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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 5

Improvement of metabolic disease severity following small molecule targeting of PKM2 function is in part dependent on adipocyte PKM2 expression.

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Improvement of metabolic disease severity following small molecule targe...
Adipocyte PKM2-sufficient (WT + PKM2fl/fl-AdipoqCre–) and adipocyte PKM2-deficient (PKM2fl/fl-AdipoqCre+) mice were fed HFD. After 34 weeks, mice were treated with vehicle control (DMSO) or TEPP-46 (37.5 mg/kg; i.p.) every 3 days for 2 weeks. (A) Schematic overview. (B) Fasting glucose. (C) Fasting insulin. (D) HOMA IR index values calculated using fasting glucose and fasting insulin levels. (E) Serum ALT levels. (F) Hepatic triglyceride levels. (G) Absolute number of CD45+ cells in eWAT, quantified by flow cytometry. (H) Representative H&E histology of liver taken at 7.5× (top row; scale bar = 137 μm) and 23× (bottom rows; scale bar = 45 μm). (I) Representative H&E histology of eWAT taken at 7.5× (top row; scale bar = 137 μm) and 23× (bottom rows; scale bar = 45 μm). (B–G) 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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