Prolyl Isomerase Pin1 Negatively Regulates AMP-activated Protein Kinase (AMPK) by Associating with the CBS Domain in the γ Subunit*

Background: Pin1 expression is regulated by nutrient conditions. Results: Pin1 binds to γ subunit and suppresses AMPK phosphorylation. Conclusion: Pin1 expression level affects metabolic regulation. Significance: Pin1 inhibition is a potential therapy for metabolic syndrome. AMP-activated protein kinase (AMPK) plays a critical role in metabolic regulation. In this study, first, it was revealed that Pin1 associates with any isoform of γ, but not with either the α or the β subunit, of AMPK. The association between Pin1 and the AMPK γ1 subunit is mediated by the WW domain of Pin1 and the Thr211-Pro-containing motif located in the CBS domain of the γ1 subunit. Importantly, overexpression of Pin1 suppressed AMPK phosphorylation in response to either 2-deoxyglucose or biguanide stimulation, whereas Pin1 knockdown by siRNAs or treatment with Pin1 inhibitors enhanced it. The experiments using recombinant Pin1, AMPK, LKB1, and PP2C proteins revealed that the protective effect of AMP against PP2C-induced AMPKα subunit dephosphorylation was markedly suppressed by the addition of Pin1. In good agreement with the in vitro data, the level of AMPK phosphorylation as well as the expressions of mitochondria-related genes, such as PGC-1α, which are known to be positively regulated by AMPK, were markedly higher with reduced triglyceride accumulation in the muscles of Pin1 KO mice as compared with controls. These findings suggest that Pin1 plays an important role in the pathogenic mechanisms underlying impaired glucose and lipid metabolism, functioning as a negative regulator of AMPK.

To maintain cellular energy homeostasis, starvation triggers cells to inhibit anabolic processes and to promote catabolism. AMP-activated protein kinase (AMPK) 2 is a major sensor of cellular energy status and works as a switch for restoration of cellular ATP levels (1)(2)(3)(4)(5). AMPK exists as heterotrimers, composed of an ␣ catalytic subunit and ␤ and ␥ regulatory subunits (1,6). AMPK activation essentially requires phosphorylation at Thr 172 in the ␣ subunit induced by upstream kinase LKB1 or Ca 2ϩ /calmodulin-dependent protein kinase II (7)(8)(9)(10). Under nutrient-rich conditions, ATP occupies the CBS domain of the ␥ subunit, and this situation enables phosphatase PP2C to easily access the AMPK ␣ subunit, leading to inactivation of AMPK.
On the contrary, under nutrient-poor conditions, CBS domains are occupied by AMP or ADP, and this binding induces a conformational change in AMPK, thereby protecting the ␣ catalytic subunit from being dephosphorylated by PP2C (1,11,12). In addition, upstream kinase LKB1 translocates from the nucleus to the cytosol and phosphorylates the ␣ subunit (10,13,14). Thus, LKB1 translocation and occupation of AMP or ADP in the ␥ subunit are both essential for AMPK activation.
AMPK is activated by not only exercise or starvation, but also by numerous secretory factors and anti-diabetic drugs, such as biguanides, DPP4 inhibitors, or GLP-1 (15,27,28). In this study, we identified prolyl isomerase Pin1 as a negative regulator of AMPK. Importantly, Pin1 expression was shown to be markedly higher under re-fed than under fasting conditions, or in the high fat-fed state, as compared with feeding of a normal diet (29,30). Herein, we present evidence showing that increased expression of Pin1 reduces the efficiency of AMPK phosphorylation. This mechanism may be involved the pathogenesis of impaired lipid and glucose metabolism in diabetic and obese subjects.
