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Diabetes, Vol 49, Issue 10 1649-1656, Copyright © 2000 by American Diabetes Association
5-aminoimidazole-4-carboxamide ribonucleoside (AICAR) inhibits insulin-stimulated glucose transport in 3T3-L1 adipocytes
IP Salt, JM Connell and GW Gould
Division of Biochemistry and Molecular Biology, University of Glasgow, UK.
Incubation of skeletal muscle with 5-aminoimidazole-4carboxamide
ribonucleoside (AICAR), a compound that activates 5'-AMP-activated protein
kinase (AMPK), has been demonstrated to stimulate glucose transport and
GLUT4 translocation to the plasma membrane. In this study, we characterized
the AMPK cascade in 3T3-L1 adipocytes and the response of glucose transport
to incubation with AICAR. Both isoforms of the catalytic alpha-subunit of
AMPK are expressed in 3T3-L1 adipocytes, in which AICAR stimulated AMPK
activity in a time- and dose-dependent fashion. AICAR stimulated
2-deoxy-D-glucose transport twofold and reduced insulin-stimulated uptake
to 62% of the control transport rate dose-dependently, closely correlating
with the activation of AMPK. AICAR also inhibited insulin-stimulated GLUT4
translocation, assessed using the plasma membrane lawn assay. The effects
of AICAR on insulin-stimulated glucose transport are not mediated by either
adenosine receptors or nitric oxide synthase and are mediated downstream of
phosphatidylinositol 3'-kinase stimulation. We propose that in contrast to
skeletal muscle, in which AMPK stimulation promotes glucose transport to
provide ATP as a fuel, AMPK stimulation inhibits insulin-stimulated glucose
transport in adipocytes, inhibiting triacylglycerol synthesis, to conserve
ATP under conditions of cellular stress. Investigation of the mode of
action of AICAR and AMPK may, therefore, give insight into the mechanism of
insulin action.

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Copyright © 2000 by the American Diabetes Association.
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