id: MODULE:ampk_energy_sensing
title: AMPK energy sensing — LKB1-STRAD-MO25 or Ca2+/calmodulin-CAMKK2 Thr172 activation of the AMPK alpha/beta/gamma heterotrimer, PP2A/PPM1E/PPM1F/PP1-R6 inactivation, and TSC2-mTORC1, ACC and CPT1 outputs; PRKAA1/2, PRKAB1/2, PRKAG1/2/3, STK11, STRADA, CAB39, CALM1-3, CAMKK1/2, PPP2CA, PPM1E, PPM1F, PPP1CA/B, PPP1R3D, TSC1, TSC2
description: >-
  AMP-activated protein kinase (AMPK) is the principal cellular energy sensor of
  mammals. It is a heterotrimer of a catalytic alpha subunit (PRKAA1 or PRKAA2), a
  scaffolding beta subunit (PRKAB1 or PRKAB2) that carries a glycogen-binding domain and
  bridges alpha and gamma, and a regulatory gamma subunit (PRKAG1, PRKAG2 or PRKAG3)
  whose four tandem cystathionine-beta-synthase (CBS) repeats form the adenine
  nucleotide-binding sites. The kinase is active only when Thr172 in the alpha-subunit
  activation loop is phosphorylated. Two upstream kinases do this. The LKB1 complex, in
  which the kinase STK11 (LKB1) is held in an active conformation by the pseudokinase
  STRADA and the scaffold CAB39 (MO25alpha), is constitutively active, so its output
  is set by the AMPK side: when ATP production falls or consumption rises, AMP and ADP
  displace ATP from the gamma-subunit sites, which promotes Thr172 phosphorylation,
  protects the phosphate from phosphatases and (for AMP) allosterically activates the
  kinase. Alternatively, a rise in cytosolic calcium activates calmodulin, which
  activates the calmodulin-dependent protein kinase kinases, chiefly CAMKK2, and these
  phosphorylate Thr172 without any change in adenine nucleotides. The signal is
  terminated by dephosphorylation of Thr172 by protein phosphatase 2A, by the
  PPM-family phosphatases PPM1E and PPM1F, and, in pancreatic beta cells, by a protein
  phosphatase 1 holoenzyme targeted to AMPK by its regulatory subunit PPP1R3D (R6).
  Active AMPK switches off ATP-consuming processes and switches on ATP-producing ones.
  It phosphorylates TSC2, increasing the GTPase-activating activity of the TSC1-TSC2
  complex towards RHEB, and it phosphorylates the mTORC1 subunit raptor; both inhibit
  mTORC1 and so protein synthesis and cell growth. It phosphorylates and inhibits
  acetyl-CoA carboxylase, lowering malonyl-CoA, which both reduces fatty acid synthesis
  and relieves malonyl-CoA inhibition of carnitine palmitoyltransferase 1, so that
  long-chain fatty acids enter mitochondria for beta-oxidation.
status: DRAFT
scope: CONCRETE
evidence:
  - source_id: PW:0000542
    title: adenosine monophosphate-activated protein kinase (AMPK) signaling pathway
    statement: >-
      The module boundary follows the RGD Pathway Ontology term and its interactive
      diagram. The diagram draws AMPK alpha, beta and gamma as associated subunits, AMP,
      ADP and ATP associated with AMPK gamma, the Lkb1 complex, Camkk1 and Camkk2
      (associated with calmodulin) positively affecting AMPK alpha, and Ppp2ca, Ppm1e,
      Ppm1f and "PP1 in AMPK" negatively affecting AMPK alpha. "AMPK targets" negatively
      affect the fatty acid biosynthetic, gluconeogenesis, glycogen biosynthetic and mTOR
      signalling pathways and positively affect fatty acid beta degradation and
      insulin-responsive glucose transport, all drawn as links to other pathway diagrams.
      Derived through projects/RGD_PATHWAY_ONTOLOGY (pathways/PW_0000542.yaml).
  - source_id: GO:0061762
    title: CAMKK-AMPK signaling cascade
    statement: >-
      The curated GO mapping for PW:0000542 in the project's PW-GO SSSOM file
      (skos:narrowMatch). It covers the calcium/CAMKK activation route only, so it is
      placed on that variant and not on the module as a whole. GO has no general AMPK
      signalling process term.
  - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
    statement: >-
      The RGD record text defines the heterotrimer, the two upstream kinase routes and
      the principal metabolic outputs used for the part order.
    supporting_text: AMPK is a heterotrimer composed of alpha-catalytic and beta and gamma-regulatory subunits.
  - source_id: PMID:21399626
    title: Structure of mammalian AMPK and its regulation by ADP.
    statement: >-
      Primary structural paper stating the three effects of AMP binding to the gamma
      subunit (promoting Thr172 phosphorylation, protecting it from dephosphorylation,
      and allosteric activation) and showing that ADP also protects against
      dephosphorylation.
    supporting_text: AMPK is converted from an inactive form to a catalytically competent form by phosphorylation of the activation loop within the kinase domain
notes: >-
  Derived from the RGD Pathway Ontology diagram PW:0000542 through the
  RGD_PATHWAY_ONTOLOGY project's diagram->module route. RGD curates 23 human genes to
  PW:0000542 (CAB39 CALM1 CALM2 CALM3 CAMKK1 CAMKK2 CPT1A PPM1E PPM1F PPP1CA PPP1CB
  PPP1R3D PPP2CA PRKAA1 PRKAA2 PRKAB1 PRKAB2 PRKAG1 PRKAG2 PRKAG3 STK11 STRADA TSC1).
  Twenty-two are modelled as participants. CPT1A is excluded as a participant and is
  covered by reference to the carnitine shuttle module. TSC2 is added although RGD does
  not list it, because the RGD record text states that AMPK acts on Tsc2 to inhibit
  mTOR signalling and TSC2 is the GAP subunit of the complex whose other subunit (TSC1)
  RGD does list.
  Boundary decisions. (1) Process term. The curated PW-GO mapping is a narrowMatch to
  GO:0061762 CAMKK-AMPK signaling cascade, which by definition starts with calcium-bound
  calmodulin binding CAMKK and ends with AMP-activated protein kinase activity. It does
  not cover the LKB1 route, the nucleotide-sensing step or the outputs, so it is used
  only on the CAMKK variant. The module concept is cellular response to glucose
  starvation GO:0042149, which PRKAA1 and PRKAA2 carry by IDA and IBA and which the
  human glucose-starvation GO-CAMs (gomodel:698e557b00001137, gomodel:6482692800001813,
  gomodel:6482692800001739) use as the parent process of AMPK activity. Energy
  homeostasis GO:0097009 (ISS/TAS on PRKAA1) is broader and is mentioned here only.
