Abstract

Pathologies including diabetes and conditions such as exercise place an unusual demand on liver energy metabolism, and this demand induces a state of energy discharge. Hepatic AMP-activated protein kinase (AMPK) has been proposed to inhibit anabolic processes such as gluconeogenesis in response to cellular energy stress. However, both AMPK activation and glucose release from the liver are increased during exercise. Here, we sought to test the role of hepatic AMPK in the regulation of in vivo glucose-producing and citric acid cycle-related fluxes during an acute bout of muscular work. We used 2H/13C metabolic flux analysis to quantify intermediary metabolism fluxes in both sedentary and treadmill-running mice. Additionally, liver-specific AMPK α1 and α2 subunit KO and WT mice were utilized. Exercise caused an increase in endogenous glucose production, glycogenolysis, and gluconeogenesis from phosphoenolpyruvate. Citric acid cycle fluxes, pyruvate cycling, anaplerosis, and cataplerosis were also elevated during this exercise. Sedentary nutrient fluxes in the postabsorptive state were comparable for the WT and KO mice. However, the increment in the endogenous rate of glucose appearance during exercise was blunted in the KO mice because of a diminished glycogenolytic flux. This lower rate of glycogenolysis was associated with lower hepatic glycogen content before the onset of exercise and prompted a reduction in arterial glucose during exercise. These results indicate that liver AMPKα1α2 is required for maintaining glucose homeostasis during an acute bout of exercise.

Highlights

  • Regulatory system to maintain blood glucose within a narrow range [2]

  • It is important to note that liver ATP relative to ADP and AMP are lower in SED mice than that reported in perfused livers [27, 28]

  • LKB/AMPactivated protein kinase (AMPK)-associated signaling pathways have been reported to negatively regulate the expression of genes involved in glucose production, such as glucose-6phosphatase (G6Pase) and phosphoenolpyruvate carboxykinase (PEPCK) [33,34,35,36]

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Summary

To whom correspondence should be addressed

In response to energy discharge, AMPK promotes oxidative metabolism to maintain energy status [13, 21]. Experimental and physiological conditions with elevated glucagon action, including exercise, promote AMPK activation [11, 24, 25]. This is consistent with the need for adequate ATP supply to support gluconeogenesis during muscular work. Mice lacking hepatic AMPK catalytic subunits exhibited an impaired ability to maintain glucose homeostasis during a 30-min treadmill run. This was associated with lower liver glycogen and glycogenolytic response to exercise. Gluconeogenesis-related fluxes during sedentary and exercise conditions were not altered by deletion of hepatic AMPK␣1␣2

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