Paracelsus Medizinische Privatuniversität (PMU)

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AMPK at the interface of nutrient sensing, metabolic flux and energy homeostasis

#2026
#NATURE METABOLISM

PMU Author
William J. Smiles

All Authors
Tyler K. T. Smith, Logan K. Townsend, William J. Smiles, Jonathan S. Oakhill, Morgan D. Fullerton, Gregory R. Steinberg

Journal association
NATURE METABOLISM

Abstract

The orchestration of cellular metabolism requires the integration of signals related to energy stores and nutrient availability through multiple overlapping mechanisms. AMP-activated protein kinase (AMPK) is a pivotal energy sensor that responds to reductions in adenylate charge; however, studies over the past decade have also positioned AMPK as a key integrator of nutrient-derived signals that coordinate metabolic function. This Review highlights recent advances in our understanding of how AMPK senses nutrients and regulates metabolic activity across tissues, timescales and cell types. These effects are mediated through the phosphorylation of substrates involved in metabolite trafficking, mitochondrial function, autophagy, transcription, ubiquitination, proliferation and cell survival pathways, including ferroptosis. Particular attention is given to the role of AMPK in the pathophysiology of obesity, type 2 diabetes, metabolic dysfunction-associated steatotic liver disease, cardiovascular and renal diseases, neurodegenerative disorders and cancer. Collectively, these findings reinforce AMPK as a central metabolic node that aligns cellular behaviour with energetic demand. Continued investigation into its nutrient-sensing mechanisms holds promise for identifying new strategies to restore metabolic balance in disease.

Keywords

PHOSPHORYLATION SITES, FOOD-INTAKE, HUMAN SKELETAL-MUSCLE, HEPATIC STEATOSIS, POSTTRANSLATIONAL MODIFICATIONS, ACTIVATED PROTEIN-KINASE, Fatty-acid oxidation, Mitochondrial fission, Peptide-1 receptor, Glucose-uptake