Irisin ameliorates hepatic glucose/lipid metabolism and enhances cell survival in insulin-resistant human HepG2 cells through adenosine monophosphate-activated protein kinase signaling
Abstract
Irisin is a newly identified myokine that promotes the browning of white adipose tissue, enhances glucose uptake in skeletal muscle and modulates hepatic metabolism. However, the signaling pathways involved in the effects on hepatic glucose and lipid metabolism have not been resolved. This study aimed to examine the role of irisin in the regulation of hepatic glucose/lipid metabolism and cell survival, and whether adenosine monophosphate-activated protein kinase (AMPK), a master metabolic regulator in the liver, is involved in irisin's actions. Human liver-derived HepG2 cells were cultured in normal glucose-normal insulin (NGNI) or high glucose-high insulin (HGHI/insulin-resistant) condition. Hepatic glucose and lipid metabolism was evaluated by glucose output and glycogen content or triglyceride accumulation assays, respectively. Our results showed that irisin stimulated phosphorylation of AMPK and acetyl-CoA-carboxylase (ACC) via liver kinase B1 (LKB1) rather than Ca(2+)/calmodulin-dependent protein kinase kinase β (CaMKKβ) in HepG2 cells. Irisin ameliorated hepatic insulin resistance induced by HGHI condition. Irisin reduced hepatic triglyceride content and glucose output, but increased glycogen content, with those effects reversed by dorsomorphin, an AMPK inhibitor. Furthermore, irisin also stimulated extracellular signal-regulated kinase (ERK) 1/2 phosphorylation and promoted cell survival in an AMPK-dependent manner. In conclusion, our data indicate that irisin ameliorates dysregulation of hepatic glucose/lipid metabolism and cell death in insulin-resistant states via AMPK activation. These findings reveal a novel irisin-mediated protective mechanism in hepatic metabolism which provides a scientific basis for irisin as a potential therapeutic target for the treatment of insulin resistance and type 2 diabetes mellitus.
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Other studies have reported effects of irisin on body fat reduction through mechanisms other than UCP-1, such as improved glucose tolerance and lipid oxidation via phosphorylation of AMPK and acetyl-CoA-carboxylase.
“Other studies have reported effects of irisin on body fat reduction through other mechanisms, such as improved glucose tolerance and lipid oxidation via phosphorylation of AMP-activated protein kinase (AMPK) and acetyl-CoA-carboxylase [52, 53].”
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Irisin: A Hope in Understanding and Managing Obesity and Metabolic Syndrome
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“Irisin has been proposed to be secreted by myocytes and adipocytes during exercise [17, 55] and modulates energy expenditure [17] insulin resistance [17] and dyslipidemia [56, 57].”
BackgroundRole of Irisin in Endocrine and Metabolic Disorders—Possible New Therapeutic Agent?
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“The reduction in hepatic insulin resistance, weight and blood glucose levels, inhibition of gluconeogenesis, and stimulation of glycogenesis are the main metabolic effects attributable to irisin [1,23,24].”
BackgroundIrisin and Energy Metabolism and the Role of Irisin on Metabolic Syndrome
Aladag, T., Moğulkoç, R., & Baltacı, A. K. (2023) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/1389557523666230411105506 · Cited by 30 · see citing works
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The Potential of Irisin as a Therapeutic for Diabetes
Leung, P. S. (2017) · Future Medicinal Chemistry · doi:10.4155/fmc-2017-0035 · Cited by 25 · see citing works
Self-citationThe interplay between the muscle and liver in the regulation of glucolipid metabolism
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Shaw, A., Tóth, B. B., Király, R., Arianti, R., Csomós, I., Póliska, S., Vámos, A., Korponay-Szabo, I. R., Bacsó, Z., Győry, F., et al. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.737872 · Cited by 19 · see citing works
“However, other studies proposed positive effects of irisin on cAMP342 PKA-HSL (57), AMPK (58), (59), or p38 MAPK (18) pathways.”