Cell Culture-HepG2 and 293T cells were cultured in DMEM containing glutamine, NaHCO 3 , antibiotics, and 10% fetal calf serum (FCS). One day before the various experiments, cells were cultivated in collagen-coated 24-well plates or 60-mm dishes. To induce overexpression of the subunits of AMPK and Pin1, we prepared expression plasmids. Briefly, cDNAs encoding the ␣, ␤, and ␥ subunits of AMPK and Pin1, with or without S tag or FLAG tag at their N termini, were inserted into pcDNA3. Mutated Trp 34 and Lys 63 Pin1, lacking the ability to bind the WW protein domain and isomerase activity, respectively, were also prepared. For adenovirus preparation, the GFP or the Pin1 gene was inserted into a pAxCAw-tit2 vector, and adenovirus was produced in 293 cells, using an adenovirus dual expression kit (Takara). In plasmid transfection experiments, plasmids were mixed with the transfection reagent X-treme in Opti-MEM for 15 min and then transferred to the cells. For adenovirus experiments, HepG2 cells were infected with adenovirus containing the cDNA encoding GFP or Pin1 in serum-free DMEM for 1 h and then changed to DMEM containing 10% FCS. At 48 h after transfection of the expression plasmid or adenoviral infection, the cells were used for experiments.
Immunoprecipitation-293T cells or mouse tissues were solubilized with lysis buffer containing NaCl, KCl, EGTA, 1% Triton, PMSF, orthovanadate, and NaF. After centrifugation at 15,000 rpm for 30 min, supernatants were transferred to new tubes. Then adequate amounts of antibodies and beads were added, and the lysates were rotated for 2 h at 4°C. The beads were washed four times with lysis buffer. In the case of using FLAG beads, immunoprecipitates were eluted employing FLAG peptide. Finally, 2ϫ SDS sample buffer was added to each tube, followed by boiling at 95°C for 5 min.
Immunoblotting-Proteins were electrophoresed on SDS-PAGE and then transferred to PVDF membranes. After blocking with 3% bovine serum albumin in phosphate-buffered saline/Tween for 1 h, the membranes were reacted with the first antibody (1:2000) for 1 h, followed by the secondary antibody for 1 h. The bands were detected using Super Signal West Pico stable peroxidase solution (Thermo).
Preparation of Recombinant AMPK Complex-AMPK complexes (␣/␤/␥) with or without S-tagged Pin1 were obtained from 293T cells. Briefly, the S-tagged ␣ subunit, the ␤ subunit with no tag, and the FLAG-tagged ␥1 subunit with or without S-tagged Pin1 were overexpressed in 293T cells by transfection with their respective expression plasmids. The cell lysates were solubilized with the lysis buffer containing NaCl, KCl, EGTA, 1% Triton, PMSF, orthovanadate, and NaF. After centrifugation at 15,000 rpm for 30 min, the solubilized fractions were mixed with FLAG tag antibody-conjugated beads for 2 h. After the beads had been washed with lysis buffer four times, recombinant AMPK and AMPK-Pin1 complexes were prepared by elution with the FLAG peptide. (wild type, W34A, and K63A) and the FLAG-tagged ␣1, ␣2, ␤1, ␤2, ␥1, ␥2, or ␥3 subunit of AMPK. Then cell lysates were immunoprecipitated (IP) with anti-FLAG tag antibody beads, followed by immunoblotting (IB) with anti-S tag or anti-FLAG tag antibody. C, Pin1 associates with the ␥1 subunit independently of 2-DG stimulation or serum starvation. The 293T cells overexpressing Pin1 and the ␥1 subunit were treated with 2-DG for 1 h or serum-starved overnight. Then cell lysates were immunoprecipitated with anti-FLAG tag antibody, followed by immunoblotting with anti-S tag or anti-FLAG tag antibody. D, Pin1 endogenously binds to the ␥1 subunit in muscle. Protein extracts from mouse muscle were immunoprecipitated with anti-Pin1 antibody, followed by immunoblotting with anti-␥1 subunit antibody. E, Pin1 had no effect on formation of the AMPK complex. FLAG-tagged ␥1 subunits alone or with S-tagged Pin1 were transfected into 293T cells, followed by immunoprecipitation with anti-FLAG tag antibody and immunoblotting with the indicated antibodies. F, Pin1 expressions changed in response to nutrient conditions. C57BL/6J mice were fasted for 16 h and then re-fed for 4 h. The mice were then sacrificed, and muscles were harvested. The indicated proteins were detected using the corresponding antibody. G, the association between Pin1 and ␥1 was increased in the re-fed state. Tissue lysates from muscle were immunoprecipitated with ␥1 antibody, followed by immunoblotting. Shown are representative data from three independent experiments. Error bars, S.E.; *, p Ͻ 0.05.
