The role of pyruvate kinase M2 in anticancer therapeutic treatments
Qiongli Su1, Shengping Luo1, Qiuhong Tan1
1Department of Pharmacy, Zhuzhou Central Hospital, Zhuzhou, Hunan 412000, P.R. China.
Abstract:
Cancer cells are characterized by a high glycolytic rate, which leads to energy regeneration and anabolic metabolism; a consequence of this is the abnormal expression of pyruvate kinase isoenzyme M2 (PKM2). Multiple studies have demonstrated that the expression levels of PKM2 are upregulated in numerous cancer types. Consequently, the mechanism of action of certain anticancer drugs is to downregulate PKM2 expression, indicating the significance of PKM2 in a chemotherapeutic setting. Furthermore, it has previously been highlighted that the downregulation of PKM2 expression, using either inhibitors or short interfering RNA, enhances the anticancer effect exerted by THP treatment on bladder cancer cells, both in vitro and in vivo. The present review summarizes the detailed mechanisms and therapeutic relevance of anticancer drugs that inhibit PKM2 expression. In addition, the relationship between PKM2 expression levels and drug resistance were explored. Finally, future directions, such as the targeting of PKM2 as a strategy to explore novel anticancer agents, were suggested. The current review explored and highlighted the important role of PKM2 in anticancer treatments.
Insights
Pyruvate kinase isoenzyme M2 (PKM2) is upregulated in many cancers. Inhibiting PKM2 enhances chemotherapy effectiveness and offers a promising strategy for developing new anticancer drugs.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Cancer cells exhibit high glycolysis, leading to altered metabolism and abnormal pyruvate kinase isoenzyme M2 (PKM2) expression.
- Elevated PKM2 levels are observed across various cancer types, highlighting its oncogenic role.
- PKM2 is a validated target for anticancer drug development, with some drugs acting by downregulating its expression.
Purpose of the Study:
- To review mechanisms of anticancer drugs that inhibit PKM2 expression.
- To explore the link between PKM2 levels and cancer drug resistance.
- To suggest future research directions for targeting PKM2 in cancer therapy.
Main Methods:
- Literature review of studies on PKM2 in cancer.
- Analysis of anticancer drug mechanisms targeting PKM2.
- Exploration of PKM2's role in chemoresistance.
- Discussion of therapeutic strategies involving PKM2 inhibition.
Main Results:
- PKM2 upregulation is a hallmark of cancer, linked to altered metabolism.
- Inhibiting PKM2, through various methods, can enhance the efficacy of existing cancer treatments.
- PKM2 expression levels correlate with drug resistance, suggesting its involvement in treatment failure.
Conclusions:
- Targeting PKM2 is a significant strategy in cancer chemotherapy.
- Understanding PKM2's role in drug resistance can inform the development of more effective treatments.
- Further research into novel PKM2 inhibitors holds promise for future anticancer drug discovery.
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