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A shift in PKM2 oligomeric state instructs adipocyte inflammatory potential
Michelle S.M.A. Damen, … , Maria E. Moreno-Fernandez, Senad Divanovic
Michelle S.M.A. Damen, … , Maria E. Moreno-Fernandez, Senad Divanovic
Published November 24, 2025
Citation Information: JCI Insight. 2025;10(22):e185914. https://doi.org/10.1172/jci.insight.185914.
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Research Article Immunology Inflammation Metabolism

A shift in PKM2 oligomeric state instructs adipocyte inflammatory potential

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Abstract

Processes that promote white adipocyte inflammatory function remain incompletely defined. Here, we demonstrated that type I interferon–dependent (IFN-I–dependent) skewing of adipocyte glycolysis, nicotinamide adenine dinucleotide (NAD+) utilization, and pyruvate kinase isozyme M2 (PKM2) function may contribute to increased systemic and tissue inflammation and disease severity in obesity. Notably, chemical and/or genetic inhibition of glycolysis, the NAD+ salvage pathway, or PKM2 restricted IFN-I–dependent increase in adipocyte inflammatory cytokine production. Further, genetic or small molecule targeting of PKM2 function in vivo was sufficient to reduce systemic and tissue inflammation and metabolic disease severity in obese mice, in an adipocyte PKM2-dependent manner. Further, white adipose tissue of individuals living with obesity and metabolic disease, compared with metabolically healthy individuals with obesity, showed an increase in expression of inflammatory and metabolic genes, while small molecule targeting of PKM2 function contributed to reduced IFN-I–driven inflammatory cytokine production by primary human adipocytes. Together, our findings invoke the IFN-I/PKM2 axis as a potential target for modulating adipocyte dysregulated inflammation.

Authors

Michelle S.M.A. Damen, Pablo C. Alarcon, Calvin C. Chan, Traci E. Stankiewicz, Hak Chung, Keisuke Sawada, Cassidy J. Ulanowicz, John Eom, Jarren R. Oates, Jennifer L. Wayland, Jessica R. Doll, Rajib Mukherjee, Miki Watanabe-Chailland, Lindsey Romick-Rosendale, Sara Szabo, Michael A. Helmrath, Joan Sanchez-Gurmaches, Maria E. Moreno-Fernandez, Senad Divanovic

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Figure 1

IFN-I/IFNAR axis modifies adipocyte transcriptome and inflammatory output.

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IFN-I/IFNAR axis modifies adipocyte transcriptome and inflammatory outpu...
(A and B) WT mouse (SVF-derived) adipocytes were stimulated with vehicle control (saline) or recombinant IFN-β (rIFNβ) (250 U) for 3 hours and subsequently challenged with LPS (100 ng/mL) or not for 4 hours. (A) ToppGene pathway enrichment analysis of upregulated differentially expressed genes (fold change > 1.5; P value < 0.05) in rIFNβ + LPS–stimulated compared with vehicle-stimulated controls. Pathways related to inflammation are highlighted. KEGG, Kyoto Encyclopedia of Genes and Genomes. (B) Volcano plot of gene expression levels between rIFNβ + LPS–stimulated and vehicle stimulated adipocytes. Genes significantly upregulated in rIFNβ + LPS–stimulated adipocytes (fold change > 2, P value < 0.05) are represented by red dots. Genes significantly downregulated in rIFNβ + LPS–stimulated adipocytes (fold change < –2, P value < 0.05) are represented by blue dots. Upregulated genes related to inflammation depicted in A are highlighted. (C) IFNARfl/fl, IFNAR-KO, IFNARfl/fl Vav1-Cre+, and IFNARfl/fl Adipoq-Cre+ mice were injected with biotinylated anti–IL-6 and anti-TNF antibodies (0.5 μg/mice), and after 3 hours mice were vehicle (saline)- or LPS (25 μg/mouse) -challenged via i.p. injections. Four hours later serum was collected, and IL-6 and TNF levels were measured via in vivo cytokine capture assay (IVCCA) ELISA. Data depict percentage change of cytokine levels in LPS-challenged mice compared with vehicle-challenged controls. A representative of 4–9 biological replicates. In violin plots, data present mean ± SEM. One-way ANOVA. *: P < 0.01; **: P < 0.001.

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