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Targeting Pyruvate Kinase M2 Phosphorylation Reverses Aggressive Cancer Phenotypes
Maria Apostolidi1,2, Ioannis A Vathiotis3, Viswanathan Muthusamy4,5
1Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, Connecticut.
Abstract:
Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype with low survival rate and a lack of biomarkers and targeted treatments. Here, we target pyruvate kinase M2 (PKM2), a key metabolic component of oncogenesis. In patients with TNBC, PKM2pS37 was identified as a prominent phosphoprotein corresponding to the aggressive breast cancer phenotype that showed a characteristic nuclear staining pattern and prognostic value. Phosphorylation of PKM2 at S37 was connected with a cyclin-dependent kinase (CDK) pathway in TNBC cells. In parallel, pyruvate kinase activator TEPP-46 bound PKM2pS37 and reduced its nuclear localization. In a TNBC mouse xenograft model, treatment with either TEPP-46 or the potent CDK inhibitor dinaciclib reduced tumor growth and diminished PKM2pS37. Combinations of dinaciclib with TEPP-46 reduced cell invasion, impaired redox balance, and triggered cancer cell death. Collectively, these data support an approach to identify PKM2pS37-positive TNBC and target the PKM2 regulatory axis as a potential treatment. SIGNIFICANCE: PKM2 phosphorylation marks aggressive breast cancer cell phenotypes and targeting PKM2pS37 could be an effective therapeutic approach for treating triple-negative breast cancer.
Insights
Targeting pyruvate kinase M2 (PKM2) phosphorylation at S37 shows promise for treating aggressive triple-negative breast cancer (TNBC). This study identifies PKM2pS37 as a biomarker and therapeutic target for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking effective biomarkers and targeted therapies.
- Pyruvate kinase M2 (PKM2) is a key metabolic enzyme implicated in cancer development.
- PKM2 phosphorylation, specifically at serine 37 (PKM2pS37), is linked to aggressive breast cancer phenotypes.
Purpose of the Study:
- To investigate PKM2pS37 as a potential biomarker and therapeutic target in TNBC.
- To explore the role of the cyclin-dependent kinase (CDK) pathway in PKM2 phosphorylation in TNBC.
- To evaluate the efficacy of targeting the PKM2 regulatory axis in preclinical TNBC models.
Main Methods:
- Identification and characterization of PKM2pS37 in TNBC patient samples.
- Analysis of the association between PKM2pS37 and the CDK pathway in TNBC cells.
- In vivo studies using a TNBC mouse xenograft model treated with PKM2 activator TEPP-46 and CDK inhibitor dinaciclib.
Main Results:
- PKM2pS37 was identified as a prominent phosphoprotein with prognostic value in TNBC, exhibiting nuclear localization.
- TEPP-46 reduced PKM2 nuclear localization, while both TEPP-46 and dinaciclib diminished PKM2pS37 levels and reduced tumor growth in vivo.
- Combination therapy impaired cancer cell invasion, redox balance, and induced cell death.
Conclusions:
- PKM2pS37 serves as a marker for aggressive TNBC phenotypes.
- Targeting the PKM2 regulatory axis, particularly PKM2pS37, represents a promising therapeutic strategy for TNBC.
- Combined inhibition of CDK and PKM2 activation may offer enhanced efficacy in treating TNBC.
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