BackgroundBellettini‐Santos, T., Batista-Silva, H., Pereira, C. M., Castro, F. C. D. A. Q., Barcelos, R. M., Chiepe, K. C. M. B., Rossoni, J. V., Ambrósio, R. P., da Silva, B. S., Chiarelli-Neto, O., et al. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241512440 · Cited by 15 · see citing works
“Irisin is a cleavage product of FNDC5 and acts as a myokine, as it has pleiotropic effects on peripheral tissues and the brain [8,9].”
BackgroundEffects of epoxy stearic acid on lipid metabolism in HepG2 cells
Liu, Y., Li, J., & Liu, Y. (2020) · Journal of Food Science · doi:10.1111/1750-3841.15405 · Cited by 15 · see citing works
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“with an insulin-resistance state, irisin ameliorates glucose output and fat accumulation [41].”
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The potential role of FNDC5/irisin in various liver diseases: awakening the sleeping beauties
Wang, X., Mao, L., Li, C., Hui, Y., Yu, Z., Sun, M., Li, Y., Guo, G., Yang, W., Cui, B., et al. (2022) · Expert Reviews in Molecular Medicine · doi:10.1017/erm.2022.19 · Cited by 12 · see citing works
Potential role of irisin in digestive system diseases
Zhang, Y., Zhao, L., Gao, H., Zhai, J., & Song, Y. (2023) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2023.115347 · Cited by 10 · see citing works
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“Real-time PCR was employed to determine mRNA expression of adipogenesis genes in the liver, including (A) SREBP-1, (B) FAS, (C) PPARα, and (D) CPT-1.”
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Physical Exercise and Liver Autophagy: Potential Roles of IL-6 and Irisin
Pinto, A. P., Ropelle, E. R., Quadrilatero, J., & da Silva, A. S. R. (2021) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000278 · Cited by 10 · see citing works
“Irisin can activate AMPK in the liver, which will initiate autophagy via ULK1 phosphorylation (66,67).”
BackgroundIrisin Regulates Hepatic Glucose Metabolism via AMPK and PI3K/Akt Activation
Zhi, S.-Y., Yang, L., Yang, G.-K., Qin, C.-B., Yan, X., Niu, M.-M., Zhang, W., Liu, M., Zhao, M., & Nie, G. (2022) · Aquaculture Nutrition · doi:10.1155/2022/1946960 · Cited by 8 · see citing works
“At the same time, irisin can phosphorylate AMPK through LKB1, regulate acetyl-CoA carboxylase, and improve the body’s glucose tolerance, glucose uptake, and hepatic glucose and fat metabolism [16, 17].”
BackgroundEvaluation of pregnancy toxemia in goats: Metabolic profile, hormonal findings, and redox balance
Uzti̇mür, M., & Ünal, C. N. (2024) · Small Ruminant Research · doi:10.1016/j.smallrumres.2024.107385 · Cited by 8 · see citing works
Role of irisin in metabolic and cardiovascular disorders and its therapeutic potential
Khalil, R. G., Atia, T. A., Yousef, A. I., Sakr, H. I., & Ahmed, O. M. (2025) · Beni-Suef University Journal of Basic and Applied Sciences · doi:10.1186/s43088-025-00643-9 · Cited by 8 · see citing works
“…, l e a d i n g t o d e c r e a s e d h e p a t i c s t e a t o s i s a n d i m p r o v e d l i v e r f u n c t i o n i n T 2 D m o d e l s [ 133 , 154 ] I n fl a mm a t o r y r e s p o n s e D e c r e a s e s s y s t e m i c i n fl a mm a t i o n b y r e d u c - i n g p r o - i n fl a mm a t o r…”
Sadeghabadi, Z. A., Abbasalipourkabir, R., Mohseni, R., & Ziamajidi, N. (2019) · Archives of Physiology and Biochemistry · doi:10.1080/13813455.2019.1702060 · Cited by 8 · see citing works
“SIRT1 activates PGC-1a through deacetylation (Sadeghabadi et al. 2019).”