The in Vitro Dephosphorylation of the AMPK ␣ Subunit at Thr 172 by PP2C and Phosphorylation by LKB1-To examine the effect of Pin1 on the dephosphorylation of AMPK by PP2C, AMPK or the AMPK-Pin1 complex, purified employing FLAG tag antibody-conjugated beads, was reacted with 25 ng of recombinant PP2C in the presence or absence

Pin1 Negatively Regulates AMPK
of 150 M AMP or ADP in assay buffer containing Tris-HCl, NaCl, and MgCl 2 in a volume of 20 l for up to 120 min at 30 ºC.
For the LKB1 phosphorylation assay, AMPK or AMPK-Pin1 complexes conjugated with FLAG antibody-conjugated beads were reacted with 25 ng/ml PP2C for 2 h, prior to elution with the FLAG peptide, to reduce the level of AMPK phosphorylation. Then the beads were washed four times, and the AMPK complex was eluted employing FLAG peptide. The largely dephosphorylated AMPK or AMPK-Pin1 complexes were reacted with 50 ng of recombinant LKB1 complex with or without 300 M AMP in a volume of 20 l for up to 30 min at 37°C. The reactions with PP2C or LKB1 were stopped by adding DB buffer, followed by immediate boiling at 95°C for 5 min. Then the phosphorylation levels at Thr 172 in the ␣ subunit were examined by immunoblotting with the antibody recognizing this phosphorylation.
Animals-To generate Pin1 flox mice (accession number CDB1016K; see the Center for Developmental Biology Web site), a genomic sequence including exon2 of Pin1 was inserted into the DT-ApA/conditional KO FW vector (Fig. 7A). The target vector was electroporated into TT2 embryonic stem cells (35), and homologous recombinants were selected by PCR and Southern blotting. To create chimeric mice, positive clones were injected into CD-1 8-cell-stage embryos. The chimeric mice were then mated with C57BL/6J. To create Pin1 null mice, Pin1 flox mice were crossed with CAG-Cre mice. The genotyping primers used were P1 (tct cct tcc act ggg caa ctt cct g) and P2 (tgc tgt ccc cat cgg gac ct) for both the wild and the floxed type allele and P1 and P3 (ctg tgg tgc tct tgg ggg tg ) for the KO allele, yielding 180-, 375-, and 419-bp products, respectively. These mice were maintained in a temperature-and light-controlled facility. The animals were handled in accordance with the Animal Experimentation guidelines of Hiroshima University.
Statistical Analysis-Data are expressed as means Ϯ S.E., and values of p Ͻ 0.05 were considered to be statistically significant.

