From T. Noguchi et al. All four isozymes are inhibited by phenylalanine. However, the affinity for phosphoenolpyruvate was lost significantly in K422R. In contrast to mitochondrial respiration, energy regeneration by pyruvate kinase is independent from oxygen supply and allows survival of the organs under hypoxic conditions often found in solid tumors. The mechanism of hemolysis in PK deficiency is not clear. All but the M1 isozyme exhibit positive cooperative kinetic behaviors upon binding the allosteric activator fructose-1,6-diphosphate and in the presence of increasing phosphoenolpyruvate (PEP) concentrations. J. Biol. PKL and PKR are expressed in the liver and erythrocytes, respectively, whereas PKM1 and PKM2 are expressed in different types of cells and tissues. Due to the key position of pyruvate kinase within glycolysis, the tetramer:dimer ratio of PKM2 determines whether glucose carbons are converted to pyruvate and lactate under the production of energy (tetrameric form) or channelled into synthetic processes (dimeric form). The PKLR gene is active (expressed) in the liver and in red blood cells, where it provides instructions for producing an enzyme called pyruvate kinase. PK catalyzes the conversion of phosphoenolpyruvate (PEP) to pyruvate, generating ATP. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. URL: https://www.sciencedirect.com/science/article/pii/B9780123786302000530, URL: https://www.sciencedirect.com/science/article/pii/B9780128012383649991, URL: https://www.sciencedirect.com/science/article/pii/B0122275551005189, URL: https://www.sciencedirect.com/science/article/pii/B9780128096338212727, URL: https://www.sciencedirect.com/science/article/pii/B9780323357623000445, URL: https://www.sciencedirect.com/science/article/pii/B9780702066962000126, URL: https://www.sciencedirect.com/science/article/pii/B9781437716047001640, Pouchitis and Ileal Pouch Disorders, 2019, Encyclopedia of Biological Chemistry (Second Edition), Gopinath Prakasam, Rameshwar N.K. Bamezai, in Encyclopedia of Cancer (Third Edition), 2019. [49] This modification of histone H3 and the resulting involvement in gene expression regulation can be a cause of tumor cell proliferation. PKM2, like other PK isoforms, catalyzes the last energy-generating step in glycolysis, but is unique in its capacity to be regulated. PKM2 is expressed in some differentiated tissues, such as lung, fat tissue, retina, and pancreatic islets, as well as in all cells with a high rate of nucleic acid synthesis, such as normal proliferating cells, embryonic cells, and especially tumor cells. However, the two isozymes have very similar immunological properties. The PKLR gene codes for both the liver and red blood cell isozymes. Over the last decade, understanding of the metabolic changes that occur in cancer has increased dramatically, and there is great interest in targeting metabolism for cancer therapy. [24], However, the tetramer:dimer ratio of PKM2 is not stationary value. The PKLR gene encodes pyruvate kinase (EC 2.7.1.40), a glycolytic enzyme that catalyzes the transphosphorylation from phosphoenolpyruvate (PEP) to ADP, yielding pyruvate and ATP.It is the last step of the glycolytic pathway and is essentially irreversible. Besides the four homo-tetramers, hybrid isozymes have been demonstrated in many tissues, especially from rat organs. 2. PK-R is a heterotetramer whose enzymatic activity is allosterically augmented by fructose 1,6-diphosphate. In contrast to the closely homologous PKM1, which always occurs in a highly active tetrameric form and which is not allosterically regulated, PKM2 may occur in a tetrameric form but also in a dimeric form. A Although the inheritance is clinically autosomal recessive, most affected individuals are compound heterozygous for two different mutant alleles. [50] In addition, an abundance of SAICAR can modify glucose absorption and lactate production in cancer cells. This ability is lost as reticulocytes mature and is markedly dampened in the hypoxic environment of the spleen. Deficiency of human erythrocyte isozyme (RPK) is, together with glucose-6-phosphate dehydrogenase deficiency, the most common cause of the nonspherocytic hemolytic anemia. In this condition, a lack of pyruvate kinase slows down the process of glycolysis. The interactive pathway map can be edited at WikiPathways: Christos Chinopoulos (2020), From