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Published on: May 18, 2017
AMP-activated protein kinase: a target for drugs both ancient and modern
D Grahame Hardie1, Fiona A Ross, Simon A Hawley
1Division of Cell Signalling & Immunology, College of Life Sciences, University of Dundee, Dundee, DD1 5EH, Scotland, UK. d.g.hardie@dundee.ac.uk
Abstract:
The AMP-activated protein kinase (AMPK) is a sensor of cellular energy status. It is activated, by a mechanism requiring the tumor suppressor LKB1, by metabolic stresses that increase cellular ADP:ATP and/or AMP:ATP ratios. Once activated, it switches on catabolic pathways that generate ATP, while switching off biosynthetic pathways and cell-cycle progress. These effects suggest that AMPK activators might be useful for treatment and/or prevention of type 2 diabetes and cancer. Indeed, AMPK is activated by the drugs metformin and salicylate, the latter being the major breakdown product of aspirin. Metformin is widely used to treat diabetes, while there is epidemiological evidence that both metformin and aspirin provide protection against cancer. We review the mechanisms of AMPK activation by these and other drugs, and by natural products derived from traditional herbal medicines.
Insights
AMP-activated protein kinase (AMPK) senses cellular energy. AMPK activators, like metformin and aspirin, show potential for treating type 2 diabetes and cancer by regulating metabolic pathways.
Area of Science:
- Biochemistry
- Cellular Metabolism
- Pharmacology
Background:
- AMP-activated protein kinase (AMPK) functions as a critical sensor of cellular energy levels.
- AMPK activation is triggered by metabolic stresses that alter cellular adenine nucleotide ratios (ADP:ATP, AMP:ATP).
- Activation requires the tumor suppressor LKB1 and modulates ATP-generating catabolic pathways while inhibiting ATP-consuming biosynthetic pathways and cell-cycle progression.
Purpose of the Study:
- To review the mechanisms of AMPK activation.
- To explore the therapeutic potential of AMPK activators in type 2 diabetes and cancer.
- To discuss activation by drugs and natural products.
Main Methods:
- Literature review of AMPK activation mechanisms.
- Analysis of drug-induced AMPK activation (metformin, salicylate).
- Examination of natural product effects on AMPK.
Main Results:
- AMPK activation by metformin (diabetes treatment) and salicylate (aspirin metabolite) is established.
- Epidemiological data suggest metformin and aspirin may offer protection against cancer.
- Various drugs and natural products can activate AMPK.
Conclusions:
- AMPK activators hold promise for type 2 diabetes and cancer treatment/prevention.
- Understanding AMPK activation mechanisms is key to developing novel therapeutics.
- Metformin, aspirin, and certain natural products represent viable AMPK-targeting agents.
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