PGC-1α is thought to be a master integrator of external signals. It is known to be activated by a host of factors, including: •
Reactive oxygen species and
reactive nitrogen species, both formed endogenously in the cell as by-products of metabolism but
upregulated during times of cellular stress. • Fasting can also increase gluconeogenic gene expression, including hepatic PGC-1α. • It is strongly induced by cold exposure, linking this environmental stimulus to adaptive
thermogenesis. • It is induced by endurance exercise • cAMP response element-binding (
CREB) proteins, activated by an increase in cAMP following external cellular signals. • Protein kinase B (
Akt) is thought to downregulate PGC-1α, but upregulate its downstream effectors,
NRF1 and
NRF2. Akt itself is activated by
PIP3, often upregulated by
PI3K after
G protein signals. The Akt family is also known to activate pro-survival signals as well as metabolic activation. •
SIRT1 binds and activates PGC-1α through
deacetylation inducing
gluconeogenesis without affecting mitochondrial biogenesis. PGC-1α has been shown to exert
positive feedback circuits on some of its upstream regulators: • PGC-1α increases Akt (PKB) and Phospho-Akt (Ser 473 and Thr 308) levels in muscle. • PGC-1α leads to
calcineurin activation. Akt and calcineurin are both activators of
NF-kappa-B (p65). Through their activation, PGC-1α seems to activate NF-kappa-B. Increased activity of NF-kappa-B in muscle has recently been demonstrated following induction of PGC-1α. The finding seems to be controversial. Other groups found that PGC-1s inhibit NF-kappa-B activity. The effect was demonstrated for PGC-1 alpha and beta. PGC-1α has also been shown to drive NAD
biosynthesis to play a large role in renal protection in
acute kidney injury. == Clinical significance ==