基础医学与临床 ›› 2012, Vol. 32 ›› Issue (5): 462-467.

• 肿瘤代谢专题 • 上一篇    下一篇

丙酮酸激酶M2 (PKM2)在肿瘤代谢和发生中的作用

孙倩1,张宏冰2   

  1. 1. 中国协和医科大学基础医学院生理系
    2. 中国医学科学院基础医学研究所 北京协和医学院基础医学院
  • 收稿日期:2012-03-06 修回日期:2012-03-14 出版日期:2012-05-05 发布日期:2012-04-16
  • 通讯作者: 张宏冰 E-mail:hbzhang2006@gmail.com

Role of Pyruvate Kinase M2 in tumor metabolism and development

  1. 1. Institute of Basic Medical Sciences,CAMS & PUMC
    2. Institute of Basic Medical Sciences, Peking Union Medical College
  • Received:2012-03-06 Revised:2012-03-14 Online:2012-05-05 Published:2012-04-16

摘要: 肿瘤细胞即使在氧气充足的情况下也会通过糖酵解方式来进行代谢,消耗大量葡萄糖并最终生成乳酸,这种现象被称为肿瘤的有氧糖酵解,也叫做Warburg效应。在这一过程中存在一个重要的调节因子,即M2型丙酮酸激酶(PKM2),该酶催化其上游底物磷酸烯醇式丙酮酸PEP生成丙酮酸。PKM2在增殖的细胞尤其是肿瘤细胞中高表达。PKM2经常在四聚体和二聚体的形式之间变换以决定葡萄糖转化为丙酮酸后是用于供能还是参与生物合成过程。在肿瘤细胞中PKM2通常以二聚体形式存在。EDTA血浆和粪便中的PKM2含量检测可作为一些癌症的诊断标记物。PKM2是一个磷酸酪氨酸(pTyr)结合蛋白,受多种转录因子如HIF1α和一些代谢中间产物如FBP的调节。随着对其调节机制越来越深入的研究,PKM2在肿瘤代谢和发生中的重要作用使它成为临床上肿瘤治疗的一个新靶点,具有广泛的应用前景。

关键词: 有氧糖酵解(Warburg效应), PKM2, 肿瘤发生

Abstract: Tumor cells always undergo glycolysis to metabolize glucose even in the presence of oxygen, which is termed aerobic glycolysis, also known as Warburg effect. A key sensor regulator of this process is pyruvate kinase M2 (PKM2), which catalyzed the PEP to pyruvate. It is particularly expressed in proliferative cells especially in tumor cells. It is always switched between a highly active tetrameric form and a nearly low active dimeric form, which determined whether the glucose carbons are converted to pyruvate under the production of energy or participated into synthetic processes. In tumor cells, the dimeric form of PKM2 is predominant. The amounts of Tumor M2-PK can serve as a biomarker to be detected in EDTA-plasma and stool samples of patients with various types of cancers. PKM2 is a pTyr-binding protein; it can be regulated by a lot of transcription factors such as HIF1α, and metabolic intermediates such as FBP. The crucial role of PKM2 in tumor glucose metabolism and proliferation makes it an interesting therapeutic target for the treatment of human cancers.

Key words: aerobic glycolysis (Warburg effect), PKM2, tumor development