ABSTRACT: AMPK is a critical energy sensor and target for widely used antidiabetic drugs. In ? cells, elevated glucose concentrations lower AMPK activity, and the ablation of both catalytic subunits [?-cell-specific AMPK double-knockout (?AMPKdKO) mice] impairs insulin secretion in vivo and ?-cell identity. MicroRNAs (miRNAs) are small RNAs that silence gene expression that are essential for pancreatic ?-cell function and identity and altered in diabetes. Here, we have explored the miRNAs acting downstream of AMPK in mouse and human ? cells. We identified 14 down-regulated and 9 up-regulated miRNAs in ?AMPKdKO vs. control islets. Gene ontology analysis of targeted transcripts revealed enrichment in pathways important for ?-cell function and identity. The most down-regulated miRNA was miR-184 (miR-184-3p), an important regulator of ?-cell function and compensatory expansion that is controlled by glucose and reduced in diabetes. We demonstrate that AMPK is a potent regulator and an important mediator of the negative effects of glucose on miR-184 expression. Additionally, we reveal sexual dimorphism in miR-184 expression in mouse and human islets. Collectively, these data demonstrate that glucose-mediated changes in AMPK activity are central for the regulation of miR-184 and other miRNAs in islets and provide a link between energy status and gene expression in ? cells.-Martinez-Sanchez, A., Nguyen-Tu, M.-S., Cebola, I., Yavari, A., Marchetti, P., Piemonti, L., de Koning, E., Shapiro, A. M. J., Johnson, P., Sakamoto, K., Smith, D. M., Leclerc, I., Ashrafian, H., Ferrer, J., Rutter, G. A. MiR-184 expression is regulated by AMPK in pancreatic islets.