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AMP-Activated Protein Kinase Is Involved in Endothelial NO Synthase Activation in Response to Shear Stress
Abstract
OBJECTIVE: The regulation of AMP-activated protein kinase (AMPK) is implicated in vascular biology because AMPK can phosphorylate endothelial NO synthase (eNOS). In this study, we investigate the regulation of the AMPK-eNOS pathway in vascular endothelial cells (ECs) by shear stress and the activation of aortic AMPK in a mouse model with a high level of voluntary running (High-Runner). METHODS AND RESULTS: By using flow channels with cultured ECs, AMPK Thr172 phosphorylation was increased with changes of flow rate or pulsatility. The activity of LKB1, the upstream kinase of AMPK, and the phosphorylation of eNOS at Ser1179 were concomitant with AMPK activation responding to changes in flow rate or pulsatility. The blockage of AMPK by a dominant-negative mutant of AMPK inhibited shear stress-induced eNOS Ser1179 phosphorylation and NO production. Furthermore, aortic AMPK activity and level of eNOS phosphorylation were significantly elevated in the aortas of High-Runner mice. CONCLUSIONS: Our results suggest that shear stress activates AMPK in ECs, which contributes to elevated eNOS activity and subsequent NO production. Hence, AMPK, in addition to serving as an energy sensor, also plays an important role in regulating vascular tone.
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“As discussed previously, a similar general outcome of metformin, AICAR, atheroprotective flow, and statins on ECs can be found through AMPK activation [245,250,251].”
From AMPK, Mitochondrial Function, and Cardiovascular Disease (2020) · cites this paper as [245]
In the citing paper
“Metformin has been proven as an anti-inflammatory, especially for the inflammation in diabetes and following postsurgical endotoxin [245,246,247].”
From AMPK, Mitochondrial Function, and Cardiovascular Disease (2020) · cites this paper as [245]
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“It has been reported that AMPK is also involved in shear stress-dependent eNOS activation [33].”
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“One group has reported that AMPK phosphorylation is transient, being downregulated within 20-min exposure to flow (46), yet others have reported that AMPK phosphorylation is sustained for 24 h (44).”
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“Previous studies have shown that phosphorylated Akt, AMP-activated protein kinase, and Ca2+/calmodulin-dependent protein kinase are all able to phosphorylate the Ser1177 site of eNOS and activate it (Fulton et al., 1999; Zhang et al., 2006; Mount et al., 2007).”
BackgroundThe Effects of Acidosis on eNOS in the Systemic Vasculature: A Focus on Early Postnatal Ontogenesis
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“Shortly after, it was shown that the activity of the upstream kinase LKB1 increased after BAECs were exposed to LSS and that LKB1 immunoprecipitated with GST-AMPK with resulting eNOS phosphorylation, suggesting a shear-responsive LKB1-AMPK-eNOS pathway in ECs [72].”
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“Specifically, AMPK Thr172 phosphorylation was increased with shear stress in cultured ECs as well as the phosphorylation of eNOS at Ser1179.”
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“One observation is that AMPK phosphorylates eNOS on serine 1179 leading to activation [19, 44, 45, 64, 67].”
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“The NO molecular pathway and its role in angiogenesis has been well investigated in endothelial cells, and our results are most likely explained by a similar mechanism involving activation of the Akt protein kinase and 5#-adenosine monophosphate-activated protein kinase(7) and phosphorylation of Ser1177 in endothelial…”
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“[10-12] Laminar and/or pulsatile shear stress is potent stimuli to induce KLF4 in ECs.”
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“Upstream to eNOS, activated AMPK (phosphorylation at threonine 172) phosphorylates eNOS at serine 1177 to promote NO production [24].”
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“As another response to shear stress, AMPK plays a crucial role in the regulation of vascular tone by elevating eNOS activity and the subsequent NO production (201).”
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“Because AMPK is reported to be associated with the phosphorylation of eNOS, resulting in an increased release of NO [27,28], we investigated the expression and phosphorylation of eNOS.”
