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Updated: Aug 27, 2025
![Investigating Cardiac Metabolism in the Isolated Perfused Mouse Heart with Hyperpolarized [1-13C]Pyruvate and 13C/31P NMR Spectroscopy](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F63188.jpg&w=3840&q=50)
Investigating Cardiac Metabolism in the Isolated Perfused Mouse Heart with Hyperpolarized [1-13C]Pyruvate and 13C/31P NMR Spectroscopy
Published on: April 21, 2023
Role of Pyruvate Kinase M2 (PKM2) in Cardiovascular Diseases
Mohd Rihan1, Shyam Sunder Sharma2
1Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Sector 67, S.A.S. Nagar, Punjab, India.
Abstract:
Cardiovascular diseases (CVDs) are the world's leading cause of death, accounting for 32% of all fatalities. Although therapeutic agents are available for CVDs, however, most of them have significant limitations such as the time-dependency effect, hypotension, and bradycardia. To overcome the limitations of current pharmacological therapies, new molecular targets and pathways need to be identified and investigated to provide better treatment options for CVDs. Recent evidence suggested the involvement of pyruvate kinase M2 (PKM2) and targeting PKM2 by its modulators (inhibitors and activators) has shown promising results in several CVDs. PKM2 regulates gene activation in the context of apoptosis, mitosis, hypoxia, inflammation, and metabolic reprogramming. PKM2 modulators might have a significant impact on the molecular pathways involved in CVD pathogenesis. Therefore, PKM2 modulators can be one of the therapeutic options for CVDs. This review provides an insight into PKM2 involvement in various CVDs along with their therapeutic potential.
Insights
Pyruvate kinase M2 (PKM2) and its modulators show promise for treating cardiovascular diseases (CVDs). Targeting PKM2 offers a potential new therapeutic strategy to overcome limitations of current CVD treatments.
Area of Science:
- Biochemistry
- Molecular Biology
- Cardiology
Background:
- Cardiovascular diseases (CVDs) are the leading global cause of death, with existing treatments having significant limitations.
- Current pharmacological therapies for CVDs often exhibit time-dependency, hypotension, and bradycardia, necessitating novel therapeutic approaches.
Purpose of the Study:
- To explore the role of pyruvate kinase M2 (PKM2) in cardiovascular diseases.
- To investigate the therapeutic potential of PKM2 modulators (inhibitors and activators) for CVDs.
Main Methods:
- Review of recent scientific literature on PKM2 function and its relevance to cardiovascular pathophysiology.
- Analysis of studies investigating PKM2 modulators in the context of various cardiovascular conditions.
Main Results:
- PKM2 plays a role in key cellular processes including apoptosis, mitosis, hypoxia, inflammation, and metabolic reprogramming, all relevant to CVDs.
- Modulation of PKM2 activity has demonstrated promising outcomes in preclinical models of cardiovascular diseases.
Conclusions:
- PKM2 is implicated in the pathogenesis of various cardiovascular diseases.
- Targeting PKM2 with specific modulators presents a promising therapeutic avenue for improving CVD treatment strategies.
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