Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management
Gestational diabetes mellitus (GDM) affects placental metabolism, influencing both maternal and fetal outcomes. This study investigated the expression of metabolic regulators—Pyruvate Kinase M2 (PKM2), AMP-activated protein kinase (AMPK), and mTOR pathway components—in placental tissues from GDM pre...
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MDPI AG
2025-03-01
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| Online Access: | https://www.mdpi.com/2073-4409/14/6/416 |
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| author | Emily Broberg Jillise English Derek M. Clarke Marley J. Shin Benjamin T. Bikman Paul R. Reynolds Juan A. Arroyo |
| author_facet | Emily Broberg Jillise English Derek M. Clarke Marley J. Shin Benjamin T. Bikman Paul R. Reynolds Juan A. Arroyo |
| author_sort | Emily Broberg |
| collection | DOAJ |
| description | Gestational diabetes mellitus (GDM) affects placental metabolism, influencing both maternal and fetal outcomes. This study investigated the expression of metabolic regulators—Pyruvate Kinase M2 (PKM2), AMP-activated protein kinase (AMPK), and mTOR pathway components—in placental tissues from GDM pregnancies managed with either insulin (GDM-I) or dietary interventions (GDM-D). We hypothesize that metabolic adaptation in GDM is differentially regulated by treatment modality. This study analyzed 30 cases, including 10 control pregnancies,10 GDM-D cases, and 10 GDM-I cases. Analytical methods included immunofluorescence and immunoblotting. We observed an upregulation of PKM2 in both GDM-I and GDM-D placentas, suggesting enhanced glycolytic adaptation under GDM-induced metabolic stress. AMPK expression was significantly elevated in GDM-I and moderately increased in GDM-D placentas, potentially compensating for insulin resistance by promoting glucose uptake and energy homeostasis. Furthermore, mTOR pathway activation differed by treatment type, suggesting a treatment-specific mTOR response. The metabolic changes observed suggest that treatment modality in GDM may have direct implications for maternal and fetal health. Our findings indicate that while insulin and dietary management support metabolic adaptation in GDM, they do so through distinct mechanisms. These findings support a personalized approach in GDM treatment, where patient-specific metabolic responses should guide therapeutic decisions. |
| format | Article |
| id | doaj-art-c06ff1f4e4c54f67bd7e554093009cf6 |
| institution | Kabale University |
| issn | 2073-4409 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
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| series | Cells |
| spelling | doaj-art-c06ff1f4e4c54f67bd7e554093009cf62025-08-20T03:43:11ZengMDPI AGCells2073-44092025-03-0114641610.3390/cells14060416Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary ManagementEmily Broberg0Jillise English1Derek M. Clarke2Marley J. Shin3Benjamin T. Bikman4Paul R. Reynolds5Juan A. Arroyo6Department of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USADepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT 84602, USAGestational diabetes mellitus (GDM) affects placental metabolism, influencing both maternal and fetal outcomes. This study investigated the expression of metabolic regulators—Pyruvate Kinase M2 (PKM2), AMP-activated protein kinase (AMPK), and mTOR pathway components—in placental tissues from GDM pregnancies managed with either insulin (GDM-I) or dietary interventions (GDM-D). We hypothesize that metabolic adaptation in GDM is differentially regulated by treatment modality. This study analyzed 30 cases, including 10 control pregnancies,10 GDM-D cases, and 10 GDM-I cases. Analytical methods included immunofluorescence and immunoblotting. We observed an upregulation of PKM2 in both GDM-I and GDM-D placentas, suggesting enhanced glycolytic adaptation under GDM-induced metabolic stress. AMPK expression was significantly elevated in GDM-I and moderately increased in GDM-D placentas, potentially compensating for insulin resistance by promoting glucose uptake and energy homeostasis. Furthermore, mTOR pathway activation differed by treatment type, suggesting a treatment-specific mTOR response. The metabolic changes observed suggest that treatment modality in GDM may have direct implications for maternal and fetal health. Our findings indicate that while insulin and dietary management support metabolic adaptation in GDM, they do so through distinct mechanisms. These findings support a personalized approach in GDM treatment, where patient-specific metabolic responses should guide therapeutic decisions.https://www.mdpi.com/2073-4409/14/6/416GDMplacental metabolismPKM2AMPKmTOR |
| spellingShingle | Emily Broberg Jillise English Derek M. Clarke Marley J. Shin Benjamin T. Bikman Paul R. Reynolds Juan A. Arroyo Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management Cells GDM placental metabolism PKM2 AMPK mTOR |
| title | Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management |
| title_full | Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management |
| title_fullStr | Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management |
| title_full_unstemmed | Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management |
| title_short | Differential Regulation of PKM2, AMPK, and mTOR in Response to Insulin and Dietary Management |
| title_sort | differential regulation of pkm2 ampk and mtor in response to insulin and dietary management |
| topic | GDM placental metabolism PKM2 AMPK mTOR |
| url | https://www.mdpi.com/2073-4409/14/6/416 |
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