Metformin Activates AMP-Activated Protein Kinase by Promoting Formation of the αβγ Heterotrimeric Complex
Open accessAbstract
Metformin is the most widely prescribed oral anti-diabetic agent. Recently, we have shown that low metformin concentrations found in the portal vein suppress glucose production in hepatocytes through activation of AMPK. Moreover, low concentrations of metformin were found to activate AMPK by increasing the phosphorylation of AMPKα at Thr-172. However, the mechanism underlying the increase in AMPKα phosphorylation at Thr-172 and activation by metformin remains unknown. In the current study, we find that low concentrations of metformin promote the formation of the AMPK αβγ complex, resulting in an increase in net phosphorylation of the AMPK α catalytic subunit at Thr-172 by augmenting phosphorylation by LKB1 and antagonizing dephosphorylation by PP2C. Background: The mechanism underlying the activation of AMPK by metformin remains unclear. Results: Metformin promotes the formation of AMPK αβγ heterotrimeric complex. Conclusion: The formation of the AMPK αβγ heterotrimeric complex augments AMPKα phosphorylation by LKB1 and prevents dephosphorylation by protein phosphatase. Significance: Metformin-mediated formation of the AMPK αβγ heterotrimeric complex results in AMPK activation by elevating AMPK phosphorylation at Thr-172.
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Activation of AMPK by metformin has been observed at much lower metformin concentrations in comparable cell culture protocols using concentrations within the upper limits of therapeutic plasma levels.
“activation of AMPK by metformin has been observed at much lower metformin concentrations in comparable cell culture protocols using metformin concentrations that are within the upper limits of its therapeutic plasma levels (4, 134).”
From A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021) · cites this paper as [134]
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“The mechanism of action for metformin is still controversial and metformin has been proposed to stimulate the AMP-activated protein kinase (AMPK) pathway by inhibiting complex I activity in the mitochondria [26, 27], by inhibition of mitochondrial redox shuttle enzymes [28] or through mitochondria independent mechanis…”
BackgroundRole of Phosphodiesterase in the Biology and Pathology of Diabetes
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Mitochondria-associated endoplasmic reticulum membranes in the heart
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PPP1R3C mediates metformin-inhibited hepatic gluconeogenesis
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“Despite clear evidence for AMPK activation by metformin [4], also at low concentrations [46] there remain cogent arguments for AMPK-independent mechanisms [3,5].”
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An Overview of Autophagy in Helicobacter pylori Infection and Related Gastric Cancer
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“Shumei Meng and Jia Cao have reported that low concentrations of metformin suppress glucose production by activating AMPK.(37,38) AMPK is downregulated in hepatocellular carcinoma, low p-AMPK expression is associated with poor prognosis, and metformin inhibits hepatocellular carcinoma by inducing AMPK activation.”
BackgroundPhenformin and metformin inhibit growth and migration of LN229 glioma cells in vitro and in vivo
Wang, Y., Meng, Y., Zhang, S., Wu, H., Yang, D., Nie, C., & Hu, Q. (2018) · OncoTargets and Therapy · doi:10.2147/ott.s168981 · Cited by 25 · see citing works
The importance of the AMPK gamma 1 subunit in metformin suppression of liver glucose production
An, H., Wang, Y., Qin, C., Li, M., Maheshwari, A., & He, L. (2020) · Scientific Reports · doi:10.1038/s41598-020-67030-5 · Cited by 25 · see citing works
Metformin ameliorates the severity of experimental Alport syndrome
Omachi, K., Kaseda, S., Yokota, T., Kamura, M., Teramoto, K., Kuwazuru, J., Kojima, H., Nohara, H., Koyama, K., Ohtsuki, S., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-86109-1 · Cited by 26 · see citing works
Metformin and Glaucoma—Review of Anti-Fibrotic Processes and Bioenergetics
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Mao, Y., Ren, J. T., & Yang, L. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.887045 · Cited by 24 · see citing works
“In line with this finding, results from the British Prospective Diabetes Study suggested that metformin, one common antidiabetic drugs for type 2 diabetes and AMPK activator (Zhou et al., 2001; Xie et al., 2008; Xie et al., 2011; Meng et al., 2015), improved cardiac function and reduced incidence of myocardial infarct…”
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“Much more recent studies have suggested that metformin could activate AMP-activated protein kinase (AMPK) by causing decreases in hepatic energy charge (increasing AMP:ADP or ADP:ATP concentration ratios, or both) and could suppress gluconeogenesis by inhibiting mitochondrial glycerophosphate dehydrogenase [11,12].”
BackgroundMetformin prevents ischaemic ventricular fibrillation in metabolically normal pigs
Lu, L., Ye, S., Scalzo, R. L., Reusch, J. E. B., Greyson, C. R., & Schwartz, G. G. (2017) · Diabetologia · doi:10.1007/s00125-017-4287-2 · Cited by 23 · see citing works
“AMPK, p-AMPK-Thr(172) and CS activity A biochemical signature of metformin action in target tissues is activation of AMPK as indicated by its phosphorylation at Thr(172) (p-AMPK) [24].”
