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Published on: May 16, 2021
Chronic Activation of γ2 AMPK Induces Obesity and Reduces β Cell Function
Arash Yavari1, Claire J Stocker2, Sahar Ghaffari3
1Experimental Therapeutics, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 9DU, UK; Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 9DU, UK; Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK.
Abstract:
Despite significant advances in our understanding of the biology determining systemic energy homeostasis, the treatment of obesity remains a medical challenge. Activation of AMP-activated protein kinase (AMPK) has been proposed as an attractive strategy for the treatment of obesity and its complications. AMPK is a conserved, ubiquitously expressed, heterotrimeric serine/threonine kinase whose short-term activation has multiple beneficial metabolic effects. Whether these translate into long-term benefits for obesity and its complications is unknown. Here, we observe that mice with chronic AMPK activation, resulting from mutation of the AMPK γ2 subunit, exhibit ghrelin signaling-dependent hyperphagia, obesity, and impaired pancreatic islet insulin secretion. Humans bearing the homologous mutation manifest a congruent phenotype. Our studies highlight that long-term AMPK activation throughout all tissues can have adverse metabolic consequences, with implications for pharmacological strategies seeking to chronically activate AMPK systemically to treat metabolic disease.
Insights
Chronic activation of AMP-activated protein kinase (AMPK) leads to obesity and impaired insulin secretion in mice and humans. This challenges the use of systemic AMPK activation for treating metabolic diseases.
Area of Science:
- Metabolic research
- Molecular biology
- Endocrinology
Background:
- Obesity treatment remains challenging despite advances in understanding energy homeostasis.
- AMP-activated protein kinase (AMPK) activation is a potential therapeutic strategy for obesity.
- The long-term effects of systemic AMPK activation on metabolic health are not well understood.
Purpose of the Study:
- To investigate the long-term metabolic consequences of chronic AMPK activation.
- To determine if chronic AMPK activation translates to adverse health outcomes.
- To explore the implications for pharmacological strategies targeting AMPK.
Main Methods:
- Utilized a mouse model with a mutation in the AMPK γ2 subunit causing chronic AMPK activation.
- Investigated ghrelin signaling pathways involved in appetite regulation.
- Examined pancreatic islet function and insulin secretion.
- Correlated findings with human subjects carrying a homologous mutation.
Main Results:
- Mice with chronic AMPK activation exhibited hyperphagia, obesity, and impaired insulin secretion.
- Ghrelin signaling was identified as a key mediator of these effects.
- Human subjects with the homologous mutation displayed a similar metabolic phenotype.
- Long-term systemic AMPK activation resulted in adverse metabolic consequences.
Conclusions:
- Chronic, systemic activation of AMPK can lead to detrimental metabolic effects, including obesity and impaired insulin secretion.
- These findings suggest caution regarding pharmacological strategies aiming for sustained systemic AMPK activation.
- Targeting AMPK for metabolic disease treatment requires careful consideration of long-term systemic effects.
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