  Calcium-triggered AMPK activation is not a glucose-starvation response; the module
  concept describes the energy-stress core, and the CAMKK variant carries its own
  process term. (2) The heterotrimer is one PROTEIN_COMPLEX annoton (GO:0031588
  nucleotide-activated protein kinase complex) with three active units, one per subunit
  class, each a FAMILY with the human paralogues as representative members. Any alpha
  can combine with any beta and any gamma (2 x 2 x 3 = 12 combinations, more with
  splice forms); this is recorded on the family descriptors rather than as variant
  sets, because the paralogues share the same molecular function and differ in tissue
  distribution and subcellular targeting rather than in the step they perform.
  Molecular functions follow the experimental GO annotations: AMP-activated protein
  kinase activity GO:0004679 for the alpha subunits (IDA for PRKAA1 and PRKAA2) and
  protein kinase regulator activity GO:0019887 for the gamma subunits (IDA for PRKAG1,
  PRKAG2 and PRKAG3). The beta subunits have no experimental molecular function other
  than binding, so their unit carries none; PRKAB2 carries GO:0004679 by IDA, which is
  the activity of the complex, not of the non-catalytic beta subunit (noted below as a
  possible upstream issue). (3) Upstream kinases are a variant set on the axis of the
  activating signal (energy stress with constitutive LKB1, or a calcium rise through
  CAMKK), selection ONE_OR_MORE because many cells use both. The LKB1 complex is
  modelled with GO:1902554 serine/threonine protein kinase complex (GO has no
  LKB1-specific complex term) with STK11 protein serine/threonine kinase activity
  GO:0004674 (IDA) and STRADA and CAB39 protein serine/threonine kinase activator
  activity GO:0043539 (IDA for both). STRADA is a pseudokinase; its GO:0004672 protein
  kinase activity IDA (from PMID:12805220, which reports phosphorylation of STRAD by
  LKB1 in the complex) is noted below as a possible upstream error. The CAMKK route
  uses calmodulin (CALM1, CALM2 and CALM3 encode an identical protein, so one FAMILY
  annoton with three representative members) with GO:0043539, the CALM1 gene-review
  core function, and CAMKK1/CAMKK2 with calcium/calmodulin-dependent protein kinase
  activity GO:0004683, the activity named in the GO:0061762 definition. GO:0004683 is
  IBA/IEA only for CAMKK1 and IEA only for CAMKK2: neither has an experimental MF row
  for it, although the cited papers show in vitro phosphorylation and activation of
  AMPK by CAMKKbeta. CAMKK2 is the main AMPK kinase of the pair (PMID:16054095);
  CAMKK1 is modelled because RGD draws it and both isoforms act as AMPK kinases in
  cells (PMID:15980064). (4) Inactivation is a variant set of Thr172 phosphatases with
  selection ONE_OR_MORE: PP2A (PPP2CA, GO:0004722 IDA/EXP), the PPM pair PPM1E and
  PPM1F (GO:0004722 IDA), and PP1-R6 (PPP1CA/PPP1CB with PPP1R3D). The PP1-R6 holoenzyme
  is modelled with GO:0000164 protein phosphatase type 1 complex, whose definition
  (catalytic subunit plus a regulatory subunit that dictates substrate specificity)
  fits the R6-targeted enzyme. PPP1R3D has no experimental molecular function (protein
  phosphatase 1 binding GO:0008157 is IBA only), so its unit carries a role statement
  only. The PP2A step is drawn on the catalytic subunit alone; the B56delta regulatory
  subunit (PPP2R5D) implicated in PMID:24412756 is not on the RGD list and is not
  modelled. Phosphatase activity on AMPK is regulatory to this module; the phosphatase
  annotons carry protein dephosphorylation GO:0006470, not the module process term.
  (5) Outputs. Under the substrate-vs-participant rule, AMPK substrates whose
  phosphorylation is the output (raptor, ACC1/ACC2, TBC1D1, HMG-CoA reductase and
  others) are not participants. The TSC1-TSC2 complex is modelled as a part because it
  does work in the module: its GTPase activator activity GO:0005096 (IDA for TSC2) on
  RHEB is the step by which AMPK phosphorylation is relayed to mTORC1, and RGD names
  it. TSC1 is included as a unit of the TSC1-TSC2 complex GO:0033596 with protein
  folding chaperone GO:0044183 (IDA), the role it has in the TSC1 GO-CAM
  gomodel:65a1f4f800000922, where it stabilises TSC2; it is not itself phosphorylated
  by AMPK in the cited work. The downstream mTORC1 step is an optional part by
  module_ref to pi3k_akt_mtor#mtorc1_activation, so mTORC1 and RHEB are not re-modelled
  here; direct raptor phosphorylation by AMPK (PMID:18439900) is a second connection
  to that part. The lipid outputs are optional parts by module_ref to
  fatty_acid_de_novo_synthesis#malonyl_coa_synthesis (ACC, inhibited by AMPK
  phosphorylation) and carnitine_shuttle#cpt1_step (CPT1, inhibited by malonyl-CoA);
  CPT1A is the RGD gene for the latter and is not re-modelled. The other RGD outputs
  (gluconeogenesis, glycogen synthesis, insulin-responsive glucose transport via
  TBC1D1, fatty acid beta-oxidation) are drawn by RGD as links to other PW diagrams
  (PW:0000641, PW:0000532, PW:0000639, PW:0000738, PW:0000029, PW:0000180) and are not
  modelled; those PW ids are mentioned here only and are not evidence source_ids.
  Metformin action (complex I inhibition raising AMP) is upstream context, not a
  module part. (6) Location. The module context is cytosol. AMPK also acts in the
  nucleus and at the lysosomal surface (the AXIN1-LKB1 route of
  gomodel:698e557b00001137 puts STK11 on late endosomes), which is described in prose
  only. TSC2 is located on the lysosomal membrane, as in the GO-CAMs.
  Comparator check for GO:0042149. Only the AMPK catalytic subunits are given this
  process on their own annotons; the LKB1 complex, calmodulin, the CAMKKs, the
  phosphatases and TSC1/TSC2 carry their own functions and are not asserted to be
  involved in it (STK11 has GO:0042149 by ISS only).
