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Changes in Exercise-Induced Gene Expression in 5'-AMPeCActivated Protein Kinase 3eCNull and 3 R225Q Transgenic Mice
http://www.100md.com 《糖尿病学杂志》
     1 Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

    2 Department of Surgical Sciences, Karolinska Institutet, Stockholm, Sweden

    3 Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, P.R. China

    4 Department of Human Physiology, Copenhagen Muscle Research Centre, Institute of Exercise and Sport Sciences, University of Copenhagen, Copenhagen, Denmark

    5 Department of Animal Breeding and Genetics, Swedish University of Agricultural Sciences, Uppsala Biomedical Center, Uppsala, Sweden

    6 Department of Medical Biochemistry and Microbiology, Uppsala University, Uppsala Biomedical Center, Uppsala, Sweden

    ACC, acetyl-CoA carboxylase; AMPK, 5'-AMPeCactivated protein kinase; CPT1b, carnitine palmitoyl transferase 1b; EDL, extensor digitorum longus; HAD, 3-hydroxyacyleCCoA dehydrogenase; HKII, hexokinase II; IMTG, intramuscular triglyceride; KHBB, Krebs-Henseleit bicarbonate buffer; LPL1, lipoprotein lipase 1

    ABSTRACT

    5'-AMPeCactivated protein kinase (AMPK) is important for metabolic sensing. We used AMPK3 mutanteCoverexpressing Tg-Prkag3225Q and AMPK3-knockout Prkag3eC/eC mice to determine the role of the AMPK3 isoform in exercise-induced metabolic and gene regulatory responses in skeletal muscle. Mice were studied after 2 h swimming or 2.5 h recovery. Exercise increased basal and insulin-stimulated glucose transport, with similar responses among genotypes. In Tg-Prkag3225Q mice, acetyl-CoA carboxylase (ACC) phosphorylation was increased and triglyceride content was reduced after exercise, suggesting that this mutation promotes greater reliance on lipid oxidation. In contrast, ACC phosphorylation and triglyceride content was similar between wild-type and Prkag3eC/eC mice. Expression of genes involved in lipid and glucose metabolism was altered by genetic modification of AMPK3. Expression of lipoprotein lipase 1, carnitine palmitoyl transferase 1b, and 3-hydroxyacyleCCoA dehydrogenase was increased in Tg-Prkag3225Q mice, with opposing effects in Prkag3eC/eC mice after exercise. GLUT4, hexokinase II (HKII), and glycogen synthase mRNA expression was increased in Tg-Prkag3225Q mice after exercise. GLUT4 and HKII mRNA expression was increased in wild-type mice and blunted in Prkag3eC/eC mice after recovery. In conclusion, the Prkag3225Q mutation, rather than presence of a functional AMPK3 isoform, directly promotes metabolic and gene regulatory responses along lipid oxidative pathways in skeletal muscle after endurance exercise.

    5'-AMPeCactivated protein kinase (AMPK) is a cellular energy sensor that responds to alterations in the AMP-to-ATP ratio. Activation of AMPK in response to metabolic stress initiates several signaling cascades aimed at restoring energy balance, including stimulation of catabolic (ATP-generating) pathways, such as fatty acid oxidation (1), glucose uptake (2,3) and glycolysis, as well as inhibition of anabolic (ATP consuming) pathways, such as synthesis of fatty acids (4) and protein (5). Several physiological consequences of exercise, including muscle contraction, hypoxia, ischemia, heat shock, glycogen catabolism, and decreased pH, are associated with AMPK activation (6). However, multiple signal transduction cascades, including mitogen-activated protein kinases (7,8), calcineurin (9), hypoxia-inducible factor-1 (10), and calmodulin-dependent protein kinase (11) are engaged in response to exercise, thus the role of AMPK in specific exercise-induced responses in skeletal muscle is incompletely resolved.

