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Updated: Apr 10, 2026

Analysis of Hematopoietic Stem Progenitor Cell Metabolism
Published on: November 9, 2019
HK2/hexokinase-II integrates glycolysis and autophagy to confer cellular protection
Valerie P Tan1, Shigeki Miyamoto
1a Department of Pharmacology ; University of California ; San Diego; La Jolla , CA USA.
Abstract:
Hexokinases (HKs) catalyze the first step of glucose metabolism, phosphorylating glucose to glucose 6-phosphate (G6P). HK2/hexokinase-II is a predominant isoform in insulin-sensitive tissues such as heart, skeletal muscle, and adipose tissues and is also upregulated in many types of tumors associated with enhanced aerobic glycolysis (the Warburg effect). Accumulating evidence indicates that HK2 plays an important role not only in glycolysis but also in cell survival. Although there is increasing recognition that cellular metabolism and cell survival are closely related, the molecular link between metabolism and autophagic pathways has not been fully elucidated. We recently discovered that HK2 facilitates autophagy in response to glucose deprivation (HK substrate deprivation) to protect cardiomyocytes, and suggest that HK2 functions as a molecular switch from glycolysis to autophagy to ensure cellular energy homeostasis under starvation conditions.
Insights
Hexokinase-II (HK2) acts as a metabolic switch, activating autophagy during glucose deprivation to protect heart cells and maintain energy balance. This discovery links glucose metabolism directly to cellular survival pathways.
Area of Science:
- Cellular metabolism
- Molecular biology
- Autophagy research
Background:
- Hexokinases (HKs) initiate glucose metabolism by phosphorylating glucose to glucose 6-phosphate (G6P).
- Hexokinase-II (HK2) is a key isoform in vital tissues and is upregulated in cancers exhibiting the Warburg effect.
- HK2's role extends beyond glycolysis to cell survival, with its link to autophagy being unclear.
Purpose of the Study:
- To elucidate the molecular link between cellular metabolism and autophagic pathways.
- To investigate the role of Hexokinase-II (HK2) in regulating autophagy under glucose-deprived conditions.
- To understand how HK2 ensures cellular energy homeostasis during starvation.
Main Methods:
- Investigated Hexokinase-II (HK2) function in cardiomyocytes.
- Analyzed the response to glucose deprivation (HK substrate deprivation).
- Examined the interplay between glycolysis and autophagy.
Main Results:
- Hexokinase-II (HK2) was found to facilitate autophagy in response to glucose deprivation in cardiomyocytes.
- HK2 acts as a molecular switch, shifting from glycolysis to autophagy.
- This switch is crucial for protecting cardiomyocytes and maintaining energy homeostasis under starvation.
Conclusions:
- Hexokinase-II (HK2) plays a critical role in linking glucose metabolism to autophagy.
- HK2 functions as a protective mechanism in cardiomyocytes during nutrient scarcity.
- The findings highlight HK2's dual role in metabolism and cell survival via autophagy.
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