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INNOSC Theranostics

                                                 and Pharmacological Sciences





                                        REVIEW ARTICLE
                                        The role of AMPK activation in metabolic

                                        regulation, energy homeostasis and aging: A
                                        comprehensive overview



                                        George Jîtcă*

                                        Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, George Emil Palade
                                        University of Medicine, Pharmacy, Science and Technology of Târgu Mureş, 540139 Târgu Mureş,
                                        Romania




                                        Abstract
                                        5’ Adenosine monophosphate-activated protein kinase (AMPK) is a metabolic
                                        sensor responsible for maintaining homeostasis, regulating metabolic control,
                                        monitoring energy status, and balancing energy production with consumption.
                                        The most  important protein  kinases that  activate AMPK  are liver kinase  B1 and
                                        calcium-calmodulin-dependent protein kinase. AMPK significantly impacts physical
                                        performance by accelerating recovery periods and restoring energy stores through
                                        several  key mechanisms. It  regulates  muscle glycogen  content, ensuring  readily
                                        available energy during physical exertion. In addition, a high number of mitochondria
            *Corresponding author:      enable the utilization of fatty acids as an energy source, thereby improving endurance
            George Jîtcă                efforts. Furthermore, rich vascularization in the muscles enhances the delivery of
            (george.jitca@umfst.ro)     nutrients and oxygen, optimizing performance and speeding up recovery. AMPK is
            Citation: Jîtcă G. The role of AMPK   also important for maintaining muscle homeostasis. It decreases insulin resistance,
            activation in metabolic regulation,   stimulates mitochondrial biogenesis, and exerts an antioxidant effect. As a regulator
            energy homeostasis, and aging: A   of energy homeostasis, AMPK plays a key role in linking cellular energy levels with the
            comprehensive overview. INNOSC
            Theranostics and Pharmacological   aging process. It acts as a modulator of cellular senescence and has the potential to
            Sciences. 2025;8(2):1-15.   extend life expectancy, particularly in the context of caloric restriction. By activating
            doi: 10.36922/itps.4852     AMPK, caloric restriction (activated with a 30 – 70% reduction in nutrient intake)
            Received: September 14, 2024  helps to maintain energy balance in cells, which may slow down aging and support
            1st revised: November 16, 2024  healthier cellular function over time. In conclusion, the involvement of AMPK in
                                        metabolic regulation and maintenance makes it an important therapeutic target for
            2nd revised: December 13, 2024  the treatment and prevention of several diseases, both age-related and otherwise.
            Accepted: December 16, 2024
            Published online: December 31,   Keywords: AMPK; Oxidative stress; Physical effort; Exercise; Metabolism
            2024
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   1. A short overview of AMPK
            License, permitting distribution,
            and reproduction in any medium,   With advances in medicine, life expectancy has significantly increased. These advances
            provided the original work is   are attributed to the emergence of the concept of  personalized medicine  and  the
            properly cited.             development of new pharmacological agents, all aimed to improve quality of life, prolong
            Publisher’s Note: AccScience   life expectancy, and enhance physical condition. The purpose of the present review is
            Publishing remains neutral with   to highlight the role of 5’ adenosine monophosphate-activated protein kinase (AMPK)
            regard to jurisdictional claims in
            published maps and institutional   in certain processes (carbohydrate and lipid metabolism, autophagy, mitochondrial
            affiliations.               biogenesis, oxidative stress), and to explore how these mechanisms benefit athletes.


             Volume 8 Issue 2 (2025)                        1                                doi: 10.36922/itps.4852
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