Leptin stimulates fatty-acid oxidation by activating AMP-activated protein kinase
Abstract
Leptin is a hormone secreted by adipocytes that plays a pivotal role in regulating food intake, energy expenditure and neuroendocrine function. Leptin stimulates the oxidation of fatty acids and the uptake of glucose, and prevents the accumulation of lipids in nonadipose tissues, which can lead to functional impairments known as "lipotoxicity". The signalling pathways that mediate the metabolic effects of leptin remain undefined. The 5'-AMP-activated protein kinase (AMPK) potently stimulates fatty-acid oxidation in muscle by inhibiting the activity of acetyl coenzyme A carboxylase (ACC). AMPK is a heterotrimeric enzyme that is conserved from yeast to humans and functions as a 'fuel gauge' to monitor the status of cellular energy. Here we show that leptin selectively stimulates phosphorylation and activation of the alpha2 catalytic subunit of AMPK (alpha2 AMPK) in skeletal muscle, thus establishing a previously unknown signalling pathway for leptin. Early activation of AMPK occurs by leptin acting directly on muscle, whereas later activation depends on leptin functioning through the hypothalamic-sympathetic nervous system axis. In parallel with its activation of AMPK, leptin suppresses the activity of ACC, thereby stimulating the oxidation of fatty acids in muscle. Blocking AMPK activation inhibits the phosphorylation of ACC stimulated by leptin. Our data identify AMPK as a principal mediator of the effects of leptin on fatty-acid metabolism in muscle.
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By activating receptors in striated muscle, leptin promotes muscle growth, reduces muscle atrophy, enhances intramuscular glucose uptake, and stimulates fatty acid β-oxidation.
“By activating receptors located in striated muscle, leptin promotes muscle growth, reduces muscle atrophy, and exerts key metabolic effects, such as enhancing intramuscular glucose uptake and stimulating fatty acid β-oxidation”
From Exercise-Induced Muscle–Fat Crosstalk: Molecular Mediators and Their Pharmacological Modulation for the Maintenance of Metabolic Flexibility in Aging (2025) · cites this paper as [98]
The anabolic effects of leptin on muscle are also mediated indirectly through the IGF-1 pathway.
“The anabolic effects of leptin on muscle are also mediated indirectly through the insulin-like growth factor-1 (IGF-1) pathway”
From Exercise-Induced Muscle–Fat Crosstalk: Molecular Mediators and Their Pharmacological Modulation for the Maintenance of Metabolic Flexibility in Aging (2025) · cites this paper as [98]
Leptin has been reported to activate AMPK and mTOR signaling pathways.
“Leptin has also been reported to activate nutrient-sensing enzymes including AMP-activated protein kinase (AMPK) (115) and mammalian target of rapamycin (mTOR) signaling pathways (41)”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [115]
Hypothalamic AMPK activity is inhibited by central administration of either insulin or leptin.
“In the hypothalamus, AMPK activity is sensitive not only to changes of nutrient (e.g., glucose) availability, but is inhibited by central administration of either insulin or leptin (115, 208).”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [115]
Leptin action in the hypothalamus activates AMPK in skeletal muscle via a mechanism involving the sympathetic branch of the autonomic nervous system.
“recent evidence suggests leptin action in the hypothalamus activates AMPK in skeletal muscle via a mechanism involving the sympathetic branch of the autonomic nervous system (115).”
From Leptin and the Central Nervous System Control of Glucose Metabolism (2011) · cites this paper as [115]
In rodent models, leptin increased expression of AMP-activated protein kinase and PPARα, activating enzymes of fatty acid oxidation and inhibiting enzymes of lipogenesis.
“In rodent models, leptin increased expression of AMP-activated protein kinase (28) and peroxisome proliferator-activated receptor (PPAR) ␣ (29), activating enzymes of fatty acid oxidation, including carnitine palmitoyl transferase-1 and acyl-CoA oxidase, and inhibiting enzymes of lipogenesis, including acyl-CoA carboxylase and stearoyl-CoA desaturase-1 (28,30).”
From Long-Term Efficacy of Leptin Replacement in Patients With Generalized Lipodystrophy (2005) · cites this paper as [28]
Leptin can activate glucose uptake in BAT, as well as glucose uptake and fatty acid oxidation in muscle in an AMPK-dependent manner.
“Leptin can also activate glucose uptake in BAT, as well as glucose uptake and fatty acid oxidation in muscle in an AMPK‐dependent manner 40.”
From Inter‐organ communication: a gatekeeper for metabolic health (2019) · cites this paper as [40]
AMPK is activated by the antidiabetic drugs metformin and rosiglitazone, and by the adipocyte-derived hormones leptin and adiponectin.
“It is also activated by the antidiabetic drugs metformin and rosiglitazone (21-23), and by the adipocyte-derived hormones leptin and adiponectin (24, 25).”
From CBS domains form energy-sensing modules whose binding of adenosine ligands is disrupted by disease mutations (2004) · cites this paper as [24]
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- Authors
- Minokoshi, Y., Kim, Y.-B., Peroni, O. D., Fryer, L. G. D., Müller, C., Carling, D., & Kahn, B. B.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Hammersmith Hospital (GB)
- Corresponding author
- Kahn, Barbara B.
- Venue
- Nature
- Published
- 2002-01-17
- Volume
- 415
- Issue
- 6869
- Pages
- 339-343
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2042444876
- Cited by
- 2,053
- References
- 30
- Citations by year
- 2026: 19 · 2025: 39 · 2024: 37 · 2023: 48 · 2022: 51 · 2021: 65 · 2020: 64 · 2019: 54 · 2018: 59 · 2017: 80 · 2016: 75 · 2015: 73 · 2014: 88 · 2013: 107 · 2012: 106
- FWCI
- 43.29
- Type
- journal article
- Language
- en
- Update notices
- expression_of_concern (2024-05-06)
- Open access
- closed
- Licence
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Keywords
- leptin, AMPK, fatty acid oxidation, skeletal muscle, acetyl-CoA carboxylase, lipotoxicity, energy homeostasis
- MeSH terms
- Acetyl-CoA Carboxylase, Adrenergic alpha-Antagonists, Adrenergic beta-Agonists, Animals, Enzyme Activation, Fatty Acids, Isoproterenol, Male, Multienzyme Complexes, Oxidation-Reduction, Phentolamine, Phosphorylation, Sympathetic Nervous System, Signal Transduction, Protein Serine-Threonine Kinases, Muscle, Skeletal, Catalytic Domain, Leptin, Lipid Metabolism, Mice, AMP-Activated Protein Kinases
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