Pin1
Associates with AMPK ␥ Subunits-To investigate whether or not Pin1 binds to each of the subunits of AMPK, S-tagged Pin1 was overexpressed with the FLAG-tagged ␣1, ␣2, ␤1, ␤2, ␥1, ␥2, or ␥3 subunit of AMPK or control LacZ. Immunoblotting of anti-FLAG tag antibody immunoprecipitates with anti-S tag antibody revealed associations of Pin1 with ␥1, ␥2, and ␥3 but not with other isoforms of AMPK (Fig. 1A). With exposure for much longer periods, the bands of the ␣1, ␣2, ␤1, and ␤2 subunits were detectable in the anti-FLAG tag antibody immunoprecipitates, but this would very probably be due to complex formation with the ␥ subunit (data not shown). The association between the FLAG-tagged AMPK ␥1 subunit and the S-tagged Pin1 was also detected by immunoblotting of anti-S tag immunoprecipitates with anti-FLAG antibody (Fig.  1B). The association with AMPK ␥ was observed for the wild type and for a Lys 63 mutant Pin1 lacking isomerase activity but not for a W34A mutant reportedly lacking the protein binding function to the WW domain (Fig. 1C). In addition, the association between Pin1 and the ␥ subunit was not affected by either incubation with 10 mM 2-DG for 1 h or by serum starvation for 16 h (Fig. 1D). An endogenous association between Pin1 and the ␥1 subunit was demonstrated by immunoprecipitation and subsequent immunoblotting using anti-Pin1 and anti-␥1 subunit antibodies in mouse muscle (Fig. 1E). To examine whether Pin1 binding to the ␥ subunit affects the association of the ␥ subunit with the ␣ or the ␤ subunit, the FLAG-tagged ␥ subunit and S-tagged Pin1 were overexpressed. The amounts of the ␣1 and ␤1 subunits co-immunoprecipitated with the FLAGtagged ␥ subunit by anti-FLAG tag antibody were not altered by Pin1 overexpression (Fig. 1F). Finally, whether the association between Pin1 and AMPK was affected by either starvation or feeding was examined (Fig. 1, G and H). Pin1 expression in mouse muscle was higher by ϳ5-fold in the fed than in the fasted state, whereas expression of the ␥1 subunit was unchanged (Fig. 1G). In proportion to the increase in the total amount of Pin1, the amount of Pin1 associated with the ␥1 subunit was also markedly elevated in the re-fed state (Fig. 1H).
Thr 211 -Pro-containing Motif in ␥1 Subunit Is Required for Binding with Pin1-To identify the domain of Pin1 responsible for the association with the ␥1 subunit, the pGEX vectors expressing the GST proteins fused with the WW domain, the PPI domain of Pin1, and full-length Pin1 were prepared. GST alone, the GST-WW domain, the GST-PPI domain, and GSTfull length Pin1 were expressed in E. coli. BL21 was purified using glutathione beads, as confirmed by Coomassie Blue staining ( Fig. 2A, middle). The pull-down experiments, performed by mixing the lysates from the 293 cells overexpressing the FLAG-tagged AMPK ␥1 subunit with GST alone, the GST-WW domain, the GST-PPI domain, or the GST-fulllength Pin1, revealed that the GST-WW domain and GST-fulllength Pin1 but not the GST-PPI domain associated with the ␥1 subunit ( Fig. 2A). In addition, this interaction was abolished by treating the cell lysates containing the FLAG-tagged AMPK ␥1 subunit with calf intestinal alkaline phosphatase, suggesting that phosphorylation of the ␥1 subunit is required for this inter- To identify the Ser/Thr-Pro-containing domains involved in the association with Pin1, the mutant ␥2 and ␥3 subunits, in which all or all but one of the Ser/Thr-Pro motifs had been generated by substituting Ser/Thr with alanine, were prepared. Their associations with Pin1 were then examined. Next, the 293T cells were transfected with S-tagged Pin1 and mutated AMPK ␥2 or ␥3, followed by immunoprecipitation with FLAG beads. W, wild type; Wϩnumber, only one Ser/Pro or Thr/Pro site is wild type, and other sites have been substituted with alanine; M, all Ser/Pro or Thr/Pro sites substituted with alanine. Shown are representative data from three independent experiments. OCTOBER 2, 2015 • VOLUME 290 • NUMBER 40 action with Pin1 (Fig. 2B). As shown in Fig. 2C, the ␥1 subunit possesses four CBS domains and also four Ser/Thr-Pro-containing motifs (Ser 10 , Ser 21 , Ser 133 , and Thr 211 ) necessary for the association with Pin1. To pinpoint the serine or threonine residue(s) in the ␥1 subunit interacting with Pin1, mutants of the ␥1 subunit in which one of these serine or threonine residues had been replaced by alanine were prepared. Alanine substitution of Thr 211 in CBS3 completely abrogated the association with Pin1 (Fig. 2D), whereas those of Ser 10 , Ser 21 , and Ser 133 did not. Taking these results together, we can reasonably speculate that the Thr 211 -Pro motif in ␥1 of the CBS3 domain is involved in the interaction with Pin1 via its WW domain.

