Microbial Imidazole Propionate Affects Responses to Metformin through p38γ-Dependent Inhibitory AMPK Phosphorylation
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Microbial Imidazole Propionate Affects Responses to Metformin through p38γ-Dependent Inhibitory AMPK Phosphorylation. / Koh, Ara; Manneras-Holm, Louise; Yunn, Na-Oh; Nilsson, Peter M.; Ryu, Sung Ho; Molinaro, Antonio; Perkins, Rosie; Smith, J. Gustav; Backhed, Fredrik.
In: Cell Metabolism, Vol. 32, No. 4, 2020, p. 643-653.e4.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Microbial Imidazole Propionate Affects Responses to Metformin through p38γ-Dependent Inhibitory AMPK Phosphorylation
AU - Koh, Ara
AU - Manneras-Holm, Louise
AU - Yunn, Na-Oh
AU - Nilsson, Peter M.
AU - Ryu, Sung Ho
AU - Molinaro, Antonio
AU - Perkins, Rosie
AU - Smith, J. Gustav
AU - Backhed, Fredrik
PY - 2020
Y1 - 2020
N2 - Metformin is the first-line therapy for type 2 diabetes, but there are large inter-individual variations in responses to this drug. Its mechanism of action is not fully understood, but activation of AMP-activated protein kinase (AMPK) and changes in the gut microbiota appear to be important. The inhibitory role of microbial metabolites on metformin action has not previously been investigated. Here, we show that concentrations of the microbial metabolite imidazole propionate are higher in subjects with type 2 diabetes taking metformin who have high blood glucose. We also show that metformin-induced glucose lowering is not observed in mice pretreated with imidazole propionate. Furthermore, we demonstrate that imidazole propionate inhibits AMPK activity by inducing inhibitory AMPK phosphorylation, which is dependent on imidazole propionate-induced basal Akt activation. Finally, we identify imidazole propionate-activated p38 gamma as a novel kinase for Akt and demonstrate that p38 gamma kinase activity mediates the inhibitory action of imidazole propionate on metformin.
AB - Metformin is the first-line therapy for type 2 diabetes, but there are large inter-individual variations in responses to this drug. Its mechanism of action is not fully understood, but activation of AMP-activated protein kinase (AMPK) and changes in the gut microbiota appear to be important. The inhibitory role of microbial metabolites on metformin action has not previously been investigated. Here, we show that concentrations of the microbial metabolite imidazole propionate are higher in subjects with type 2 diabetes taking metformin who have high blood glucose. We also show that metformin-induced glucose lowering is not observed in mice pretreated with imidazole propionate. Furthermore, we demonstrate that imidazole propionate inhibits AMPK activity by inducing inhibitory AMPK phosphorylation, which is dependent on imidazole propionate-induced basal Akt activation. Finally, we identify imidazole propionate-activated p38 gamma as a novel kinase for Akt and demonstrate that p38 gamma kinase activity mediates the inhibitory action of imidazole propionate on metformin.
KW - ACTIVATED PROTEIN-KINASE
KW - SKELETAL-MUSCLE
KW - INSULIN-RESISTANCE
KW - AKT
KW - SULFASALAZINE
KW - INACTIVATION
KW - CHEMOTHERAPY
KW - INCREASES
KW - MECHANISM
KW - MTORC1
U2 - 10.1016/j.cmet.2020.07.012
DO - 10.1016/j.cmet.2020.07.012
M3 - Journal article
C2 - 32783890
VL - 32
SP - 643-653.e4
JO - Cell Metabolism
JF - Cell Metabolism
SN - 1550-4131
IS - 4
ER -
ID: 251251505