Evidence map›Paper›PMID 23933835›Full record

ArticleDiabetologia2013

Metformin action in human hepatocytes: coactivation of atypical protein kinase C alters 5'-AMP-activated protein kinase effects on lipogenic and gluconeogenic enzyme expression.

Mini P Sajan, Robert A Ivey, Robert V Farese

Open access · bronzeAbstract read
In one paragraph

Article in Diabetologia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Metabolites · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Mini P SajanResearch Service-151, James A. Haley Veterans Medical Center, 13000 Bruce B. Downs Blvd, Tampa, FL, 33612, USA.
Robert A Ivey
Robert V Farese
James A. Haley Veterans' Hospital · US

Funding

Activation of Atypical PKC by Insulin and Other AgonistsR01DK065969 · NIDDK · UNIVERSITY OF SOUTH FLORIDA · PI FARESE, ROBERT V · 2004 to 2014
$2.8M
Atypical PKC Knockout Models: Effect on Glucose and Lipid HomeostasisI01BX001415 · VA · JAMES A. HALEY VA MEDICAL CENTER · PI FARESE, ROBERT V · 2013 to 2016
–
BLRD VA I01 BX001415NIDDK NIH HHS DK065969NIDDK NIH HHS R01 DK065969
6 · The paper itself

Abstract

aims/hypothesisAtypical protein kinase C (aPKC) levels and activity are elevated in hepatocytes of individuals with type 2 diabetes and cause excessive increases in the levels of lipogenic and gluconeogenic enzymes; aPKC inhibitors largely correct these aberrations. Metformin improves hepatic gluconeogenesis by activating 5'-AMP-activated protein kinase (AMPK). However, metformin also activates aPKC in certain tissues; in the liver, this activation could amplify diabetic aberrations and offset the positive effects of AMPK. In this study, we examined whether metformin activates aPKC in human hepatocytes and the metabolic consequences of any such activation.

methodsWe compared protein kinase activities and alterations in lipogenic and gluconeogenic enzyme levels during activity of the AMPK activators metformin and AICAR, relative to those of an aPKC-ι inhibitor, in hepatocytes from non-diabetic and type 2 diabetic human organ donors.

resultsMetformin and 5-aminoimidazole-4-carboxamide-1-beta-4-ribofuranoside (AICAR) activated aPKC at concentrations comparable with those required for AMPK activation. Moreover, both agents increased lipogenic enzyme levels by an aPKC-dependent mechanism. Thus, whereas insulin- and diabetes-dependent increases in lipogenic enzyme levels were reversed by aPKC inhibition, such levels were increased in hepatocytes from non-diabetic donors and remained elevated in hepatocytes from diabetic donors following metformin and AICAR treatment. In addition, whereas aPKC inhibition diminished gluconeogenic enzyme levels in the absence and presence of insulin in hepatocytes from both non-diabetic and diabetic donors, metformin and AICAR increased gluconeogenic enzyme levels in hepatocytes from non-diabetic individuals, but nevertheless diminished gluconeogenic enzyme levels in insulin-treated hepatocytes from diabetic donors. CONCLUSIONS/

interpretationMetformin and AICAR activate aPKC together with AMPK in human hepatocytes. Activation of aPKC increases lipogenic enzyme levels and alters gluconeogenic enzyme levels, and therefore appears to offset the positive effects of AMPK.

Indexed as

AdultAminoimidazole CarboxamideAMP-Activated Protein KinasesBlotting, WesternCells, CulturedDiabetes Mellitus, Type 2FemaleHepatocytesHumansIsoenzymesLiverMaleMetforminMiddle AgedProtein Kinase CProtein Kinase C-lambdaAICA ribonucleotideAminoimidazole CarboxamideAMP-Activated Protein KinasesIsoenzymesMetforminPKC-3 proteinProtein Kinase CProtein Kinase C-lambdaRibonucleotides

Identifiers

PMID23933835
PMCPMC3973184
OpenAlexW2061237633

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.