Low Concentrations of Metformin Suppress Glucose Production in Hepatocytes through AMP-activated Protein Kinase (AMPK)

被引:145
作者
Cao, Jia [1 ,2 ,3 ,4 ]
Meng, Shumei [1 ,2 ,3 ,4 ]
Chang, Evan [1 ,2 ,3 ,4 ]
Beckwith-Fickas, Katherine [5 ,6 ,7 ,8 ]
Xiong, Lishou [1 ,2 ,3 ,4 ]
Cole, Robert N. [9 ,10 ,11 ,12 ]
Radovick, Sally [5 ,6 ,7 ,8 ]
Wondisford, Fredric E. [1 ,2 ,3 ,4 ]
He, Ling [1 ,2 ,3 ,4 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Pediat, Div Metab, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Med, Dept Physiol, Div Metab, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Dept Biol Chem, Div Metab, Baltimore, MD 21287 USA
[4] Johns Hopkins Univ, Sch Med, Dept Med, Div Metab, Baltimore, MD 21287 USA
[5] Johns Hopkins Univ, Sch Med, Dept Pediat, Div Endocrinol, Baltimore, MD 21287 USA
[6] Johns Hopkins Univ, Sch Med, Dept Physiol, Div Endocrinol, Baltimore, MD 21287 USA
[7] Johns Hopkins Univ, Sch Med, Dept Biol Chem, Div Endocrinol, Baltimore, MD 21287 USA
[8] Johns Hopkins Univ, Sch Med, Dept Med, Div Endocrinol, Baltimore, MD 21287 USA
[9] Johns Hopkins Univ, Sch Med, Dept Pediat, Mass Spectrometry & Prote Facil, Baltimore, MD 21287 USA
[10] Johns Hopkins Univ, Sch Med, Dept Physiol, Mass Spectrometry & Prote Facil, Baltimore, MD 21287 USA
[11] Johns Hopkins Univ, Sch Med, Dept Biol Chem, Mass Spectrometry & Prote Facil, Baltimore, MD 21287 USA
[12] Johns Hopkins Univ, Sch Med, Dept Med, Mass Spectrometry & Prote Facil, Baltimore, MD 21287 USA
基金
美国国家卫生研究院;
关键词
HEPATIC GLUCONEOGENESIS; RESPIRATORY-CHAIN; CANCER; PHOSPHORYLATION; RISK; MICE; PHARMACOKINETICS; PHARMACODYNAMICS; INHIBITION; MECHANISM;
D O I
10.1074/jbc.M114.567271
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Metformin is a first-line antidiabetic agent taken by 150 million people across the world every year, yet its mechanism remains only partially understood and controversial. It was proposed that suppression of glucose production in hepatocytes by metformin is AMPK-independent; however, unachievably high concentrations of metformin were employed in these studies. In the current study, we find that metformin, via an AMP-activated protein kinase (AMPK)-dependent mechanism, suppresses glucose production and gluconeogenic gene expression in primary hepatocytes at concentrations found in the portal vein of animals (60-80 mu M). Metformin also inhibits gluconeogenic gene expression in the liver of mice administered orally with metformin. Furthermore, the cAMP-PKA pathway negatively regulates AMPK activity through phosphorylation at Ser-485/497 on the alpha subunit, which in turn reduces net phosphorylation at Thr-172. Because diabetic patients often have hyperglucagonemia, AMPK alpha phosphorylation at Ser-485/497 is a therapeutic target to improve metformin efficacy.
引用
收藏
页码:20435 / 20446
页数:12
相关论文
共 39 条
[11]   Transcriptional Co-activator p300 Maintains Basal Hepatic Gluconeogenesis [J].
He, Ling ;
Naik, Karuna ;
Meng, Shumei ;
Cao, Jia ;
Sidhaye, Aniket R. ;
Ma, Anlin ;
Radovick, Sally ;
Wondisford, Fredric E. .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2012, 287 (38) :32069-32077
[12]   Metformin and Insulin Suppress Hepatic Gluconeogenesis through Phosphorylation of CREB Binding Protein [J].
He, Ling ;
Sabet, Amin ;
Djedjos, Stephen ;
Miller, Ryan ;
Sun, Xiaojian ;
Hussain, Mehboob A. ;
Radovick, Sally ;
Wondisford, Fredric E. .
CELL, 2009, 137 (04) :635-646
[13]   Ablation of Both Organic Cation Transporter (Oct)1 and Oct2 Alters Metformin Pharmacokinetics but Has No Effect on Tissue Drug Exposure and Pharmacodynamics [J].
Higgins, J. William ;
Bedwell, David W. ;
Zamek-Gliszczynski, Maciej J. .
DRUG METABOLISM AND DISPOSITION, 2012, 40 (06) :1170-1177
[14]   Mechanism by which metformin reduces glucose production in type 2 diabetes [J].
Hundal, RS ;
Krssak, M ;
Dufour, S ;
Laurent, D ;
Lebon, V ;
Chandramouli, V ;
Inzucchi, SE ;
Schumann, WC ;
Petersen, KF ;
Landau, BR ;
Shulman, GI .
DIABETES, 2000, 49 (12) :2063-2069
[15]   Regulation of AMP-activated protein kinase by multisite phosphorylation in response to agents that elevate cellular cAMP [J].
Hurley, Rebecca L. ;
Barre, Laura K. ;
Wood, Sumintra D. ;
Anderson, Kristin A. ;
Kemp, Bruce E. ;
Means, Anthony R. ;
Witters, Lee A. .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2006, 281 (48) :36662-36672
[16]   Increased Expression of Hepatic Organic Cation Transporter 1 and Hepatic Distribution of Metformin in High-fat Diet-induced Obese Mice [J].
Jang, Eun-Hee ;
Kim, Hyoung-Kwang ;
Park, Chang-Shin ;
Kang, Ju-Hee .
DRUG METABOLISM AND PHARMACOKINETICS, 2010, 25 (04) :392-397
[17]   The CREB coactivator TORC2 is a key regulator of fasting glucose metabolism [J].
Koo, SH ;
Flechner, L ;
Qi, L ;
Zhang, XM ;
Screaton, RA ;
Jeffries, S ;
Hedrick, S ;
Xu, W ;
Boussouar, F ;
Brindle, P ;
Takemori, H ;
Montminy, M .
NATURE, 2005, 437 (7062) :1109-1114
[18]   Metformin Associated With Lower Cancer Mortality in Type 2 Diabetes - ZODIAC-16 [J].
Landman, Gijs W. D. ;
Kleefstra, Nanne ;
van Hateren, Kornelis J. J. ;
Groenier, Klaas H. ;
Gans, Rijk O. B. ;
Bilo, Henk J. G. .
DIABETES CARE, 2010, 33 (02) :322-326
[19]   Metformin-treated patients with type 2 diabetes have normal mitochondrial complex I respiration [J].
Larsen, S. ;
Rabol, R. ;
Hansen, C. N. ;
Madsbad, S. ;
Helge, J. W. ;
Dela, F. .
DIABETOLOGIA, 2012, 55 (02) :443-449
[20]   Antidiabetic Therapies Affect Risk of Pancreatic Cancer [J].
Li, Donghui ;
Yeung, Sai-Ching J. ;
Hassan, Manal M. ;
Konopleva, Marina ;
Abbruzzese, James L. .
GASTROENTEROLOGY, 2009, 137 (02) :482-488