PT - JOURNAL ARTICLE AU - Jung Ok Lee AU - Hye Jeong Lee AU - Yong Woo Lee AU - Jeong Ah Han AU - Min Ju Kang AU - Jiyoung Moon AU - Min-Jeong Shin AU - Ho Jun Lee AU - Ji Hyung Chung AU - Jin-Seok Lee AU - Chang-Gue Son AU - Kwon-Ho Song AU - Tae Woo Kim AU - Eun-Soo Lee AU - Hong min Kim AU - Choon Hee Chung AU - Kevin R.W. Ngoei AU - Naomi X.Y. Ling AU - Jonathan S. Oakhill AU - Sandra Galic AU - Lisa Murray-Segal AU - Bruce E. Kemp AU - Kyoung Min Kim AU - Soo Lim AU - Hyeon Soo Kim TI - Meteorin-like (Metrnl) adipomyokine improves glucose tolerance in type 2 diabetes via AMPK pathway AID - 10.1101/420489 DP - 2018 Jan 01 TA - bioRxiv PG - 420489 4099 - http://biorxiv.org/content/early/2018/09/18/420489.short 4100 - http://biorxiv.org/content/early/2018/09/18/420489.full AB - Meteorin-like (metrnl) is a recently identified adipomyokine that has beneficial effects on glucose metabolism. However, its underlying mechanism of action is not completely understood. In this study, we have shown that a level of metrnl increase in vitro under electrical-pulse-stimulation (EPS) and in vivo in exercise mice, suggesting that metrnl is an exercise-induced myokine. In addition, metrnl increases glucose uptake through the calcium-dependent AMPK pathway. Metrnl also increases the phosphorylation of HDAC5, a transcriptional repressor of GLUT4, in an AMPK-dependent manner. Phosphorylated HDAC5 interacts with 14-3-3 proteins and sequesters them in the cytoplasm, resulting in the activation of GLUT4 transcription. The intraperitoneal injection of recombinant metrnl improves glucose tolerance in mice with high fat-induced obesity or type 2 diabetes (db/db), but this is not seen in AMPK β1β2 muscle-specific null mice (AMPK β1β2 MKO). In conclusion, we have demonstrated that metrnl induces beneficial effects on glucose metabolism via AMPK and is a promising therapeutic candidate for glucose-related diseases such as type 2 diabetes.