In eukaryotic cells AMP-activated protein kinase (AMPK) plays a major role in regulating cellular energy balance. AMPK responds to changes in intracellular adenine nucleotide levels, being activated by an increase in AMP/ADP relative to ATP. Activation of AMPK increases the rate of catabolic (ATP-generating) pathways and decreases the rate of anabolic (ATP-utilising) pathways. In addition to its role in maintaining intracellular energy balance, AMPK regulates whole body energy metabolism. Given its key role in controlling energy homeostasis, AMPK has attracted widespread interest as a potential therapeutic target for metabolic diseases, including type 2 diabetes and, more recently, cancer. Here I review the regulation of AMPK and its potential as a target for therapeutic intervention in human disease.
IntroductionThe hydrolysis of ATP to ADP provides the energy for driving virtually all of the processes associated with living cells. Maintaining an adequate supply of energy is an essential requirement for survival [1]. At a single cell level this means keeping ATP, the immediate source of energy, at a relatively high concentration -in the millimolar range in most eukaryotic cells. The concentration of ATP within most eukaryotic cells is kept at a remarkably constant level, despite wide fluctuations in the demand for ATP [2]. In order to achieve this, cells require systems to monitor changes in ATP levels, and to couple these changes to a transponder that leads to functional outputs to restore ATP levels. One such system that has been identified is the AMP-activated protein kinase (AMPK) and orthologues of AMPK are found in virtually all eukaryotes. A major function of AMPK is to monitor changes in the level of ATP and to couple this to phosphorylation of downstream substrates leading to an increase in the rate of ATP-producing pathways and/or a decrease in the rate of ATP-utilising pathways. Dysregulation of energy homeostasis is thought to be an important factor in driving changes in a wide range of human diseases, such as type 2 diabetes, obesity and cancer. The central role of AMPK in maintaining energy homeostasis has made it an attractive target for drugs aimed at preventing and/or treating metabolic diseases, including cancer [3][4][5]. In this review, I will focus on recent developments regarding the regulation of AMPK that directly impact on its therapeutic utility. I will also discuss some potential caveats arising from studies examining the role of AMPK in vivo using mouse models.