "early protein hypothesis."

objectiveTo examine the acute effects of protein content of young child formulas as test meals on BCAA catabolism, observing postprandial plasma concentrations of BCAA in relation to their degradation products.

methodsThe TOMI Add-On Study is a randomized, double-blind crossover study in which 27 healthy adults consumed 2 isocaloric young child formulas with alternating higher (HP) and lower (LP) protein and fat content as test meals during separate interventions, while 9 blood samples were obtained over 5 hours. BCAA, branched-chain α-keto acids (BCKA), and acylcarnitines were analyzed using a fully targeted HPLC-ESI-MS/MS approach.

resultsMean concentrations of BCAA, BCKA, and acylcarnitines were significantly higher after HP than LP over the 5 postprandial hours, except for the BCKA α-ketoisovalerate (KIVA). The latter metabolite showed higher postprandial concentrations after LP. With increasing mean concentrations of BCAA, concentrations of corresponding BCKA, acylcarnitines, and urea increased until a breakpoint was reached, after which concentrations of degradation products decreased (for all metabolites except valine and KIVA and Carn C4:0-iso).

conclusionBCAA catabolism is markedly influenced by protein content of the test meal. We present novel evidence for the apparent saturation of the BCAA degradation pathway in the acute postprandial phase up to 5 hours after consumption.

Indexed as

Amino Acids, Branched-ChainDietary ProteinsMilk ProteinsAdultCross-Over StudiesDouble-Blind MethodFemaleHealthy VolunteersHumansKeto AcidsMalePostprandial PeriodYoung AdultAmino Acids, Branched-ChainDietary ProteinsKeto AcidsMilk Proteinsacylcarnitinebranched-chain amino acidsbranched-chain ketoacidsdietmilk proteinpostprandial phasethe early protein hypothesisyoung child formulas

Identifiers

PMID39302872
PMCPMC12086401

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.