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In conclusion, there is a feed-forward mechanism in the cells whereby translation of nucleus-encoded mitochondria-related mRNAs is regulated via mTORC1/4E-BP pathway to induce mitochondrial ATP production capacity and thus provide sufficient energy for protein synthesis (100)

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In addition, BCAAs can induce the formation and secretion of disulfide-group-modified high-mobility group box 1 protein (HMGB1) in macrophages through the mitochondrial-nuclear H2O2 signaling pathway, which activate pro-inflammatory macrophages and trigger inflammation via the HMGB1/Toll-like receptor 4 (TLR4)/NF-κB pathway, promoting the progression of atherosclerosis (63)