Cited by 1,463Cancer, Hypoxia, and MetabolismMetabolism, Diabetes, and CancerKruppel-like factors research

Pyruvate Kinase M2 Is a PHD3-Stimulated Coactivator for Hypoxia-Inducible Factor 1

Open access
Luo, Weibo, Hu, Hongxia, Chang, Ryan, Zhong, Jun, Knabel, Matthew, O'Meally, Robert, Cole, Robert N., Pandey, Akhilesh +1 more·2011·Cell

Abstract

The pyruvate kinase isoforms PKM1 and PKM2 are alternatively spliced products of the PKM2 gene. PKM2, but not PKM1, alters glucose metabolism in cancer cells and contributes to tumorigenesis by mechanisms that are not explained by its known biochemical activity. We show that PKM2 gene transcription is activated by hypoxia-inducible factor 1 (HIF-1). PKM2 interacts directly with the HIF-1α subunit and promotes transactivation of HIF-1 target genes by enhancing HIF-1 binding and p300 recruitment to hypoxia response elements, whereas PKM1 fails to regulate HIF-1 activity. Interaction of PKM2 with prolyl hydroxylase 3 (PHD3) enhances PKM2 binding to HIF-1α and PKM2 coactivator function. Mass spectrometry and anti-hydroxyproline antibody assays demonstrate PKM2 hydroxylation on proline-403/408. PHD3 knockdown inhibits PKM2 coactivator function, reduces glucose uptake and lactate production, and increases O(2) consumption in cancer cells. Thus, PKM2 participates in a positive feedback loop that promotes HIF-1 transactivation and reprograms glucose metabolism in cancer cells.

AI snapshot

Written from the paper’s full text.

TL;DR

PKM2 is a direct HIF-1 target gene and a PHD3-stimulated coactivator that binds HIF-1α, enhances HIF-1 DNA binding and p300 recruitment, and promotes glycolytic gene expression. PKM1, the alternative splice product, does not regulate HIF-1 activity.

Key findings

  • HIF-1 activates PKM2 transcription through an intronic HRE: ChIP with HIF-1α antibody enriched the putative PKM2 HRE >70-fold over IgG, and hypoxia induced Pkm1/Pkm2 mRNA in WT but not HIF-1α-knockout MEFs. PKM2 protein increased 1.6-fold in nuclear and 1.7-fold in cytosolic extracts of hypoxic HeLa cells.
  • PKM2 directly interacts with HIF-1α and stimulates HIF-1 transcriptional activity and HIF-1α transactivation domain function; catalytically inactive PKM2(K270M) still increased HIF-1 activity, whereas PKM1 failed to activate HIF-1 reporters.
  • PHD3 binds PKM2 and stimulates its coactivator function; mass spectrometry and anti-hydroxyproline assays showed PKM2 hydroxylation at Pro-403/408. PHD3 knockdown, P403/408A mutation, or near-anoxia reduced PKM2 hydroxylation by about 50%, and PHD3 catalytic activity was required for enhanced PKM2–HIF-1α interaction.
  • PKM2 knockdown reduced HIF-1α/HIF-1β occupancy at LDHA and PDK1 HREs, decreased p300 recruitment and H3K9 acetylation, and lowered expression of LDHA, PDK1, SLC2A1, HK1, and VEGF. In RCC4 cells, PHD3 knockdown decreased intracellular glucose and extracellular lactate and increased basal and DNP-stimulated O2 consumption.

Methods

  • Cell culture and perturbation: HeLa, MEFs, RCC4, HEK293, HEK293T, and Hep3B cells were exposed to 20% O2, 1% O2, or <0.1% O2; PKM2, PKM1, PHD3, or PHD2 were overexpressed or knocked down with shRNA/retrovirus/lentivirus.
  • Binding and transcriptional assays: SILAC proteomics, GST pull-down, co-immunoprecipitation, ChIP, qRT-PCR, luciferase reporter assays (p2.1, PKM2 HRE, GalA/GalO), subcellular fractionation, and immunoblotting.
  • Hydroxylation and metabolism: in vitro hydroxylation with PHD cofactors followed by LTQ Orbitrap Velos mass spectrometry; anti-hydroxyproline antibody assays; glucose, lactate, and OCR measurements using Seahorse XF24; statistics by Student’s t-test or one-way ANOVA.

