Molecular Metabolism (Jan 2025)

AMPK regulates the maintenance and remodelling of the neuromuscular junction

  • Sean Y. Ng,
  • Andrew I. Mikhail,
  • Stephanie R. Mattina,
  • Salah A. Mohammed,
  • Shahzeb K. Khan,
  • Eric M. Desjardins,
  • Changhyun Lim,
  • Stuart M. Phillips,
  • Gregory R. Steinberg,
  • Vladimir Ljubicic

Journal volume & issue
Vol. 91
p. 102066

Abstract

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Objective: The molecular mechanisms underlying the maintenance and adaptability of the neuromuscular junction (NMJ) remain poorly understood. This study aimed to investigate the role of AMP-activated protein kinase (AMPK) as a key regulator of NMJ stability and plasticity. Method: A comprehensive, multifaceted approach was employed, integrating genetic, physiological, and pharmacological methodologies to elucidate the role of skeletal muscle AMPK in modulating the neuromuscular synapse. Results: Our findings reveal an increased abundance of AMPK transcripts within the NMJ and an age-associated decline in AMPK activity and synapse-specific mitochondrial gene expression. Young mice null for skeletal muscle AMPK displayed a neuromuscular phenotype akin to aged animals. Pharmacological AMPK stimulation facilitated its localization in subsynaptic myonuclei, preceded the induction of several NMJ-related transcripts, and enhanced myotube acetylcholine receptor clustering. Exercise-induced AMPK activation in mouse muscle elicited a broad NMJ-related gene response, consistent with human exercise data. Conclusions: These findings highlight a critical role for AMPK in the maintenance and remodeling of the NMJ, highlighting its potential as a therapeutic target for age-related and neuromuscular disorders.

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