- Park, Sung-Jun;
- Gavrilova, Oksana;
- Brown, Alexandra L;
- Soto, Jamie E;
- Bremner, Shannon;
- Kim, Jeonghan;
- Xu, Xihui;
- Yang, Shutong;
- Um, Jee-Hyun;
- Koch, Lauren G;
- Britton, Steven L;
- Lieber, Richard L;
- Philp, Andrew;
- Baar, Keith;
- Kohama, Steven G;
- Abel, E Dale;
- Kim, Myung K;
- Chung, Jay H
Hallmarks of aging that negatively impact health include weight gain and reduced physical fitness, which can increase insulin resistance and risk for many diseases, including type 2 diabetes. The underlying mechanism(s) for these phenomena is poorly understood. Here we report that aging increases DNA breaks and activates DNA-dependent protein kinase (DNA-PK) in skeletal muscle, which suppresses mitochondrial function, energy metabolism, and physical fitness. DNA-PK phosphorylates threonines 5 and 7 of HSP90α, decreasing its chaperone function for clients such as AMP-activated protein kinase (AMPK), which is critical for mitochondrial biogenesis and energy metabolism. Decreasing DNA-PK activity increases AMPK activity and prevents weight gain, decline of mitochondrial function, and decline of physical fitness in middle-aged mice and protects against type 2 diabetes. In conclusion, DNA-PK is one of the drivers of the metabolic and fitness decline during aging, and therefore DNA-PK inhibitors may have therapeutic potential in obesity and low exercise capacity.