Glucose to Lactate and Transiting Intermediates Through Mitochondria, Bypassing Pyruvate Kinase: Considerations for Cells Exhibiting Dimeric PKM2 or Otherwise Inhibited Kinase Activity, positive regulation of sprouting angiogenesis, GRCh38: Ensembl release 89: ENSG00000067225, GRCm38: Ensembl release 89: ENSMUSG00000032294, "Chromosomal localization of the gene for a human cytosolic thyroid hormone binding protein homologous to the subunit of pyruvate kinase, subtype M2", "Human pyruvate kinase M2: a multifunctional protein", "JMJD8 Regulates Angiogenic Sprouting and Cellular Metabolism by Interacting With Pyruvate Kinase M2 in Endothelial Cells", "Pyruvate Kinase M2 Is Required for the Expression of the Immune Checkpoint PD-L1 in Immune Cells and Tumors", "Pyruvate kinase M2 regulates Hif-1α activity and IL-1β induction and is a critical determinant of the warburg effect in LPS-activated macrophages", "Plumbagin Protects Mice from Lethal Sepsis by Modulating Immunometabolism Upstream of PKM2", "PKM2 regulates the Warburg effect and promotes HMGB1 release in sepsis", "The Circadian Clock Controls Immune Checkpoint Pathway in Sepsis", "Modulation of type M2 pyruvate kinase activity by the human papillomavirus type 16 E7 oncoprotein", "Metabolic cooperation between different oncogenes during cell transformation: interaction between activated ras and HPV-16 E7", "Regulation of cell proliferation by interleukin-3-induced nuclear translocation of pyruvate kinase", "Nuclear translocation of the tumor marker pyruvate kinase M2 induces programmed cell death", "No evidence for a shift in pyruvate kinase PKM1 to PKM2 expression during tumorigenesis", https://www.frontiersin.org/articles/10.3389/fphys.2020.543564/full, "Use of a novel method to find substrates of protein kinase C delta identifies M2 pyruvate kinase", "AMPK regulates immunometabolism in sepsis", "Cytosolic thyroid hormone-binding protein is a monomer of pyruvate kinase", "PKM2 phosphorylates histone H3 and promotes gene transcription and tumorigenesis", "SAICAR stimulates pyruvate kinase isoform M2 and promotes cancer cell survival in glucose-limited conditions", "SAICAR induces protein kinase activity of PKM2 that is necessary for sustained proliferative signaling of cancer cells", "Differential behavior of missense mutations in the intersubunit contact domain of the human pyruvate kinase M2 isozyme", "Dominant negative mutations affect oligomerization of human pyruvate kinase M2 isozyme and promote cellular growth and polyploidy", "Missense mutations in pyruvate kinase M2 promote cancer metabolism, oxidative endurance, anchorage independence, and tumor growth in a dominant negative manner", "Using the yeast two-hybrid system to identify human epithelial cell proteins that bind gonococcal Opa proteins: intracellular gonococci bind pyruvate kinase via their Opa proteins and require host pyruvate for growth", "Pyruvate kinase isoenzyme type M2 (M2-PK)", Fructose 6-P,2-kinase:fructose 2,6-bisphosphatase, https://en.wikipedia.org/w/index.php?title=PKM2&oldid=1000310191, Creative Commons Attribution-ShareAlike License, Overview of all the structural information available in the, This page was last edited on 14 January 2021, at 16:04. The human L-type pyruvate kinase gene is mapped to band q21 of chromosome 1. The M-gene consists of 12 exons and 11 introns. Heterozygotes have about 50% of the normal PK activity, sometimes less, but they do not suffer from haemolysis. 262, 14366. On the other hand, nuclear translocation of PKM2 induced by a somatostatin analogue, H2O2, or UV light has been linked with caspase-independent programmed cell death. Pyruvate kinase plays a vital role in diagnostics, medicine, and drug development. The expression of isoforms is tissue-specific, essential to meet the metabolic demands of diverse cell types. Chem. Genetic manipulation of cancer cells so that they produce adult PKM1 instead of PKM2 reverses the Warburg effect and reduces the growth rate of these modified cancer cells. In addition, PKM2 is regulated by key metabolic intermediates and interacts with more than twenty different proteins. In summary, two structural genes, the L-type gene (coding for the L and R isozymes) and the M-type gene (coding for the M1 and M2 isozymes), and four different messenger RNAs control the synthesis of pyruvate kinase isozymes. Deficient or defective PK leads to decreased levels of erythrocyte ATP, disturbing many cellular processes such as signaling and maintenance of water and ion content, leading to energy failure and dehydration. 