. AMP-activated protein kinase activates transcription of the UCP3 and HKII genes in rat skeletal muscle. Am J Physiol Endocrinol Metab 283: E1239-E1248, 2002. First published September 11, 2002 10.1152/ajpendo. 00278.2002.-AMP-activated protein kinase (AMPK) has recently emerged as a key signaling protein in skeletal muscle, coordinating the activation of both glucose and fatty acid metabolism in response to increased cellular energy demand. To determine whether AMPK signaling may also regulate gene transcription in muscle, rats were given a single subcutaneous injection (1 mg/g) of the AMP analog 5-aminoimidazole-4-carboxamide-1--D-ribonucleoside (AICAR). AICAR injection activated (P Ͻ 0.05) AMPK-␣2 (ϳ2.5-fold) and transcription of the uncoupling protein-3 (UCP3, ϳ4-fold) and hexokinase II (HKII, ϳ10-fold) genes in both red and white skeletal muscle. However, AICAR injection also elicited (P Ͻ 0.05) an acute drop (60%) in blood glucose and a sustained (2-h) increase in blood lactate, prompting concern regarding the specificity of AICAR on transcription. To maximize AMPK activation in muscle while minimizing potential systemic counterregulatory responses, a single-leg arterial infusion technique was employed in fully conscious rats. Relative to saline-infused controls, single-leg arterial infusion of AICAR (0.125, 0.5, and 2.5 g ⅐ g Ϫ1 ⅐ min Ϫ1 for 60 min) induced a dose-dependent increase (2-to 4-fold, P Ͻ 0.05) in UCP3 and HKII transcription in both red and white skeletal muscle. Importantly, AICAR infusion activated transcription only in muscle from the infused leg and had no effect on blood glucose or lactate levels. These data provide evidence that AMPK signaling is linked to the transcriptional regulation of select metabolic genes in skeletal muscle.5-aminoimidazole-4-carboxamide ribonucleoside; single-leg arterial infusion; rat; AMP kinase phosphorylation AMP-ACTIVATED PROTEIN KINASE (AMPK) is a highly conserved metabolite-sensing protein kinase found in all eukaryotic cells (12). In mammals, the AMPK enzyme is composed of a catalytic ␣-subunit and two regulatory subunits,  and ␥, each of which is encoded for by either two (␣ 1 , ␣ 2 ,  1 ,  2 ) (40, 42) or three (␥ 1 , ␥ 2 , ␥ 3 ) (6) genes. Although not completely defined, it is thought that AMP activates AMPK by binding to the interface between the ␣-and ␥-subunits, disrupting an autoinhibitory domain within the ␣-subunit (13). AMPK is also stimulated by phosphorylation of a regulatory site (Thr 172 ) in the catalytic domain of the ␣-subunit, a reaction catalyzed by an upstream kinase, AMPK kinase (AMPKK), which is also activated by AMP (14,15,41). Thus full activation of AMPK is achieved by a combination of AMP-mediated allosteric activation of AMPK and its upstream kinase AMPKK, and by covalent phosphorylation of the AMPK ␣-subunit by AMPKK. Although the resting concentration of AMP is typically 100-fold lower than ATP (a competitive inhibitor of AMPK), AMP concentration increases dramatically under conditions of accelerated ATP utilization,...