    Several lines of evidence reveal that AMPK is directly involved in glucose metabolism. Overexpression of a kinase-dead AMPK2 is associated with reduced skeletal muscle glycogen content and retarded after exercise glycogen resynthesis in mice (12,13). Moreover, a dominant missense mutation in the gene encoding AMPK3 isoform enhances glycogen storage in glycolytic skeletal muscle in pigs (14) and transgenic mice (Tg-Prkag3225Q) harboring this mutation (15). Tg-Prkag3225Q mice have similar glycogen content immediately after exercise and elevated glycogen content after recovery when compared with wild-type mice (15). Conversely, AMPK3 knockout mice (Prkag3eC/eC) have severely impaired glycogenesis after exercise (15). Furthermore, expression of other isoforms of AMPK subunits in Tg-Prkag3225Q and Prkag3eC/eC mice is similar to the wild-type mice (15). Therefore, AMPK3 appears to play a critical role in glycogen metabolism after exercise (16). However, because oxidative metabolism is important during endurance exercise, changes in lipid metabolism in response to AMPK activation may also affect glycogen metabolism in skeletal muscle.

    Acute and chronic exercise promotes gene regulatory responses in skeletal muscle that may facilitate metabolic adaptations along pathways governing glycolytic and oxidative metabolism. Activation of AMPK by the adenosine analog 5'-amino-4-imidazolecarboxamide ribonucleoside increases transcription of metabolic genes in skeletal muscle that are also known to be regulated in response to exercise (17,18). A direct role for AMPK in promoting gene regulatory responses in skeletal muscle, including mitochondrial biogenesis in response to chronic energy deprivation, has been established using kinase-dead AMPK2 transgenic mice (19). Moreover, metabolic sensing in skeletal muscle also requires expression of the AMPK3 subunit, because fasting-induced transcription of enzymes involved in lipid metabolism is retarded in Prkag3eC/eC mice (20). Thus, AMPK plays an important role in the transcriptional regulation of multiple genes along divergent pathways controlling energy metabolism, cellular signaling, transcription, and translation (13).

    Given that the metabolic requirement of fasting and long-term exercise promotes a shift from glycolytic to oxidative metabolism, we hypothesize that the AMPK3 isoform regulates glycogen resynthesis after exercise by altering the balance between glucose and lipid metabolism. Tg-Prkag3225Q and Prkag3eC/eC mice were studied after a 2-h swimming bout or during recovery (2.5 h after swimming). Here, we provide evidence that the Prkag3225Q mutation, rather than the presence of a functional AMPK3 subunit, directly promotes an enhanced reliance on lipid metabolism during endurance exercise, concomitant with a coordinated increase in expression of genes regulating lipid metabolism in skeletal muscle.

    RESEARCH DESIGN AND METHODS

    Three animal models were used: Tg-Prkag3225Q, Prkag3eC/eC, and wild-type littermates. The creation and general metabolic characteristics of these animal models have been described previously (15). Mice were cared for in accordance with regulations for the protection of laboratory animals established by the animal ethical committee at Karolinska Institutet. Mice were maintained in a temperature- and light-controlled environment and had free access to water and standard rodent diet. Mice were anesthetized with Avertin (2,2,2-tribromo ethanol 99% and tertiary amyl alcohol, at 0.015eC0.017 ml/g mouse body wt), and extensor digitorum longus (EDL) and white gastrocnemius muscle were isolated.

    Swimming protocol.

    Overnight-fasted (16 h) wild-type, Tg-Prkag3225Q, or Prkag3eC/eC mice were randomly assigned to either sedentary or swimming group. The swimming protocol has been previously described (21). Six mice swam together in plastic containers measuring 45 cm in diameter. Water temperature was maintained at 32eC33°C. Mice swam for four 30-min intervals separated by 5-min rest periods for a total swimming time of 2 h. After the last swim interval, mice were dried and either studied immediately or allowed to recover from the exercise bout for 2.5 h (recovery). At the onset of the recovery period, mice received an intraperitoneal glucose injection (0.5 mg/g body wt) and had free access to food and water.

    Muscle incubations.

    All incubation media were prepared from a stock solution of Krebs-Henseleit bicarbonate buffer (KHBB) containing 0.1% BSA (radioimmunoassay grade) (21). Media were continuously gassed with 95% O2/5% CO2. Muscles were preincubated (15 min at 30°C) in KHBB containing 5 mmol/l glucose and 15 mmol/l mannitol. Muscles were incubated in the absence or presence of insulin (12 nmol/l) for the duration of the incubation protocol.

    Glucose uptake.

    Muscles were transferred to KHBB containing 20 mmol/l mannitol and incubated for 10 min. Thereafter, muscles were transferred to KHBB containing 1 mmol/l 2-deoxy-[1,2-3H]glucose (2.5 e藽i/ml) and 19 mmol/l [14C]mannitol (0.7 e藽i/ml) and incubated for 20 min. Glucose transport activity is expressed as micromoles per milliliter of intracellular water per hour (22).