Limitations

  • The paper states that quantitative mass spectrometric comparison of PKM2 prolyl hydroxylation in PHD3-expressing versus PHD3-deficient cells could not be obtained because the relevant PKM2 tryptic peptide is subject to multiple modifications in addition to prolyl hydroxylation.
  • The paper states that further studies are required to determine whether PKM2 stabilization of HIF-1 DNA binding depends on interaction with the PAS domain of HIF-1α; it also notes residual anti-Pro-OH antibody binding to HIF-1α(DM) may reflect low-affinity binding to non-hydroxylated Pro or spontaneous oxidation.
  • Evident from the text: the mechanistic conclusions rely largely on cultured cancer cell lines and overexpression/knockdown reporter, ChIP, and biochemical assays; no in vivo tumor growth or animal model data are reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2011.03.054

Cites

33 of 33 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 36 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    PKM2-V5 expression significantly enhances p2.1 transcriptional activity in HeLa cells cotransfected with HIF-2α expression vector.

    “PKM2-V5 expression significantly enhanced p2.1 transcriptional activity in HeLa cells cotransfected with HIF-2α expression vector (Figure S2E).”
    Quote in the paperSubstantial claim
  • Findingown data

    Mass spectrometry analysis revealed hydroxylation of Pro-403 as well as Pro-408 in PKM2.

    “Mass spectrometry analysis revealed hydroxylation of Pro-403 as well as Pro-408 (Figure 4A).”
    Quote in the paperSubstantial claim
  • Findingown data

    The PKM2 HRE significantly increased FLuc activity in hypoxic HeLa cells.

    “The PKM2 HRE significantly increased Fluc activity in hypoxic HeLa cells (Figure 1E).”
    Quote in the paperSubstantial claim
  • Findingcitation

    PKM2-V5 mainly binds to GST-HIF-1α (575-786), which encodes an inhibitory domain associated with regulation of the HIF-1α transactivation domain.

    “We further mapped PKM2 binding within the transactivation domain of HIF-1α and found that PKM2-V5 mainly bound to GST-HIF-1α (575–786) (Figure 2E), which encodes an inhibitory domain associated with regulation of the HIF-1α transactivation domain (Jiang et al., 1997).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jiang et al., 1997 source

      Not checked in the free run.

  • Findingown data

    PKM2 occupancy by HIF-2α was not above background levels in ChIP assays.

    “In contrast, PKM2 occupancy by HIF-2α was not above background levels (Figure 1D).”
    Quote in the paperSubstantial claim
  • May combine two claims. 37
  • Classified as probably not a substantial claim. 22
  • May combine two claims.

    Findingown data

    Pkm1 mRNA levels are significantly increased in response to hypoxia in WT MEFs but not in HIF-1α-knockout MEFs.

    “Quantitative real-time RT-PCR (qRT-PCR) assays with primers specific for mouse Pkm1 or Pkm2 mRNA demonstrated that both Pkm1 and Pkm2 mRNA levels were significantly increased in response to hypoxia in WT, but not in KO, MEFs (Figure 1A).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    HIF-1α shRNAs, but not HIF-2α shRNAs, significantly reduced PKM2 HRE-dependent FLuc activity in hypoxic HeLa cells.

    “Transfection of either of two different HIF-1α short hairpin RNAs (shRNAs) or either of two different HIF-2α shRNAs knocked down HIF-1α or HIF-2α protein levels, respectively (Figure S1), but only HIF-1α shRNAs significantly reduced PKM2 HRE-dependent FLuc activity in hypoxic HeLa cells (Figure 1G).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PKM1-V5 fails to activate HIF-1-dependent p2.1 transcriptional activity or GalA-dependent transactivation in HeLa cells.

    “However, PKM1-V5 failed to activate HIF-1-dependent p2.1 transcriptional activity (Figure 3I) or GalA-dependent transactivation (Figure S2H) in HeLa cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Pkm2 mRNA levels are significantly increased in response to hypoxia in WT MEFs but not in HIF-1α-knockout MEFs.

