HBV-Induced Pyruvate Increases Lactylation of Pyruvate Kinase M2 (PKM2) at K206 to Promote Liver Fibrosis

Wenxian Wen1,2, Qin Du1,2, Shuhan Li2

  • 1Department of Clinical Medicine, North Sichuan Medical College, Nanchong 637000, China.

Insights

Hepatitis B virus (HBV) infection boosts pyruvate production, leading to increased PKM2 lactylation. This process promotes liver fibrosis by enhancing profibrogenic gene expression in hepatic stellate cells.

Area of Science:

  • Biochemistry
  • Hepatology
  • Molecular Biology

Background:

  • Hepatitis B virus (HBV) infection is a major cause of liver fibrosis.
  • Pyruvate metabolism, particularly the role of pyruvate kinase M2 (PKM2), is implicated in liver fibrogenesis.
  • PKM2 lactylation stabilizes its active tetrameric form and is a recent discovery.

Purpose of the Study:

  • To investigate the role of PKM2 lactylation in HBV-induced liver fibrosis.
  • To determine if PKM2 lactylation is a regulatory mechanism in the progression of liver fibrosis.

Main Methods:

  • Measurement of lactate levels in sera from CHB patients and HBV-transgenic (HBV-Tg) mice.
  • Assessment of protein lysine lactylation in liver tissues of HBV-Tg mice.
  • In vitro studies using LX2 cells treated with pyruvate to analyze PKM2 expression, lactylation, activity, and cellular localization.
  • Immunoprecipitation to identify the specific site of PKM2 lactylation.
  • PKM2 knockdown and site-directed mutagenesis (K206) experiments.

Main Results:

  • Elevated serum lactate levels were observed in CHB patients and HBV-Tg mice.
  • Increased global protein lysine lactylation in the liver tissues of HBV-Tg mice.
  • Pyruvate treatment in LX2 cells enhanced profibrotic gene expression and PKM2 lactylation.
  • Pyruvate-induced PKM2 lactylation promoted its tetramer-to-dimer transition, inhibited its enzymatic activity, and facilitated nuclear translocation.
  • Pyruvate was identified to induce PKM2 lactylation specifically at the K206 site.
  • PKM2 knockdown or K206 mutation attenuated pyruvate-induced PKM2 lactylation and profibrotic gene expression.

Conclusions:

  • HBV infection stimulates pyruvate production, which in turn enhances PKM2 lactylation at K206.
  • PKM2 lactylation promotes the expression of profibrogenic genes in hepatic stellate cells (HSCs).
  • This mechanism contributes significantly to the development of liver fibrogenesis in the context of HBV infection.