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Branched-chain amino acid aminotransferase (BCAT)

Target
BCAT
Molecular classification
Enzyme (specifically, aminotransferase, EC 2.6.1.42), Pyridoxal phosphate-dependent enzyme (PLP enzyme, type IV fold)
01

Overview

Branched-chain amino acid aminotransferase (BCAT) is a PLP-dependent enzyme that catalyzes the reversible transamination of the branched-chain amino acids leucine, isoleucine, and valine to their respective keto acids, regulating both their breakdown and synthesis. Humans express two BCAT isoforms: mitochondrial (BCAT2), found in many tissues, and cytosolic (BCAT1), mainly in the CNS. BCATs play crucial roles in amino acid and nitrogen metabolism, neurotransmitter (glutamate) production, and are increasingly recognized as metabolic regulators in cancer cells, where altered expression can drive tumor growth and therapy resistance via key metabolic and signaling pathways. Their tissue-specific and disease-type-specific functions make them promising but challenging targets for therapeutic intervention in oncology, inherited metabolic diseases, and CNS disorders. Note: There are no widely used, approved drugs that directly target BCATs clinically, but gabapentin acts on the cytosolic form in the CNS, and BCAT is being actively investigated for novel drug discovery in oncology and metabolism. Detection of BCAT1/2 expression and BCAA levels serve as emerging biomarkers in cancer and metabolic disease research. Safety/toxicity concerns relate to the enzyme's central metabolic role.

Other names
Branched-chain amino acid transaminaseBCAT (common abbreviation, also refers collectively to the family)BCAT1 (cytosolic isoform, mainly in CNS)BCAT2 (mitochondrial isoform, widespread in tissues)BcaT (used in microbial and plant literature)Aminotransferase, class IV (structural family)
02

Mechanism of action

Transaminase inhibition: Drugs like gabapentin inhibit BCAT activity, reducing glutamate synthesis. Metabolic reprogramming modulation: Potential inhibition of BCATs to disrupt amino acid supply in cancer cells, affecting mTOR and PI3K/Akt signaling. BCAA manipulation: Therapeutics altering BCAA metabolism for metabolic or neurologic diseases.

03

Biological functions

Amino acid metabolism, specifically transamination of branched-chain amino acids (BCAAs: leucine, isoleucine, valine)Nitrogen metabolism (involved in glutamate synthesis)Neurotransmitter biosynthesis (in the CNS, related to glutamate)Metabolic reprogramming in cancer (affecting proliferation and signaling pathways)Bi-directional catalysis of BCAA catabolism and anabolism
04

Disease associations

Cancer (abnormal BCAT expression in breast, prostate, lung, urothelial, and other cancers; linked to tumor proliferation and invasion)Metabolic diseases (disorders of BCAA metabolism, e.g., hypervalinemia, hyperleucine-isoleucinemia)Neurodegenerative disease (modulating neurotransmitter synthesis and potential drug target for CNS disorders)Other (nutritional and metabolic disorders linked to BCAA imbalance)
05

Safety considerations

Disruption of BCAA and glutamate homeostasis: May cause neurotoxicity or metabolic imbalancePotential off-target metabolic effects: Especially in tissues with high BCAT expression (muscle, CNS, liver)Nutritional impact: Targeting BCATs could affect essential amino acid availability
06

Interacting drugs

Gabapentin (specifically targets the cytosolic isoform BCATc, affects neurotransmitter synthesis in CNS)

2 more in the full profile.

07

Biomarkers

BCAT1 expression: Prognostic biomarker in triple-negative breast cancer (TNBC) and other cancersBCAA/BCKA levels: Reflect BCAT activity and metabolic status in metabolic and cancer disordersBCAT2 mutations: Linked to inherited metabolic diseases; possible diagnostic marker

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