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Updated: Jul 31, 2026

Hyperpolarized 13C Metabolic Magnetic Resonance Spectroscopy and Imaging
Published on: December 30, 2016
Pyruvate kinase type M2: a crossroad in the tumor metabolome
S Mazurek1, H Grimm, C B Boschek
1Institute for Biochemistry & Endocrinology, Veterinary Faculty, University of Giessen, Germany.
Abstract:
Cell proliferation is a process that consumes large amounts of energy. A reduction in the nutrient supply can lead to cell death by ATP depletion, if cell proliferation is not limited. A key sensor for this regulation is the glycolytic enzyme pyruvate kinase, which determines whether glucose carbons are channelled to synthetic processes or used for glycolytic energy production. In unicellular organisms pyruvate kinase is regulated by ATP, ADP and AMP, by ribose 5-P, the precursor of the nucleic acid synthesis, and by the glycolytic intermediate fructose 1,6-P2 (FBP), thereby adapting cell proliferation to nutrient supply. The mammalian pyruvate kinase isoenzyme type M2 (M2-PK) displays the same kinetic properties as the pyruvate kinase enzyme from unicellular organisms. The mammalian M2-PK isoenzyme can switch between a less active dimeric form and a highly active tetrameric form which regulates the channeling of glucose carbons either to synthetic processes (dimeric form) or to glycolytic energy production (tetrameric form). Tumor cells are usually characterized by a high amount of the dimeric form leading to a strong accumulation of all glycolytic phosphometabolites above pyruvate kinase. The tetramer-dimer ratio is regulated by ATP, FBP and serine and by direct interactions with different oncoproteins (pp60v-src, HPV-16 E7). In solid tumors with sufficient oxygen supply pyruvate is supplied by glutaminolysis. Pyruvate produced in glycolysis and glutaminolysis is used for the synthesis of lactate, glutamate and fatty acids thereby releasing the hydrogen produced in the glycolytic glyceraldehyde 3-phosphate dehydrogenase reaction.
Insights
Pyruvate kinase M2 (M2-PK) regulates cell proliferation by controlling glucose metabolism. Tumor cells favor the dimeric M2-PK form, promoting biosynthesis and energy production for rapid growth.
Area of Science:
- Biochemistry
- Cell Biology
- Oncology
Background:
- Cell proliferation requires significant energy, making nutrient supply critical.
- Pyruvate kinase (PK) is a key enzyme regulating glucose metabolism for energy or biosynthesis.
- Mammalian pyruvate kinase isoenzyme type M2 (M2-PK) plays a crucial role in adapting cell proliferation to nutrient availability.
Purpose of the Study:
- To elucidate the regulatory mechanisms of M2-PK in cell proliferation.
- To understand how M2-PK's activity influences glucose carbon channeling.
- To investigate the role of M2-PK's dimeric and tetrameric forms in tumor cell metabolism.
Main Methods:
- Analysis of M2-PK kinetic properties and its comparison to unicellular PK.
- Investigation of M2-PK isoenzyme's conformational changes (dimeric vs. tetrameric forms).
- Examination of factors regulating the tetramer-dimer ratio, including metabolites and oncoproteins.
Main Results:
- M2-PK exists in dimeric (less active) and tetrameric (highly active) forms, controlling glucose channeling.
- Tumor cells predominantly exhibit the dimeric M2-PK form, leading to glycolytic phosphometabolite accumulation.
- The tetramer-dimer ratio is modulated by ATP, fructose-1,6-bisphosphate (FBP), serine, and oncoproteins like pp60v-src and HPV-16 E7.
- In solid tumors, pyruvate is sourced from glutaminolysis and used for lactate, glutamate, and fatty acid synthesis.
Conclusions:
- M2-PK's conformational state is a critical regulator of cellular metabolic fate, balancing proliferation and energy production.
- The prevalence of the dimeric M2-PK form in tumors supports high biosynthetic demands.
- M2-PK represents a potential therapeutic target for modulating tumor metabolism.
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