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AMPK: a target for drugs and natural products with effects on both diabetes and cancer
1Division of Cell Signalling and Immunology, College of Life Sciences, University of Dundee, Dundee, Scotland, UK. d.g.hardie@dundee.ac.uk
Abstract:
The AMP-activated protein kinase (AMPK) is a highly conserved sensor of cellular energy that appears to have arisen at an early stage during eukaryotic evolution. In 2001 it was shown to be activated by metformin, currently the major drug for treatment for type 2 diabetes. Although the known metabolic effects of AMPK activation are consistent with the idea that it mediates some of the therapeutic benefits of metformin, as discussed below it now appears unlikely that AMPK is the sole target of the drug. AMPK is also activated by several natural plant products derived from traditional medicines, and the mechanisms by which they activate AMPK are discussed. One of these is salicylate, probably the oldest medicinal agent known to humankind. The salicylate prodrug salsalate has been shown to improve metabolic parameters in subjects with insulin resistance and prediabetes, and whether this might be mediated in part by AMPK is discussed. Interestingly, there is evidence that both metformin and aspirin provide some protection against development of cancer in humans, and whether AMPK might be involved in these effects is also discussed.
Insights
AMP-activated protein kinase (AMPK) is a cellular energy sensor activated by metformin, a type 2 diabetes drug. While AMPK mediates some benefits, it may not be metformin
Area of Science:
- Biochemistry
- Cellular Biology
- Metabolic Regulation
Background:
- AMP-activated protein kinase (AMPK) is a conserved cellular energy sensor.
- Metformin, a type 2 diabetes drug, activates AMPK.
- Natural products also activate AMPK, suggesting broader therapeutic roles.
Purpose of the Study:
- To explore AMPK's role in mediating metformin's therapeutic effects.
- To discuss mechanisms of AMPK activation by natural products like salicylate.
- To investigate AMPK's potential involvement in cancer chemoprevention by metformin and aspirin.
Main Methods:
- Review of existing literature on AMPK activation and function.
- Analysis of studies on metformin, salicylate, and salsalate.
- Discussion of evidence linking AMPK to metabolic health and cancer protection.
Main Results:
- AMPK activation is consistent with some of metformin's metabolic benefits, but likely not the sole mechanism.
- Salicylate and its prodrug salsalate activate AMPK and may improve metabolic parameters.
- Evidence suggests AMPK might be involved in cancer-protective effects of metformin and aspirin.
Conclusions:
- AMPK is a key player in cellular energy homeostasis and drug response.
- Natural compounds like salicylate offer potential therapeutic avenues via AMPK.
- Further research is warranted to elucidate AMPK's role in metabolic diseases and cancer prevention.
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