Any cellular or metabolic stress that reduces ATP production (e.g., heat shock, hypoxia, ischemia, glucose deprivation) or accelerates ATP consumption (e.g., contraction of skeletal muscle) will increase the ADP/ATP ratio, which will be amplified by the action of adenylate kinase, resulting in increased AMP/ATP with the consequent activation of AMPK (Figure 3)
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Funding was provided by Wellcome, the Medical Research Council, the European Union Horizon 2020 Program, the National Institutes of Health (grants U01-DK105535, U01-DK085545 and UM-1DK126185), the National Institute for Health Research Oxford Biomedical Research Centre, the Canadian Institutes of Health Research, the Novo Nordisk Foundation, Boehringer Ingelheim, and Diabetes Australia
Glenn Davies was an employee of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA, at the time of the study
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