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Endocrinology Vol. 144, No. 12 5179-5183
Copyright © 2003 by The Endocrine Society

Minireview: The AMP-Activated Protein Kinase Cascade: The Key Sensor of Cellular Energy Status

D. Grahame Hardie

Division of Molecular Physiology, University of Dundee, Wellcome Trust Biocentre, Dundee DD1 5EH, Scotland, United Kingdom

Address all correspondence and requests for reprints to: D. Grahame Hardie, Division of Molecular Physiology, University of Dundee, Wellcome Trust Biocentre, Dundee DD1 5EH, Scotland, United Kingdom. E-mail: d.g.hardie{at}dundee.ac.uk.

All cells must maintain a high ratio of cellular ATP:ADP to survive. Because of the adenylate kinase reaction (2ADP {leftrightarrow} ATP + AMP), AMP rises whenever the ATP:ADP ratio falls, and a high cellular ratio of AMP:ATP is a signal that the energy status of the cell is compromised. The AMP-activated protein kinase (AMPK) is the downstream component of a protein kinase cascade that is switched on by a rise in the AMP:ATP ratio, via a complex mechanism that results in an exquisitely sensitive system. AMPK is switched on by cellular stresses that either interfere with ATP production (e.g. hypoxia, glucose deprivation, or ischemia) or by stresses that increase ATP consumption (e.g. muscle contraction). It is also activated by hormones that act via Gq-coupled receptors, and by leptin and adiponectin, via mechanisms that remain unclear. Once activated, the system switches on catabolic pathways that generate ATP, while switching off ATP-consuming processes that are not essential for short-term cell survival, such as the synthesis of lipids, carbohydrates, and proteins. The AMPK cascade is the probable target for the antidiabetic drug metformin, and current indications are that it is responsible for many of the beneficial effects of exercise in the treatment and prevention of type 2 diabetes and the metabolic syndrome.




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Long-Term Metformin Treatment Stimulates Cardiomyocyte Glucose Transport through an AMP-Activated Protein Kinase-Dependent Reduction in GLUT4 Endocytosis
Endocrinology, June 1, 2006; 147(6): 2728 - 2736.
[Abstract] [Full Text] [PDF]


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J. Cell Sci.Home page
I. Aymerich, F. Foufelle, P. Ferre, F. J. Casado, and M. Pastor-Anglada
Extracellular adenosine activates AMP-dependent protein kinase (AMPK)
J. Cell Sci., April 15, 2006; 119(8): 1612 - 1621.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
B. Guigas, L. Bertrand, N. Taleux, M. Foretz, N. Wiernsperger, D. Vertommen, F. Andreelli, B. Viollet, and L. Hue
5-Aminoimidazole-4-Carboxamide-1-{beta}-D-Ribofuranoside and Metformin Inhibit Hepatic Glucose Phosphorylation by an AMP-Activated Protein Kinase-Independent Effect on Glucokinase Translocation.
Diabetes, April 1, 2006; 55(4): 865 - 874.
[Abstract] [Full Text] [PDF]


