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PKM2: A Metabolic Switch Master Regulating Cancer Cell Fate and Energy Metabolism

Structure and Isoform Regulation

PKM2 is one of four pyruvate kinase isoforms, with unique structural characteristics that enable its diverse functions. The protein exists in multiple oligomeric states – a highly active tetrameric form and a less active dimeric form – which can interconvert based on cellular conditions. The PKM2 gene undergoes alternative splicing of exons 9 and 10, resulting in the inclusion of exon 10 for PKM2 rather than exon 9 found in PKM1. The protein structure consists of four domains: the N-terminal domain, domain A, domain B, and domain C. The B domain contains a crucial FBP binding pocket that regulates PKM2’s activity. Post-translational modifications, including phosphorylation, acetylation, oxidation, and sumoylation, fine-tune PKM2’s activity and cellular localization.

Metabolic Functions and Warburg Effect

In the heart of metabolism lies PKAM2 that regulates the critical step, in glycolysis by converting phosphoenolpyruvate acid into pyruvate while producing ATP energy molecules as a byproduct. In cells metabolic processes PKAM2 has an ability to transition between active and inactive states which significantly influences the Warburg effect. A phenomenon where cells prefer using aerobic glycolysis instead of oxidative phosphorylation. When PKAM2 is in its dimer form it creates a bottleneck in metabolism leading to the buildup of glycolytic compounds that can be redirected towards building blocks, for cell growth thereby supporting fast cell division. Cancer cells can alter their metabolism to create components, for cell growth and also produce energy efficiently through a process known as metabolic reprogramming involving PKM2 activity regulation influenced by availability and redox status, in the cell environment.

Non-canonical Functions and Nuclear Roles

Besides its role in metabolism, PKM2 displays traditional functions especially when found in the nucleus. Through its presence PKM2 functions as both a protein kinase and a transcriptional coactivator involved in signalling pathways crucial for cell growth and survival. It has the ability to modify histone H3 leading to changes, in chromatin accessibility and gene activity. PKM2 also interacts with beta hypoxia factor 1α (HIF α) facilitating the activation of genes associated with cell cycle advancement, dextrose metabolism and blood vessel formation. The functions that don’t involve metabolism are usually triggered by signals, from growth factors. Play a role in the advancement of cancer cells. PKM2 ability to move back and forth between the cytoplasm and nucleus is controlled by changes that occur after protein synthesis and interactions between proteins adding another level of regulation to its functions. Exploring these roles has highlighted PKM2 as a link between cellular metabolism and the transmission of signals, within cells.

Role in Cancer Development and Progression

PKM2 plays a role, in the field of cancer research as it tends to be more active in types of cancer cells compared to healthy cells. The transformation from PKM1 to PKM2 expression is a trait of cells and is facilitated by factors such as c-Myc and heterogeneous nuclear ribonucleoproteins (hnRNPs). This change in isoforms supports the Warburg effect. Offers metabolic benefits to cancer cells. Apart from its role in metabolism enhancement, for cancer cells PKM2 also contributes to the growth, survival and spread of cancer by carrying out functions. The proteins capacity to react to stress and maintain redox balance contributes to the survival of cancer cells, in situations highlighting PKKM2 potential as a valuable target for cancer therapy due to its various pro tumor functions.

Therapeutic Targeting and Clinical Applications

​Different strategies have been investigated for this purpose; from encouraging tetramer formation using molecule activators to impeding its roles with inhibitors and disrupting protein protein interactions with certain compounds. In trials some PKM2 activators have exhibited potential by shifting cancer cells to a preferable metabolic condition. Nonetheless the intricacy of regulating PKM2 and its ranging functions pose obstacles, to developing therapies. Research, into biomarkers has also looked into PKM2 as a tool for diagnosing or predicting outcomes in types of cancer cases.

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