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.

Cancer Research
|June 29, 2021
PubMed

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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