BackgroundUshijima, M., Kunimura, K., & Suzuki, J. (2020) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2020.8969 · Cited by 8
“AMPK is known to phosphorylate the specific serine residue (Ser1177) of eNOS that is essential for its activation (58,59).”
TNFα stimulates NO release in EA.hy926 cells by activating the CaMKKβ-AMPK-eNOS pathway
Dymkowska, D., Drabarek, B., Michalik, A., Nowak, N., & Zabłocki, K. (2018) · The International Journal of Biochemistry & Cell Biology · doi:10.1016/j.biocel.2018.11.010 · Cited by 8
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“ECs that are subjected to high-shear stress also exhibit anti-inflammatory properties by activation of atheroprotective proteins such as AMP-activated protein kinase or endothelial nitric oxide synthase (eNOS) (Zhang et al., 2006; Young et al., 2009).”
BackgroundMutchler, S. M., Hasan, M., Kohan, D. E., Kleyman, T. R., & Tan, R. J. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222010914 · Cited by 7
“Shear stress-induced mechanical deformation can cause this phosphorylation and activation of eNOS in endothelial cells through increases in calcium signaling [11,12].”
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“In addition to its crucial role in autophagy activation, AMPK is also involved in shear stressinduced eNOS activation and NO bioavailability [8].”
BackgroundSubcellular Targeting of Nitric Oxide Synthases Mediated by Their N-Terminal Motifs
Costas‐Insua, C., Merino, J., Aicart-Ramos, C., & Rodríguez‐Crespo, I. (2017) · Advances in protein chemistry and structural biology · doi:10.1016/bs.apcsb.2017.07.002 · Cited by 5
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Luo, T., Lei, Y., Wu, Y. P., Zhang, Y., Lian, L., He, P. L., Li, N., Dong, X., & Liu, Z. (2025) · Academic Radiology · doi:10.1016/j.acra.2025.03.034 · Cited by 5
Zhou, Y., Zhang, G., & He, H. (2026) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2026.1743397 · Cited by 4
“While AMPK-dependent phosphorylation of PFKFB3 and endothelial nitric-oxide synthase further amplifies glycolytic flux (De Bock et al., 2013; Zhang et al., 2006; Doménech et al., 2015).”
Lysyl-tRNA synthetase 1 promotes atherogenesis via autophagy-related secretion and inflammation
Yun, K., Seo, Y., Oh, Y., Kim, S., Maeng, H. S., Cho, J. G., Son, Y. B., Son, D. J., Kwon, K., Kim, S., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-96046-y · Cited by 5
“These signaling molecules regulate myriad cellular processes, including proliferation and apoptosis, that ultimately impact the vascular system 18,19 .”
Park, J., Cho, D., Lee, J. Y., Lee, H.-J., Ha, Y.-N., Ahn, J., & Jo, I. (2015) · Nitric Oxide · doi:10.1016/j.niox.2015.08.001 · Cited by 4
Park, J., Cho, D., Hwang, Y., Lee, J. Y., Lee, H.-J., & Jo, I. (2020) · Biomolecules & Therapeutics · doi:10.4062/biomolther.2020.007 · Cited by 4
“Phosphorylation of these sites is regulated by various stimuli and contributes to acute endothelial NO production and vascular tone (Kou et al., 2002; Bae et al., 2003; Cho et al., 2004; Zhang et al., 2006; Park et al., 2011; Cho et al., 2014).”