  Possible upstream errors noticed: STRADA (Q7RTN6) carries GO:0004672 protein kinase
  activity by IDA (PMID:12805220) although that paper describes STRAD as a pseudokinase
  lacking residues indispensable for catalytic activity; PRKAB2 (O43741) carries
  GO:0004679 AMP-activated protein kinase activity by IDA on a non-catalytic subunit
  (contributes_to would fit better); CAMKK2 (Q96RR4) carries GO:0004713 protein
  tyrosine kinase activity by TAS; in gomodel:698e557b00001137 STK11 is typed as
  protein serine kinase activity GO:0106310, although the AMPK site it phosphorylates
  is Thr172 (GO:0004674 would fit). GO-CAM coverage is linked under
  gocam_associations. No GO-CAM in gocams/index.tsv covers PRKAB1/2, PRKAG1-3, STRADA,
  CAB39, CAMKK1/2, PPM1E/F, PPP1R3D or PP1/PP2A acting on AMPK. Gene reviews exist for
  CALM1, CALM2, CALM3, PPP2CA and CPT1A; the other members have no review yet. The fly
  counterparts are modules/dmel_ampk_complex.yaml and
  modules/dmel_lkb1_strad_mo25_complex.yaml (concrete Drosophila modules, not
  module_ref'd). PANTHER family ids and PTNs are deliberately not asserted.
module:
  id: ampk_energy_sensing
  label: AMPK energy sensing and signalling
  module_type: SIGNALING_PATHWAY
  concepts:
    - preferred_term: cellular response to glucose starvation
      term:
        id: GO:0042149
        label: cellular response to glucose starvation
      description: >-
        Energy-stress response carried by AMPK activity in the human glucose-starvation
        GO-CAMs. GO has no general AMPK signalling term; the curated PW mapping
        GO:0061762 is placed on the CAMKK variant.
  context:
    taxa:
      - preferred_term: Homo sapiens
        term:
          id: NCBITaxon:9606
          label: Homo sapiens
    cellular_components:
      - preferred_term: cytosol
        term:
          id: GO:0005829
          label: cytosol
  parts:
    - order: 1
      role: Thr172 phosphorylation of the AMPK alpha subunit by an upstream kinase
      node:
        id: ampk_upstream_kinases
        label: Upstream AMPK kinases (LKB1 complex or Ca2+/calmodulin-CAMKK)
        module_type: REGULATORY_STEP
        description: >-
          AMPK is active only when Thr172 in the alpha-subunit activation loop is
          phosphorylated. The constitutively active LKB1 complex supplies this
          phosphorylation under energy stress, when nucleotide binding to AMPK gamma
          makes the site available; calcium-activated CAMKKs supply it independently of
          adenine nucleotide levels.
        variant_sets:
          - id: ampk_kinase_route
            label: AMPK kinase route
            axis: activating signal (energy stress via constitutive LKB1, or a cytosolic Ca2+ rise via calmodulin-CAMKK)
            selection: ONE_OR_MORE
            notes: >-
              Many cell types use both routes; LKB1-deficient cells retain
              calcium-stimulated AMPK phosphorylation through CAMKKbeta.
            evidence:
              - source_id: PMID:16054096
                statement: AMPK is phosphorylated and activated on Thr172 by at least two upstream kinases, LKB1 and CAMKKbeta.
                supporting_text: These results demonstrate that AMPK is regulated by at least two upstream kinases and suggest that AMPK may play a role in Ca(2+)-mediated signal transduction pathways.
              - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
                statement: RGD text names the LKB1 complex as the constitutive upstream kinase and CAMKK as the calcium-activated alternative.
                supporting_text: In certain cell types, Thr172 can be phosphorylated by calmodulin-dependent protein kinase kinases (CAmKK), in turn activated by calcium/calmodulin.
            variants:
              - id: lkb1_route
                label: LKB1-STRADA-CAB39 complex (energy-stress route)
                module_type: PROTEIN_COMPLEX
                description: >-
                  STK11 (LKB1) is held in an active conformation by the pseudokinase
                  STRADA, which binds it as a pseudosubstrate, and by the scaffold CAB39
                  (MO25alpha), which binds STRADA and the LKB1 activation loop. The
                  complex is constitutively active and is anchored in the cytoplasm.
                annotons:
                  - id: lkb1_complex_kinase
                    label: LKB1-STRAD-MO25 kinase complex
                    participant:
                      selector_type: PROTEIN_COMPLEX
                      protein_complex:
                        preferred_term: LKB1-STRAD-MO25 complex
                        term:
                          id: GO:1902554
                          label: serine/threonine protein kinase complex
                        active_units:
                          - id: stk11_unit
                            label: LKB1 catalytic subunit
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: STK11 (LKB1)
                                term:
                                  id: UniProtKB:Q15831
                                  label: Serine/threonine-protein kinase STK11
                            role: Catalytic subunit that phosphorylates AMPK alpha Thr172.
                            function:
                              preferred_term: protein serine/threonine kinase activity
                              term:
                                id: GO:0004674
                                label: protein serine/threonine kinase activity
                          - id: strada_unit
                            label: STRADalpha pseudokinase activator
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: STRADA
                                term:
                                  id: UniProtKB:Q7RTN6
                                  label: STE20-related kinase adapter protein alpha
                            role: Pseudokinase that binds LKB1 as a pseudosubstrate and promotes its active conformation and cytoplasmic localisation.
                            function:
                              preferred_term: protein serine/threonine kinase activator activity
                              term:
                                id: GO:0043539
                                label: protein serine/threonine kinase activator activity
                          - id: cab39_unit
                            label: MO25alpha scaffold
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: CAB39 (MO25alpha)
                                term:
                                  id: UniProtKB:Q9Y376
                                  label: Calcium-binding protein 39
                            role: Scaffold that stabilises the LKB1-STRADA complex and the LKB1 activation loop.
                            function:
                              preferred_term: protein serine/threonine kinase activator activity
                              term:
                                id: GO:0043539
                                label: protein serine/threonine kinase activator activity
                    function:
                      preferred_term: protein serine/threonine kinase activity
                      term:
                        id: GO:0004674
                        label: protein serine/threonine kinase activity
                      substrates:
                        - preferred_term: Thr172 in the activation loop of AMPK alpha (PRKAA1, PRKAA2)
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      Constitutive AMPK kinase. STK11 GO:0004674 is IDA; STRADA and CAB39
                      GO:0043539 are IDA. LKB1 also activates the twelve AMPK-related
                      kinases, which are outside this module.
                    evidence:
                      - source_id: PMID:14976552
                        statement: LKB1 in complex with STRAD and MO25 phosphorylates and activates AMPK; LKB1 catalytic activity and both partners are needed.
                        supporting_text: We recently demonstrated that the LKB1 tumour suppressor kinase, in complex with the pseudokinase STRAD and the scaffolding protein MO25, phosphorylates and activates AMP-activated protein kinase (AMPK).
                      - source_id: PMID:19892943
                        statement: STRADalpha binds LKB1 as a pseudosubstrate and, with MO25alpha, promotes the active LKB1 conformation.
