The paper that identified LKB1 as the upstream kinase for AMPK: LKB1 directly phosphorylates AMPK-alpha on Thr172, and LKB1-null cells cannot activate AMPK under energy stress. This is the canonical source for the LKB1 -> AMPK step that gates the whole energy-sensing arm upstream of mTORC1.
Tier D because it is mechanistic or in-vitro work (model: LKB1-null MEFs; in vitro kinase assays), not a whole-organism health-outcome study; tier describes study design, not quality -- this is often exactly where causal biology gets established.
| Evidence tier | D Mechanistic / in vitro / review |
| Study type | 5 - Mechanistic / In Vitro |
| Model system | LKB1-null MEFs; in vitro kinase assays |
| Journal | Proceedings of the National Academy of Sciences |
| Year | 2004 |
| Peer reviewed | Yes |
| Record last updated | 2026-07-29 |
| Source | DOI 10.1073/pnas.0308061100 · PMID 14985505 |
| Target | LKB1 -> AMPK (Thr172) |
| Model | Mouse cells |
| Effect | LKB1 directly phosphorylates and activates AMPK; LKB1-null cells fail to activate AMPK under energy stress |
Barton, O. (2026). The tumor suppressor LKB1 kinase directly activates AMP-activated kinase and regulates apoptosis in response to energy stress — evidence-graded record SHW2004. In Oliver's mTOR Atlas. https://mtor-atlas.org/study/SHW2004/ · Dataset DOI 10.5281/zenodo.22059963
@misc{atlas_SHW2004,
author = {Barton, Oliver},
title = {{The tumor suppressor LKB1 kinase directly activates AMP-activated kinase and regulates apoptosis in response to energy stress} --- evidence-graded record SHW2004},
howpublished = {Oliver's mTOR Atlas},
year = {2026},
url = {https://mtor-atlas.org/study/SHW2004/},
note = {Dataset DOI: 10.5281/zenodo.22059963}
}