Constitutive AMPK activation prevents hepatocellular carcinoma development through inhibition of HNF4α activity

Zhen Sun1, Bernard Linares1, Cassidy Urdiales1

  • 1Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USA.

Science Advances
|April 10, 2026
PubMed

Insights

Activating AMP-activated protein kinase (AMPK) significantly reduced liver cancer (hepatocellular carcinoma) development in mouse models. This therapeutic strategy targets metabolic disorders linked to cancer, offering new insights into treatment possibilities.

Area of Science:

  • Hepatocellular Carcinoma (HCC) Research
  • Metabolic Regulation
  • Cancer Biology

Background:

  • Hepatocellular carcinoma (HCC) is a leading cause of cancer mortality, often linked to metabolic disorders like obesity and type 2 diabetes.
  • AMP-activated protein kinase (AMPK), a key metabolic regulator, is downregulated in HCC, but its precise role in cancer development remains unclear.

Purpose of the Study:

  • To investigate the potential of constitutive AMP-activated protein kinase (AMPK) activation in preventing hepatocellular carcinoma (HCC) development.
  • To elucidate the mechanisms by which AMPK activation impacts HCC progression.

Main Methods:

  • Utilized a constitutively active AMPK transgenic mouse model.
  • Employed a pharmacological AMPK activator in diethylnitrosamine (DEN)-induced and streptozotocin-induced (STAM) HCC mouse models.

Main Results:

  • AMPK activation substantially reduced tumor formation in both DEN- and STAM-induced HCC models.
  • AMPK activation altered bile acid metabolism and inhibited hepatic nuclear factor alpha (HNF4α) signaling pathways.

Conclusions:

  • Constitutive AMPK activation demonstrates a preventative effect against hepatocellular carcinoma (HCC) development.
  • AMPK activation's anti-tumorigenic effects are mediated through modulation of bile acid metabolism and HNF4α signaling.
  • AMPK represents a potential therapeutic target for HCC, underscoring the link between metabolic dysfunction and cancer.

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