2021
DOI: 10.2147/cmar.s331076
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High Expression of PKM2 Was Associated with the Poor Prognosis of Acute Leukemia

Abstract: Purpose: To explore the clinical significance of plasma pyruvate kinase M2 (PKM2) in assessing the incidence and prognosis of acute leukemia. Methods: Plasma samples from 56 acute myeloid leukemia (AML) patients, 40 acute lymphoblastic leukemia (ALL) patients, and 66 plasma samples from healthy individuals were collected. The level of plasma PKM2 was detected by enzyme-linked immunosorbent assay. The clinical significance of PKM2 in acute leukemia was assessed by analyzing receiver operating characteristic and… Show more

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Cited by 7 publications
(4 citation statements)
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“…PKM1 primarily generates energy in brain and muscle tissues under hypoxic conditions, whereas PKM2 is predominantly expressed in cells with unrestricted proliferation potential, and its activation stimulates tumorigenesis and development through the Warburg effect 66 , 67 . High expression of PKM2 has been linked to poor prognosis in acute leukemia and intrahepatic cholangiocarcinoma 68 , 69 .…”
Section: Discussionmentioning
confidence: 99%
“…PKM1 primarily generates energy in brain and muscle tissues under hypoxic conditions, whereas PKM2 is predominantly expressed in cells with unrestricted proliferation potential, and its activation stimulates tumorigenesis and development through the Warburg effect 66 , 67 . High expression of PKM2 has been linked to poor prognosis in acute leukemia and intrahepatic cholangiocarcinoma 68 , 69 .…”
Section: Discussionmentioning
confidence: 99%
“…PKM2 exists as a low-activity catalytic dimer or highly active tetramer [ 48 ], and a balance of these two forms has been shown to be important for tumorigenesis [ 47 ]. PKM2 has been identified to play a significant role in leukemogenesis [ 49 , 50 ]. In leukemia cells, SUMOylation of PKM2 results in the destabilization of PKM2 tetramer [ 51 ].…”
Section: Metabolic Reprogramming In Cancer At the Rate-limiting Steps...mentioning
confidence: 99%
“…As a prognostic and diagnostic marker of malignant neoplasms, PKM2 plays a critical role in maintaining the metabolic program of neoplastic cells in non-muscle-invasive and highly differentiated muscle-invasive bladder carcinomas [499], colorectal cancer [500], ovarian carcinoma [501], etc. In addition to its involvement in the development of solid tumors, in an evaluation of the blood plasma of patients with acute myeloid leukemia, acute lymphoblastic leukemia (ALL) showed significantly higher levels of PKM 2, the values of which were negatively correlated with the prognosis of survival [502]. Moreover, Wang et al found that the oncogenic functions of PKM2 are implemented not only because of the ability of the enzyme to enhance glycolysis but also to mediate the activation of autophagy by increasing the phosphorylation of the key protein of the early process-initiation Beclin-1 [503], contributing to cell survival in AML.…”
Section: Molecular Subtleties Of Tumor Cell Metabolism: Dysregulation...mentioning
confidence: 99%