“…Cellular regulation Metabolic effects References AKT -Growth regulation, metabolism control -Glucose metabolism: ↑ glucose transporters on cell surface → glycolysis -↓ FOXO1: ↓ gluconeogenesis -↑ PI3K/AKT/mTOR: biosynthesis of macromolecules -Insulin resistance: FOXO1 activation → ↓ AKT → hyperglycemia and phosphorylation of IRS-1, ↓ GLUT-4 translocation, ↓ glucose transported into cells -Caloric abundance: ↑ mTOR → ↑ lipid droplets Hirata et al, 2018;Józwiak, Forma, Brys, & Krzeslak, 2014;Manning & Toker, 2017;Semenkovich, Goldberg, & Goldberg, 2016;Welty, Alfaddagh, & Elajami, 2016;Zhang et al, 2018 AMPK -↑ demand for energy or caloric restriction: ↓ ATP → ↑ AMP/ATP -SIRT1 acetylation: simulates a caloric depleted state → AMPK activation → ↓ de novo lipogenesis and ↑ insulin sensitivity, lipolysis, and mitochondrial fatty acid (FA) oxidation -TSH → AMPK: ↓ HMG-CoAR and ↓ cholesterol synthesis -↓ insulin sensitivity: ↓ AMPK, defective autophagy and ROS generation -Starvation: ↑ autophagy, to ↑ nutrients available to cells → ↑ ULK1 and mTORC1 -AMPK improves NASH induced by highfat-diet: suppression of several key lipogenic factors, such as SREBP-1 (↓ triglyceride synthesis), HMG-CoAR, cholesterol synthesis; and ↑ ACC:…”