SUMMARY1. AMP-activated protein kinase (AMPK) is a serine/threonine protein kinase involved in the regulation of cellular and organismal metabolism. AMPK has a heterotrimeric structure, consisting of a catalytic a-subunit and regulatory b-and g-subunits, each of which has two or more isoforms that are differentially expressed in various tissues and that arise from distinct genes. The AMPK system acts as a sensor of cellular energy status that is conserved in all eukaryotic cells. In addition, AMPK is activated by physiological stimuli and oxidants.2. The importance of AMPK in cardiovascular functions is best demonstrated by recent studies showing that widely used drugs, including statins, metformin and rosiglitazone, execute cardiovascular protective effects at least partly through the activation of AMPK. As a consequence, AMPK has been proposed as a candidate target for therapeutic intervention in the treatment of both Type 2 diabetes and metabolic syndrome owing to its central role in the regulation of energy balance; it may also have a role in weight control.3. In the present brief review, we summarize the recent progress of AMPK signalling and regulation focusing on vascular endothelial cells. We further hypothesize that AMPK is a dual sensor for energy and redox status within a cell and AMPK may be a therapeutic target for protecting vascular endothelial function.Key words: AMP-activated kinase, atherosclerosis, diabetes mellitus, endothelium, energy metabolism, hypertension, nitric oxide, oxidative stress, peroxynitrite, superoxide anions.
OVERALL REVIEW OF AMP-ACTIVATED KINASEThe AMP-activated protein kinase (AMPK) is a serine/threonine kinase and a member of the Snf1/AMPK protein kinase family that is found in all eukaryotes. 1,2 AMPK has been proposed to act as a cellular energy sensor, which switches on catabolic pathways that produce ATP and switches off anabolic pathways that consume ATP. AMPK is a heterotrimer, containing a-, b-and g-subunits, each of which has at least two isoforms. The a-subunit contains the catalytic site; however, all subunits are necessary for full activity. Increases in the ratio of AMP to ATP activate AMPK by a number of mechanisms, including direct allosteric activation and covalent modification due to activation by an AMP-dependent AMPK kinase (AMPKK), which phosphorylates the a-subunit on Thr 172 . Until recently, it was believed that this occurred as a result of activation of AMPKK by an increase in the AMP/ATP ratio. However, recent studies from Woods et al. 3 and Carlson et al. 4 failed to demonstrate such an increase in AMPKK activity in response to various AMPK activators. Rather, their results indicate that AMP binds to AMPK and that this makes it more susceptible to phosphorylation by AMPKK. Interestingly, the first AMPKK that has been identified is LKB1, a tumour suppressor that is mutated in humans with Peutz-Jegher syndrome, 5 a disorder associated with an increased risk of developing carcinomas of the colon, stomach and pancreas. A second AMPKK has been identif...