BackgroundMechanical Stretching of Cells of Different Tissues: The Role of Mediators of Innate Immunity
Ковальчук, Л. В., Хорева, М. В., Nikonova, A. S., Kazansky, V. E., Lozinsky, I. T., D’iakonova, I. N., & Kamkin, A. G. (2011) · Springer eBooks · doi:10.1007/978-94-007-2004-6_2 · Cited by 4
Adrenomedullin-RAMP2 Enhances Lung Endothelial Cell Homeostasis Under Shear Stress
Yoon, Y., Duffy, S. R., Kirk, S. E., Promnares, K., Karki, P., Birukova, A. A., Birukov, K. G., & Yuan, Y. (2026) · Cells · doi:10.3390/cells15020152 · Cited by 3
Bousquet, D., & Guillot, N. (2025) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2025.159638 · Cited by 3
Mangoni, A. A., Hulin, J.-A., & Tommasi, S. (2026) · Pharmacological Reviews · doi:10.1016/j.pharmr.2026.100147 · Cited by 2
Shear-Stress Activation of AMP-Activated Protein Kinase in Endothelial Homeostasis
Shyy, J. Y.-J., Chen, Z., Wu, W., & Sun, W. (2011) · Cellular and Molecular Bioengineering · doi:10.1007/s12195-011-0200-0 · Cited by 2
Ma, S., CHEN, X. P., YANG, D. C., Yan, Z., LIU, D. Y., & Zhu, Z. (2009) · International Journal of Cardiology · doi:10.1016/j.ijcard.2009.09.393 · Cited by 1
Chen, Z. B., Liu, X., & Chen, A. T. (2021) · Current topics in membranes · doi:10.1016/bs.ctm.2021.08.002 · Cited by 1
Cellular and Molecular Effects of Mechanical Stretch on Vascular Cells
Shyu, K. (2010) · Springer eBooks · doi:10.1007/978-90-481-9881-8_8 · Cited by 1
“Shear stress also activates AMP-activated protein kinase in ECs, which contributes to elevated eNOS activity and subsequent NO production ( Zhang et al., 2006 ).”
BackgroundAMPK Mediates Endothelial Function Through the Phosphorylation of Nucleolin and PARP-1
Gongol, B. (2013) · eScholarship (California Digital Library) · Cited by 1
Ross, M. (2011) · SETU Waterford Libraries - Open Access Repository · Cited by 1
Investigating the Synergistic effect of Leucine-Metformin-Sildenafil on Nonalcoholic Steatohepatitis
Fu, L. (2022) · Digital Archive @ GSU · doi:10.57709/7443898
Evaluating forearm vascular adaptations to training interventions : an in vivo and in vitro approach
Thompson, E. B. (2014) · Loughborough University Institutional Repository (Loughborough University)
The role of AMP-activated protein kinase in endothelial VEGF signalling
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Metadata
- Authors
- Zhang, Y., Lee, T.-S., Kolb, E. M., Sun, K., Lu, X., Sladek, F. M., Kassab, G. S., Garland, T., & Shyy, J. Y.-J.
- Affiliations
- University of California, Riverside (US)
- Venue
- Arteriosclerosis Thrombosis and Vascular Biology
- Published
- 2006-06
- Volume
- 26
- Issue
- 6
- Pages
- 1281-1287
- ISSN
- 1079-5642 (ISSN-L)
- 1524-4636
- OpenAlex
- W2143950284
- Cited by
- 212
- References
- 35
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 11 · 2021: 15 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 8 · 2016: 8 · 2015: 11 · 2014: 12 · 2013: 17 · 2012: 8
- FWCI
- 9.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arteriosclerosis Thrombosis and Vascular Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL-77448, HL55554, R01HL077448)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK053892, R01DK053892)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Keywords
- AMPK, endothelial nitric oxide synthase, shear stress, endothelial cells, LKB1, nitric oxide production, vascular tone, voluntary running, aorta, pulsatility, flow rate
- MeSH terms
- Animals, Aorta, Cattle, Cells, Cultured, Motor Activity, Multienzyme Complexes, Nitric Oxide, Phosphorylation, Protein Kinases, Pulsatile Flow, Stress, Mechanical, Protein Serine-Threonine Kinases, Endothelial Cells, Mice, Nitric Oxide Synthase Type III, AMP-Activated Protein Kinases
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