Dimeric PKM2 induces ferroptosis from intestinal ischemia/reperfusion in mice by histone H4 lysine 12 lactylation-mediated HMGB1 transcription activation through the lactic acid/p300 axis.

Biochim Biophys Acta Mol Basis Dis

Department of Pediatric Surgery, Clinical Research Center for Pediatric Solid Tumors in Hunan Province, Hunan Provincial Key Laboratory of Pediatric Orthopedics, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University (Hunan Children's hospital), Changsha 410007, P

Published: July 2025


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Article Abstract

Background: The role of Pyruvate kinase M2 (PKM2) in intestinal ischemia-reperfusion (I/R) was investigated in this study, with a focus on the mechanism of dimeric PKM2 in ferroptosis.

Methods: The in vivo and in vitro models of intestinal ischemia-reperfusion were constructed and in vitro and in vivo evaluations were performed using a variety of techniques.

Results: HMGB1 and dimeric PKM2 were highly expressed in intestinal I/R mice. Dimeric PKM2 inhibitors (ML265) and HMGB1 inhibitors (Glycyrrhizin) reduced ferroptosis in vivo and in vitro. ML265 decreased glucose uptake, lactate, GLUT1, ENO1, LDHA, and PDK1 levels. Importantly, HMGB1 knockdown completely counterbalanced the promoting effect of PKM2 overexpression on ferroptosis, while ACSL4 knockdown or GPX4 overexpression partially revoked the promoting effect of PKM2 overexpression on ferroptosis. HMGB1 overexpression completely prevented the inhibiting effect of PKM2 knockdown on ferroptosis. Lactate promoted pan kla and H4K12la levels in H/R-induced Caco-2 cells and promoted ferroptosis. ML265 reversed the phenomenon. Moreover, CoIP results showed that PKM2 directly bound to p300. ChIP-qPCR results showed that the concentration of dimeric PKM2 (and nuclear PKM2) and p300 on HMGB1 promoter increased in H/R group. ML265 reduced the enrichment of p300 on HMGB1 promoter. Sh-p300 reduced H4K12la enrichment on HMGB1 promoter. In addition, oe-p300 disrupted the effect of ML265 on H/R-induced Caco-2 cells.

Conclusions: Our results suggested that dimeric PKM2 induced ferroptosis in intestinal I/R by stimulating lactylation-mediated HMGB1 transcription activation via the lactic acid/p300 axis, which may provide new targets for treatment of intestinal I/R injury.

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http://dx.doi.org/10.1016/j.bbadis.2025.167998DOI Listing

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Dimeric PKM2 induces ferroptosis from intestinal ischemia/reperfusion in mice by histone H4 lysine 12 lactylation-mediated HMGB1 transcription activation through the lactic acid/p300 axis.

Biochim Biophys Acta Mol Basis Dis

July 2025

Department of Pediatric Surgery, Clinical Research Center for Pediatric Solid Tumors in Hunan Province, Hunan Provincial Key Laboratory of Pediatric Orthopedics, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University (Hunan Children's hospital), Changsha 410007, P

Background: The role of Pyruvate kinase M2 (PKM2) in intestinal ischemia-reperfusion (I/R) was investigated in this study, with a focus on the mechanism of dimeric PKM2 in ferroptosis.

Methods: The in vivo and in vitro models of intestinal ischemia-reperfusion were constructed and in vitro and in vivo evaluations were performed using a variety of techniques.

Results: HMGB1 and dimeric PKM2 were highly expressed in intestinal I/R mice.

View Article and Find Full Text PDF