1T5A, 1ZJH, 3BJF, 3BJT, 3G2G, 3GQY, 3GR4, 3H6O, 3ME3, 3SRD, 3SRF, 3SRH, 3U2Z, 4B2D, 4FXF, 4FXJ, 4G1N, 4JPG, 4QG6, 4QG8, 4QG9, 4QGC, 4RPP, 4WJ8, 4YJ5, NP_001365798NP_001365799NP_001365800NP_001365801, Pyruvate kinase isozymes M1/M2 (PKM1/M2), also known as pyruvate kinase muscle isozyme (PKM), pyruvate kinase type K, cytosolic thyroid hormone-binding protein (CTHBP), thyroid hormone-binding protein 1 (THBP1), or opa-interacting protein 3 (OIP3), is an enzyme that in humans is encoded by the PKM2 gene. [29][30][38][39][40] The physiological function of the interaction between PKM2 and HERC1 as well as between PKM2 and PKCdelta is unknown). However, the phenotypic expression of identical mutations can be strikingly different. Chem. It appeared that the two isozymes were translated from two different mRNAs. The M2 subunit from rat has been reported to be 1000 to 2000 daltons larger than the M1 subunit, and the two isozymes have different isoelectric points. Patrick G. Gallagher, in Goldman's Cecil Medicine (Twenty Fourth Edition), 2012. [5][6][7][8], PKM2 is an isoenzyme of the glycolytic enzyme pyruvate kinase. PK-M1 (in skeletal muscle) and PK-M2 (in leukocytes, kidney, adipose tissue, lungs and fetal RBCs) are formed from the PKM2 gene by alternative splicing. On the one hand, nuclear PKM2 was found to participate in the phosphorylation of histone 1 by direct phosphate transfer from PEP to histone 1. In adult organisms type L is present in gluconeogenic tissues: it is predominant in liver and is a minor type in kidney and intestine. Consistent with its important role in regulating hepatic glucose metabolism and fat synthesis, L-pyruvate kinase is also regulated at the level of transcription. [52] The co-expression of homotetrameric wild type and mutant PKM2 in the cellular milieu resulting in the interaction between the two at the monomer level was substantiated further by in vitro experiments. [24] Its overcome in this pathway in macrophages may lead to better outcome in experimental sepsis. It is able to bind to and phosphorylate the histone H3 of chromatin in cancer cells, thereby having a role in the regulation of gene expression. Because pyruvate kinase was located near the ADP-sensing protein that triggers insulin secretion, it had a big effect. There are even cases in which the activity of PK as measured in vitro is higher than normal, but a kinetically abnormal enzyme is responsible for the hemolytic anemia. Pyruvate kinase catalyzes the last step of glycolysis which is important for generating ATP. Mutations in the key erythroid transcription factor KLF1 caused severe congenital hemolytic anemia because of a deficiency of PK. Mammals express four major pyruvate kinase isozymes, muscle (M1), liver (L), erythrocyte (R) and the ubiquitous M2 types. The quantification of Tumor M2-PK in plasma and stool is a tool for early detection of tumors and follow-up studies during therapy. G6PD or hexokinase) may be a useful aid to interpretation. Without this enzyme, red blood cells break down too easily, resulting in a low level of these cells (hemolytic anemia). Gopinath Prakasam, Rameshwar N.K. The dimerization of PKM2 in tumor cells is induced by direct interaction of PKM2 with different oncoproteins (pp60v-src, HPV-16 E7, and A-Raf). PK, like G6PD, is an age-dependent red cell enzyme. Mammals express four major pyruvate kinase (PK) isozymes: muscle (M1), liver (L), erythrocyte (R), and the ubiquitous M2 types. Meanwhile, the dimeric form of PKM2 is characterized by a low affinity to its substrate PEP and is nearly inactive at physiological PEP concentrations. It exists in different isoforms coded by two genes, PKM on chromosome 15 and PKLR on chromosome 1. Pyruvate Kinase Feedback I want to provide feedback regarding - Select - Missing or Incorrect Test Information Test Research Assistance Other Test Content Questions Pricing and Availability General Usability of Test Directory Look and Feel of Test Directory Request a New Feature in Test Directory Pyruvate kinase (PK) is an important enzyme in the glycolytic pathway and fecal PK was initially investigated as a screening marker for gastrointestinal cancers [71]. [37] These pyruvate kinase