    “Quantitative real-time RT-PCR (qRT-PCR) assays with primers specific for mouse Pkm1 or Pkm2 mRNA demonstrated that both Pkm1 and Pkm2 mRNA levels were significantly increased in response to hypoxia in WT, but not in KO, MEFs (Figure 1A).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    FLAG-HIF-1α(531-826) strongly binds to GST-E10, does not bind GST, and binds very weakly to GST-E9.

    “In vitro binding assays revealed that FLAG-HIF-1α(531–826) strongly bound to a GST-E10 fusion protein, which contains the PKM2-specific amino acid residues encoded by PKM2 exon 10, but did not bind to GST and bound very weakly to GST-E9 fusion protein, which contains the residues encoded by PKM1-specific exon 9 (Figure 3J).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PKM2-V5 strongly binds to GST-HIF-1α (81-200), (201-329), and (331-427), and weakly to GST-HIF-1α (1-80), (432-528), and (531-826) in vitro.

    “In vitro GST pull-down assays revealed that PKM2-V5 strongly bound to GST-HIF-1α (81–200), (201–329), and (331–427), and also associated weakly with GST-HIF-1α (1–80), (432–528), and (531–826) (Figure 2D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Endogenous PKM2 is hydroxylated in hypoxic HeLa cells (1% O2), but hydroxylation is reduced under near-anoxic conditions (<0.1% O2) for 4 h.

    “Endogenous PKM2 was also hydroxylated in hypoxic HeLa cells (1% O2), but hydroxylation was reduced when cells was exposed to near-anoxic conditions (<0.1% O2) for 4 h (Figure 4D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PKM2 protein levels are increased by 1.6-fold in nuclear extracts and 1.7-fold in cytosolic extracts of hypoxic HeLa cells.

    “PKM2 protein levels were increased by 1.6- and 1.7-fold in nuclear and cytosolic extracts, respectively, of hypoxic HeLa cells (Figure 1B).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Knockdown of endogenous PKM2 significantly reduced HIF-1α occupancy at the LDHA and PDK1 HREs in hypoxic HeLa cells, but not at the RPL13A gene.

    “Knockdown of endogenous PKM2 significantly reduced HIF-1α occupancy at the LDHA and PDK1 HREs in hypoxic HeLa cells, but not at the RPL13A gene (Figures 6A and S5A), indicating that PKM2 specifically enhances HIF-1α binding at the HRE of target genes.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PHD3 specifically binds to GST-E10, but not to GST or GST-E9.

    “Moreover, PHD3 specifically bound to GST-E10, but not to GST or GST-E9 (Figure 5B), suggesting that PHD3 may mediate prolyl hydroxylation of PKM2.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    PHD2 co-immunoprecipitated with PKM2.

    “Although PHD2 co-immunoprecipitated with PKM2 (Figure S4F), PHD2 knockdown failed to affect prolyl hydroxylation of PKM2 in HeLa cells transduced with lentivirus encoding an shRNA that effectively reduced PHD2 protein levels (Figure 5C).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Overexpression of PHD3 dramatically reduces FLAG-HIF-1α levels in hypoxic HeLa cells, confirming PHD3 retains hydroxylase activity at 1% O2.

    “Overexpression of PHD3 dramatically reduced FLAG-HIF-1α levels in hypoxic HeLa cells (Figure S4B), confirming that PHD3 retains hydroxylase activity at 1% O2.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PHD3 increases HIF-1α transactivation in RCC4 renal carcinoma cells, whereas catalytically inactive PHD3(H135A/D137A) fails to increase HIF-1α transactivation.

    “GalA(P564A) assays demonstrated that PHD3 increased HIF-1α transactivation in RCC4 renal carcinoma cells, which constitutively express HIF-1α under non-hypoxic conditions due to VHL loss of function, whereas catalytically inactive PHD3(H135A/D137A) failed to increase HIF-1α transactivation (mutPHD3, Figure 5D).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PKM2 does not affect HIF-1α/HIF-1β dimerization or HIF-1α protein stability.

    “Although PKM2 also binds strongly to the PAS domain of HIF-1α, it does not affect the two known biological functions of the PAS domain, HIF-1α/HIF-1β dimerization and HIF-1α protein stability.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    PKM2 knockdown had no effect on total cellular H3K9-ac or H3 levels.

    “PKM2 knockdown also had no effect on total cellular H3K9-ac or H3 levels (Figure 6H).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PHD3 interacts with purified GST-PKM2 in vitro and co-immunoprecipitates with PKM2-V5 from transfected cells.

