AMP-activated protein kinase (AMPK), which functions as a sensor of cellular energy homeostasis, was phosphorylated after norepinephrine stimulation in L6 skeletal muscle cells. This effect was mediated by ␣ 1 -adrenoceptors, with no stimulatory effects due to interactions at ␣ 2 -or -adrenoceptors. ␣ 1 -Adrenoceptors are Gq-coupled receptors, and calcium but not phorbol esters could mimic the effect of ␣ 1 -adrenergic stimulation; and we show that protein kinase C is not involved as an upstream signal to AMPK by ␣ 1 -adrenergic stimulation and that the AMP-to-ATP ratio is unaltered after ␣ 1 -adrenergic stimulation. We further show that glucose uptake mediated by ␣ 1 -but not by -adrenoceptors can be inhibited by AMPK inhibition. Acetyl-CoA carboxylase (ACC) is phosphorylated at Ser218 by AMPK, and ␣ 1 -but not -adrenoceptor stimulation results in phosphorylation of ACC at this residue. These results suggest a novel pathway where ␣ 1 -adrenoceptor activation, independent of protein kinase C, leads to activation of AMPK in skeletal muscle, which contributes to ␣ 1 -adrenoceptor-mediated increases in glucose uptake. Diabetes 55:682-690, 2006 A MP-activated protein kinase (AMPK) has been described as a sensor of cellular and wholebody energy homeostasis and is present at high levels in tissues that regulate energy homeostasis, namely the liver, heart, adipose tissue, pancreas, brain, and skeletal muscle. AMPK is activated by hormonal and nutrient stresses that increase the AMP-to-ATP ratio after depletion of intracellular ATP levels, but some conditions (such as hyperosmotic stress) activate AMPK without ATP reductions (1). Structurally, AMPK is a heterotrimeric protein consisting of an ␣ catalytic subunit and -and ␥-regulatory subunits, and activation requires phosphorylation at Thr172 on the catalytic subunit by one or more upstream kinases (for more comprehensive review, refer to 2). Recently two different upstream kinases have been identified, LKB1 (3-5) and CAMKK (6 -8). Activation of AMPK activates pathways such as glucose transport, glycolysis, and -fatty acid oxidation and inhibits pathways such as fatty acid and cholesterol synthesis through interactions with metabolic enzymes and proteins and effects on gene expression.Adrenoceptors are classified into three main subtypes: ␣ 1 -, ␣ 2 -, and -adrenoceptors, which couple to Gq (increase inositol 1,4,5-trisphosphate and diacylglycerol levels), Gi (inhibit cyclic AMP formation), and Gs (increase cyclic AMP formation) G-proteins respectively. ␣ 1 -and -adrenoceptors are found in skeletal muscle (9 -15). However, the role of AMPK in adrenergically mediated responses in skeletal muscle has not been investigated to a great extent. With respect to AMPK, the ␣-adrenoceptor agonist phenylephrine increases AMPK activity in isolated mouse soleus muscle (16), and other Gq-coupled receptors activate AMPK in transfected CHO-K1 cells (17). In adipose tissue, -adrenoceptors activate AMPK in white adipocytes (18,19), 3T3-L1 adipocytes (20), and brown adipocytes (2...