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Updated: Jun 17, 2026

Measurement of Insulin- and Contraction-Stimulated Glucose Uptake in Isolated and Incubated Mature Skeletal Muscle from Mice
Published on: May 16, 2021
Skeletal muscle glucose uptake during contraction is regulated by nitric oxide and ROS independently of AMPK
Troy L Merry1, Gregory R Steinberg, Gordon S Lynch
1Dept. of Physiology, Univ. of Melbourne, Victoria, Australia. t.merry@pgrad.unimelb.edu.au
Abstract:
Reactive oxygen species (ROS) and nitric oxide (NO) have been implicated in the regulation of skeletal muscle glucose uptake during contraction, and there is evidence that they do so via interaction with AMP-activated protein kinase (AMPK). In this study, we tested the hypothesis that ROS and NO regulate skeletal muscle glucose uptake during contraction via an AMPK-independent mechanism. Isolated extensor digitorum longus (EDL) and soleus muscles from mice that expressed a muscle-specific kinase dead AMPKalpha2 isoform (AMPK-KD) and wild-type litter mates (WT) were stimulated to contract, and glucose uptake was measured in the presence or absence of the antioxidant N-acetyl-l-cysteine (NAC) or the nitric oxide synthase (NOS) inhibitor N(G)-monomethyl-l-arginine (l-NMMA). Contraction increased AMPKalpha2 activity in WT but not AMPK-KD EDL muscles. However, contraction increased glucose uptake in the EDL and soleus muscles of AMPK-KD and WT mice to a similar extent. In EDL muscles, NAC and l-NMMA prevented contraction-stimulated increases in oxidant levels (dichloroflourescein fluorescence) and NOS activity, respectively, and attenuated contraction-stimulated glucose uptake in both genotypes to a similar extent. In soleus muscles of AMPK-KD and WT mice, NAC prevented contraction-stimulated glucose uptake and l-NMMA had no effect. This is likely attributed to the relative lack of neuronal NOS in the soleus muscles compared with EDL muscles. Contraction increased AMPKalpha Thr(172) phosphorylation in EDL and soleus muscles of WT but not AMPK-KD mice, and this was not affected by NAC or l-NMMA treatment. In conclusion, ROS and NO are involved in regulating skeletal muscle glucose uptake during contraction via an AMPK-independent mechanism.
Insights
Reactive oxygen species (ROS) and nitric oxide (NO) regulate skeletal muscle glucose uptake during exercise independently of AMP-activated protein kinase (AMPK). This suggests novel therapeutic targets for metabolic disorders.
Area of Science:
- Skeletal Muscle Physiology
- Metabolic Regulation
- Cellular Signaling
Background:
- Reactive oxygen species (ROS) and nitric oxide (NO) are known regulators of skeletal muscle glucose uptake during contraction.
- Existing evidence suggests these molecules interact with AMP-activated protein kinase (AMPK) in this process.
- The precise mechanism, particularly its independence from AMPK, requires further investigation.
Purpose of the Study:
- To test the hypothesis that ROS and NO regulate skeletal muscle glucose uptake during contraction via an AMPK-independent mechanism.
- To elucidate the role of ROS and NO in contraction-stimulated glucose uptake in different skeletal muscle types.
Main Methods:
- Isolated extensor digitorum longus (EDL) and soleus muscles from wild-type (WT) and muscle-specific kinase dead AMPKalpha2 isoform (AMPK-KD) mice were used.
- Muscles were stimulated to contract, and glucose uptake was measured.
- The effects of the antioxidant N-acetyl-l-cysteine (NAC) and the nitric oxide synthase (NOS) inhibitor N(G)-monomethyl-l-arginine (l-NMMA) were assessed.
Main Results:
- Contraction increased glucose uptake in both WT and AMPK-KD muscles, indicating an AMPK-independent effect.
- In EDL muscles, NAC and l-NMMA attenuated contraction-stimulated glucose uptake, while in soleus muscles, only NAC had a significant effect.
- Contraction increased AMPKalpha Thr(172) phosphorylation in WT but not AMPK-KD muscles, and this was unaffected by NAC or l-NMMA.
Conclusions:
- ROS and NO play a significant role in regulating skeletal muscle glucose uptake during contraction through an AMPK-independent pathway.
- The contribution of NO appears to be muscle-specific, potentially due to varying NOS isoform expression (e.g., lower in soleus).
- These findings highlight ROS and NO as critical, AMPK-independent mediators of exercise-induced glucose uptake in skeletal muscle.
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