Pin1 Negatively Regulates AMPK
On the other hand, the AMPK ␥2 and ␥3 subunits possess 19 and 8 Ser/Thr-Pro motifs, respectively (Fig. 2, E and G). To identify the Ser/Thr-Pro-containing domains involved in the association with Pin1, mutant ␥2 and ␥3 subunits, in which all or all but one of the Ser/Thr-Pro motifs had been mutated by substituting Ser/Thr with alanine, were prepared. Their associations with Pin1 were then examined. The mutant ␥2 and ␥3 subunits lacking a Ser/Thr-Pro motif did not associate with Pin1 (Fig. 2, F and H). The mutant ␥2 subunits having a Thr 165 -Pro or Ser 365 -Pro motif (W12 and W17, respectively) were able to associate with Pin1 (Fig. 2F). Similarly, the mutant ␥3 subunits with Thr 12 -Pro, Ser 39 -Pro, Thr 109 -Pro, Ser 162 -Pro, or Ser 288 -Pro (W1, W2, W4, W5, and W7, respectively) associated with Pin1 (Fig. 2H). Taken together, these observations indicate a very high likelihood of the ␥2 subunit having two binding domains containing Thr 165 and Ser 365 , whereas the ␥3 subunit has five domains containing Thr 12 , Ser 39 , Thr 109 , Ser 162 , and Ser 288 . Ser 365 in the ␥2 isoform and Ser 288 in the ␥3 isoform are located in their CBS2 domains.
Pin1 Is a Negative Regulator of AMPK Phosphorylation-Thr 172 phosphorylation in the ␣ subunit is essential for AMPK activation. To examine whether or not association of Pin1 with the ␥ subunit affects the phosphorylation level of the ␣ subunit, S-tagged Pin1 was overexpressed in 293T cells, and these cells were then stimulated with 2-DG. As shown in Fig. 3A, Pin1 overexpression markedly suppressed the AMPK ␣ subunit phosphorylation induced by 2-DG without changing the protein amount of the ␣ subunit, whereas overexpression of a K63A Pin1 mutant maintaining the binding ability but lacking PPIase After 72 h, the protein expression levels of Pin1 and the ␣ subunit were determined. After stimulation with or without 2-DG for 1 h, phosphorylation levels of the ␣ subunit were examined. C, Pin1 suppresses ␣ subunit phosphorylation, regardless of whether the ␥ subunit is ␥1, ␥2, or ␥3. The FLAG-tagged ␥1, ␥2, or ␥3 subunit and S-tagged Pin1 were overexpressed, followed by stimulation with or without 2-DG. The phosphorylation levels and amount of the ␣ subunit in the FLAG tag antibody immunoprecipitates were examined. D, the ␣ subunit phosphorylation level of the AMPK complex containing the ␥1 subunit with T211A replacement, unable to associate with Pin1, was not affected by Pin1 overexpression. E, treatment with Pin1 inhibitors promotes AMPK phosphorylation. Three Pin1 inhibitors, including juglone (30 M), were independently added to the cells, which were then treated with 2-DG. The bar graphs indicate the relative pAMPK levels normalized by tAMPK. Shown are representative data from three independent experiments. IB, immunoblotting; IP, immunoprecipitation. Error bars, S.E. **, p Ͻ 0.01; ***, p Ͻ 0.001; n.s., not significant. activity did not (Fig. 3A, left). In addition, overexpression of W34A mutant Pin1, lacking the ability to bind to its target proteins, did not affect AMPK phosphorylation (Fig. 3A, right). These results indicate that proline isomerization via PPIase activity, besides the binding to AMPK, of Pin1 is necessary for its suppressive effect on AMPK phosphorylation.