    Glucose oxidation.

    Muscles were incubated (30°C for 60 min) in the absence or presence of insulin (12 nmol/l) in preincubation media supplemented with [14C]glucose (0.2 mCi/ml). Thereafter, 0.2 ml Solvable (2% sodium hydroxide; Dupont, Hamburg, Germany) was injected into the center well of the incubation vial to collect liberated CO2, and 0.5 ml 15% perchloric acid was injected into the media to lyse the muscle. Glucose oxidation was assessed by collection of liberated CO2.

    Oleate oxidation.

    Muscles were harvested immediately after swim exercise and incubated (30°C for 60 min) in 1 ml KHBB media supplemented with 0.3 mmol/l [1-14C]oleate (0.4 e藽i/ml). Thereafter, the media was acidified by 0.5 ml 15% pyrroline-5-carboxylic acid, and liberated CO2 was collected in center wells containing 0.2 ml Protosol (DuPont NEN Research Laboratories) for 60 min. Center wells were removed for scintillation counting. Results were expressed as nanomoles of oxidized oleate per gram of wet weight per hour.

    Western blot analysis.

    Phosphorylation of acetyl CoA-carboxylase (ACC) was determined by Western blot analysis. White gastrocnemius skeletal muscle was lysed in ice-cold buffer (23), and an aliquot of lysate (30 e蘥) was separated by SDSeCPAGE. Proteins were transferred to Immobilon-P membranes (Millipore, Billerica, MA) and probed with primary antibodies (described below) and secondary horseradish peroxidaseeCconjugated antibodies. Phosphorylation of ACC was determined using antieCphospho-ACC (Ser227; Cell Signaling Technology, Beverly, MA) antibody. Immunoreactive proteins were detected by enhanced chemiluminescence (Amersham Biosciences, Uppsala, Sweden). Immunoreactive band intensity was quantified using the Image Gauge V3.01 software (Fujifilm, Tokyo, Japan).

    Intramuscular triglyceride content.

    Gastrocnemius muscles were removed from anesthetized mice, cleaned of fat and blood, and quickly frozen in liquid nitrogen. Triglycerides were analyzed using 15eC25 mg pulverized frozen skeletal muscle. Tissue was homogenized with 0.3 ml heptan-isopropanol-Tween mixture (3:2:0.01 by volume) and centrifuged (1,500 x g for 15 min at 4°C). Supernatants (upper phase containing extracted triglycerides) were collected and evaporated with vacuum centrifuge. Triglyceride content was measured with a triglyceride/glycerol blanked kit (Roche, Nutley, NJ). Seronorm lipid (SERO, Billingstad, Norway) was used as a standard. Samples were measured in duplicates.

    RNA purification and cDNA synthesis.

    Total RNA of white gastrocnemius muscle was purified using Trizol reagent (Sigma, St. Louis, MO), as specified by the manufacturer. Purified RNA was treated with DNase I using DNA-free kit (Ambion, Austin, TX), according to the manufacturer’s protocol. DNase-treated RNA served as a template for cDNA synthesis using oligo(dT) primers and SuperScript First Strand Synthesis System (Invitrogen, Carlsbad, CA).

    Quantitative PCR.

    Quantification of mRNA was performed using real-time PCR with the ABI PRISM 7700 Sequence Detector System (Applied Biosystems, Warrington, U.K.) and SYBR-green. The relative quantities of target transcripts were calculated from duplicate samples after normalization of the data against housekeeping gene 36B4 (acidic ribosomal phosphoprotein PO). Primers were selected by using PRIMER EXPRESS (Applied Biosystems). Transcript sequences obtained from ENSEMBL database were lipoprotein lipase 1 (LPL1; ENSMUST00000015715), carnitine palmitoyl transferase 1b (CPT1b; ENSMUST00000023287), 3-hydroxyacyleCCoA dehydrogenase (HAD; ENSMUST00000029610), uncoupling protein 3 (ENSMUST0eC0000032958), GLUT4 (ENSMUST00000018710), and glycogen synthase (ENSMUST00000003964). Transcript sequences obtained from National Center for Biotechnology Information GenBank database were cytochrome c (NM007808), hexokinase II (HKII; Y11666), and 36B4 (BC003833).

