Purpose: AMP-activated protein kinase (AMPK) is a master regulator of cellular energy homeostasis. It is comprised of alpha (catalytic) and beta and gamma (regulatory) subunits. We have previously observed decreased AMPK activation (indicated by phosphorylation of AMPKα Thr172) in human knee OA articular cartilage/chondrocytes and aged mouse knee cartilage. In addition, our in vitro studies demonstrated that chondrocyte AMPK activity is decreased by IL-1β, TNFα, and biomechanical injury, which is associated with increased chondrocyte matrix catabolism. Moreover, chondrocyte catabolic responses to IL-1β and TNFα are significantly enhanced in AMPKα1 and AMPKα2 knockdown chondrocytes. In this study, we tested the hypothesis that mice deficient in AMPKα1 subunit are more susceptible to OA development in vivo. Methods: AMPKα1 knockout (KO) and the congenic wild type (WT) male mice (n=10 for each group), at 3 months of age, were subjected to right knee destabilization of media meniscus (DMM) surgery, and left knee sham procedure. Mice were sacrificed at 10 weeks after surgery. Also, AMPKα1 KO and WT male mice were sacrificed at age of 12 months. All mouse joints were fixed, decalcified, embedded in paraffin, and sectioned (5 micron) along the coronal plane. 10–12 slides harvested at approximately 75 micron intervals stained with safranin-O and fast green for histologic scoring of the entire articular surface using the OARSI grading system (scores 0–6). Statistical analyses were performed by ANOVA with Bonferroni post-hoc test. Some knee sections were also analyzed by immunohistochemistry (IHC) for expression and phosphorylation of AMPKα and expression of PGC-1α, a downstream target of AMPKα and the master regulator of mitochondrial biogenesis. Results: Both WT and AMPKα1 KO mice subjected to DMM surgery developed OA in the medial compartment of the knee joints, indicated by loss of safranin-O staining, fibrillation, and partial clefts/erosion to the calcified cartilage of the articular surface. However, the OARSI score was higher in AMPKα1 KO mice, compared to WT mice. In addition, AMPKα1 KO mice developed mild OA at age of 12 months, which was not seen in the age-matched WT mice, suggesting accelerated aging-related spontaneous OA development. IHC analysis showed that impaired PGC-1α expression in AMPKα1 KO knee cartilages. Conclusions: AMPKα1 KO mice are more susceptible to OA development, which may be at least in part, due to impaired PGC-1α expression in cartilage. We have recently demonstrated mitochondrial biogenesis is impaired in human knee OA chondrocytes, which is associated with increased chondrocyte matrix catabolism. AMPK activation restores chondrocyte mitochondrial biogenesis and function via PGC-1α. These findings suggest that targeted activation of AMPK has translational potential to limit OA development and progression.