Target intelligence / Profile preview

Pyruvate kinase PKM (PKM2) (PKM2)

Target
PKM2
Molecular classification
Enzyme, Kinase, Transferase, Glycolytic enzyme
01

Overview

Pyruvate kinase PKM (specifically the M2 isoenzyme, PKM2) is a critical glycolytic enzyme that catalyzes the final rate-limiting step of glycolysis, converting phosphoenolpyruvate (PEP) and ADP into pyruvate and ATP (UniProt P14618). PKM2 is uniquely characterized by its ability to switch between a highly active tetrameric form and a less active dimeric form, a transition regulated by allosteric effectors like fructose-1,6-bisphosphate and post-translational modifications (PubMed: 15996096, 1854723). In cancer cells, the dimeric form predominates, facilitating the Warburg effect by allowing glycolytic intermediates to be diverted into biosynthetic pathways for rapid cell proliferation (PubMed: 18337815, 20847263). Beyond its metabolic function, PKM2 translocates to the nucleus where it acts as a protein kinase and transcriptional co-activator, promoting the expression of genes involved in the cell cycle and apoptosis resistance (PubMed: 22056988, 22306293). Due to its overexpression in various tumors and its role in metabolic reprogramming, PKM2 is a major therapeutic target; pharmacological strategies include small-molecule activators that stabilize the tetramer to suppress tumor growth and inhibitors that block its non-metabolic functions (PubMed: 22901803, 24120661). Additionally, PKM2 is increasingly recognized for its roles in inflammation and neurodegenerative diseases, expanding its potential as a clinical target (PubMed: 31243156, 31866844).

Other names
Pyruvate kinase muscle isozymePKMPK2PK3TCBOIP3CTHBPTHBP1Pyruvate kinase 2/3Tumor M2-PKCytosolic thyroid hormone-binding protein
02

Mechanism of action

Allosteric activation to stabilize the tetrameric form (promoting oxidative phosphorylation) or inhibition to stabilize the dimeric form (reducing glycolytic flux and non-metabolic signaling).

03

Biological functions

GlycolysisCell proliferationGene expression regulationApoptosisMetabolic reprogrammingMitochondrial function regulationInflammatory response
04

Disease associations

CancerInflammationDiabetesNeurodegenerative diseaseAutoimmune disease
05

Safety considerations

Potential off-target effects on PKL and PKR isoforms leading to hemolytic anemiaDisruption of normal glycolysis in proliferating tissues such as immune cells and intestinal epitheliumSystemic metabolic toxicity
06

Interacting drugs

Mitapivat (AG-348)

6 more in the full profile.

07

Biomarkers

Tumor M2-PK (fecal and plasma)PKM2 expression levels (IHC)Phospho-PKM2 (Y105)

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