                        supporting_text: STRADalpha adopts a closed conformation typical of active protein kinases and binds LKB1 as a pseudosubstrate. STRADalpha and MO25alpha promote the active conformation of LKB1, which is stabilized by MO25alpha interacting with the LKB1 activation loop.
                      - source_id: PMID:12805220
                        statement: STRAD is a catalytically deficient STE20-like pseudokinase that activates LKB1.
                        supporting_text: STRAD consists of a STE20- like kinase domain, but lacks several residues that are indispensable for intrinsic catalytic activity.
                      - source_id: PMID:14517248
                        statement: MO25alpha binds the C-terminus of STRADalpha, anchors LKB1 in the cytoplasm and stimulates LKB1 activity about tenfold.
                        supporting_text: Moreover, MO25alpha enhances the formation of the LKB1-STRADalpha complex in vivo, stimulating the catalytic activity of LKB1 approximately 10-fold.
                      - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
                        statement: RGD describes the Lkb1 complex as one catalytic and two regulatory subunits and as constitutively active.
                        supporting_text: The upstream kinase, known as Lkb1, is a complex of one catalytic and two regulatory subunits; Lkb1 is believed to be 'constitutively active'.
                    gocam_associations:
                      - model: gomodel:698e557b00001137
                        activity: gomodel:698e557b00001137/698e557b00001307
                        title: Inhibition of mTORC1 signaling by the AXIN1-STK11 axis in response to glucose starvation (Human).
                        description: >-
                          STK11 activity (typed GO:0106310 protein serine kinase activity)
                          directly positively regulating PRKAA1 AMP-activated protein kinase
                          activity; STK11 is modelled alone, without STRADA or CAB39.
                      - model: gomodel:698e557b00001137
                        activity: gomodel:698e557b00001137/698e557b00001342
                        title: Inhibition of mTORC1 signaling by the AXIN1-STK11 axis in response to glucose starvation (Human).
                        description: The matching STK11 activity directly positively regulating PRKAA2.
              - id: camkk_route
                label: Ca2+/calmodulin-CAMKK route
                module_type: SIGNALING_PATHWAY
                description: >-
                  A rise in cytosolic calcium loads calmodulin, which binds and activates
                  the calmodulin-dependent protein kinase kinases. CAMKK2 (CaMKKbeta)
                  phosphorylates AMPK Thr172 much faster than CAMKK1 and is required for
                  calcium-stimulated AMPK activation in LKB1-deficient cells; this route
                  operates without a change in adenine nucleotides.
                concepts:
                  - preferred_term: CAMKK-AMPK signaling cascade
                    term:
                      id: GO:0061762
                      label: CAMKK-AMPK signaling cascade
                    description: The curated narrowMatch for PW:0000542, specific to this route.
                annotons:
                  - id: calmodulin_camkk_activator
                    label: Calcium-bound calmodulin
                    participant:
                      selector_type: FAMILY
                      family:
                        preferred_term: calmodulin (CALM1, CALM2, CALM3)
                        description: >-
                          Three human genes encode an identical calmodulin protein; any of
                          them can fill this role.
                        representative_members:
                          - preferred_term: CALM1
                            term:
                              id: UniProtKB:P0DP23
                              label: Calmodulin-1
                          - preferred_term: CALM2
                            term:
                              id: UniProtKB:P0DP24
                              label: Calmodulin-2
                          - preferred_term: CALM3
                            term:
                              id: UniProtKB:P0DP25
                              label: Calmodulin-3
                    function:
                      preferred_term: protein serine/threonine kinase activator activity
                      term:
                        id: GO:0043539
                        label: protein serine/threonine kinase activator activity
                    processes:
                      - preferred_term: CAMKK-AMPK signaling cascade
                        term:
                          id: GO:0061762
                          label: CAMKK-AMPK signaling cascade
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      Calcium sensor that binds and activates CAMKK; GO:0043539 is IDA on
                      CALM1 and is the CALM1 gene-review core function. The GO:0061762
                      definition begins with calmodulin binding calcium and then CAMKK.
                    evidence:
                      - source_id: PMID:16054095
                        statement: Calcium ionophores stimulate AMPK in LKB1-deficient cells through CaMKKbeta.
                        supporting_text: We now report that there is a significant basal activity and phosphorylation of AMPK in LKB1-deficient cells that can be stimulated by Ca2+ ionophores, and studies using the CaMKK inhibitor STO-609 and isoform-specific siRNAs show that CaMKKbeta is required for this effect.
                  - id: camkk2_ampk_kinase
                    label: CAMKK2 (CaMKKbeta) AMPK kinase
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: CAMKK2
                        term:
                          id: UniProtKB:Q96RR4
                          label: Calcium/calmodulin-dependent protein kinase kinase 2
                    function:
                      preferred_term: calcium/calmodulin-dependent protein kinase activity
                      term:
                        id: GO:0004683
                        label: calcium/calmodulin-dependent protein kinase activity
                      substrates:
                        - preferred_term: Thr172 in the activation loop of AMPK alpha (PRKAA1, PRKAA2)
                    processes:
                      - preferred_term: CAMKK-AMPK signaling cascade
                        term:
                          id: GO:0061762
                          label: CAMKK-AMPK signaling cascade
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      Principal calcium-activated AMPK kinase. GO:0004683 is IEA only for
                      CAMKK2 (no experimental MF row), although the cited work shows that
                      CaMKKbeta phosphorylates and activates AMPK in vitro; GO:0061762 is
                      IMP/IBA.
                    evidence:
                      - source_id: PMID:16054096
                        statement: CaMKKbeta phosphorylates and activates AMPK in vitro, and its knockdown nearly abolishes AMPK activation.
                        supporting_text: CaMKKbeta isolated from rat brain or expressed in E. coli phosphorylates and activates AMPK in vitro.
                      - source_id: PMID:16054095
                        statement: CaMKKbeta activates AMPK much faster than CaMKKalpha.
                        supporting_text: CaMKKbeta also activates AMPK much more rapidly than CaMKKalpha in cell-free assays.
                  - id: camkk1_ampk_kinase
                    label: CAMKK1 (CaMKKalpha) AMPK kinase
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: CAMKK1
                        term:
                          id: UniProtKB:Q8N5S9
                          label: Calcium/calmodulin-dependent protein kinase kinase 1
                    function:
                      preferred_term: calcium/calmodulin-dependent protein kinase activity
                      term:
                        id: GO:0004683
                        label: calcium/calmodulin-dependent protein kinase activity
                      substrates:
                        - preferred_term: Thr172 in the activation loop of AMPK alpha
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      Minor calcium-activated AMPK kinase drawn by RGD. GO:0004683 is
                      IBA/IEA only. Not asserted to be in GO:0061762, which CAMKK1 does
                      not carry in GOA.
                    evidence:
                      - source_id: PMID:15980064
                        statement: siRNA against either CaMKKalpha or CaMKKbeta reduces ionomycin- and 2-deoxyglucose-stimulated AMPK Thr172 phosphorylation in LKB1-deficient HeLa cells.