    “PHD3 interacted with purified GST-PKM2 in vitro (Figure S4A) and co-immunoprecipitated with PKM2-V5 from transfected cells (Figure 5A).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Neither PKM2-V5 overexpression nor PKM2 knockdown affected HIF-1α/HIF-1β dimerization in hypoxic HeLa cells.

    “Moreover, neither PKM2-V5 overexpression nor PKM2 knockdown affected HIF-1α/HIF-1β dimerization in hypoxic HeLa cells (Figures S5C and S5D).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    DMOG significantly decreases basal GalA(N803A) activity as well as PKM2-enhanced GalA(N803A) activity in HeLa cells.

    “DMOG significantly decreased basal GalA(N803A) activity as well as PKM2-enhanced GalA(N803A) activity in HeLa cells (Figure 4K).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    PHD3 knockdown significantly increased the basal O2 consumption rate (OCR) and maximal OCR stimulated by 2,4-dinitrophenol (DNP, 20 μM) in RCC4 cells.

    “PHD3 knockdown significantly increased the basal O2 consumption rate (OCR) and maximal OCR stimulated by 2,4-dinitrophenol (DNP, 20 μM) in RCC4 cells (Figure 7F).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    HIF-1 is a transcription factor consisting of an O2-regulated HIF-1α subunit and a constitutively expressed HIF-1β subunit.

    “HIF-1 is a transcription factor that consists of an O2-regulated HIF-1α subunit and a constitutively expressed HIF-1β subunit (Wang et al., 1995).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wang et al., 1995 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In well-oxygenated cells, HIF-1α is hydroxylated at proline 402 and 564.

    “In well-oxygenated cells, HIF-1α is hydroxylated at proline (Pro) 402 and 564 (Kaelin and Ratcliffe, 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kaelin and Ratcliffe, 2008 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Hydroxylation of HIF-1α at asparagine-803 by FIH-1 in normoxic cells blocks binding of p300 to HIF-1α.

    “Hydroxylation of HIF-1α at asparagine-803, which is catalyzed by the asparaginyl hydroxylase FIH-1 in normoxic cells, blocks the binding of the transcriptional coactivator p300 to HIF-1α (Lando et al., 2002).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lando et al., 2002

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PKM1 and PKM2 are alternatively spliced products of the PKM2 gene, containing sequences encoded by exon 9 or exon 10, respectively.

    “PKM1 and PKM2 are alternatively spliced products of the primary RNA transcript that contain sequences encoded by exon 9 or exon 10, respectively, of the PKM2 gene (Noguchi et al., 1986).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Noguchi et al., 1986

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Under hypoxic conditions, p300 catalyzes acetylation of lysine residues on the N-terminal tail of core histones at HIF-1 target genes, promoting HIF-1-dependent gene transcription.

    “Under hypoxic conditions, p300 catalyzes the acetylation of lysine residues on the N-terminal tail of core histones at HIF-1 target genes, leading to changes in chromatin structure that promote HIF-1-dependent gene transcription (Arany et al., 1996).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Arany et al., 1996 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    PKM2, but not PKM1, stimulates HIF-1 transcriptional activity.

    “Taken together, these data indicate that PKM2, but not PKM1, stimulates HIF-1 transcriptional activity, and that physical association between the HIF-1α transactivation domain and the alternatively spliced domain of PKM2 is critical for stimulation of HIF-1α transactivation.”
    • Also stated in: § Abstract · plain
      “whereas PKM1 fails to regulate HIF-1 activity.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    HIF-1 binds to an HRE within the first intron of PKM2 and directly activates its transcription.

    “Taken together, these data indicate that HIF-1 binds to an HRE within the first intron of PKM2 and directly activates its transcription.”
    • Also stated in: § Abstract · plain
      “We show that PKM2 gene transcription is activated by hypoxia-inducible factor 1 (HIF-1).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In the nucleus, HIF-1α dimerizes with HIF-1β and binds to the consensus nucleotide sequence 5′-RCGTG-3′ within the HRE of target genes.