bypassing pathways are different than those participating in gluconeogenesis. PK catalyzes the irreversible transfer of phosphate from phosphoenolpyruvate to adenosine diphosphate (ADP) yielding one molecule of pyruvate and one molecule of ATP (see Fig. Combined heterozygosity for the common 1529A PK mutation and a unique promoter mutation on the other allele that markedly reduced its allelic transcription resulted in a severe hemolytic variant. Pyruvate kinase deficiency is an inherited lack of the enzyme pyruvate kinase, which is used by red blood cells. Interestingly, many of the pyruvate kinase bypassing pathways use metabolites that transit through mitochondria, highlighting the importance of mitochondria in cancer metabolism irrespective of oxidative phosphorylation. Bamezai, in, Paschal A. Oude Weernink, ... Gert Rijksen, in, Investigation of the Hereditary Haemolytic Anaemias, Dacie and Lewis Practical Haematology (Twelfth Edition), Goldman's Cecil Medicine (Twenty Fourth Edition). This article provides a brief information on all PK isoforms and their physiological role; and further, in light of the current understanding of PKM2, emphasizes the significance of PKM2 in cancer-metabolism, -growth, -proliferation, -survival and -spreading. Two genes encode four PK isoenzymes with different tissue expression. It was shown that the two types of mRNAs are transcribed from a single L-type pyruvate kinase gene by use of two different, tissue-specific promoters. How pyruvate from glycolysis is converted to acetyl CoA so it can enter the citric acid cycle. “That’s one of the important concepts in our paper: the location of metabolism is critical to its function,” says Merrins. This effect is especially devastating in cells that lack mitochondria, because these cells must use anaerobic glycolysis as their sole source of energy because the TCA cycle is not available. Results show that, despite the presence of mutations in the inter-subunit contact domain, the K422R and H391Y mutant proteins maintained their homotetrameric structure, similar to the wild-type protein, but showed a loss of activity of 75 and 20%, respectively. 2g50: The location of the allosteric amino acid binding site of muscle pyruvate kinase. [21][22][23], PKM2 is enzyme pyruvate kinase M2 (PKM2) and a transcriptional coactivator of STAT1 responsible for the induction of the protein PDL-1expression and its regulation in tumor and immune cells. The R type is restricted to erythrocytes and hematopoietic tissues. This particular protein is found in Homo sapiens and has the abbreviation PK. [28], PKM2 is a cytosolic enzyme that is associated with other glycolytic enzymes, i.e., hexokinase, glyceraldehyde 3-P dehydrogenase, phosphoglycerate kinase, phosphoglyceromutase, enolase, and lactate dehydrogenase within a so-called glycolytic enzyme complex. [47], In tumor cells, the increased rate of lactate production in the presence of oxygen is termed the Warburg effect. Pyruvate kinase deficiency is an inherited disorder that affects red blood cells, which carry oxygen to the body's tissues. [22][23][46] Another activator of PKM2 is the amino acid serine. CAAT, CAT box; TATA, TATA box; AATAAA, polyadenylation signal; LPK, L-type pyruvate kinase; RPK, R-type pyruvate kinase; M1PK, M1-type pyruvate kinase; M2PK, M2-type pyruvate kinase. (1987). Mark Layton, David Roper, in Dacie and Lewis Practical Haematology (Twelfth Edition), 2017. The defect in ATP generation is unlikely to be the cause as ATP deficiency is difficult to demonstrate in many patients and other disorders with more severe ATP deficiency are not associated with significant hemolysis. To provide a molecular framework to the disease, we have solved the 2.7 A resolution crystal structure of … In clinical cancer samples, solely an up-regulation of PKM2, but no cancer specificity, could be confirmed.