                        supporting_text: These data indicate that the CaMKKs function in intact cells as AMPKKs, predicting wider roles for these kinases in regulating AMPK activity in vivo.
                connections:
                  - source: calmodulin_camkk_activator
                    target: camkk2_ampk_kinase
                    connection_type: POSITIVELY_REGULATES
                    description: Ca2+-calmodulin binds and activates CAMKK2.
                  - source: calmodulin_camkk_activator
                    target: camkk1_ampk_kinase
                    connection_type: POSITIVELY_REGULATES
                    description: Ca2+-calmodulin binds and activates CAMKK1.
    - order: 2
      role: adenine-nucleotide sensing and AMPK kinase activity
      node:
        id: ampk_heterotrimer
        label: AMPK alpha/beta/gamma heterotrimer senses AMP/ADP and phosphorylates its targets
        module_type: PROTEIN_COMPLEX
        description: >-
          The gamma subunit's CBS repeats bind AMP, ADP or ATP competitively. AMP or ADP
          binding promotes Thr172 phosphorylation and protects it from dephosphorylation,
          and AMP binding also allosterically activates the kinase; ATP antagonises these
          effects. The beta subunit bridges alpha and gamma and carries a
          glycogen-binding domain. The phosphorylated alpha subunit phosphorylates
          metabolic and growth-control substrates.
        annotons:
          - id: ampk_complex_kinase
            label: AMPK heterotrimer
            participant:
              selector_type: PROTEIN_COMPLEX
              protein_complex:
                preferred_term: AMP-activated protein kinase complex
                term:
                  id: GO:0031588
                  label: nucleotide-activated protein kinase complex
                active_units:
                  - id: ampk_alpha_unit
                    label: AMPK alpha catalytic subunit
                    participant:
                      selector_type: FAMILY
                      family:
                        preferred_term: AMPK catalytic alpha subunits
                        description: >-
                          Two human paralogues; either can pair with any beta and gamma
                          subunit.
                        representative_members:
                          - preferred_term: PRKAA1
                            term:
                              id: UniProtKB:Q13131
                              label: 5'-AMP-activated protein kinase catalytic subunit alpha-1
                          - preferred_term: PRKAA2
                            term:
                              id: UniProtKB:P54646
                              label: 5'-AMP-activated protein kinase catalytic subunit alpha-2
                    role: Catalytic subunit; its Thr172 is the site of activating phosphorylation.
                    function:
                      preferred_term: AMP-activated protein kinase activity
                      term:
                        id: GO:0004679
                        label: AMP-activated protein kinase activity
                  - id: ampk_beta_unit
                    label: AMPK beta scaffolding subunit
                    participant:
                      selector_type: FAMILY
                      family:
                        preferred_term: AMPK beta subunits
                        description: >-
                          Two human paralogues with an N-terminal glycogen-binding
                          (carbohydrate-binding module) domain and a C-terminal domain that
                          binds alpha and gamma.
                        representative_members:
                          - preferred_term: PRKAB1
                            term:
                              id: UniProtKB:Q9Y478
                              label: 5'-AMP-activated protein kinase subunit beta-1
                          - preferred_term: PRKAB2
                            term:
                              id: UniProtKB:O43741
                              label: 5'-AMP-activated protein kinase subunit beta-2
                    role: >-
                      Scaffold that bridges the alpha and gamma subunits and binds glycogen;
                      no experimental GO molecular function other than binding is recorded
                      (the PRKAB2 GO:0004679 IDA row describes the complex's activity).
                  - id: ampk_gamma_unit
                    label: AMPK gamma nucleotide-sensing subunit
                    participant:
                      selector_type: FAMILY
                      family:
                        preferred_term: AMPK gamma subunits
                        description: >-
                          Three human paralogues, each with four tandem CBS repeats forming
                          the AMP/ADP/ATP sites. PRKAG2 CBS-domain mutations cause
                          Wolff-Parkinson-White syndrome.
                        representative_members:
                          - preferred_term: PRKAG1
                            term:
                              id: UniProtKB:P54619
                              label: 5'-AMP-activated protein kinase subunit gamma-1
                          - preferred_term: PRKAG2
                            term:
                              id: UniProtKB:Q9UGJ0
                              label: 5'-AMP-activated protein kinase subunit gamma-2
                          - preferred_term: PRKAG3
                            term:
                              id: UniProtKB:Q9UGI9
                              label: 5'-AMP-activated protein kinase subunit gamma-3
                    role: Binds AMP, ADP or ATP competitively and transmits the cellular energy state to the alpha subunit.
                    function:
                      preferred_term: protein kinase regulator activity
                      term:
                        id: GO:0019887
                        label: protein kinase regulator activity
            function:
              preferred_term: AMP-activated protein kinase activity
              term:
                id: GO:0004679
                label: AMP-activated protein kinase activity
              targets:
                - preferred_term: TSC2
                - preferred_term: raptor (RPTOR)
                - preferred_term: acetyl-CoA carboxylase (ACACA, ACACB)
                - preferred_term: TBC1D1
            processes:
              - preferred_term: cellular response to glucose starvation
                term:
                  id: GO:0042149
                  label: cellular response to glucose starvation
            locations:
              - preferred_term: cytosol
                term:
                  id: GO:0005829
                  label: cytosol
            role_description: >-
              The energy sensor and effector kinase of the module. GO:0004679 is IDA for
              PRKAA1 and PRKAA2, GO:0019887 is IDA for PRKAG1, PRKAG2 and PRKAG3, and
              GO:0042149 is IDA/IBA for both alpha subunits.
            evidence:
              - source_id: PMID:21399626
                statement: AMP binding to the gamma domain promotes Thr172 phosphorylation, protects against dephosphorylation and allosterically activates; ADP binding protects without allosteric activation.
                supporting_text: Here we show that ADP binding to just one of the two exchangeable AXP (AMP/ADP/ATP) binding sites on the regulatory domain protects the enzyme from dephosphorylation, although it does not lead to allosteric activation.
              - source_id: PMID:14722619
                statement: Tandem CBS-domain pairs of the AMPK gamma subunit bind AMP and ATP, and disease mutations impair this binding.
                supporting_text: This shows that tandem pairs of CBS domains act, in most cases, as sensors of cellular energy status and, as such, represent a newly identified class of binding domain for adenosine derivatives.
