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Updated: Jul 14, 2025

Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
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.
Abstract:
An important pathophysiological process of acute kidney injury (AKI) is mitochondrial fragmentation in renal tubular epithelial cells, which leads to cell death. Pyruvate kinase M2 (PKM2) is an active protein with various biological functions that participates in regulating glycolysis and plays a key role in regulating cell survival. However, the role and mechanism of PKM2 in regulating cell survival during AKI remain unclear. Here, we found that the phosphorylation of PKM2 contributed to the formation of the PKM2 dimer and translocation of PKM2 into the mitochondria after treatment with staurosporine or cisplatin. Mitochondrial PKM2 binds myosin heavy chain 9 (MYH9) to promote dynamin-related protein 1 (DRP1)-mediated mitochondrial fragmentation. Both in vivo and in vitro, PKM2-specific loss or regulation PKM2 activity partially limits mitochondrial fragmentation, alleviating renal tubular injury and cell death, including apoptosis, necroptosis, and ferroptosis. Moreover, staurosporine or cisplatin-induced mitochondrial fragmentation and cell death were reversed in cultured cells by inhibiting MYH9 activity. Taken together, our results indicate that the regulation of PKM2 abundance and activity to inhibit mitochondrial translocation may maintain mitochondrial integrity and provide a new therapeutic strategy for treating AKI.
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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