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Molecular Cancer TherapeuticsHome page
Y. Andersson, H. Le, S. Juell, and O. Fodstad
AMP-activated protein kinase protects against anti-epidermal growth factor receptor-Pseudomonas exotoxin A immunotoxin-induced MA11 breast cancer cell death.
Mol. Cancer Ther., April 1, 2006; 5(4): 1050 - 1059.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
E. B. Taylor, W. J. Ellingson, J. D. Lamb, D. G. Chesser, C. L. Compton, and W. W. Winder
Evidence against regulation of AMP-activated protein kinase and LKB1/STRAD/MO25 activity by creatine phosphate
Am J Physiol Endocrinol Metab, April 1, 2006; 290(4): E661 - E669.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
M. W. Sun, J. Y. Lee, P. I.W. de Bakker, N. P. Burtt, P. Almgren, L. Rastam, T. Tuomi, D. Gaudet, M. J. Daly, J. N. Hirschhorn, et al.
Haplotype Structures and Large-Scale Association Testing of the 5' AMP-Activated Protein Kinase Genes PRKAA2, PRKAB1, and PRKAB2 With Type 2 Diabetes
Diabetes, March 1, 2006; 55(3): 849 - 855.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
C. LaRosa and S. M. Downs
Stress Stimulates AMP-Activated Protein Kinase and Meiotic Resumption in Mouse Oocytes
Biol Reprod, March 1, 2006; 74(3): 585 - 592.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
C. R. Hancock, E. Janssen, and R. L. Terjung
Contraction-mediated phosphorylation of AMPK is lower in skeletal muscle of adenylate kinase-deficient mice
J Appl Physiol, February 1, 2006; 100(2): 406 - 413.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
S. J. Lessard, Z.-P. Chen, M. J. Watt, M. Hashem, J. J. Reid, M. A. Febbraio, B. E. Kemp, and J. A. Hawley
Chronic rosiglitazone treatment restores AMPK{alpha}2 activity in insulin-resistant rat skeletal muscle
Am J Physiol Endocrinol Metab, February 1, 2006; 290(2): E251 - E257.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
T. L. Hilder, L. A. Baer, P. M. Fuller, C. A. Fuller, R. E. Grindeland, C. E. Wade, and L. M. Graves
Insulin-independent pathways mediating glucose uptake in hindlimb-suspended skeletal muscle
J Appl Physiol, December 1, 2005; 99(6): 2181 - 2188.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
E. B. Taylor, J. D. Lamb, R. W. Hurst, D. G. Chesser, W. J. Ellingson, L. J. Greenwood, B. B. Porter, S. T. Herway, and W. W. Winder
Endurance training increases skeletal muscle LKB1 and PGC-1{alpha} protein abundance: effects of time and intensity
Am J Physiol Endocrinol Metab, December 1, 2005; 289(6): E960 - E968.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
J. S. Fisher, J.-S. Ju, P. J. Oppelt, J. L. Smith, A. Suzuki, and H. Esumi
Muscle contractions, AICAR, and insulin cause phosphorylation of an AMPK-related kinase
Am J Physiol Endocrinol Metab, December 1, 2005; 289(6): E986 - E992.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
S. Foroutan, J. Brillault, B. Forbush, and M. E. O'Donnell
Moderate-to-severe ischemic conditions increase activity and phosphorylation of the cerebral microvascular endothelial cell Na+-K+-Cl- cotransporter
Am J Physiol Cell Physiol, December 1, 2005; 289(6): C1492 - C1501.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
M. P. Biju, Y. Akai, N. Shrimanker, and V. H. Haase
Protection of HIF-1-deficient primary renal tubular epithelial cells from hypoxia-induced cell death is glucose dependent
Am J Physiol Renal Physiol, December 1, 2005; 289(6): F1217 - F1226.
[Abstract] [Full Text] [PDF]


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CirculationHome page
F. Ahmad, M. Arad, N. Musi, H. He, C. Wolf, D. Branco, A. R. Perez-Atayde, D. Stapleton, D. Bali, Y. Xing, et al.
Increased {alpha}2 Subunit-Associated AMPK Activity and PRKAG2 Cardiomyopathy
Circulation, November 15, 2005; 112(20): 3140 - 3148.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
K. Terai, Y. Hiramoto, M. Masaki, S. Sugiyama, T. Kuroda, M. Hori, I. Kawase, and H. Hirota
AMP-Activated Protein Kinase Protects Cardiomyocytes against Hypoxic Injury through Attenuation of Endoplasmic Reticulum Stress
Mol. Cell. Biol., November 1, 2005; 25(21): 9554 - 9575.
[Abstract] [Full Text] [PDF]


