The obesity epidemic has led to an increased incidence of non–alcoholic fatty liver disease (NAFLD) and type 2 diabetes. AMP–activated protein kinase (Ampk) regulates energy homeostasis and is activated by cellular stress, hormones and the widely prescribed anti–type 2 diabetic drug metformin1,2. Ampk phosphorylates murine acetyl–CoA carboxylase3,4 (Acc) 1 at Ser79 and Acc2 at Ser212, inhibiting the conversion of acetyl–CoA to malonyl–CoA, a precursor in fatty acid synthesis5 as well as an allosteric inhibitor of fatty acid transport into mitochondria for oxidation6. To test the physiological impact of these phosphorylation events we generated mice with alanine knock–in mutations in both Acc1 (Ser79) and Acc2 (Ser212) (Acc double knock–in, AccDKI). These mice have elevated lipogenesis and lower fatty acid oxidation compared to wild–type (WT) mice, which contribute to the progression of insulin resistance, glucose intolerance and NAFLD, but not obesity. Remarkably, AccDKI mice made obese by high–fat feeding, are refractory to the lipid–lowering and insulin–sensitizing effects of metformin. These findings establish that inhibitory phosphorylation of Acc by Ampk is essential for the control of lipid metabolism, and in the setting of obesity, for metformin–induced improvements in insulin action.

AMP-activated protein kinase (AMPK) β1 or β2 subunits are required for assembling of AMPK heterotrimers and are important for regulating enzyme activity and cellular localization. In skeletal muscle, α2β2γ3-containing heterotrimers predominate. However, compensatory up-regulation and redundancy of AMPK subunits in wholebody AMPK α2, β2, and γ3 null mice has made it difficult to determine the physiological importance of AMPK in regulating muscle metabolism, because these models have normal mitochondrial content, contraction-stimulated glucose uptake, and insulin sensitivity. In the current study, we generated mice lacking both AMPK β1 and β2 isoforms in skeletal muscle (β1β2M-KO). β1β2M-KO mice are physically inactive and have a drastically impaired capacity for treadmill running that is associated with reductions in skeletal muscle mitochondrial content but not a fiber-type switch. Interestingly, young β1β2M-KO mice fed a control chow diet are not obese or insulin resistant but do have impaired contraction-stimulated glucose uptake. These data demonstrate an obligatory role for skeletal muscle AMPK in maintaining mitochondrial capacity and contraction-stimulated glucose uptake, findings that were not apparent in mice with single mutations or deletions in muscle α, β, or γ subunits.is an evolutionarily conserved stress-sensing kinase that controls energy metabolism and appetite by responding to nutrients and hormones (1). The regulation of AMPK activity depends on AMP and ADP regulated phosphorylation of the α catalytic subunit at T172 by the upstream kinases LKB1 and Ca 2+ /CaM-dependent protein kinase kinase (CaMKKβ; refs. 2 and 3). AMPK exists as a heterotrimer, consisting of an α catalytic subunit (α1, α2), a scaffolding β subunit (β1, β2) and a nucleotide-binding γ subunit (γ1, γ2, γ3) (1). The C-terminal of the β subunit contains a highly conserved α and γ subunit-binding sequence (SBS) that is required for the formation of a stable, active AMPK αβγ complex (4). We recently reported on the physiological effects of germline deletion of β1 (5) and β2 (6) isoforms in mice. We showed that β1 null mice have reduced AMPK α-subunit expression and activity in liver, adipose tissue and the hypothalamus (5). In contrast, AMPK β2 null mice have reduced AMPK activity in skeletal muscle, are aminoimidazole carboxamide ribonucleotide (AICAR) insensitive and have reduced exercise tolerance despite a greater than 50% increase in muscle β1 protein expression (6). The phenotype of β2 null mice was similar to that of mice lacking α2 (7) or γ3 (8) subunits or muscle-specific overexpression of an α2 kinase dead (KD) mutation (9, 10).During exercise, AMPK is activated in an intensity-dependent manner (for review, see ref. 11). Mice with reduced AMPK in muscle are exercise intolerant, an effect shown not to be due to cardiac impairments in AMPK (12-14). However, the cause for this reduction in exercise capacity remains largely unknown, because mitochondrial content and glucose uptake are not altered (6,7,10,12,(15)(16)(17) or onl...

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