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Branched-chain alpha-ketoacid dehydrogenase kinase (BCKDK) is a mitochondrial serine/threonine kinase that phosphorylates and inactivates the branched-chain alpha-ketoacid dehydrogenase (BCKDH) complex, which is the key regulatory point in the catabolism of the branched-chain amino acids leucine, isoleucine, and valine[1][3][7]. By phosphorylating BCKDH, BCKDK decreases BCAA degradation and affects metabolic pathways involving energy, protein synthesis, and lipid/glucose metabolism[1][4][2]. Deficiencies or dysregulations in BCKDK activity have been linked to inherited disorders (such as BCKDK deficiency and maple syrup urine disease), muscle-wasting diseases, aging, and emerging indications in cancer and metabolic syndrome[2][6]. BCKDK is a validated therapeutic enzyme target, with several classes of investigational small molecule inhibitors under research for metabolic and neoplastic disorders[3][6].
Inhibition of BCKDK increases BCKDH complex activity, promoting BCAA catabolism BCKDK inhibitors prevent phosphorylation of BCKDH, keeping it active
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