    “In the nucleus, HIF-1α dimerizes with HIF-1β and binds to the consensus nucleotide sequence 5′-RCGTG-3′, which is present within the hypoxia response element (HRE) of target genes (Semenza et al., 1996).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Semenza et al., 1996

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    HIF-1 target genes include GLUT1, LDHA, and PDK1.

    “HIF-1 target genes include those encoding: the glucose transporter GLUT1, which increases glucose uptake; lactate dehydrogenase A (LDHA), which converts pyruvate to lactate; and pyruvate dehydrogenase kinase 1 (PDK1), which inactivates pyruvate dehydrogenase, thereby shunting pyruvate away from the mitochondria and inhibiting O2 consumption (Wheaton and Chandel, 2011).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Wheaton and Chandel, 2011 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Prolyl hydroxylated HIF-1α is bound by VHL, leading to proteasomal degradation of HIF-1α.

    “Prolyl hydroxylated HIF-1α is bound by the von Hippel-Lindau (VHL) tumor suppressor protein, which recruits the Elongin C-Elongin B-Cullin 2-E3-ubiquitin-ligase complex, leading to proteasomal degradation of HIF-1α.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Kaelin and Ratcliffe, 2008 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PHD2 is primarily responsible for regulating basal HIF-1α levels in cancer cells.

    “PHD2 is primarily responsible for regulating basal HIF-1α levels in cancer cells (Berra et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Berra et al., 2003 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    HIF-1α, but not HIF-2α, binds directly to the PKM2 gene.

    “These data indicate that HIF-1α, but not HIF-2α, binds directly to the PKM2 gene.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Under hypoxic conditions, HIF-1α prolyl hydroxylation is inhibited, thereby stabilizing HIF-1α protein.

    “Under hypoxic conditions, HIF-1α prolyl hydroxylation is inhibited, thereby stabilizing HIF-1α protein (Kaelin and Ratcliffe, 2008).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Kaelin and Ratcliffe, 2008 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    PKM2 promotes the Warburg effect and tumorigenesis.

    “PKM2 promotes the Warburg effect and tumorigenesis (Christofk et al., 2008; Hitosugi et al., 2009).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Christofk et al., 2008 source

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    • cites Hitosugi et al., 2009 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    PHD1-3 require O2, Fe2+, 2-oxoglutarate, and ascorbate for catalytic activity and hydroxylate HIF-1α when overexpressed.

    “Three prolyl hydroxylases, PHD1-3, which require O2, Fe2+, 2-oxoglutarate, and ascorbate for their catalytic activity, have been shown to hydroxylate HIF-1α when overexpressed (Epstein et al., 2001).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Epstein et al., 2001 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Digoxin inhibits HIF-1α synthesis.

    “a drug that inhibits HIF-1α synthesis (Zhang et al., 2008).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Zhang et al., 2008 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    The ability of PHD3 to stimulate PKM2 coactivator function is dependent upon PHD3 catalytic activity and Pro residues in the PKM2-specific domain.

    “Thus, the ability of PHD3 to stimulate PKM2 coactivator function is dependent upon PHD3 catalytic activity and Pro residues (putative hydroxylation sites) in the PKM2-specific domain.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    The histone acetyltransferase p300 is a coactivator that regulates HIF-1 transactivation.

    “The histone acetyltransferase p300 is a coactivator that regulates HIF-1 transactivation (Arany et al., 1996).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Arany et al., 1996 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    The increased PHD3 levels compensate for decreased hydroxylase activity at 1% O2, resulting in similar levels of prolyl hydroxylation of PKM2 at 20% and 1% O2.

    “Hypoxia dramatically increased PHD3 levels, which compensated for the decreased hydroxylase activity at 1% O2 (Epstein et al., 2001), resulting in similar levels of prolyl hydroxylation of PKM2 in cells incubated at 20% and 1% O2 for 24 h (Figure 5C).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Epstein et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    PKM2 enhances HIF binding to HREs within target genes, thereby promoting transactivation.

    “Taken together, these data indicate that PKM2 enhances HIF binding to HREs within target genes, thereby promoting transactivation.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Prolyl hydroxylation of PKM2 enhances HIF-1α:PKM2 interaction, thereby promoting HIF-1α transactivation.

    “Taken together, these data suggest that prolyl hydroxylation of PKM2 enhances HIF-1α:PKM2 interaction, thereby promoting HIF-1α transactivation.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    HIF-1α and HIF-2α were the first PHD3 substrates identified.

