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Microbial Imidazole Propionate Affects Responses to Metformin through p38?-Dependent Inhibitory AMPK Phosphorylation.


ABSTRACT: 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? as a novel kinase for Akt and demonstrate that p38? kinase activity mediates the inhibitory action of imidazole propionate on metformin.

SUBMITTER: Koh A 

PROVIDER: S-EPMC7546034 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Microbial Imidazole Propionate Affects Responses to Metformin through p38γ-Dependent Inhibitory AMPK Phosphorylation.

Koh Ara A   Mannerås-Holm Louise L   Yunn Na-Oh NO   Nilsson Peter M PM   Ryu Sung Ho SH   Molinaro Antonio A   Perkins Rosie R   Smith J Gustav JG   Bäckhed Fredrik F  

Cell metabolism 20200811 4


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 subject  ...[more]

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