              - source_id: PMID:15980064
                statement: AMPK activity depends absolutely on phosphorylation of alpha Thr172 by an AMPK kinase.
                supporting_text: AMPK activity is absolutely dependent upon phosphorylation of AMPKalphaThr-172 in its activation loop by one or more AMPK kinases (AMPKKs).
              - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
                statement: RGD describes competitive AMP/ADP/ATP binding to the gamma-subunit CBS repeats.
                supporting_text: ATP antagonizes the effect of AMP; both AMP and ATP bind in a mutually exclusive manner to the Bateman ( CBS ) domains of the gamma subunit.
            gocam_associations:
              - model: gomodel:698e557b00001137
                activity: gomodel:698e557b00001137/698e557b00001319
                title: Inhibition of mTORC1 signaling by the AXIN1-STK11 axis in response to glucose starvation (Human).
                description: PRKAA1 AMP-activated protein kinase activity (GO:0004679), directly positively regulated by STK11, part of GO:0042149.
              - model: gomodel:698e557b00001137
                activity: gomodel:698e557b00001137/698e557b00001353
                title: Inhibition of mTORC1 signaling by the AXIN1-STK11 axis in response to glucose starvation (Human).
                description: PRKAA2 AMP-activated protein kinase activity (GO:0004679), directly positively regulated by STK11.
              - model: gomodel:6482692800001813
                activity: gomodel:6482692800001813/6482692800001918
                title: Inhibition of the canonical mTORC1 signaling following phosphorylation of TSC2 by AMPK in response to glucose starvation (Human)
                description: PRKAA1 GO:0004679 acting on TSC2.
              - model: gomodel:6482692800001813
                activity: gomodel:6482692800001813/6482692800001928
                title: Inhibition of the canonical mTORC1 signaling following phosphorylation of TSC2 by AMPK in response to glucose starvation (Human)
                description: PRKAA2 GO:0004679 acting on TSC2.
              - model: gomodel:6482692800001739
                activity: gomodel:6482692800001739/6482692800001783
                title: Inhibition of the canonical mTORC1 signaling via phosphorylation of RPTOR by AMPK in response to glucose starvation (Human)
                description: PRKAA1 GO:0004679 acting on raptor.
              - model: gomodel:6482692800001739
                activity: gomodel:6482692800001739/6482692800001792
                title: Inhibition of the canonical mTORC1 signaling via phosphorylation of RPTOR by AMPK in response to glucose starvation (Human)
                description: PRKAA2 GO:0004679 acting on raptor.
    - order: 3
      role: termination by Thr172 dephosphorylation
      node:
        id: ampk_thr172_dephosphorylation
        label: Thr172 phosphatases inactivate AMPK
        module_type: REGULATORY_STEP
        description: >-
          When ATP is restored, ATP displaces AMP/ADP from the gamma subunit, Thr172
          becomes accessible to protein phosphatases, and AMPK is switched off. Three
          phosphatase classes are implicated; which dominates depends on cell type.
        variant_sets:
          - id: ampk_thr172_phosphatase
            label: AMPK Thr172 phosphatase
            axis: phosphatase family (PPP-family PP2A, PPM-family PPM1E/PPM1F, or R6-targeted PP1)
            selection: ONE_OR_MORE
            notes: >-
              RGD draws all three as negatively affecting AMPK alpha. The PPM and PP1-R6
              evidence comes from depletion experiments in cells; none of the three has
              been shown to be the sole Thr172 phosphatase.
            evidence:
              - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
                statement: RGD text attributes protection of phospho-Thr172 from dephosphorylation to nucleotide binding at gamma-subunit site 3.
                supporting_text: Binding of AMP to site 1 is believed to confer allosteric activation while binding of AMP or ADP to site 3 is thought to protect threonine 172 from dephosphorylation.
            variants:
              - id: pp2a_dephosphorylation
                label: PP2A
                module_type: REGULATORY_STEP
                annotons:
                  - id: ppp2ca_ampk_phosphatase
                    label: PP2A catalytic subunit alpha
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: PPP2CA
                        term:
                          id: UniProtKB:P67775
                          label: Serine/threonine-protein phosphatase 2A catalytic subunit alpha isoform
                    function:
                      preferred_term: protein serine/threonine phosphatase activity
                      term:
                        id: GO:0004722
                        label: protein serine/threonine phosphatase activity
                      substrates:
                        - preferred_term: phospho-Thr172 of AMPK alpha
                    processes:
                      - preferred_term: protein dephosphorylation
                        term:
                          id: GO:0006470
                          label: protein dephosphorylation
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      PP2A catalytic subunit; GO:0004722 is IDA/EXP in GOA and is the
                      PPP2CA gene-review core function. The B56delta regulatory subunit
                      implicated in the cited work is not modelled.
                    evidence:
                      - source_id: PMID:24412756
                        statement: PP2A dephosphorylates AMPK alpha at Thr172 in metal-treated cells.
                        supporting_text: Here, we demonstrate that protein phosphatase 2A (PP2A) regulates expression of HSP70 and HSP27 via dephosphorylation of an AMP-activated protein kinase α subunit (AMPKα) at Thr172.
              - id: ppm1e_ppm1f_dephosphorylation
                label: PPM1E and PPM1F
                module_type: REGULATORY_STEP
                annotons:
                  - id: ppm1e_ampk_phosphatase
                    label: PPM1E
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: PPM1E
                        term:
                          id: UniProtKB:Q8WY54
                          label: Protein phosphatase 1E
                    function:
                      preferred_term: protein serine/threonine phosphatase activity
                      term:
                        id: GO:0004722
                        label: protein serine/threonine phosphatase activity
                      substrates:
                        - preferred_term: phospho-Thr172 of AMPK alpha
                    processes:
                      - preferred_term: protein dephosphorylation
                        term:
                          id: GO:0006470
                          label: protein dephosphorylation
                    role_description: >-
                      Mg2+/Mn2+-dependent PPM phosphatase; depletion raises AMPK Thr172
                      phosphorylation about threefold. GO:0004722 is IDA in GOA.
                    evidence:
                      - source_id: PMID:20801214
                        statement: Depletion of PPM1E increases AMPK alpha Thr172 phosphorylation in HEK293 cells.
                        supporting_text: Depletion of Ppm1E, but not Ppm1A, using lentiviral-mediated stable gene silencing, increased AMPKα-Thr172 phosphorylation approximately three fold in HEK293 cells.
