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Pyruvate kinase isozyme M2 (PKM2)

Target
PKM2
Molecular classification
Enzyme (glycolytic enzyme), Protein kinase (in its dimeric, non-canonical state), Transcriptional coactivator/regulator (in the nucleus)
01

Overview

Pyruvate kinase isozyme M2 is a key glycolytic enzyme encoded by the *PKM2* gene. It catalyzes the terminal reaction in glycolysis, converting phosphoenolpyruvate to pyruvate with ATP production. PKM2 uniquely exists as both a highly active tetramer and a low-activity dimer; its dimeric form predominates in proliferating cells and cancer, supporting anabolic metabolism, cell survival, and rapid proliferation, a hallmark of tumor cells known as the Warburg effect. PKM2 has additional non-glycolytic functions, particularly in the nucleus, where it acts as a protein kinase, transcriptional coactivator, and regulator of gene expression linked to oncogenic transformation, immune response, and cell fate decisions. PKM2’s role in metabolism, cancer biology, and cellular regulation makes it a major focus as a therapeutic target, cancer biomarker, and drug discovery candidate.

Other names
Pyruvate kinase muscle isozymePyruvate kinase type KCytosolic thyroid hormone-binding protein (CTHBP)Thyroid hormone-binding protein 1 (THBP1)Opa-interacting protein 3 (OIP3)Tumor M2-PK (in cancer studies)
02

Mechanism of action

Inhibition of glycolytic activity (blocking pyruvate formation and ATP production in cancer cells) Promotion of tetrameric (high-activity) form to suppress anabolic metabolism and redirect glucose metabolism Disruption of nuclear functions, kinase activity, or transcriptional modulation (where applicable) Inhibition of tumor-specific metabolic reprogramming (Warburg effect)

03

Biological functions

Glycolysis ATP production (phosphoenolpyruvate to pyruvate conversion)Cellular energy generation independently of oxygen (aerobic glycolysis/Warburg effect)Nuclear transcriptional regulation (e.g., coactivator for STAT1, gene expression modulation)Angiogenesis regulationCell proliferation (especially in tumor cells)Cell death and apoptosis (non-canonical nuclear roles)Redox homeostasis and metabolic reprogrammingImmune response modulation (e.g., PD-L1 induction)Epithelial–mesenchymal transition (EMT), invasion, and metastasis (tumor biology)
04

Disease associations

Cancer (metabolic reprogramming, tumor growth, proliferation, metastasis)Inflammation (immune cell regulation, inflammatory response)Sepsis (involvement in organ injury and immune modulation)Neurological disease (role in Lafora disease via laforin/malin interaction)Other: Embryonic tissue metabolism, tissue repair/regeneration
05

Safety considerations

Targeting PKM2 may interfere with normal tissue regeneration, repair, and embryonic developmentBroad tissue expression outside of tumors, creating potential for off-target effectsMetabolic compensation compared to other pyruvate kinase isoforms (redundancy and alternative metabolic pathways)
06

Interacting drugs

Shikonin (direct PKM2 inhibitor)

3 more in the full profile.

07

Biomarkers

Plasma/stool Tumor M2-PK (dimeric PKM2) as early cancer detection and therapy monitoring markerPKM2 expression level (tissue or serum; correlated to disease state and therapy response)

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