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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 6

IFN-I/PKM2 axis regulates inflammatory cytokine production in human adipocytes.

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IFN-I/PKM2 axis regulates inflammatory cytokine production in human adip...
(A and B) Omental WAT biopsies were obtained from MH and MC cohorts, and transcriptome was analyzed via bulk RNA-Seq analyses. (A) ToppGene pathway enrichment analysis of differentially expressed genes between MH and MC cohorts. Pathways related to inflammation signaling (orange) and cellular metabolism (purple) are highlighted. (B) Volcano plot of gene expression levels of WAT between MH and MC cohorts. Genes significantly upregulated (fold change > 1.5, P value < 0.05) in MC cohort are represented by red dots. Genes significantly downregulated (fold change < –1.5, P value < 0.05) in MC cohort are represented by blue dots. Representative upregulated genes related to immune activation and cellular metabolism depicted in A are highlighted. (C) Primary adipocytes were isolated from omental WAT biopsies obtained from MH and MC cohort. Adipocytes were stimulated with vehicle control (saline) or rIFNβ (500 U) for 3 hours and subsequently challenged with LPS (100 ng/mL) for 4 hours. Culture supernatants were collected, and IL-6 levels were measured via ELISA. Data depict percentage change of IL-6 levels compared with vehicle + LPS–stimulated condition. (D–G) Adipocytes were derived from SVF isolated from omental WAT biopsies obtained from MH cohort. (D) SVF-derived adipocytes were stimulated with vehicle control (saline) or rIFNβ (500 U) for 3 hours and subsequently challenged with LPS (100 ng/mL) for 4 hours. Culture supernatants were collected, and IL-6 levels were measured via ELISA. Data depict percentage change of IL-6 levels compared with vehicle + LPS–stimulated condition. (E–G) SVF-derived adipocytes were stimulated with rIFNβ (500 U) in presence or absence of (E) 2-DG (2 mM), (F) shikonin (10 μM), or (G) TEPP-46 (100–200 μM) and were subsequently challenged with LPS (100 ng/mL) for 4 hours. Culture supernatants were collected, and IL-6 levels were measured via ELISA. Data depict percentage change of IL-6 levels compared with rIFNβ + LPS–stimulated condition.

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