The PFKM gene encodes the muscle isoform of phosphofructokinase (PFK), a rate-limiting enzyme in glycolysis. Located on chromosome 12q13.11, it spans ~30 kb and contains 23 exons, producing a 780-amino-acid protein (85 kDa) critical for energy metabolism in muscle, erythrocytes, and other tissues . Mutations in PFKM lead to glycogen storage disease type VII (GSD VII, Tarui disease) and are implicated in metabolic reprogramming in cancers .
The phosphofructokinase enzyme is a tetramer composed of three subunits:
PFKM: Muscle/erythrocyte isoform
PFKL: Liver isoform
PFKP: Platelet isoform
PFKM catalyzes the irreversible phosphorylation of fructose-6-phosphate (F6P) to fructose-1,6-bisphosphate (F1,6-BP), committing glucose to glycolysis. This step is regulated by allosteric effectors:
Muscle: Rapid energy demand during exercise drives PFKM activity.
Erythrocytes: Generates 2,3-bisphosphoglycerate (2,3-BPG) to modulate oxygen delivery .
In ovarian cancer, PFKM undergoes S-nitrosylation at Cys351 by NOS1, stabilizing its tetramer and resisting downstream feedback inhibition (e.g., ATP, citrate). This modification promotes glycolytic flux and tumor growth .
A 2024 case report identified two novel mutations:
c.1376G>A (p.Trp562Ter): Maternal origin, truncates protein.
c.626G>A (p.Gly312Asp): Paternal origin, disrupts catalytic domain .
These mutations highlight the genetic heterogeneity of GSD VII and the need for advanced sequencing in diagnosis .
Pfkm knockout mice exhibit:
Muscle: Glycogen accumulation, low ATP, respiratory failure .
Erythrocytes: 50% PFK activity, reduced 2,3-BPG, hemolysis .
Traditional enzyme histochemistry may miss PFKM deficiency. For example:
Case: Two siblings with GSD VII had normal muscle biopsy enzyme staining but were diagnosed via whole-exome sequencing (homozygous R39Q mutation) .
Biochemical: PFK activity assay in muscle/erythrocytes.
Genetic: Whole-exome sequencing to identify pathogenic mutations .
Type 2 Diabetes: Overexpression of PFKM in skeletal muscle linked to insulin resistance, compensating for allosteric inhibition by citrate or acetyl-CoA .
Cancer: PFKM SNPs (e.g., rs1234567) associated with breast, lung, and glioma cancers; computational models predict functional impact on glycolysis .
MGSSHHHHHH SSGLVPRGSH MTHEEHHAAK TLGIGKAIAV LTSGGDAQGM NAAVRAVVRV GIFTGARVFF VHEGYQGLVD GGDHIKEATW ESVSMMLQLG GTVIGSARCK DFREREGRLR AAYNLVKRGI TNLCVIGGDG SLTGADTFRS EWSDLLSDLQ KAGKITDEEA TKSSYLNIVG LVGSIDNDFC GTDMTIGTDS ALHRIMEIVD AITTTAQSHQ RTFVLEVMGR HCGYLALVTS LSCGADWVFI PECPPDDDWE EHLCRRLSET RTRGSRLNII IVAEGAIDKN GKPITSEDIK NLVVKRLGYD TRVTVLGHVQ RGGTPSAFDR ILGSRMGVEA VMALLEGTPD TPACVVSLSG NQAVRLPLME CVQVTKDVTK AMDEKKFDEA LKLRGRSFMN NWEVYKLLAH VRPPVSKSGS HTVAVMNVGA PAAGMNAAVR STVRIGLIQG NRVLVVHDGF EGLAKGQIEE AGWSYVGGWT GQGGSKLGTK RTLPKKSFEQ ISANITKFNI QGLVIIGGFE AYTGGLELME GRKQFDELCI PFVVIPATVS NNVPGSDFSV GADTALNTIC TTCDRIKQSA AGTKRRVFII ETMGGYCGYL ATMAGLAAGA DAAYIFEEPF TIRDLQANVE HLVQKMKTTV KRGLVLRNEK CNENYTTDFI FNLYSEEGKG IFDSRKNVLG HMQQGGSPTP FDRNFATKMG AKAMNWMSGK IKESYRNGRI FANTPDSGCV LGMRKRALVF QPVAELKDQT DFEHRIPKEQ WWLKLRPILK ILAKYEIDLD TSDHAHLEHI TRKRSGEAAV.
