PMID- 25195104 OWN - NLM STAT- MEDLINE DCOM- 20141121 LR - 20230711 IS - 1546-1726 (Electronic) IS - 1097-6256 (Print) IS - 1097-6256 (Linking) VI - 17 IP - 10 DP - 2014 Oct TI - Metabolic regulator LKB1 is crucial for Schwann cell-mediated axon maintenance. PG - 1351-61 LID - 10.1038/nn.3809 [doi] AB - Schwann cells (SCs) promote axonal integrity independently of myelination by poorly understood mechanisms. Current models suggest that SC metabolism is critical for this support function and that SC metabolic deficits may lead to axonal demise. The LKB1-AMP-activated protein kinase (AMPK) kinase pathway targets several downstream effectors, including mammalian target of rapamycin (mTOR), and is a key metabolic regulator implicated in metabolic diseases. We found through molecular, structural and behavioral characterization of SC-specific mutant mice that LKB1 activity is central to axon stability, whereas AMPK and mTOR in SCs are largely dispensable. The degeneration of axons in LKB1 mutants was most dramatic in unmyelinated small sensory fibers, whereas motor axons were comparatively spared. LKB1 deletion in SCs led to abnormalities in nerve energy and lipid homeostasis and to increased lactate release. The latter acts in a compensatory manner to support distressed axons. LKB1 signaling is essential for SC-mediated axon support, a function that may be dysregulated in diabetic neuropathy. FAU - Beirowski, Bogdan AU - Beirowski B AD - Department of Genetics, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Babetto, Elisabetta AU - Babetto E AD - Department of Developmental Biology, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Golden, Judith P AU - Golden JP AD - Department of Anesthesiology, Washington University Pain Center, St. Louis, Missouri, USA. FAU - Chen, Ying-Jr AU - Chen YJ AD - Department of Chemistry, Washington University, St. Louis, Missouri, USA. FAU - Yang, Kui AU - Yang K AUID- ORCID: 0000000287603298 AD - Department of Internal Medicine, Division of Bioorganic Chemistry and Molecular Pharmacology, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Gross, Richard W AU - Gross RW AD - Department of Internal Medicine, Division of Bioorganic Chemistry and Molecular Pharmacology, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Patti, Gary J AU - Patti GJ AD - 1] Department of Genetics, Washington University School of Medicine, St. Louis, Missouri, USA. [2] Department of Chemistry, Washington University, St. Louis, Missouri, USA. [3] Department of Internal Medicine, Division of Bioorganic Chemistry and Molecular Pharmacology, Washington University School of Medicine, St. Louis, Missouri, USA. FAU - Milbrandt, Jeffrey AU - Milbrandt J AD - 1] Department of Genetics, Washington University School of Medicine, St. Louis, Missouri, USA. [2] Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri, USA. LA - eng SI - GEO/GSE60325 GR - P30 NS057105/NS/NINDS NIH HHS/United States GR - R01 NS040745/NS/NINDS NIH HHS/United States GR - RF1 AG013730/AG/NIA NIH HHS/United States GR - R01 AG013730/AG/NIA NIH HHS/United States GR - R21NS059566/NS/NINDS NIH HHS/United States GR - 2P01 HL057278/HL/NHLBI NIH HHS/United States GR - R56 AG013730/AG/NIA NIH HHS/United States GR - P30 DK020579/DK/NIDDK NIH HHS/United States GR - P01 HL057278/HL/NHLBI NIH HHS/United States GR - R21 NS059566/NS/NINDS NIH HHS/United States GR - NS087306/NS/NINDS NIH HHS/United States GR - AG13730/AG/NIA NIH HHS/United States GR - AG0 038036/AG/NIA NIH HHS/United States GR - L30 AG038036/AG/NIA NIH HHS/United States GR - NS040745/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140907 PL - United States TA - Nat Neurosci JT - Nature neuroscience JID - 9809671 RN - 0 (Luminescent Proteins) RN - 0 (Myelin P0 Protein) RN - 0 (Myelin Proteolipid Protein) RN - 0 (Plp1 protein, mouse) RN - 9G2MP84A8W (Deoxyglucose) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Stk11 protein, mouse) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM CIN - Nat Rev Neurosci. 2014 Nov;15(11):698-9. PMID: 25248331 CIN - Nat Neurosci. 2014 Oct;17(10):1293-5. PMID: 25254976 MH - AMP-Activated Protein Kinases MH - Animals MH - Axons/*physiology MH - Cells, Cultured MH - Deoxyglucose/metabolism MH - Female MH - In Vitro Techniques MH - Luminescent Proteins/genetics MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Motor Activity/genetics MH - Mutation/genetics MH - Myelin P0 Protein/genetics MH - Myelin Proteolipid Protein/genetics MH - Nerve Fibers, Myelinated/*metabolism MH - Neuromuscular Junction/cytology MH - Neurons/physiology MH - Peripheral Nerves/cytology/physiology MH - Protein Serine-Threonine Kinases/genetics/*metabolism MH - Schwann Cells/*physiology PMC - PMC4494117 MID - NIHMS688841 COIS- Competing financial interest R.W.G. has financial relationships with LipoSpectrum and Platomics Inc. The other authors declare no competing financial interests. EDAT- 2014/09/10 06:00 MHDA- 2014/12/15 06:00 PMCR- 2015/07/07 CRDT- 2014/09/08 06:00 PHST- 2014/06/24 00:00 [received] PHST- 2014/08/15 00:00 [accepted] PHST- 2014/09/08 06:00 [entrez] PHST- 2014/09/10 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2015/07/07 00:00 [pmc-release] AID - nn.3809 [pii] AID - 10.1038/nn.3809 [doi] PST - ppublish SO - Nat Neurosci. 2014 Oct;17(10):1351-61. doi: 10.1038/nn.3809. Epub 2014 Sep 7.