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Updated: Jan 10, 2026

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The Sciatic Nerve Cuffing Model of Neuropathic Pain in Mice
Published on: July 16, 2014
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Pyruvate kinase M2 - linked metabolic pathways in pain modulation
Vaishnavi Kalmegh1, Lahanya Guha2, Deep Rohan Chatterjee1
1Department of Medicinal Chemistry, National Institute of Pharmaceutical Education and Research, Ahmedabad (NIPER-A), Gandhinagar, Gujarat, India.
Drug Discovery Today
|November 25, 2025
Summary
Pyruvate kinase M2 (PKM2) links cancer cell growth and pain by altering metabolism and promoting inflammation. Targeting PKM2 offers potential for treating complex pain conditions.
Area of Science:
- Biochemistry
- Oncology
- Neuroscience
Background:
- Pyruvate kinase M2 (PKM2) is a glycolytic enzyme implicated in cancer cell proliferation.
- Pathological lactate accumulation, driven by PKM2, leads to tissue acidification and sensitizes pain pathways.
Purpose of the Study:
- To elucidate the role of PKM2 in pain signaling and its connection to metabolic reprogramming.
- To explore PKM2 as a therapeutic target for pain management.
Main Methods:
- Investigated molecular cascades involving PKM2, cyclooxygenase (COX)-1/2, interleukin (IL)-1β, and extracellular signal-regulated kinase (ERK)/mitogen-activated protein kinase (MAPK).
- Examined the impact of phosphorylated PKM2 on inflammatory and neuronal sensitization pathways, including NFκB and STAT3.
Main Results:
- PKM2 plays a central role in both nociceptive and neuropathic pain.
- Phosphorylated PKM2 activates signaling pathways that promote inflammation and neuronal sensitization.
- PKM2 integrates metabolic reprogramming with pain signaling.
Conclusions:
- PKM2 acts as a critical link between inflammation, neuronal excitation, and energy metabolism.
- Targeting PKM2 presents a promising therapeutic strategy for complex pain-linked conditions.
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