Branched-chain amino acid pathways and fatty liver (NASH)

Mechanisms linking the Branched-Chain alpha-Keto Acid regulatory network to the pathogenesis of NASH

NIH-funded research Duke University · NIH-11258543

This research tests whether changing branched-chain amino acid metabolism can lower liver fat and inflammation in people with nonalcoholic steatohepatitis (NASH).

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionDuke University NIH-funded
Lab location1 site (Durham, United States)
Project IDNIH-11258543 on NIH RePORTER

What this research studies

This project looks at how branched-chain amino acids (BCAAs) control fat production and damage in the liver in NASH. Researchers are using animal models and molecular tools to change the activity of enzymes (BDK and PPM1K) that control BCAA breakdown and to see how that affects a fat-making enzyme called ACLY. They give a BDK-blocking compound or use gene tools in animals and measure liver fat, inflammation, and blood metabolites to connect the molecular changes to disease features. The aim is to find targets that could lead to new treatments for people with fatty liver disease.

Who could benefit from this research

Good fit: Adults with nonalcoholic steatohepatitis (NASH), especially those who are overweight or have type 2 diabetes, would be the ideal candidates for therapies that emerge from this research.

Not a fit: People whose liver disease is primarily due to alcohol, advanced decompensated cirrhosis, or unrelated genetic liver disorders are unlikely to benefit from this specific approach.

Why it matters

Potential benefit: If successful, this work could identify new drug targets that reduce liver fat and inflammation and lower the risk of cirrhosis, liver failure, or diabetes in people with NASH.

How similar studies have performed: Preclinical studies, including work by this team, have shown that blocking BDK or boosting PPM1K can reduce liver fat in animals, but testing in humans is limited and the approach is relatively new.

Where this research is happening

Durham, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Adult-Onset Diabetes Mellitus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.