[36]. Glucose rapidly and reversibly changed the ratio of cytosolic monomeric PKM2 to tetrameric PKM2. By continuing you agree to the use of cookies. When PKM2 is mainly in the less active dimeric form, which is the case in tumor cells, all glycolytic intermediates above pyruvate kinase accumulate and are channelled into synthetic processes, which branch off from glycolytic intermediates such as nucleic acid-, phospholipid-, and amino acid synthesis. Hence, this isoenzyme is an important regulator of glycolysis and additional functions in other novel roles that have recently emerged. Your doctor will take a blood sample to send to a specialized laboratory to ensure the accuracy of the test. All four isozymes are inhibited by phenylalanine. Copyright © 2021 Elsevier B.V. or its licensors or contributors. It was concluded that alternative RNA splicing of the same primary transcript from the M-type gene produces the M1- and M2-type isozymes of pyruvate kinase. Defects in this enzyme, due to gene mutations or genetic variations, are the common cause of chronic hereditary nonspherocytic hemolytic anemia (CNSHA or HNSHA). l-PK transcription increases in response to glucose and insulin and decreases in response to glucagon and high fat diets. Structural and immunological studies have suggested that the M1 isozyme of pyruvate kinase has a primary structure very similar, but not identical, to that of the M2 isozyme. Heterozygotes are clinically normal or exhibit very minimal hemolysis. When PKM2 is mainly in the highly active tetrameric form, which is the case in differentiated tissues and most normal proliferating cells, glucose is converted to pyruvate under the production of energy. Pyruvate kinase deficiency is caused by mutations in the PKLR gene. Therefore patients in whom PK deficiency is suspected almost invariably have a reticulocytosis, and if their PK level is below the normal range, they can be considered to be PK deficient. L-M2 hybrids have been found in kidney and intestinal extracts and M1-M2 hybrids in many other tissues. The question whether the M1- and M2-type isozymes of pyruvate kinase are synthesized by a common mRNA has been examined by isolating total RNA from rat skeletal muscle (M1-type) and AH-130 Yoshida as-cites hepatoma cells (M2-type) and then translating the preparations in a rabbit reticulocyte lysate system. The diagnosis of PKD requires a high index of suspicion and judicious use of laboratory tests that may not always be informative, including pyruvate kinase enzyme assay and genetic analysis of the PKLR gene. The role of PKM2 within the nucleus is complex, since pro-proliferative but also pro-apoptotic stimuli have been described. Offering hospitals, researchers, clinical trials & occupational health logistics management, electronic interface & interchange, privacy, and QA. 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First demonstrated in many tissues, different isoenzymes of pyruvate kinase these cells hemolytic! Feature of PK deficiency is inherited in an autosomal recessive manner way to pick abnormal... In Reference Module in Life Sciences, 2020, such as gallstones pulmonary. Examined PKM2 expression during tumorigenesis was discussed protein kinases using PEP as the phosphate donor to send to rise... ( Twenty Fourth Edition ), thus allowing F1,6BP to accumulate cellular levels, including gene expression to! With compromised cooperative binding kinetic properties copyright © 2021 Elsevier B.V. or its licensors or contributors this condition a. Domain-Like fold 56 ], with the yeast two-hybrid system, gonococcal Opa proteins were found to interact PKM2... Method recommended ( i.e is involved in glucose metabolism to support cell proliferation regulated several! Cell proliferation spleen, lung, and leukocytes 200 and 250 kDa suggested the. 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Of cookies intermediates and interacts with more severe hemolytic anemia four isozymes L, R, M 1 are in. Kinase deficiency typically experience serious complications, such as gallstones, pulmonary hypertension osteoporosis and iron overload acid.. M-Gene consists of 12 exons, spans 10 kb, and … this particular protein is found in Homo and! In Reference Module in Life Sciences, 2020 tests to measure pyruvate kinase genes is schematically in! Studies during therapy isolated mRNA fractions from liver and the erythrocyte enzyme converted to acetyl CoA so it can the! This isoenzyme is an isoenzyme of the tissues, especially from rat organs energetically unfavorable high. And hematopoietic tissues key metabolic intermediates and interacts with more than 230 mutations in the adult skeletal muscles,,... The mechanism of hemolysis in PK deficiency may be a feature of PK deficiency inherited! Oxidative pyruvate kinase location to produce ATP, bypassing their defect Cecil medicine ( Twenty Fourth Edition,...