                  - id: ppm1f_ampk_phosphatase
                    label: PPM1F
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: PPM1F
                        term:
                          id: UniProtKB:P49593
                          label: Protein phosphatase 1F
                    function:
                      preferred_term: protein serine/threonine phosphatase activity
                      term:
                        id: GO:0004722
                        label: protein serine/threonine phosphatase activity
                      substrates:
                        - preferred_term: phospho-Thr172 of AMPK alpha
                    processes:
                      - preferred_term: protein dephosphorylation
                        term:
                          id: GO:0006470
                          label: protein dephosphorylation
                    role_description: >-
                      PPM1E paralogue; the evidence that it dephosphorylates AMPK is weaker
                      ("probably") than for PPM1E. GO:0004722 is IDA/IMP in GOA.
                    evidence:
                      - source_id: PMID:20801214
                        statement: PPM1E and probably PPM1F are AMPK phosphatases in cells.
                        supporting_text: The data indicate that Ppm1E and probably PpM1F are in cellulo AMPK phosphatases and that Ppm1E is a potential anti-diabetic drug target.
              - id: pp1_r6_dephosphorylation
                label: PP1-R6 (PPP1CA/PPP1CB with PPP1R3D)
                module_type: PROTEIN_COMPLEX
                description: >-
                  The PP1 regulatory subunit R6 binds the AMPK beta subunit and recruits
                  the PP1 catalytic subunit to dephosphorylate alpha Thr172 when glucose
                  is high, shown in pancreatic beta cells.
                annotons:
                  - id: pp1_r6_ampk_phosphatase
                    label: PP1-R6 holoenzyme
                    participant:
                      selector_type: PROTEIN_COMPLEX
                      protein_complex:
                        preferred_term: PP1-R6 holoenzyme
                        term:
                          id: GO:0000164
                          label: protein phosphatase type 1 complex
                        active_units:
                          - id: pp1_catalytic_unit
                            label: PP1 catalytic subunit
                            participant:
                              selector_type: FAMILY
                              family:
                                preferred_term: PP1 catalytic subunits (PPP1CA, PPP1CB)
                                description: The two PP1 catalytic isoforms on the RGD list; the cited study does not resolve the isoform.
                                representative_members:
                                  - preferred_term: PPP1CA
                                    term:
                                      id: UniProtKB:P62136
                                      label: Serine/threonine-protein phosphatase PP1-alpha catalytic subunit
                                  - preferred_term: PPP1CB
                                    term:
                                      id: UniProtKB:P62140
                                      label: Serine/threonine-protein phosphatase PP1-beta catalytic subunit
                            role: Catalytic subunit that removes the Thr172 phosphate.
                            function:
                              preferred_term: protein serine/threonine phosphatase activity
                              term:
                                id: GO:0004722
                                label: protein serine/threonine phosphatase activity
                          - id: ppp1r3d_unit
                            label: R6 targeting subunit
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: PPP1R3D (R6)
                                term:
                                  id: UniProtKB:O95685
                                  label: Protein phosphatase 1 regulatory subunit 3D
                            role: >-
                              Binds the AMPK beta subunit and recruits PP1; no experimental
                              GO molecular function is recorded (GO:0008157 protein
                              phosphatase 1 binding is IBA only).
                    function:
                      preferred_term: protein serine/threonine phosphatase activity
                      term:
                        id: GO:0004722
                        label: protein serine/threonine phosphatase activity
                      substrates:
                        - preferred_term: phospho-Thr172 of AMPK alpha
                    processes:
                      - preferred_term: protein dephosphorylation
                        term:
                          id: GO:0006470
                          label: protein dephosphorylation
                    locations:
                      - preferred_term: cytosol
                        term:
                          id: GO:0005829
                          label: cytosol
                    role_description: >-
                      Glucose-induced AMPK inactivation in beta cells. GO:0004722 is IDA
                      for PPP1CA and TAS/IBA for PPP1CB.
                    evidence:
                      - source_id: PMID:20724523
                        statement: R6 binds AMPK beta and recruits PP1 to dephosphorylate alpha Thr172 in MIN6 beta cells.
                        supporting_text: R6 interacts physically with the β-subunit of the AMPK complex and recruits PP1 to dephosphorylate the catalytic α-subunit on Thr172.
    - order: 4
      role: relay to mTORC1 through AMPK-phosphorylated TSC2
      node:
        id: ampk_tsc_relay
        label: AMPK-activated TSC1-TSC2 complex inactivates RHEB
        module_type: PROTEIN_COMPLEX
        description: >-
          Under energy stress AMPK phosphorylates TSC2 and enhances the GTPase-activating
          activity of the TSC1-TSC2 complex towards RHEB, so less RHEB-GTP is available
          to activate mTORC1 on the lysosome. This is the opposite of AKT
          phosphorylation of TSC2 downstream of insulin, which inactivates the complex.
        annotons:
          - id: tsc_complex_gap
            label: TSC1-TSC2 GAP complex
            participant:
              selector_type: PROTEIN_COMPLEX
              protein_complex:
                preferred_term: TSC1-TSC2 complex
                term:
                  id: GO:0033596
                  label: TSC1-TSC2 complex
                active_units:
                  - id: tsc2_unit
                    label: TSC2 (tuberin) GAP subunit
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: TSC2
                        term:
                          id: UniProtKB:P49815
                          label: Tuberin
                    role: GAP-domain subunit that stimulates RHEB GTP hydrolysis; the AMPK substrate.
                    function:
                      preferred_term: GTPase activator activity
                      term:
                        id: GO:0005096
                        label: GTPase activator activity
                  - id: tsc1_unit
                    label: TSC1 (hamartin) stabilising subunit
                    participant:
                      selector_type: GENE_PRODUCT
                      gene_product:
                        preferred_term: TSC1
                        term:
                          id: UniProtKB:Q92574
                          label: Hamartin
                    role: Binds and stabilises TSC2 within the complex.
                    function:
                      preferred_term: protein folding chaperone
                      term:
                        id: GO:0044183
                        label: protein folding chaperone
            function:
              preferred_term: GTPase activator activity
              term:
                id: GO:0005096
                label: GTPase activator activity
              targets:
                - preferred_term: RHEB
            processes:
              - preferred_term: negative regulation of TORC1 signaling
                term:
                  id: GO:1904262
                  label: negative regulation of TORC1 signaling
            locations:
              - preferred_term: lysosomal membrane
                term:
                  id: GO:0005765
                  label: lysosomal membrane
            role_description: >-
              TSC2 GO:0005096 and GO:1904262 are IDA; TSC1 GO:0044183 is IDA. RGD lists
              TSC1 and its text names Tsc2 as the AMPK target.
            evidence:
              - source_id: PMID:14651849
                statement: Under energy starvation AMPK phosphorylates TSC2 and enhances its activity, which is needed for translational control and cell-size regulation.
                supporting_text: Under energy starvation conditions, the AMP-activated protein kinase (AMPK) phosphorylates TSC2 and enhances its activity.
              - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
                statement: RGD text states that AMPK inhibits mTOR signalling by activating Tsc2 and by inhibiting raptor.
                supporting_text: AMPK inhibits mTOR signaling pathway by activating Tsc2 and downstream of Tsc2 by inhibiting Raptor component of mTOR complex 1
            gocam_associations:
              - model: gomodel:6482692800001813
                activity: gomodel:6482692800001813/6482692800001896
                title: Inhibition of the canonical mTORC1 signaling following phosphorylation of TSC2 by AMPK in response to glucose starvation (Human)
                description: TSC2 GTPase activator activity (GO:0005096) on the lysosomal membrane, downstream of AMPK phosphorylation.
              - model: gomodel:65a1f4f800000922
                activity: gomodel:65a1f4f800000922/65a1f4f800000923
                title: PELI1 negative regulation of MTOR pathway via TSC1 ubiquitination (Human)
                description: TSC1 protein folding chaperone (GO:0044183) acting on TSC2.
              - model: gomodel:65a1f4f800000922
                activity: gomodel:65a1f4f800000922/65a1f4f800000942
                title: PELI1 negative regulation of MTOR pathway via TSC1 ubiquitination (Human)
                description: TSC2 GTPase activator activity (GO:0005096) in negative regulation of TORC1 signalling.
    - order: 5
      optional: true
      role: inhibition of mTORC1 growth signalling
      node:
        id: ampk_mtorc1_output
        label: mTORC1 activation (inhibited by AMPK through TSC2 and raptor)
        description: >-
          Included by reference to the mTORC1 activation step of the PI3K-AKT-mTOR
          module. AMPK opposes it twice: through TSC2 (part 4) and by direct
          phosphorylation of raptor, which induces 14-3-3 binding. Optional because the
          module's metabolic outputs do not depend on it.
        module_ref: pi3k_akt_mtor#mtorc1_activation
        evidence:
          - source_id: PMID:18439900
            statement: AMPK directly phosphorylates raptor, and this is required for mTORC1 inhibition by energy stress.
            supporting_text: The phosphorylation of raptor by AMPK is required for the inhibition of mTORC1 and cell-cycle arrest induced by energy stress.
    - order: 6
      optional: true
      role: inhibition of malonyl-CoA synthesis by AMPK phosphorylation of acetyl-CoA carboxylase
      node:
        id: ampk_acc_output
        label: Acetyl-CoA carboxylase (inhibited by AMPK)
        description: >-
          Included by reference to the ACC step of the de novo fatty acid synthesis
          module. AMPK phosphorylation inhibits ACC and lowers malonyl-CoA, reducing fatty
          acid synthesis. ACC is a substrate of AMPK, not a participant.
        module_ref: fatty_acid_de_novo_synthesis#malonyl_coa_synthesis
        evidence:
          - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
            statement: RGD text describes AMPK inhibition of ACC and the resulting fall in malonyl-CoA.
            supporting_text: Phosphorylation by AMPK inhibits acetyl-CoA carboxylase (ACC) and results in reduced levels of malonyl-CoA product.
    - order: 7
      optional: true
      role: relief of malonyl-CoA inhibition of carnitine palmitoyltransferase 1
      node:
        id: ampk_cpt1_output
        label: CPT1 acylcarnitine formation (disinhibited when malonyl-CoA falls)
        description: >-
          Included by reference to the CPT1 step of the carnitine shuttle module. Lower
          malonyl-CoA relieves CPT1 inhibition, so long-chain acyl groups enter
          mitochondria for beta-oxidation. CPT1A (on the RGD list) is modelled there.
        module_ref: carnitine_shuttle#cpt1_step
        evidence:
          - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000542.yaml
            statement: RGD text describes malonyl-CoA as the CPT1 inhibitor linking ACC to fatty acid oxidation.
            supporting_text: Importantly, it is also an inhibitor of the carnitine palmitoyl transferase I, required for the transfer of primed cytosolic fatty acids into the mitochondrion where they can undergo degradative beta-oxidation.
  connections:
    - source: ampk_upstream_kinases
      target: ampk_heterotrimer
      connection_type: POSITIVELY_REGULATES
      description: LKB1 or CAMKK phosphorylates AMPK alpha Thr172, which is required for activity.
    - source: ampk_thr172_dephosphorylation
      target: ampk_heterotrimer
      connection_type: NEGATIVELY_REGULATES
      description: Thr172 dephosphorylation switches AMPK off; AMP/ADP binding to gamma protects against it.
    - source: ampk_heterotrimer
      target: ampk_tsc_relay
      connection_type: POSITIVELY_REGULATES
      description: AMPK phosphorylates TSC2 and enhances TSC1-TSC2 GAP activity.
    - source: ampk_tsc_relay
      target: ampk_mtorc1_output
      connection_type: NEGATIVELY_REGULATES
      description: TSC1-TSC2 converts RHEB-GTP to RHEB-GDP, preventing mTORC1 activation.
    - source: ampk_heterotrimer
      target: ampk_mtorc1_output
      connection_type: NEGATIVELY_REGULATES
      description: AMPK phosphorylates raptor, inhibiting mTORC1 independently of TSC2.
    - source: ampk_heterotrimer
      target: ampk_acc_output
      connection_type: NEGATIVELY_REGULATES
      description: AMPK phosphorylation inhibits acetyl-CoA carboxylase.
    - source: ampk_acc_output
      target: ampk_cpt1_output
      connection_type: NEGATIVELY_REGULATES
      description: Malonyl-CoA, the ACC product, inhibits CPT1; less malonyl-CoA allows fatty acid entry into mitochondria.
knowledge_gaps:
  - gap_statement: >-
      Which phosphatase dephosphorylates AMPK alpha Thr172 in a given tissue under
      physiological energy recovery, and how the AMP/ADP-bound gamma subunit protects
      the site from each phosphatase class, is not established.
    boundary: >-
      PP2A, PPM1E/PPM1F and PP1-R6 have each been implicated by depletion or
      inhibitor studies in particular cell lines (metal-treated cells, HEK293, MIN6 beta
      cells), and PPM1F's role is described only as probable.
    status: OPEN
    gap_kind:
      - BIOLOGY
    significance: >-
      Determines whether the termination step is one variant per tissue or a
      redundant set, and which phosphatase is a credible drug target for sustaining
      AMPK activity.
    provenance:
      - reference_id: PMID:20801214
        supporting_text: The data indicate that Ppm1E and probably PpM1F are in cellulo AMPK phosphatases and that Ppm1E is a potential anti-diabetic drug target.
