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AMP-activated protein kinase: a target for old drugs against diabetes and cancer
Gian Luigi Russo1, Maria Russo, Paola Ungaro
1Institute of Food Sciences, National Research Council, 83100 Avellino, Italy. glrusso@isa.cnr.it
Abstract:
The AMP-activated protein kinase (AMPK) is considered a key checkpoint to ensure energy balance in both cells and organisms. AMPK is an αβγ heterotrimer controlled by allosteric regulation by AMP, ADP and ATP, auto-inhibitory features and phosphorylation, with the threonine-172 phosphorylation on the catalytic α-subunit by LKB1, CaMKKβ or Tak1 being essential for its fully activation. AMPK acts as a protective response to energy stress in numerous systems, but it is also a key player in diabetes and related metabolic diseases and cancer. Pharmacological activation of AMPK by metformin or other compounds holds a considerable potential to reverse the metabolic abnormalities associated with type 2 diabetes. In cancer, correction of the dysregulated metabolic pathway LKB1/AMPK/mTORC1 can lower the Warburg effect, suggesting AMPK as a potential target for cancer prevention and/or treatment. In this commentary, we review recent findings that support the role and function of AMPK in normal and pathological conditions. We also discuss how the activation of AMPK by naturally occurring compounds could help to prevent the development of numerous chronic diseases contributing in such a way to the well-being of ageing population.
Insights
AMP-activated protein kinase (AMPK) is crucial for cellular energy balance and protects against metabolic diseases and cancer. Activating AMPK with compounds may prevent chronic diseases and promote healthy aging.
Area of Science:
- Biochemistry
- Cellular Metabolism
- Physiology
Background:
- AMP-activated protein kinase (AMPK) is a critical regulator of cellular energy homeostasis.
- AMPK functions as an αβγ heterotrimer, regulated by nucleotides and phosphorylation, with Thr172 phosphorylation on the α-subunit being vital for activation.
- AMPK plays significant roles in metabolic diseases like type 2 diabetes and in cancer progression.
Purpose of the Study:
- To review recent findings on the role and function of AMPK in normal physiology and pathological conditions.
- To discuss the therapeutic potential of AMPK activation in metabolic diseases and cancer.
- To explore the use of naturally occurring compounds for AMPK activation to prevent chronic diseases.
Main Methods:
- Review of recent scientific literature and findings on AMPK.
- Analysis of AMPK's regulatory mechanisms, including allosteric regulation and phosphorylation.
- Discussion of pharmacological and natural compound-mediated AMPK activation strategies.
Main Results:
- AMPK activation is essential for cellular energy balance and acts as a protective mechanism against energy stress.
- Pharmacological activation of AMPK, e.g., by metformin, shows potential in reversing metabolic abnormalities in type 2 diabetes.
- Targeting the LKB1/AMPK/mTORC1 pathway can mitigate the Warburg effect in cancer, positioning AMPK as a therapeutic target.
Conclusions:
- AMPK is a central player in maintaining energy homeostasis and has implications in diabetes and cancer.
- Activating AMPK through pharmacological or natural compounds offers a promising strategy for managing metabolic disorders and cancer.
- Targeted AMPK activation may contribute to chronic disease prevention and promote healthy aging.
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