In contrast, knockdown of Pin1 by each of the two siRNAs enhanced the AMPK ␣ subunit phosphorylation by 2-DG (Fig.  3B). These results clearly indicate Pin1 to be a negative regulator of AMPK. To examine whether the effect of Pin1 emerges irrespective of the ␥ subunit isoform, the FLAG-tagged ␥1, ␥2, or ␥3 subunit with or without S-tagged Pin1 was overexpressed in 293T cells, and the phosphorylation levels of the ␣ subunit co-immunoprecipitated with the ␥1, ␥2, or ␥3 subunit by anti-FLAG tag antibody were examined (Fig. 3C). Overexpression of Pin1 did not alter the amount of the ␣ subunit co-immunoprecipitated with the FLAG-tagged ␥ subunit but strongly suppressed the 2-DG-induced ␣ subunit phosphorylations, regardless of whether the ␥ subunit was ␥1, ␥2, or ␥3. Furthermore, it was shown that the ␣ subunit phosphorylation level of the AMPK complex containing the ␥1 subunit with T211A replacement or S10A/S21A/S133A/T211A replacement (␥1 T211A or ␥1 S10S21S133T211A, respectively), unable to associate with Pin1, was not affected by Pin1 overexpression (Fig. 3D, left and  middle panels). In contrast, the ␣ subunit phosphorylation level of the AMPK complex containing the ␥1 subunit with mutation of Ser/Pro motifs (␥1 S10S21S133A) besides the Pin1-associ-ated T211-contained motif was reduced by Pin1 overexpression (Fig. 3D, right), observations similar to those for the wildtype ␥1 subunit (Fig. 3C, right). These results indicate that AMPK inhibition by Pin1 requires a direct interaction between Pin1 and the ␥1 subunit of AMPK.
The inhibitory effects of Pin1 on AMPK phosphorylations were also observed when HepG2 cells were stimulated with metformin after Pin1 overexpression or knockdown had been induced (Fig. 4). Overexpression of Pin1 by adenovirus gene transfer markedly reduced the phosphorylation level of Thr 172 in the ␣ subunit under basal as well as metformin-stimulated conditions (Fig. 4A). Conversely, in the cells treated with each of the two Pin1 siRNAs, the enhanced phosphorylation levels of Thr 172 in response to metformin stimulation were more marked than with control siRNA (Fig. 4B).
Pin1 Had No Effect on AMPK ␥1 Stability-To elucidate the molecular mechanism underlying Pin1-induced suppression of AMPK ␣ subunit phosphorylation, we investigated whether or not the protein expression level of ␥1 subunit is affected by Pin1. As Pin1 Blocks the Enhancing Effect of AMP on LKB1-induced AMPK Phosphorylation-CBS domains in the ␥ subunit are reportedly involved in AMP-mediated phosphorylation of the ␣ subunit by LKB1 (1,46). To examine the effect of Pin1 on the LKB1-induced phosphorylation of AMPK ␥1, AMPK and AMPK-Pin1 complexes were prepared from the cell lysates overexpressing S-tagged ␣ and ␤ subunits and the FLAGtagged ␥1 subunit with or without Pin1 employing FLAG tag antibody-conjugated beads, followed by FLAG peptide elution. The incubation of the obtained AMPK or AMPK-Pin1 com-plexeswithrecombinantLKB1resultedintime-dependentphosphorylation of the ␣ subunit, and the addition of AMP enhanced its LKB1-induced phosphorylation (Fig. 5B, left). However, the presence of Pin1 was found to significantly inhibit the enhancing effect of AMP on LKB1-induced AMPK ␣ subunit phosphorylation (Fig. 5B, right).