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J ANIM SCIHome page
Q. W. Shen, C. S. Jones, N. Kalchayanand, M. J. Zhu, and M. Du
Effect of dietary {alpha}-lipoic acid on growth, body composition, muscle pH, and AMP-activated protein kinase phosphorylation in mice
J Anim Sci, November 1, 2005; 83(11): 2611 - 2617.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
P. F. Mount, R. E. Hill, S. A. Fraser, V. Levidiotis, F. Katsis, B. E. Kemp, and D. A. Power
Acute renal ischemia rapidly activates the energy sensor AMPK but does not increase phosphorylation of eNOS-Ser1177
Am J Physiol Renal Physiol, November 1, 2005; 289(5): F1103 - F1115.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
C. O. Randak and M. J. Welsh
Adenylate Kinase Activity in ABC Transporters
J. Biol. Chem., October 14, 2005; 280(41): 34385 - 34388.
[Full Text] [PDF]


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Circ. Res.Home page
M. Igata, H. Motoshima, K. Tsuruzoe, K. Kojima, T. Matsumura, T. Kondo, T. Taguchi, K. Nakamaru, M. Yano, D. Kukidome, et al.
Adenosine Monophosphate-Activated Protein Kinase Suppresses Vascular Smooth Muscle Cell Proliferation Through the Inhibition of Cell Cycle Progression
Circ. Res., October 14, 2005; 97(8): 837 - 844.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
H. Sakoda, M. Fujishiro, J. Fujio, N. Shojima, T. Ogihara, A. Kushiyama, Y. Fukushima, M. Anai, H. Ono, M. Kikuchi, et al.
Glycogen debranching enzyme association with {beta}-subunit regulates AMP-activated protein kinase activity
Am J Physiol Endocrinol Metab, September 1, 2005; 289(3): E474 - E481.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
S. Di Marco, R. Mazroui, P. Dallaire, S. Chittur, S. A. Tenenbaum, D. Radzioch, A. Marette, and I.-E. Gallouzi
NF-{kappa}B-Mediated MyoD Decay during Muscle Wasting Requires Nitric Oxide Synthase mRNA Stabilization, HuR Protein, and Nitric Oxide Release
Mol. Cell. Biol., August 1, 2005; 25(15): 6533 - 6545.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
K. Godl, O. J. Gruss, J. Eickhoff, J. Wissing, S. Blencke, M. Weber, H. Degen, D. Brehmer, L. Orfi, Z. Horvath, et al.
Proteomic Characterization of the Angiogenesis Inhibitor SU6668 Reveals Multiple Impacts on Cellular Kinase Signaling
Cancer Res., August 1, 2005; 65(15): 6919 - 6926.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
T. Tanaka, S. Hidaka, H. Masuzaki, S. Yasue, Y. Minokoshi, K. Ebihara, H. Chusho, Y. Ogawa, T. Toyoda, K. Sato, et al.
Skeletal Muscle AMP-Activated Protein Kinase Phosphorylation Parallels Metabolic Phenotype in Leptin Transgenic Mice Under Dietary Modification
Diabetes, August 1, 2005; 54(8): 2365 - 2374.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
A. M Woollhead, J. W Scott, D. G. Hardie, and D. L Baines
Phenformin and 5-aminoimidazole-4-carboxamide-1-{beta}-D-ribofuranoside (AICAR) activation of AMP-activated protein kinase inhibits transepithelial Na+ transport across H441 lung cells
J. Physiol., August 1, 2005; 566(3): 781 - 792.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Daval, F. Diot-Dupuy, R. Bazin, I. Hainault, B. Viollet, S. Vaulont, E. Hajduch, P. Ferre, and F. Foufelle
Anti-lipolytic Action of AMP-activated Protein Kinase in Rodent Adipocytes
J. Biol. Chem., July 1, 2005; 280(26): 25250 - 25257.
[Abstract] [Full Text] [PDF]