    “HIF-1α and HIF-2α were the first PHD3 substrates identified (Epstein et al., 2001), although PHD3 is less active in mediating HIF-1α hydroxylation than PHD2, which is the primary regulator of HIF-1α hydroxylation and proteasomal degradation in well-oxygenated cells (Berra et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Epstein et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    PHD3 knockdown reduces glucose uptake and lactate production, and increases O2 consumption in cancer cells.

    “Thus, PHD3 knockdown, which inhibits PKM2 coactivator function (Figure 5D) and PKM2 binding to HIF-1α (Figure 5G), also reduces glucose uptake and lactate production, and increases O2 consumption in cancer cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    PKM2 participates in a positive feedback loop that promotes HIF-1 transactivation and reprograms glucose metabolism in cancer cells.

    “Thus, PKM2 participates in a positive feedback loop that promotes HIF-1 transactivation and reprograms glucose metabolism in cancer cells.”
    • Also stated in: § INTRODUCTION · plain
      “HIF-1 activates transcription of the genes encoding PKM2 and PHD3, which provides a feedforward mechanism that amplifies HIF-1-dependent metabolic reprogramming, thus providing a molecular basis for the observed effects of PKM2 on tumor metabolism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    PKM2 expression is associated with a shift from oxidative to glycolytic metabolism in cancer cells, and the findings delineate a molecular mechanism underlying this shift.

    “Together, these findings delineate a molecular mechanism underlying the shift from oxidative to glycolytic metabolism that is associated with the expression of PKM2 in cancer cells.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Two Pro residues in the β2-adrenergic receptor were hydroxylated by PHD3.

    “Two Pro residues in the β2-adrenergic receptor were hydroxylated by PHD3 (Xie et al., 2009).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Xie et al., 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PHD3 is less active in mediating HIF-1α hydroxylation than PHD2.

    “HIF-1α and HIF-2α were the first PHD3 substrates identified (Epstein et al., 2001), although PHD3 is less active in mediating HIF-1α hydroxylation than PHD2, which is the primary regulator of HIF-1α hydroxylation and proteasomal degradation in well-oxygenated cells (Berra et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Berra et al., 2003 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PHD3 promotes degradation of the transcription factor ATF-4.

    “PHD3 was subsequently shown to promote degradation of the β2-adrenergic receptor (Xie et al., 2009) and the transcription factor ATF-4 (Köditz et al., 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Köditz et al., 2007

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    PKM2 and EGLN3 are both direct HIF-1 target genes.

    “Our data on PKM2 and previous studies of the EGLN3 gene, which encodes PHD3 (Pescador et al., 2005), indicate that PKM2 and EGLN3 are both direct HIF-1 target genes, resulting in a positive feedback loop that amplifies HIF-1 activity and may accelerate metabolic reprogramming and other critical aspects of cancer progression that are mediated by HIF-1 (Figure 7H).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pescador et al., 2005

      Not checked in the free run.

  • May combine two claims.

    Interpretationcitation

    PKM2 and EGLN3 being direct HIF-1 target genes results in a positive feedback loop that amplifies HIF-1 activity.

    “Our data on PKM2 and previous studies of the EGLN3 gene, which encodes PHD3 (Pescador et al., 2005), indicate that PKM2 and EGLN3 are both direct HIF-1 target genes, resulting in a positive feedback loop that amplifies HIF-1 activity and may accelerate metabolic reprogramming and other critical aspects of cancer progression that are mediated by HIF-1 (Figure 7H).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Pescador et al., 2005

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PHD2 is the primary regulator of HIF-1α hydroxylation and proteasomal degradation in well-oxygenated cells.

    “HIF-1α and HIF-2α were the first PHD3 substrates identified (Epstein et al., 2001), although PHD3 is less active in mediating HIF-1α hydroxylation than PHD2, which is the primary regulator of HIF-1α hydroxylation and proteasomal degradation in well-oxygenated cells (Berra et al., 2003).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Berra et al., 2003 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Intratumoral hypoxia is commonly found in aggressive solid cancers, leading to HIF-1α accumulation.