Pin1 Abolishes the Protective Effect of AMP against AMPK ␣ Subunit Dephosphorylation by PP2C-In the ATP-depleted state, CBS domains in the ␥ subunit are reportedly occupied by AMP or ADP, thereby preventing dephosphorylation of the ␣ subunit by PP2C, a phosphatase (1). Because Pin1 binds to one of the CBS domains in the ␥ subunit, we examined whether or not Pin1 affects this function of AMP. When an AMPK complex consisting of ␣, ␤, and ␥ (AMPK␣␤␥) was reacted with recombinant PP2C, phosphorylation of the ␣ subunit was timedependently decreased (Fig. 6). The addition of AMP or ADP to this reaction mixture reduced the PP2C-induced dephosphorylation of the ␣ subunit (left panels of Fig. 6, A and B). The AMPK complex containing Pin1 (AMPK␣␤␥-Pin1) was dephosphorylated by PP2C, much like the action of AMPK␣␤␥ in the absence of AMP or ADP, and interestingly, this dephosphorylation of the ␣ subunit was not suppressed by the addition of AMP or ADP (middle panels of Fig. 6, A  and B). In addition, if the ␥1 subunit was mutated so as to be unable to associate with Pin1 (T211A), the dephosphorylation of AMPK␣␤␥(T211A)-Pin1 by PP2C was prevented by the addition of AMP or ADP (right panels of Fig. 6, A and B), results similar to those obtained with AMPK␣␤␥ (left panels of Fig. 6, A and B). These results indicate that Pin1 abolished the protective effect of AMP or ADP against the dephosphorylation of AMPK by PP2C.
Deficiency of Pin1 in Muscle Enhances AMPK Phosphorylation and Mitochondria Biogenesis-To determine the role of Pin1 in AMPK phosphorylation and its associated downstream events in murine muscle, we compared muscles from Pin1 KO and wildtype mice. Consistent with the in vitro data, Pin1 deficiency in muscleresultedinmarkedenhancementofAMPK ␣subunitphosphorylation with no change in the protein amount (Fig. 7B). AMPK activation reportedly induces expressions of mitochondria-related genes, such as PGC-1␣ and Nrf1, via coordination with Sirt1 (36). In fact, mRNA levels of PGC-1␣, Nrf1, Tfam, and cytochrome c were up-regulated in the muscles of Pin1 KO mice (Fig.  7C). The amounts of cytochrome c, PHB1, and PD proteins were also markedly increased in Pin1 KO mice (Fig. 7D). In addition, muscles from Pin1 KO mice were shown to have significantly lower triglyceride levels (Fig. 7E).

Discussion
Prolyl isomerase Pin1 is a unique enzyme that changes the conformations of target proteins by associating with Ser(P)/ Thr(P)-Pro containing motifs and thereby modifying protein conformations (37)(38)(39)(40)(41)(42). Because the expression level of Pin1 was increased by severalfold in muscle, liver, and adipose tissues by high-fat diet feeding or under conditions of re-feeding (29,30), we endeavored to elucidate the role of Pin1 in metabolic regulation. Pin1 reportedly enhances the insulin-induced phosphorylation of insulin receptor substrate1 and suppresses the translocation of CRTC2 into the nucleus, thereby reducing CRE transcriptional activity (29,30). Interestingly, Pin1 KO mice were shown to be resistant to high-fat diet-induced obesity and to the non-alcoholic steatohepatitis development induced by a methionine choline-deficient diet (29,34).
We demonstrated herein that Pin1 associates with the CBS domain in the ␥ subunit and functions as a negative regulator of AMPK (Fig. 8). Despite careful and repeated experiments, we could not reproduce the association between Pin1 and the ␣2 subunit, described in a previous report (43). Although the WW domain of Pin1 is sufficient for association with the ␥ subunit, suppression of ␣ subunit phosphorylation by Pin1 requires not only its binding ability but also its PPIase activity because the K63A mutant Pin1 lacking PPIase activity exerted no effects FIGURE 6. Pin1 abolishes the protective effect of AMP or ADP against PP2C. A and B, the AMPK complex with or without Pin1 was reacted with recombinant PP2C in the presence or the absence of AMP or ADP for the indicated periods, and the phosphorylation level and amount of each subunit were then determined by immunoblotting (IB). The bar graphs indicate the relative protein levels of pAMPK normalized by tAMPK. Shown are representative data from three independent experiments. Error bars, S.E.; *, p Ͻ 0.05; **, p Ͻ 0.01; n.s., not significant. (Fig. 3A). The importance of PPIase activity was also confirmed by the experiments showing treatment with Pin1 inhibitors to enhance AMPK phosphorylation (Fig. 3E).