InfluentialShokrollahi, B., Jang, S.-S., Lee, H. J., Ahmad, H. I., Sesay, A. R., Shad, A. G. K., Morammazi, S., & Abdelnour, S. A. (2024) · Frontiers in Veterinary Science · doi:10.3389/fvets.2024.1435788 · Cited by 7 · see citing works
Roles of FGF21 and irisin in obesity-related diabetes and pancreatic diseases
Xie, T., & Leung, P. S. (2020) · Journal of Pancreatology · doi:10.1097/jp9.0000000000000039 · Cited by 7 · see citing works
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Magdy, Y., Kamar, S. A., Fansa, H., Khedr, S. A., & Sedky, A. A. (2025) · The Egyptian Journal of Neurology Psychiatry and Neurosurgery · doi:10.1186/s41983-025-00960-x · Cited by 6 · see citing works
“Irisin crosses the blood–brain barrier [16] and regulates metabolism and communication between muscle and brain [17, 18].”
Yao, Z. J., Ding, X., Gao, X., Yang, N., Jia, Y., Liu, J., & Wang, G. (2021) · International Journal of Endocrinology · doi:10.1155/2021/3116068 · Cited by 6 · see citing works
A Comprehensive Review of Novel Biomarkers in the Diagnosis of Intrahepatic Cholestasis of Pregnancy
Liu, W. L., Chen, L., Wang, W., Yue, Z., Li, J., Tan, M., Gu, Y., Zhu, R., & Zhang, Y. (2023) · Biomarkers in Medicine · doi:10.2217/bmm-2023-0190 · Cited by 5 · see citing works
Irisin-mediated hepatic autophagy remodels nutritional metabolism to prevent cognitive dysfunction
Zhang, X., Yang, Y., Song, H., Hu, X., Wang, X., & Yu, Y. (2025) · Ageing Research Reviews · doi:10.1016/j.arr.2025.102936 · Cited by 4 · see citing works
Wang, D., Zhu, F., Shao, M. M., Zang, H., & Xia, X. (2025) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-025-04681-z · Cited by 3 · see citing works
“Beyond its metabolic effects, Irisin exhibits diverse biological functions, including anti-inflammatory, anti-aging, and antioxidant properties, which are particularly relevant in metabolic disorders (So and Leung 2016; Özkur et al. 2020; Korta et al. 2019).”
Tang, N., Chen, Y., Wu, W., Pan, W., Wang, D., Zhang, J., Tan, K., Jin, J., & Cai, L. (2021) · Journal of Diabetes Investigation · doi:10.1111/jdi.13517 · Cited by 3 · see citing works
Yılmaz, F. Ç., Türkoğlu, S., & Erman, F. (2025) · European Journal of Pediatrics · doi:10.1007/s00431-025-06154-0 · Cited by 2 · see citing works
“It also helps lose weight by reducing glucose tolerance and fat mass [6, 7].”
Metabolic and immune links between sarcopenia and liver disease
Kotlyarov, S. N. (2025) · World Journal of Hepatology · doi:10.4254/wjh.v17.i8.109444 · Cited by 2 · see citing works
Irisin-Treg crosstalk: unveiling a mechanism in neural cognitive regulation
Zhan, R., Yang, J., Wan, Q., Zhang, J., Liu, L., Jiang, J., Mo, L., & Bai, Y. (2025) · Annals of Medicine · doi:10.1080/07853890.2025.2594281 · Cited by 2 · see citing works
“Studies indicate Irisin improves insulin resistance in diabetic mice and regulates glucose [97] and lipid metabolism in human hepatocytes [98].”
Wang, Y., Zhang, H., Wang, X., Zhang, Y., Fan, L., Ma, Y., & Liu, X. (2025) · Food Bioscience · doi:10.1016/j.fbio.2025.106442 · Cited by 2 · see citing works
Mansour, S. W., Hasan, M. M., Salah, H., El-Deep, T., Hussein, S., & El-Malkey, N. F. (2021) · Beni-Suef University Journal of Basic and Applied Sciences · doi:10.1186/s43088-021-00148-1 · Cited by 2 · see citing works
“These effects occur via activation of the 5′ adenosine monophosphate-activated protein kinase (AMPK) signaling pathway, and acetylCoA-carboxylase in hepatic cells, an effect that plays a significant role in cellular energy homeostasis [26].”