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The role of PP5 and PP2C in cardiac health and disease
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“Metformin can also increase AMP levels independently from OXPHOS by deac-tivating AMP deaminase (94), and it directly activates AMPK by promoting the formation of its trimeric complex (82).”
The gastrointestinal tract is a major source of the acute metformin-stimulated rise in GDF15
Kincaid, J. W. R., Rimmington, D., Tadross, J. A., Cimino, I., Zvetkova, I., Kaser, A., Richards, P., Patel, S., O’Rahilly, S., & Coll, A. P. (2024) · Scientific Reports · doi:10.1038/s41598-024-51866-2 · Cited by 19 · see citing works
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“Clinical trial data suggest that metformin, an indirect AMPK activator, significantly reduces the risk of developing long COVID (53–55).”
Autophagy in adult stem cell homeostasis, aging, and disease therapy
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“Metformin has pleiotropic actions and can act via AMPK-dependent and -independent mechanisms.”
InfluentialRajh, M., Dolinar, K., Miš, K., Pavlin, M., & Pirkmajer, S. (2016) · PLoS ONE · doi:10.1371/journal.pone.0154747 · Cited by 20 · see citing works
“Metformin can activate AMPK also by inhibiting AMP deamination [15] or by promoting formation of the functional AMPK heterotrimeric complexes [16].”
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Targeting Lipophagy in Liver Diseases: Impact on Oxidative Stress and Steatohepatitis
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“Metformin, in addition to its antidiabetic effects, has been reported to protect mice with MASLD by reducing liver fat accumulation and improving insulin sensitivity through the regulation of the AMPK/mTOR pathway, as it activates AMPK and thereby inhibits mTORC1 [178,179].”
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“Frontiers in Physiology | www.frontiersin.org 11 September 2020 | Volume 11 | Article 533683 Endothelial cells migrate during angiogenesis, but they do migrate under pathophysiological conditions to restore vascular integrity (Michaelis, 2014).”
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Bioactive compounds, pharmacological actions and pharmacokinetics of Cupressus sempervirens
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Modulating Phosphorylation by Proximity-Inducing Modalities for Cancer Therapy
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Metformin Effects on SHIP2, AMPKs and Gut Microbiota: Recent Updates on Pharmacology
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Metformin improves Mycobacterium avium infection by strengthening macrophage antimicrobial functions
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“The drug is already well known to activate adenosine-monophosphate (AMP)-activated kinase (AMPK) by increasing the phosphorylation of AMPK-α at Thr-172 [65].”
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“Several studies in primary hepatocytes have reported that metformin hydrochloride suppresses glucose production through the activation of AMPK signaling pathway (Cao et al., 2014; Meng et al., 2015; Zhou et al., 2001).”
BackgroundMetformin—mechanisms of its glycemia-reducing effect
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Repurposing Metformin for the Treatment of Atrial Fibrillation: Current Insights
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“85–90 Another alternative pathway is activation of AMPK via a mechanism dependent on the expression of the Nuclear Receptor Subfamily 4 Group A Member 1, NR4A1 (also referred to Nur77), and subsequent activation of the STK11/AMPK signaling cascade.”
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Mechanisms of Action of Metformin
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Beneficial effects of metformin on glomerular podocytes in diabetes
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“The in vivo results indicated that compounds 4–6 may be effective in treating experimental T2DM.”
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Metformin: Antidiabetic actions from cells to tissues
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“A diversity of cellular processes are regulated by AMPK, including mitochondrial metabolism, protein translation, and the activity of other kinases, many of which are implicated in the development of neuropathic pain [59,60].”
Background
- Authors
- Meng, S., Cao, J., He, Q., Xiong, L., Chang, E., Radovick, S., Wondisford, F. E., & He, L.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- He, Ling
- Venue
- Journal of Biological Chemistry
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 290
- Issue
- 6
- Pages
- 3793-3802
- ISSN
- 0021-9258 (ISSN-L)
- PMC
- PMC4319043
- OpenAlex
- W2013331748
- Cited by
- 146
- References
- 40
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 12 · 2023: 11 · 2022: 16 · 2021: 15 · 2020: 15 · 2019: 17 · 2018: 11 · 2017: 9 · 2016: 9 · 2015: 6
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Biological Chemistry (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (R00DK085142, R01DK63349)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Biochemical and Molecular Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- metformin, AMPK, AMPK activation, LKB1, protein phosphatase 2C, glucose production, hepatocytes, antidiabetic drugs
- MeSH terms
- Animals, Cells, Cultured, Hypoglycemic Agents, Metformin, Phosphorylation, Protein Binding, Protein Serine-Threonine Kinases, Protein Subunits, Hepatocytes, Cell Line, Tumor, Mice, Protein Phosphatase 2, AMP-Activated Protein Kinases, Protein Multimerization
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