    Statistical analysis.

    Differences between means were analyzed using Student’s t test or two-way ANOVA followed by Fisher’s least significant differences post hoc analysis. Significance was accepted at P < 0.05.

    RESULTS

    Glucose uptake.

    Glucose uptake was assessed in isolated EDL muscle from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice immediately after swimming or recovery (2.5 h after swimming) (Fig. 1A) or in the fed condition (Fig. 1B). Rates of glucose uptake in isolated EDL muscle from fasted wild-type, Prkag3225Q, and Prkag3eC/eC mice have previously been reported (15). Acute exercise (swimming) increased glucose uptake to an equal extent in all genotypes (Fig. 1A). Effects of exercise and insulin (12 nmol/l) were additive on glucose uptake, with similar responses noted among the genotypes. Glucose uptake was also measured 2.5 h after exercise (recovery). The exercise effect on basal glucose transport was reversed within 2.5 h recovery (i.e., after a bolus of glucose injection and free access to food). Basal glucose uptake in Tg-Prkag3225Q mice was lower compared with wild-type mice (P < 0.05). Insulin-stimulated glucose uptake was also assessed after recovery. Insulin-stimulated glucose uptake was increased more than twofold in the recovery state (P < 0.05 vs. without insulin stimulation), with similar effects among wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice.

    Glucose oxidation.

    Glucose oxidation was determined in EDL muscles from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice after acute swimming (Fig. 2). In Tg-Prkag3225Q mice, a nonsignificant trend toward decreased glucose oxidation was observed under basal conditions. Glucose oxidation measured under insulin-stimulated conditions was similar among genotypes. Glucose oxidation in EDL from Prkag3eC/eC mice was reduced 33% (P < 0.05) under basal conditions and 20% under insulin-stimulated conditions after exercise (NS) when compared with the wild-type mice.

    Phosphorylation of ACC.

    Phosphorylation of ACC (Ser227) was measured in gastrocnemius muscle from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice after swimming or recovery (Fig. 3A). Immediately after swimming, phosphorylation of ACC was increased in Tg-Prkag3225Q mice compared with wild-type mice (P < 0.05), which is an indication of enhanced fatty acid oxidation. Phosphorylation of ACC in Prkag3eC/eC mice was not different from wild-type mice. After recovery from swimming, ACC phosphorylation was similar among wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice.

    Intramuscular triglyceride content.

    Intramuscular triglyceride (IMTG) has been determined in gastrocnemius muscle from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice under fed and fasted conditions (20). IMTG content was determined in gastrocnemius muscle from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice after swimming or recovery (Fig. 3B). After swimming, IMTG content was reduced in Tg-Prkag3225Q mice (P < 0.05) and unchanged in Prkag3eC/eC mice compared with wild-type mice. After recovery, IMTG content was similar to fasted levels for all genotypes (20).

    Oleate oxidation.

    EDL muscles were excised from mice directly after the swim bout and incubated for 2 h to determine the rate of oleate oxidation after exercise. Under these in vitro conditions, similar rates of oleate oxidation were observed among genotypes (data not shown). Therefore, despite enhanced IMTG utilization during exercise, Tg-Prkag3225Q mice maintained a similar rate of extracellular lipid oxidation in the state after exercise compared with wild type.

    Quantitative PCR for metabolic genes.

    We have previously determined mRNA expression of metabolic genes in white gastrocnemius muscles from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice under fed or fasted conditions (20). mRNA expression of genes involved in lipid metabolism through quantitative real-time PCR analysis in response to swim exercise or recovery was determined (Fig. 4). In Tg-Prkag3225Q mice, mRNA expression of LPL1 (P < 0.01), CPT1b (P < 0.05), HAD (P < 0.01), and cytochrome c (P < 0.01) was higher than the wild type after swimming exercise. In Prkag3eC/eC mice, mRNA expression of CPT1b and cytochrome c was lower than the wild type (P < 0.01) after swimming. After recovery, mRNA expression of lipid metabolic genes was similar among Tg-Prkag3225Q, Prkag3eC/eC, and wild-type mice, with the exception of HAD, which was reduced in Prkag3eC/eC mice (P < 0.05). When comparing mRNA expression levels after swimming and after 2.5 h of recovery in the same genotype, LPL1 was increased in wild-type (P < 0.05) and Prkag3eC/eC (P < 0.01) mice. However, LPL1 (P < 0.01), CPT1b (P < 0.05), HAD (P < 0.01), and cytochrome c (P < 0.05) were decreased in Tg-Prkag3225Q mice.

