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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 4

IFN-I sensing via skewed NAD+ utilization instructs adipocyte inflammatory vigor.

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IFN-I sensing via skewed NAD+ utilization instructs adipocyte inflammato...
WT mouse (SVF-derived) adipocytes were stimulated with vehicle control (saline) or rIFNβ (250 U) for 3 hours and subsequently challenged with LPS (100 ng/mL) or not for 4 hours. (A) Relative levels of NAD+ in rIFNβ-, LPS-, or rIFNβ + LPS–stimulated WT adipocytes compared with vehicle-stimulated controls, quantified by NMR. (B) Heatmap of NAD+ signaling–related genes measured via bulk RNA-Seq. (C) Nampt gene expression measured via bulk RNA-Seq. (D) WT mouse (SVF-derived) adipocytes were vehicle-, LPS-, or rIFNβ + LPS–stimulated in the presence or absence of E-daporinad (50 μM) or β-nicotinamide mononucleotide (10 μM). Culture supernatants were collected, and IL-6 levels were measured via ELISA. Data depict percentage change of IL-6 levels compared with vehicle-stimulated controls. (A, C, and D) In violin plots, data present mean + SEM. One-way ANOVA. *: P < 0.05; **: P < 0.001; ***: P < 0.0001; ****: P < 0.00001.

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