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CirculationHome page
E. Schulz, E. Anter, M.-H. Zou, and J. F. Keaney Jr
Estradiol-Mediated Endothelial Nitric Oxide Synthase Association With Heat Shock Protein 90 Requires Adenosine Monophosphate-Dependent Protein Kinase
Circulation, June 28, 2005; 111(25): 3473 - 3480.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
E. B. Taylor, W. J. Ellingson, J. D. Lamb, D. G. Chesser, and W. W. Winder
Long-chain acyl-CoA esters inhibit phosphorylation of AMP-activated protein kinase at threonine-172 by LKB1/STRAD/MO25
Am J Physiol Endocrinol Metab, June 1, 2005; 288(6): E1055 - E1061.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
D. An, G. Kewalramani, D. Qi, T. Pulinilkunnil, S. Ghosh, A. Abrahani, R. Wambolt, M. Allard, S. M. Innis, and B. Rodrigues
{beta}-Agonist stimulation produces changes in cardiac AMPK and coronary lumen LPL only during increased workload
Am J Physiol Endocrinol Metab, June 1, 2005; 288(6): E1120 - E1127.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. D. McCullough, Z. Zeng, H. Li, L. E. Landree, J. McFadden, and G. V. Ronnett
Pharmacological Inhibition of AMP-activated Protein Kinase Provides Neuroprotection in Stroke
J. Biol. Chem., May 27, 2005; 280(21): 20493 - 20502.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
R. M. Crooke, M. J. Graham, K. M. Lemonidis, C. P. Whipple, S. Koo, and R. J. Perera
An apolipoprotein B antisense oligonucleotide lowers LDL cholesterol in hyperlipidemic mice without causing hepatic steatosis
J. Lipid Res., May 1, 2005; 46(5): 872 - 884.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
D. S. Hittel, Y. Hathout, E. P. Hoffman, and J. A. Houmard
Proteome Analysis of Skeletal Muscle From Obese and Morbidly Obese Women
Diabetes, May 1, 2005; 54(5): 1283 - 1288.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
M. Foretz, N. Ancellin, F. Andreelli, Y. Saintillan, P. Grondin, A. Kahn, B. Thorens, S. Vaulont, and B. Viollet
Short-Term Overexpression of a Constitutively Active Form of AMP-Activated Protein Kinase in the Liver Leads to Mild Hypoglycemia and Fatty Liver
Diabetes, May 1, 2005; 54(5): 1331 - 1339.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
K.-i. Inokuma, Y. Ogura-Okamatsu, C. Toda, K. Kimura, H. Yamashita, and M. Saito
Uncoupling Protein 1 Is Necessary for Norepinephrine-Induced Glucose Utilization in Brown Adipose Tissue
Diabetes, May 1, 2005; 54(5): 1385 - 1391.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
N. Ouchi, R. Shibata, and K. Walsh
AMP-Activated Protein Kinase Signaling Stimulates VEGF Expression and Angiogenesis in Skeletal Muscle
Circ. Res., April 29, 2005; 96(8): 838 - 846.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
D. K. Kramer, L. Al-Khalili, S. Perrini, J. Skogsberg, P. Wretenberg, K. Kannisto, H. Wallberg-Henriksson, E. Ehrenborg, J. R. Zierath, and A. Krook
Direct Activation of Glucose Transport in Primary Human Myotubes After Activation of Peroxisome Proliferator-Activated Receptor {delta}
Diabetes, April 1, 2005; 54(4): 1157 - 1163.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
J. V. Swinnen, A. Beckers, K. Brusselmans, S. Organe, J. Segers, L. Timmermans, F. Vanderhoydonc, L. Deboel, R. Derua, E. Waelkens, et al.
Mimicry of a Cellular Low Energy Status Blocks Tumor Cell Anabolism and Suppresses the Malignant Phenotype
Cancer Res., March 15, 2005; 65(6): 2441 - 2448.
[Abstract] [Full Text] [PDF]




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