    Expression of genes regulating glucose metabolism in white gastrocnemius muscle was also assessed (Fig. 5). mRNA levels of GLUT4 (P < 0.01), HKII (P < 0.05), and glycogen synthase (P < 0.01) were higher in Tg-Prkag3225Q mice after swimming when compared with wild-type mice. After recovery from swimming, GLUT4 and HKII mRNA were markedly increased in wild-type mice (P < 0.05 and P < 0.01, respectively) when compared with after swimming. The transcriptional induction of GLUT4 and HKII during recovery is blunted in Prkag3eC/eC mice. When comparing mRNA expression of genes after swimming and after 2.5 h of recovery in the same genotype, GLUT4 (P < 0.01), HKII (P < 0.05), and glycogen synthase (P < 0.01) mRNA were decreased in Tg-Prkag3225Q mice.

    DISCUSSION

    We determined the role of AMPK3 in exercise-induced metabolic and gene regulatory responses in skeletal muscle. Using Prkag3225Q and Prkag3eC/eC mice, we provide evidence that AMPK activation alters glucose handling and fatty acid metabolism, thereby increasing glycogen resynthesis after endurance exercise. We have previously reported that glycogen resynthesis after exercise is accelerated in Tg-Prkag3225Q mice and blunted in Prkag3eC/eC mice (15). Thus, the AMPK3 isoform plays a major role in modulating intramuscular fuel utilization toward fat oxidation during exercise and rapid glycogen resynthesis during recovery. Furthermore, the AMPK3 isoform plays a critical role in transcription of genes regulating lipid and glucose metabolism after acute endurance exercise and recovery.

    Glucose uptake, a rate limiting step for glycogen resynthesis, is unaltered among Tg-Prkag3225Q, Prkag3eC/eC, and wild-type mice either immediately after acute exercise or after 2.5 h of recovery. This was an unexpected observation because glycogen content is markedly elevated in Tg-Prkag3225Q and reduced in Prkag3eC/eC mice after recovery when compared with the wild-type mice (15). However, a similar uncoupling between glucose transport and accelerated glycogen synthesis has been observed in mice overexpressing a constitutively active form of glycogen synthase in skeletal muscle (24,25), whereby the repartitioning of intracellular glucose intermediates toward glycogen synthesis after muscle contraction is enhanced (26). Glucose oxidation after intense anaerobic activity is markedly lower in Tg-Prkag3225Q and higher in Prkag3eC/eC mice, respectively, (27), indicating a shift toward glucose incorporation into glycogen. However, in response to the 2-h endurance exercise bout, glucose oxidation was similar between Tg-Prkag3225Q and wild-type mice and reduced in Prkag3eC/eC mice. Thus, any potential difference in glucose oxidation among the genotypes may be masked by an increased demand on lipid oxidation during steady-state endurance exercise. Collectively, these studies reveal muscle glycogen supercompensation can occur without excessive glucose transport, presumably through alterations in glucose handling between glucose oxidation and glycogenesis.

    The contribution of fatty acid oxidation to total energy supply increases during long duration exercise. Thus, the metabolic shift toward utilization of fatty acids has a sparing effect on glucose utilization. Phosphorylation of ACC regulates the entry of fatty acids into the mitochondrial matrix. Immediately after swimming, ACC phosphorylation was increased in Tg-Prkag3225Q mice, suggestive of increased fatty acid availability for oxidation. Triglyceride content was reduced in skeletal muscle from Tg-Prkag3225Q mice directly after swimming. ACC phosphorylation and triglyceride content in skeletal muscle from Prkag3eC/eC mice were similar to wild-type mice. Thus, the Prkag3225Q mutation, rather than the presence of a functional AMPK3 subunit, directly promotes a metabolic shift toward fatty acid utilization in response to exercise.

