OBJECTIVE-Insulin resistance associated with obesity and diabetes is ameliorated by specific overexpression of GLUT4 in skeletal muscle. The molecular mechanisms regulating skeletal muscle GLUT4 expression remain to be elucidated. The purpose of this study was to examine these mechanisms. RESEARCH DESIGN AND METHODS AND RESULTS-Here, we report that AMP-activated protein kinase (AMPK) regulates GLUT4 transcription through the histone deacetylase (HDAC)5 transcriptional repressor. Overexpression of HDAC5 represses GLUT4 reporter gene expression, and HDAC inhibition in human primary myotubes increases endogenous GLUT4 gene expression. In vitro kinase assays, site-directed mutagenesis, and site-specific phospho-antibodies establish AMPK as an HDAC5 kinase that targets S259 and S498. Constitutively active but not dominant-negative AMPK and 5-aminoimidazole-4-carboxamide-1-␤-D-ribonucleoside (AICAR) treatment in human primary myotubes results in HDAC5 phosphorylation at S259 and S498, association with 14-3-3 isoforms, and H3 acetylation. This reduces HDAC5 association with the GLUT4 promoter, as assessed through chromatin immunoprecipitation assays and HDAC5 nuclear export, concomitant with increases in GLUT4 gene expression. Gene reporter assays also confirm that the HDAC5 S259 and S498 sites are required for AICAR induction of GLUT4 transcription.CONCLUSIONS-These data reveal a signal transduction pathway linking cellular energy charge to gene transcription directed at restoring cellular and whole-body energy balance and provide new therapeutic targets for the treatment and management of insulin resistance and type 2 diabetes. Diabetes 57:860-867, 2008

The AMP-activated protein kinase (AMPK) is an alphabetagamma heterotrimer that plays a pivotal role in regulating cellular and whole-body metabolism. Activation of AMPK reverses many of the metabolic defects associated with obesity and type 2 diabetes, and therefore AMPK is considered a promising target for drugs to treat these diseases. Recently, the thienopyridone A769662 has been reported to directly activate AMPK by an unexpected mechanism. Here we show that A769662 activates AMPK by a mechanism involving the beta subunit carbohydrate-binding module and residues from the gamma subunit but not the AMP-binding sites. Furthermore, A769662 exclusively activates AMPK heterotrimers containing the beta1 subunit. Our findings highlight the regulatory role played by the beta subunit in modulating AMPK activity and the possibility of developing isoform specific therapeutic activators of this important metabolic regulator.

The AMP-activated protein kinase (AMPK) is an ␣␤␥ heterotrimer that regulates appetite and fuel metabolism. We have generated AMPK ␤1 ؊/؊ mice on a C57Bl/6 background that are viable, fertile, survived greater than 2 years, and display no visible brain developmental defects. These mice have a 90% reduction in hepatic AMPK activity due to loss of the catalytic ␣ subunits, with modest reductions of activity detected in the hypothalamus and white adipose tissue and no change in skeletal muscle or heart. On a low fat or an obesity-inducing high fat diet, ␤1 ؊/؊ mice had reduced food intake, reduced adiposity, and reduced total body mass. Metabolic rate, physical activity, adipose tissue lipolysis, and lipogenesis were similar to wild type littermates. The reduced appetite and body mass of ␤1 ؊/؊ mice were associated with protection from high fat diet-induced hyperinsulinemia, hepatic steatosis, and insulin resistance. We demonstrate that the loss of ␤1 reduces food intake and protects against the deleterious effects of an obesity-inducing diet.The AMP-activated protein kinase (AMPK) 6 is an evolutionarily conserved serine/threonine protein kinase that functions as a metabolic regulatory enzyme at both the cellular and whole body level (1). AMPK is activated in response to physiological processes that raise intracellular levels of AMP, such as exercise and hypoxia. It restores cellular energy balance by switching off ATP-consuming anabolic pathways and switching on ATPgenerating catabolic pathways by direct phosphorylation of downstream targets. Modulation of AMPK activity by hormones adds an additional layer of control, allowing cellular energy supply and demand to be balanced with the energy requirements of the whole organism (2).AMPK functions as an ␣␤␥ heterotrimer. Different isoforms for each of the subunits exist (␣1, ␣2, ␤1, ␤2, ␥1, ␥2, and ␥3) as well as some splice variants, allowing more than 12 heterotrimeric combinations to be generated that may mediate unique tissue-specific functions (3, 4). The 63-kDa AMPK ␣ subunits, designated ␣1 and ␣2, contain a serine/threonine protein kinase catalytic domain that is activated by phosphorylation of Thr-172 in the activation loop (5, 6). We, and others have shown that the C terminus of the ␤ subunits are essential for AMPK heterotrimer assembly by anchoring the ␣ and ␥ subunits (7,8). The ␤1 and ␤2 subunits show 82% identity from residue 73 to 270, but only 43% identity for the N-terminal residues 1-72 (9). The ␤1 subunit is N-terminally myristoylated and is phosphorylated on multiple serines (10); however, the physiological importance of these phosphorylation sites is poorly understood. Northern blot analysis of human tissues revealed that AMPK ␤1 expression is highest in the liver and brain and low in kidney and skeletal muscle, whereas ␤2 is most highly expressed in skeletal muscle with lower expression in kidney, liver, and lung (11).Hepatic AMPK is thought to play important roles in regulating lipid metabolism, glucose homeostasis, and insulin sensitivity (1)....