    “Intratumoral hypoxia is commonly found in aggressive solid cancers, leading to HIF-1α accumulation (Harris, 2002; Semenza, 2003).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Harris, 2002

      Not checked in the free run.

    • cites Semenza, 2003 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    PHD3 promotes degradation of the β2-adrenergic receptor.

    “PHD3 was subsequently shown to promote degradation of the β2-adrenergic receptor (Xie et al., 2009) and the transcription factor ATF-4 (Köditz et al., 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Xie et al., 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The presence of acidic (Asp/Glu) residues near the Pro residue appears to be important for hydroxylation by PHD3.

    “The presence of acidic (Asp/Glu) residues near the Pro residue appears to be important for hydroxylation by PHD3 (Li et al., 2004; Xie et al., 2009) and several acidic residues are present on either side of Pro-403/408 (Figure S3A).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Li et al., 2004

      Not checked in the free run.

    • cites Xie et al., 2009

      Not checked in the free run.

53 of 53
  • The paper relies on this without support.

    The mechanism by which PKM2 facilitates lactate production and blocks mitochondrial oxidative phosphorylation in cancer cells is unknown.

    “Despite intensive studies, the mechanism by which PKM2 facilitates lactate production and blocks mitochondrial oxidative phosphorylation in cancer cells has remained a mystery.”
  • The paper relies on this without support.

    FIH-1-mediated hydroxylation of the HIF-1α transactivation domain blocks recruitment of p300 and inhibits transactivation.

    “Although HIF-1α accumulates in VHL-null cells under aerobic conditions, FIH-1-mediated hydroxylation of the HIF-1α transactivation domain should block recruitment of p300 and inhibit transactivation.”
  • The paper relies on this without support.

    H3K9 acetylation is associated with gene transcription.

    “These data indicate that PKM2 specifically enhances p300 recruitment to the HRE of HIF-1 target genes and promotes H3K9 acetylation, which is an epigenetic modification that is associated with gene transcription.”
  • The paper relies on this without support.

    Anti-Pro-OH antibody binding measures PKM2 prolyl hydroxylation.

    “The similarity in the degree of PKM2 hydroxylation (as measured by anti-Pro-OH antibody binding) in cells incubated at 20% vs 1% O2 for 24 h is due to the dramatic increase in PHD3 protein levels under hypoxic conditions (Figure 5C), which compensates for the reduction in hydroxylase activity.”
4 of 4

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Authors
Luo, W., Hu, H., Chang, R., Zhong, J., Knabel, M., O'Meally, R., Cole, R. N., Pandey, A., & Semenza, G. L.
Affiliations
Johns Hopkins University (US)
Corresponding author
Semenza, Gregg L.
Venue
Cell
Publisher
Elsevier BV
Published
2011-05
Volume
145
Issue
5
Pages
732-744
ISSN
0092-8674 (ISSN-L)
OpenAlex
W2075394689
Cited by
1,463
References
33
Citations by year
2026: 72 · 2025: 99 · 2024: 88 · 2023: 118 · 2022: 130 · 2021: 146 · 2020: 108 · 2019: 92 · 2018: 77 · 2017: 90 · 2016: 83 · 2015: 86 · 2014: 88 · 2013: 80 · 2012: 79
FWCI
29.69
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Johns Hopkins University
  • National Institutes of Health (n01hv28180-13-0-0)
  • U.S. Public Health Service (N268201000032C)
  • National Heart, Lung, and Blood Institute (N01 HV028180)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Kruppel-like factors research
Keywords
PKM2, HIF-1, HIF-1α, prolyl hydroxylase 3, PHD3, coactivator function, hypoxia response element, proline hydroxylation, glucose metabolism reprogramming, cancer cells, positive feedback loop, oxygen consumption, lactic acid production
MeSH terms
p300-CBP-Associated Factor, Animals, Feedback, HeLa Cells, Humans, Neoplasms, Pyruvate Kinase, Transcriptional Activation, Cell Hypoxia, Response Elements, Cell Line, Tumor, Dioxygenases, p300-CBP Transcription Factors, Mice, Hypoxia-Inducible Factor 1, Hypoxia-Inducible Factor 1, alpha Subunit, Metabolic Networks and Pathways, Gene Knockdown Techniques, Gene Knockout Techniques, Hypoxia-Inducible Factor-Proline Dioxygenases

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Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

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