Pyruvate kinase M2 regulates mitochondrial homeostasis in cisplatin-induced acute kidney injury

Wenjia Xie1, Qingyun He1, Yan Zhang1

  • 1Center for Kidney Disease, The Second Affiliated Hospital, Nanjing Medical University, Nanjing, China.

Cell Death & Disease
|October 10, 2023
PubMed

Insights

Pyruvate kinase M2 (PKM2) drives mitochondrial fragmentation in acute kidney injury (AKI). Inhibiting PKM2

Area of Science:

  • Nephrology
  • Cell Biology
  • Biochemistry

Background:

  • Acute kidney injury (AKI) involves mitochondrial fragmentation in renal tubular cells, leading to cell death.
  • Pyruvate kinase M2 (PKM2) regulates glycolysis and cell survival, but its role in AKI is unclear.

Purpose of the Study:

  • To elucidate the mechanism of PKM2 in regulating cell survival during AKI.
  • To investigate PKM2's role in mitochondrial fragmentation and cell death in AKI.

Main Methods:

  • Studied PKM2 phosphorylation, dimerization, and mitochondrial translocation in response to AKI-inducing agents (staurosporine, cisplatin).
  • Investigated the interaction of mitochondrial PKM2 with myosin heavy chain 9 (MYH9) and dynamin-related protein 1 (DRP1).
  • Assessed the effects of PKM2 loss/activity modulation and MYH9 inhibition on mitochondrial fragmentation and cell death in vitro and in vivo.

Main Results:

  • PKM2 phosphorylation induced its dimerization and mitochondrial translocation.
  • Mitochondrial PKM2, via MYH9, promotes DRP1-mediated mitochondrial fragmentation.
  • PKM2 modulation limited fragmentation and cell death (apoptosis, necroptosis, ferroptosis), alleviating renal injury.
  • Inhibiting MYH9 reversed staurosporine/cisplatin-induced mitochondrial fragmentation and cell death.

Conclusions:

  • PKM2 translocation into mitochondria contributes to AKI pathogenesis by promoting mitochondrial fragmentation.
  • Targeting PKM2 abundance and activity to prevent mitochondrial translocation may preserve mitochondrial integrity.
  • This offers a potential therapeutic strategy for AKI treatment.

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