Our results also provide further insights into the detailed molecular mechanisms underlying Pin1 functions. The obser-vations made in this study strongly suggest that reduced ␣ subunit phosphorylation by Pin1 is mediated via abolishing the protective effect of AMP or ADP against dephosphorylation by PP2C. This interpretation is reasonable, taking into consideration that the CBS domain of the ␥ subunit, reportedly responsible for the association with AMP or ADP, is the Pin1 binding portion. Although the only domain of the ␥1 subunit responsible for the association with Pin1 is in the CBS3 domain, the ␥2 and ␥3 subunits possess multiple sequences that can bind to Pin1. Nevertheless, one of their Pin1-binding domains is located in the CBS2 domain, and Pin1-induced suppression of ␣ subunit phosphorylation was observed regardless of whether the isoform of the ␥ subunit was ␥1, ␥2, or ␥3. In addition, whereas it was confirmed that application of AMP increased ␣ subunit phosphorylation by LKB1, in good agreement with the results of previous reports (44 -46), Pin1 blocked the promoting effect of AMP on LKB1-induced ␣ subunit phosphorylation.
The AMPK ␥ subunit has four CBS domains with different roles. CBS2 is empty, and the other three sites are occupied by an adenosine nucleotide. Only AMP binds to CBS4, whereas FIGURE 7. AMPK phosphorylation is elevated in Pin1 KO mouse muscle. A, scheme of the genomic construct of Pin1 flox mice. B, loss of Pin1 in muscle promotes AMPK phosphorylation. After the animals had been fasted for 16 h, muscles were harvested from Pin1 KO and wild-type mice, and the indicated protein levels were detected, using the corresponding antibody. C and D, expressions of mitochondria-related genes and proteins were elevated in Pin1 KO mice. E, muscle triglyceride content was lower in Pin1 KO mice. IB, immunoblotting. Error bars, S.E.; *, p Ͻ 0.05; **, p Ͻ 0.01; ***, p Ͻ 0.001; n.s., not significant. FIGURE 8. Proposed mechanism of AMPK regulation by Pin1. As the Pin1 expression level is low in the fasted state, AMP can protect the ␣ subunit from dephosphorylation. In the re-fed state, however, Pin1 impairs AMP binding to the g subunit and thereby abolishes the protective effect of AMP. nucleotides (AMP, ADP, or ATP) binding at CBS1 and CBS3 are interchangeable. AMP binding at CBS1 is required for allosteric activation, and the presence of AMP or ADP at CBS3 protects the ␣ subunit from dephosphorylation and promotes phosphorylation by LKB1 (1,(47)(48)(49). Taking these observations together, we can reasonably speculate that the CBS domain associated with Pin1 is no longer capable of binding to AMP or ADP. Alternatively, the conformational change toward protection from PP2C would not occur in Pin1-associated AMPK, even if the CBS domain maintains its ability to bind to AMP or ADP.
In good agreement with these in vitro results, muscle tissues in Pin1 KO mice showed markedly higher levels of AMPK phosphorylation than those in wild mice. AMPK activation reportedly induces mitochondria-related genes via coordination with Sirt1 in muscle (35,50,51). Consistent with these reports, the gene expressions involved in mitochondria biogenesis and lipid oxidation were revealed to be elevated in Pin1 KO mice, which could be one of the mechanisms contributing to the observed resistance to high-fat diet-induced obesity in Pin1 KO mice. The interaction between Pin1 and the ␥ subunit is low in the fasted state, whereas it is high under re-fed conditions, indicating a physiological role in metabolic regulation via effects on the efficiency of AMPK phosphorylation, according to nutritional intake. Finally, it should be noted that despite the marked difference in muscles, Pin1 KO and control mouse livers did not differ in this respect. Further study is necessary to elucidate the mechanism underlying this difference.
In conclusion, our results have clearly demonstrated Pin1 to be a negative regulator of AMPK, and this may be one of the mechanisms underlying the phenotype of Pin1 KO mice that are resistant to high-fat diet-induced obesity (29). Thus, the interaction between Pin1 and AMPK complexes is a potential treatment target for obesity and diabetes.