Oliver's mTOR Atlas Evidence Platform
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Pathway link METFORMIN-AMPK

Metformin AMPK

Metformin activates AMPK.

Metformin shifts the cell's energy balance and switches AMPK on – its best-known route to affecting this pathway.

Metformin shifts the cell's energy balance and AMPK switches on - the route it is usually credited to, and why it keeps appearing next to rapamycin in longevity discussions.

The conditions it holds under

How much of metformin's effect actually runs through AMPK is disputed: it still suppresses hepatic gluconeogenesis in AMPK-null and LKB1-null mouse liver (FOR2010) and still inhibits mTORC1 in AMPK-null cells (KAL2010). See the parallel METFORMIN-MTORC1 edge.

Time it takes
minutes
Step
indirect (through steps not drawn here)
Measured in
mammalian cells
Where in the cell
cytosol
Reaches people?
plausible in people, not shown directly
How settled
disputed: at least one study points the other way

Studies behind it

YearEvidenceStudy
2001 M Role of AMP-activated protein kinase in mechanism of metformin actionZHO2001 Metformin activates AMPK, suppressing hepatic gluconeogenesis and lipogenesis.
2009 A Enhancing CD8 T-cell memory by modulating fatty acid metabolismPEA2009 Mice whose T cells lacked the adaptor protein TRAF6 mounted a normal effector CD8 T-cell response to Listeria infection, but the antigen-specific cells vanished during contraction and almost no memory cells formed. The TRAF6-deficient cells failed to activate AMPK and mitochondrial fatty acid oxidation when the growth factor IL-2 was withdrawn. Daily metformin restored fatty acid oxidation and memory formation, and also raised memory CD8 T-cell numbers in normal mice: in a tumour vaccine model 6 of 9 metformin-treated mice survived beyond day 33 against 1 of 8 controls. Daily rapamycin (1.5 mg/kg), used as a second drug that promotes fatty acid oxidation, likewise increased memory CD8 T-cell development and recall responses. Boundary: mouse only, one bacterial infection model and one transplantable tumour; the rapamycin arm is a secondary experiment and mTOR activity itself was not measured in these cells.

Points the other way

YearEvidenceStudy
2010 M Metformin, independent of AMPK, inhibits mTORC1 in a rag GTPase-dependent mannerKAL2010 Metformin inhibits mTORC1 even in cells lacking AMPK or TSC1/TSC2, and the effect requires the Rag GTPases instead. Together with Foretz 2010 this places a large part of metformin's action outside the AMPK axis it is usually credited to.

Who has checked this

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