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Updated: Apr 27, 2026

Activating Autophagy by Aerobic Exercise in Mice
Published on: February 3, 2017
AMPK inhibits cardiac hypertrophy by promoting autophagy via mTORC1
Yanh Li1, Cong Chen1, Fengj Yao1
1Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China; Key Laboratory on Assisted Circulation, Ministry of Health, Guangzhou 510080, China.
Insights
AMP-activated protein kinase (AMPK) activation inhibits cardiac hypertrophy by boosting autophagy. This pathway involves inhibiting mTORC1 signaling, offering a potential therapeutic target for heart conditions.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
- Metabolic Regulation
Background:
- Cardiac hypertrophy is a significant risk factor for heart failure.
- Autophagy plays a crucial role in maintaining cardiac homeostasis.
- AMP-activated protein kinase (AMPK) is a known regulator of autophagy.
Purpose of the Study:
- To investigate the role of AMPK in regulating cardiac hypertrophy via autophagy.
- To determine the specific signaling pathways involved in AMPK-mediated autophagy in the heart.
Main Methods:
- Utilized a pressure overload mouse model of cardiac hypertrophy.
- Administered AMPK activators (AICAR, metformin) and assessed cardiac function and autophagy markers.
- Conducted in vitro studies using cardiomyocytes with adenoviral AMPK overexpression.
- Analyzed downstream signaling pathways including mTORC1 and mTORC2.
Main Results:
- Pressure overload decreased cardiac autophagy; AMPK activators reversed hypertrophy and increased autophagy.
- AMPK activation enhanced autophagosome formation with preserved lysosomal function.
- In vitro, AMPK activation blunted cardiomyocyte hypertrophy and increased autophagy.
- AMPK inhibited mTORC1 signaling (reduced 4EBP1/p70S6K phosphorylation) but not mTORC2 (AKT unaffected).
Conclusions:
- AMPK activation inhibits cardiac hypertrophy by stimulating autophagy.
- This effect is mediated through the inhibition of the mTORC1 signaling pathway.
- Targeting the AMPK-autophagy-mTORC1 axis presents a potential therapeutic strategy for cardiac hypertrophy.
Abstract:
AMPK, a serine/threonine protein kinase, has proven to be an important positive regulator of autophagy, which is a key factor in the regulation of cardiac hypertrophy. Thus, we explored whether AMPK could inhibit cardiac hypertrophy by regulating autophagy. In pressure overload induced cardiac hypertrophy, decreased autophagy was detected. Administration of AMPK activators (AICAR and metformin) significantly blocked hypertrophy, accompanied by enhanced autophagy level in the hearts. Furthermore, AMPK activation resulted in enhanced autophagosome formation and unimpaired lysosomal function. In vitro studies demonstrated adenoviral overexpression of constitutively activated AMPK increased autophagy and blunted PE-induced cardiomyocyte hypertrophy. Additionally, we found AICAR reduced the phosphorylation of the mTORC1 downstream effectors 4EBP1 and p70S6K, but AKT, which is a downstream signal of mTORC2, was not affected. Furthermore, activation by AMPK failed to lead to an additive effect on autophagy induced by the mTORC1 inhibitor rapamycin, indicating AMPK activates autophagy through the inhibition of mTORC1 but not of mTORC2. This study proved that AMPK can inhibit cardiac hypertrophy by stimulating autophagy through mTORC1 signaling.
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