    Exercise regulates transcriptional events in skeletal muscle partly through activation of AMPK. Chronic stimulation of AMPK increases protein expression of GLUT4, hexokinase (28), and the oxidative enzyme cytochrome c (19,28). We have previously determined the expression of several metabolic genes in skeletal muscle from wild-type, Tg-Prkag3225Q, and Prkag3eC/eC mice under fed and fasted conditions, and we provide evidence AMPK plays a role in the coordinated expression of genes involved in lipid and glucose metabolism (20). Here, we observed a concerted upregulation of mRNA expression of genes involved in fatty acid availability (LPL1), transport into the mitochondria (CPT1b), and oxidation (cytochrome c and HAD) in Tg-Prkag3225Q mice compared with wild-type mice. The enhanced transcriptional response and phosphorylation of ACC in Prkag3225Q mice was associated with increased utilization of triglyceride, as was evident from the reduction in triglyceride content after swimming. In contrast, mRNA expression of genes involved in fatty acid metabolism in Prkag3eC/eC mice, including CPT1b and cytochrome c, was diminished, with a tendency for reduced expression of LPL and HAD after swimming. Therefore, the AMPK3 subunit plays a role in modulating transcription of lipid metabolic genes and, importantly, lipid metabolism during endurance exercise. Nonetheless, expression of mRNA for lipid metabolic genes in Tg-Prkag3225Q and Prkag3eC/eC mice was normalized to wild-type levels after recovery. Essentially, an enhanced response in transcription of lipid metabolic genes in Tg-Prkag3225Q mice and a diminished transcriptional response in Prkag3eC/eC mice compared with wild-type mice was observed after swimming.

    The transition between fed and fasted conditions promotes gene regulatory responses in skeletal muscle. We have previously observed a coordinated decrease in the mRNA expression of HKII and glycogen synthase in skeletal muscle from Prkag3225Q versus wild-type mice (20). Here, we report that mRNA expression of GLUT4, HKII, and glycogen synthase after exercise was higher in Tg-Prkag3225Q mice compared with wild-type mice. Thus, gene regulatory changes in Tg-Prkag3225Q mice are largely influenced by fasting and exercise. Change at the level of mRNA occurs in parallel with metabolic changes. An elevation in transcript levels of genes important for glycogen synthesis is consistent with the enhanced glycogen supercompensation of Prkag3225Q mice (27). The elevated expression of HKII, GLUT4, and glycogen synthase in Prkag3225Q mice during swimming was reduced after recovery, concomitant with the elevation in skeletal muscle glycogen content (15). After recovery from swimming, GLUT4 and HKII mRNA were increased in wild type when compared with the level immediately after swimming. In contrast, the transcriptional induction of GLUT4 and HKII during recovery is blunted in Prkag3eC/eC mice. Thus, dysregulation of lipid and glucose metabolic gene expression in Prkag3eC/eC mice provides evidence that the AMPK3 subunit plays an essential role in coordinating the transcription of lipid and glucose metabolic genes in response to metabolic challenges that include fasting, exercise, and recovery in skeletal muscle. Moreover, the Prkag3225Q mutation, rather than the presence of a functional AMPK3 subunit enhances the transcriptional response to metabolic challenges in skeletal muscle.

    In conclusion, AMPK activation achieved by overexpression of the Prkag3225Q mutation, rather than the presence of a functional AMPK 3 subunit, promotes fuel repartitioning and gene regulatory responses to facilitate lipid oxidation during endurance exercise and glycogen storage during recovery. Furthermore, the transcriptional and metabolic profile of the Prkag3eC/eC mice diverges from that of the wild-type mice, suggesting that the AMPK3 subunit plays a role in coordinating gene regulatory responses to exercise and recovery. Collectively, these results further support strategies aimed to activate AMPK in skeletal muscle as a means to improve impaired lipid and glucose homeostasis in metabolic disease.

    ACKNOWLEDGMENTS

    This work was supported by grants from the Swedish Research Council, the Swedish Diabetes Association, the Swedish Strategic Research Foundation, the Foundation for Scientific Studies of Diabetology, Novo Nordisk, the Swedish National Center for Research in Sports, Arexis, and the Commission of the European Communities (contracts LSHM-CT-2004-005272 EXGENESIS and LSHM-CT-2004-512013). B.R.B. has received a graduate fellowship from the Swedish National Center for Research in Sports. J.W. has received a Hallas Mller Grant from the Novo Nordisk foundation.

    FOOTNOTES

    B.R.B. and Y.C.L. contributed equally to this work.

    L.A. holds stock in Arexis (Gothenburg, Sweden).

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