Evidence map›Paper›PMID 34903602›Full record

ArticleCancer research2022

PKM2 Is Essential for Bladder Cancer Growth and Maintenance.

Yong Xia, Xing Wang, Yan Liu, Ellen Shapiro, Herbert Lepor, Moon-Shong Tang, Tung-Tien Sun, Xue-Ru Wu

Abstract read
In one paragraph

Article in Cancer research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. S100A10 promotes glycolysis and malignant progression of CCA by activating the HK2/ERK signaling pathway.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  7. Review
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  13. The moonlighting functions of glycolytic enzymes in tumorigenesis.Cellular oncology (Dordrecht, Netherlands) · 2026
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. PKM2Bioactive materials · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yong Xia *Department of Urology, New York University Langone Health, New York, New York.ORCID 0000-0002-1020-0263
Xing Wang *Department of Urology, New York University Langone Health, New York, New York.
Yan Liu *Department of Urology, New York University Langone Health, New York, New York.
Ellen ShapiroDepartment of Urology, New York University Langone Health, New York, New York.
Herbert LeporDepartment of Urology, New York University Langone Health, New York, New York.
Moon-Shong TangDepartment of Environmental Medicine, New York University Langone Health, New York, New York.
Tung-Tien SunDepartment of Urology, New York University Langone Health, New York, New York.ORCID 0000-0002-6841-1063
Xue-Ru WuDepartment of Urology, New York University Langone Health, New York, New York.

Funding

Reagent/Service CoreP01CA165980 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TANG, ERIC MOON-SHONG M. · 2013 to 2023
$13.5M
Urothelial Stem CellsR01DK110466 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WU, XUE-RU · 2017 to 2020
$2.6M
Molecular and Genetic Studies of Bladder TumorigenesisI01BX002049 · VA · VA NEW YORK HARBOR HLTHCARE/SYS/BROOKLYN · PI WU, XUE-RU · 2014 to 2022
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BLR&D Research Career Scientist Award ApplicationIK6BX004479 · VA · VA MEDICAL CENTER · PI WU, XUE-RU · 2019 to 2025
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BLRD VA I01 BX002049BLRD VA IK6 BX004479NCI NIH HHS P01 CA165980NIDDK NIH HHS R01 DK110466
6 · The paper itself

Abstract

Pyruvate kinase M2 (PKM2) has been shown to promote tumorigenesis by facilitating the Warburg effect and enhancing the activities of oncoproteins. However, this paradigm has recently been challenged by studies in which the absence of PKM2 failed to inhibit and instead accelerated tumorigenesis in mouse models. These results seem inconsistent with the fact that most human tumors overexpress PKM2. To further elucidate the role of PKM2 in tumorigenesis, we investigated the effect of PKM2 knockout in oncogenic HRAS-driven urothelial carcinoma. While PKM2 ablation in mouse urothelial cells did not affect tumor initiation, it impaired the growth and maintenance of HRAS-driven tumors. Chemical inhibition of PKM2 recapitulated these effects. Both conditions substantially reduced complex formation of PKM2 with STAT3, their nuclear translocation, and HIF1α- and VEGF-related angiogenesis. The reduction in nuclear STAT3 in the absence of PKM2 also correlated with decreased autophagy and increased apoptosis. Time-controlled, inducible PKM2 overexpression in simple urothelial hyperplasia did not trigger tumorigenesis, while overexpression of PKM2, but not PKM1, in nodular urothelial hyperplasia with angiogenesis strongly accelerated tumorigenesis. Finally, in human patients, PKM2 was overexpressed in low-grade nonmuscle-invasive and high-grade muscle-invasive bladder cancer. Based on these data, PKM2 is not required for tumor initiation but is essential for tumor growth and maintenance by enhancing angiogenesis and metabolic addiction. The PKM2-STAT3-HIF1α/VEGF signaling axis may play a critical role in bladder cancer and may serve as an actionable therapeutic target. SIGNIFICANCE: Genetic manipulation and pharmacologic inhibition of PKM2 in mouse urothelial lesions highlight its essential role in promoting angiogenesis and metabolic addiction, events indispensable for tumor growth and maintenance.

Indexed as

Gene Expression Regulation, NeoplasticActive Transport, Cell NucleusAnimalsApoptosisAutophagyCarcinogenesisCarcinoma, Transitional CellCell Line, TumorCell ProliferationHumansHypoxia-Inducible Factor 1, alpha SubunitMaleMiceMice, KnockoutMice, TransgenicNeovascularization, PathologicHras protein, mouseHypoxia-Inducible Factor 1, alpha SubunitPkm protein, mouseProto-Oncogene Proteins p21(ras)Pyruvate KinaseSTAT3 Transcription FactorVascular Endothelial Growth Factor A

Identifiers

PMID34903602
PMCPMC8857058

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.