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Loss of PKM2 in Lgr5+ intestinal stem cells promotes colitis-associated colorectal cancer.


ABSTRACT: The regulatory properties of pyruvate kinase M2 isoform (PKM2), the key glycolytic enzyme, influence altered energy metabolism including glycolysis in cancer. In this study, we found that PKM2 was highly expressed in patients with ulcerative colitis or colorectal cancer (CRC). We then investigated the effectiveness of conditionally ablating PKM2 in Lgr5+ intestinal stem cells (ISC) using a mouse model of colitis-associated CRC (AOM plus DSS). Tamoxifen-inducible Lgr5-driven deletion of PKM2 in ISC (PKM2ΔLgr5-Tx) significantly promoted tumor incidence and size in the colon and lower body weight compared with findings in vehicle-treated mice (PKM2ΔLgr5-Veh). Histopathologic analysis revealed considerable high-grade dysplasia and adenocarcinoma in the colon of PKM2ΔLgr5-Tx mice while PKM2ΔLgr5-Veh mice had low- and high-grade dysplasia. Loss of PKM2 was associated with dominant expression of PKM1 in Lgr5+ ISC and their progeny cells. Further, the organoid-forming efficiency of whole cancer cells or Lgr5+ cells obtained from colon polyps of PKM2ΔLgr5-Tx mice was significantly increased when compared with PKM2ΔLgr5-Veh mice. Cancer organoids from PKM2ΔLgr5-Tx mice exhibited increased mitochondrial oxygen consumption and a shift of metabolites involved in energy metabolism. These findings suggest that loss of PKM2 function in ISC promotes colitis-associated CRC.

SUBMITTER: Kim Y 

PROVIDER: S-EPMC6470145 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Loss of PKM2 in Lgr5<sup>+</sup> intestinal stem cells promotes colitis-associated colorectal cancer.

Kim Yeji Y   Lee Yong-Soo YS   Kang Sung Wan SW   Kim Seungil S   Kim Tae-Young TY   Lee Su-Hyun SH   Hwang Sung Wook SW   Kim Jihun J   Kim Eun Na EN   Ju Jin-Sung JS   Park Yun-Yong YY   Kweon Mi-Na MN  

Scientific reports 20190417 1


The regulatory properties of pyruvate kinase M2 isoform (PKM2), the key glycolytic enzyme, influence altered energy metabolism including glycolysis in cancer. In this study, we found that PKM2 was highly expressed in patients with ulcerative colitis or colorectal cancer (CRC). We then investigated the effectiveness of conditionally ablating PKM2 in Lgr5<sup>+</sup> intestinal stem cells (ISC) using a mouse model of colitis-associated CRC (AOM plus DSS). Tamoxifen-inducible Lgr5-driven deletion o  ...[more]

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