AICAR (5-Aminoimidazole-4-carboxamide ribonucleotide, also known as Acadesine) is a cell-permeable nucleoside analog that activates AMP-activated protein kinase (AMPK) — the master metabolic switch that is naturally triggered by exercise and caloric restriction.
First studied in the 1980s for cardiac protection during surgery, AICAR gained widespread attention after a 2008 Salk Institute study showed it could increase running endurance in sedentary mice by 44% without any physical training. This led to it being dubbed an “exercise in a pill” and prompted WADA to ban it in competitive sports in 2009.
AICAR works by being phosphorylated inside cells to ZMP, which mimics AMP and directly activates AMPK. This triggers the same downstream metabolic cascades as exercise: increased fatty acid oxidation, enhanced glucose uptake, mitochondrial biogenesis, and improved insulin sensitivity.
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