The importance of AMPK in regulation of fatty acid (FA) oxidation in skeletal muscle with contraction/exercise is unresolved. Using a mouse model lacking both AMPKa1 and -a2 in skeletal muscle specifically (mdKO), we hypothesized that FA utilization would be impaired in skeletal muscle. AMPKa mdKO mice displayed normal respiratory exchange ratio (RER) when fed chow or a high-fat diet, or with prolonged fasting. However, in vivo treadmill exercise at the same relative intensity induced a higher RER in AMPKa mdKO mice compared to wild-type (WT = 0.81 6 0.01 (SEM); mdKO = 0.87 6 0.02 (SEM); P < 0.01), indicating a decreased utilization of FA. Further, ex vivo contraction-induced FA oxidation was impaired in AMPKa mdKO muscle, suggesting that the increased RER during exercise originated from decreased skeletal muscle FA oxidation. A decreased muscle protein expression of CD36 (cluster of differentiation 36) and FABPpm (plasma membrane fatty acid binding protein) (by ∼17-40%), together with fully abolished TBC1D1 (tre-2/USP6, BUB2, cdc16 domain family member 1) Ser 237 phosphorylation during contraction/exercise in AMPKa mdKO mice, may impair FA transport capacity and FA transport protein translocation to sarcolemma, respectively. AMPKa is thus required for normal FA metabolism during exercise and muscle contraction.-Fentz, J., Kjøbsted, R., Birk, J. B., Jordy, A. B., Jeppesen, J., Thorsen, K., Schjerling, P., Kiens, B., Jessen, N., Viollet, B., Wojtaszewski, J. F. P. AMPKa is critical for enhancing skeletal muscle fatty acid utilization during in vivo exercise in mice. FASEB J. 29, 1725-1738 (2015). www.fasebj.org Key Words: CD36 • fat oxidation • glucose uptake • physical activity • TBC1D1 GLUCOSE AND FATTY ACIDS (FAs) are the 2 main energy substrates utilized for resynthesis of ATP. The cellular preference for either substrate is influenced by numerous factors, including exercise, diet, and cellular protein expression and activity. Flexibility in the choice of substrate utilization allows organisms to handle metabolic perturbations remarkably efficiently. Impaired flexibility is associated with metabolic diseases in humans (1, 2). Muscle contraction during exercise poses a major metabolic challenge to skeletal muscle and the choice of substrate for oxidation is tightly coupled to the energy turnover.Adenosine monophosphate-activated protein kinase (AMPK) exists as a heterotrimeric protein in both humans and mice and is composed of 1 a, 1 b and 1 g subunit, of which several isoforms exist (a1, a2; b1, b2; g1, g2, g3) (3;4). AMPK is sensitive to decreases in cell energy status (i.e. low ATP and high ADP and AMP) and responds by favoring catabolic and inhibiting anabolic processes to support a continuous provision of ATP. Moreover, AMPK is suggested to play major roles in facilitating skeletal muscle metabolism of both glucose and FA at rest and in response to various hormones and pharmacological agents (4). However, evidence linking the AMPK activation observed during exercise to various processes in FA and ...