Branched-chain keto acids promote an immune-suppressive and neurodegenerative microenvironment in leptomeningeal disease
M. L. Khaled, Y. Ren, R. Kundalia…·I. Smalley
This study identifies branched-chain keto acid accumulation in leptomeningeal disease CSF, showing immune suppression and neurodegeneration, and shows that reducing BCKA improves outcomes in mouse models.