BackgroundSerum Irisin In Individuals with Type 2 Diabetes Mellitus and Prediabetes in Duhok City
Ibrahim, I., & Salih, S. (2022) · Journal of Life and Bio Sciences Research · doi:10.38094/jlbsr30277 · Cited by 2 · see citing works
Guedes, J. M., G. Peluzio, M. D. C., Rathmacher, J. A., Leal, T. F., Carneiro Júnior, M. A., de Carvalho, D. M., de Oliveira, L. L., & Natali, A. J. (2021) · Biology of Sport · doi:10.5114/biolsport.2020.97671 · Cited by 1 · see citing works
Zarzecka, B., Dobrzyń, K., Kieżun, M., Kopij, G., Dawid, M., Rak, A., Dall’Aglio, C., Kamiński, T., & Smolińska, N. (2025) · Reproduction Fertility and Development · doi:10.1071/rd25057 · Cited by 1 · see citing works
Anadolu Merinoslarında İrisin Hormon Yanıtı Üzerine Bazı Fizyolojik Parametrelerin Etkisi
Bayraktar, B., & Tekçe, E. (2021) · Etlik Veteriner Mikrobiyoloji Dergisi · doi:10.35864/evmd.954977 · Cited by 1 · see citing works
Research Progress of Irisin in Obesity and Related Metabolic Diseases
Zhang, Y.-N. (2023) · Advances in Clinical Medicine · doi:10.12677/acm.2023.13122830 · Cited by 1 · see citing works
From Liver to Muscle: Crosstalk Mechanisms and Interventions in Sarcopenia
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Irisina: ruolo nell’omeostasi del glucosio
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Yıldırım, I. (2018) · International Cell Death Research Congress · doi:10.3390/proceedings2251561
“Another study identified that Irisin induced cell death of HepG2 cells by phosphorylation of AMPK and acetyl-CoAcarboxylase (ACC) via liver kinase B1 (LKB1) [4].”
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Irisina: un singolo ormone, molti cross-talk
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The Potential Protective Mechanisms of Exercise-Responsive Molecules in Chronic Kidney Disease
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Research advances in the association between Irisin and obstructive sleep apnea
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“Additionally, irisin activates AMP-activated protein kinase (AMPK), ameliorating hepatic glucose/lipid dysmetabolism and cell death under insulin-resistant conditions [22].”
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“In contrast, in human HepG2 cells, irisin-induced AMPK activation was associated predominantly with liver kinase B1 (LKB1) rather than CaMKK β [60].”
Potential role of irisin-mediated oxidative stress defense in systemic diseases
Xiao, X., 吴丽颖, Zhu, X., & Zhou, J. (2026) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2026.1996659
- Authors
- So, W. Y., & Leung, P. S.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- So, Wing Yan
- Leung, Po Sing
- Venue
- The International Journal of Biochemistry & Cell Biology
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 78
- Pages
- 237-247
- ISSN
- 1357-2725 (ISSN-L)
- OpenAlex
- W2479660582
- Cited by
- 83
- References
- 58
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 6 · 2023: 10 · 2022: 6 · 2021: 13 · 2020: 9 · 2019: 7 · 2018: 9 · 2017: 7
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Biochemistry & Cell Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- General Research Fund of The Research Grants Council of the Hong Kong Special Administrative Region, China (CUHK14110314)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- irisin, AMPK signaling, hepatic insulin resistance, hepatic glucose metabolism, hepatic lipid metabolism, LKB1, acetyl-CoA carboxylase, ERK1/2 phosphorylation, cell survival, HepG2 cells, type 2 diabetes, myokines, triglyceride accumulation, glycogen content
- MeSH terms
- Acetyl-CoA Carboxylase, Cell Survival, Enzyme Activation, Fibronectins, Glucose, Humans, Insulin Resistance, Liver, Phosphorylation, Triglycerides, Signal Transduction, Mitogen-Activated Protein Kinase 1, Protein Kinase Inhibitors, Mitogen-Activated Protein Kinase 3, AMP-Activated Protein Kinases, Hep G2 Cells
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