Glycolytic enzyme expression and pyruvate kinase activity in cultured fibroblasts from type 1 diabetic patients with and without nephropathy
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Updated: Jun 29, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Elisabetta Iori1, Renato Millioni, Lucia Puricelli
1Department of Clinical and Experimental Medicine, Chair of Metabolism, 35128 Padova, Italy.
Abstract:
Since type 1 diabetes mellitus (T1DM) patients with nephropathy (DN+) are insulin-resistant, we aimed to identify (new) potential molecular sites involved in the alterations of glucose metabolism in these patients. We examined the expression of glycolytic enzymes in cultured fibroblasts from T1DM(DN+) patients as compared to those from T1DM patients without nephropathy (DN-) and from controls. Pyruvate kinase (PK) activity was also determined. Human skin fibroblasts were grown in normal glucose (6 mM). RNAs and proteins were analyzed, respectively, using cRNA microarray and two-dimensional electrophoresis followed by identification with mass spectrometry. PK activity was measured using a spectrophotometric assay. As compared to controls, increases in the gene expression of hexokinase, phosphoglucomutase, phosphofructokinase, aldolase and triosephosphate isomerase were found in T1DM(DN+) patients, but not in T1DM(DN-) patients. In T1DM(DN+) patients, the protein analysis showed an altered expression of three glycolytic enzymes: triosophosphate isomerase, enolase and PK. In addition, PK activity in fibroblasts from T1DM(DN+) patients was lower than that in T1DM(DN-) and in controls. In conclusion, this study reports novel alterations of enzymes involved in glucose metabolism that may be associated with the pathophysiology of insulin resistance and of renal damage in T1DM(DN+) patients.
Insights
Type 1 diabetes mellitus with kidney disease shows altered glucose metabolism enzymes in skin cells. These changes in glycolytic enzymes may contribute to insulin resistance and kidney damage in patients.
Area of Science:
- Biochemistry
- Metabolic Disorders
- Diabetology
Background:
- Type 1 diabetes mellitus (T1DM) patients with nephropathy (DN+) exhibit insulin resistance.
- Understanding molecular alterations in glucose metabolism is crucial for T1DM(DN+) pathophysiology.
Purpose of the Study:
- To identify novel molecular targets in glucose metabolism alterations in T1DM(DN+) patients.
- To compare glycolytic enzyme expression and pyruvate kinase activity in T1DM(DN+) versus T1DM(DN-) and control fibroblasts.
Main Methods:
- Cultured human skin fibroblasts from T1DM(DN+) and T1DM(DN-) patients and controls.
- Gene expression analysis via cRNA microarray.
- Protein expression analysis using 2D electrophoresis and mass spectrometry.
- Pyruvate kinase activity assay.
Main Results:
- Increased gene expression of hexokinase, phosphoglucomutase, phosphofructokinase, aldolase, and triosephosphate isomerase in T1DM(DN+) fibroblasts compared to controls.
- Altered protein expression of triosephosphate isomerase, enolase, and pyruvate kinase in T1DM(DN+) fibroblasts.
- Lower pyruvate kinase activity in T1DM(DN+) fibroblasts compared to T1DM(DN-) and control fibroblasts.
Conclusions:
- Novel alterations in glycolytic enzymes are identified in T1DM(DN+) patients.
- These metabolic changes may be linked to insulin resistance and renal damage in T1DM(DN+).
- Fibroblast analysis provides insights into systemic metabolic dysregulation in diabetic nephropathy.
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