Related Experiment Video
Updated: May 6, 2026

Mechanism of Kemeng Fang's Inhibition of Podocyte Apoptosis in Rats with Membranous Nephropathy through the PI3K/AKT Signaling Pathway
Published on: August 23, 2024
AMP-activated protein kinase induces p53 by phosphorylating MDMX and inhibiting its activity
Guifen He1, Yi-Wei Zhang, Jun-Ho Lee
1Department of Biochemistry & Molecular Biology, Tulane University School of Medicine and Tulane Cancer Center, New Orleans, Louisiana, USA.
Abstract:
AMP-activated protein kinase (AMPK) has been shown to activate p53 in response to metabolic stress. However, the underlying mechanisms remain unclear. Here we show that metabolic stresses induce AMPK-mediated phosphorylation of human MDMX on Ser342 in vitro and in cells, leading to enhanced association between MDMX and 14-3-3. This markedly inhibits p53 ubiquitylation and significantly stabilizes and activates p53. By striking contrast, no phosphorylation of MDM2 by AMPK was noted. AMPK-mediated MDMX phosphorylation, MDMX-14-3-3 binding, and p53 activation were drastically reduced in mouse embryo fibroblasts harboring endogenous MDMX with S341A (mouse homologue of human serine 342), S367A, and S402A (mouse homologue of human serine 403) mutations. Moreover, deficiency of AMPK prevented MDMX-14-3-3 interaction and p53 activation. The activation of p53 through AMPK-mediated MDMX phosphorylation and inactivation was further confirmed by using cell and animal model systems with two AMPK activators, metformin and salicylate (the active form of aspirin). Together, the results unveil a mechanism by which metabolic stresses activate AMPK, which, in turn, phosphorylates and inactivates MDMX, resulting in p53 stabilization and activation.
Insights
Metabolic stress activates AMP-activated protein kinase (AMPK), which phosphorylates MDMX, inhibiting its interaction with p53. This mechanism stabilizes and activates the tumor suppressor p53.
Area of Science:
- Cellular Biology
- Molecular Biology
- Biochemistry
Background:
- AMP-activated protein kinase (AMPK) is a key regulator of cellular energy homeostasis.
- AMPK activation by metabolic stress is known to influence p53 activity.
- The precise molecular mechanisms linking AMPK to p53 activation remain incompletely understood.
Purpose of the Study:
- To elucidate the mechanism by which AMPK activation by metabolic stress leads to p53 activation.
- To investigate the role of MDMX phosphorylation in this process.
Main Methods:
- In vitro and cellular assays to examine AMPK-mediated phosphorylation of MDMX.
- Co-immunoprecipitation to assess MDMX-14-3-3 binding.
- Western blotting to detect p53 ubiquitylation, stabilization, and activation.
- Use of mutant MDMX (S341A, S367A, S402A) and AMPK-deficient cells.
- In vivo studies using AMPK activators (metformin, salicylate) in cell and animal models.
Main Results:
- Metabolic stresses induce AMPK-mediated phosphorylation of MDMX at Ser342.
- Phosphorylated MDMX exhibits enhanced binding to 14-3-3 proteins.
- This interaction inhibits p53 ubiquitylation, leading to p53 stabilization and activation.
- AMPK does not phosphorylate MDM2.
- Mutations in MDMX phosphorylation sites and AMPK deficiency impair MDMX-14-3-3 binding and p53 activation.
- AMPK activators mimic these effects, confirming the pathway.
Conclusions:
- AMPK activation by metabolic stress phosphorylates MDMX, leading to its inactivation.
- This inactivation promotes p53 stabilization and activation, representing a novel regulatory pathway.
- This finding offers potential therapeutic targets for diseases involving p53 dysregulation.
Related Concept Videos
Abnormal Proliferation
PI3K/mTOR/AKT Signaling Pathway
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
DNA Damage Can Stall the Cell Cycle
DNA Damage can Stall the Cell Cycle
MAPK Signaling Cascades