Phosphofructokinase, muscle (PFKM) is a key regulatory enzyme in the glycolytic pathway that catalyzes the phosphorylation of fructose-6-phosphate to fructose-1,6-bisphosphate. This reaction represents one of the rate-limiting steps in glycolysis, making PFKM crucial for energy metabolism regulation . In humans, PFKM functions as a subunit of the tetrameric phosphofructokinase complex, with tissue-specific variations in tetramer composition. PFKM plays a particularly important role in muscle tissue, where glycolysis is essential for rapid energy production during exercise.
From a methodological perspective, researchers studying PFKM's role in metabolism should employ both enzymatic activity assays and expression analyses to comprehensively understand its function in different physiological states. The enzyme's allosteric regulation by numerous metabolites (including ATP, AMP, and citrate) makes experimental design particularly critical when investigating its activity.
The human PFKM gene is located on chromosome 12q13.11 (NCBI reference sequence number NC_000012.12). The gene spans 41,151 bases between positions 48,105,253 and 48,146,404 on chromosome 12 . The coding region consists of 2,340 base pairs encoding approximately 780 amino acids .
When designing experiments targeting specific regions of PFKM, researchers should consider its exon-intron structure and the presence of regulatory elements. The following table summarizes key genomic features of human PFKM:
Feature | Details |
---|---|
Chromosomal Location | 12q13.11 |
Gene Size | 41,151 bases |
Coding Region | 2,340 bp |
Protein Length | ~780 amino acids |
Molecular Weight | 85 kDa |
Known SNPs | 9,694 total (as of October 2019) |
Functional SNPs | 85 validated SNPs with ≥10% minor allele frequency |
Researchers should be aware that alternatively spliced transcript variants have been described for PFKM, which may have tissue-specific expression patterns or functional differences .
Humans possess three distinct phosphofructokinase isozymes: PFK-muscle (PFKM), PFK-liver (PFKL), and PFK-platelet (PFKP). These isozymes have different molecular weights (PFKM: 85 kDa, PFKL: 80 kDa, PFKP: 85 kDa) and are encoded by separate genes . The isozymes function as subunits of the tetrameric PFK enzyme, with the tetramer composition varying by tissue type .
When studying phosphofructokinase in human tissue samples, researchers should employ isozyme-specific antibodies or primers to distinguish between the three forms. The methodological approach should include:
Tissue-specific expression analysis using RT-qPCR with isozyme-specific primers
Western blotting with antibodies that can distinguish between isozymes
Activity assays under conditions that can differentiate isozyme contributions
Understanding the tetramer composition in different tissues is essential for interpreting experimental results correctly, as functional properties may vary depending on which isozymes are present in the tetrameric complex.
Identifying functionally significant single nucleotide polymorphisms (SNPs) in the PFKM gene requires a systematic approach combining computational prediction with experimental validation. A methodical workflow should include:
Initial SNP retrieval from databases such as dbSNP
Filtering based on validation status, conservation, minor allele frequency (MAF), and predicted functional significance
Application of multiple prediction tools to assess potential impact
Research has identified a total of 9,694 SNPs in the PFKM gene region, of which only 85 validated SNPs with ≥10% minor allele frequency were subjected to detailed analysis . These were further classified into 11 highly prioritized, 20 moderately prioritized, and 54 poorly prioritized SNPs based on multiple computational tools .
For computational prediction, researchers should employ a combination of tools including:
Ensembl Genome Browser for conservation analysis
FuncPred (SNPinfo) for predicting functional effects
RegulomeDB for identifying regulatory potential
SIFT and PolyPhen-2 for assessing the impact of coding variants
Conservation analysis across species is particularly valuable, as SNPs in highly conserved regions are more likely to be functionally significant. The research demonstrated that comparative analysis with 91 eutherian mammals revealed evolutionarily conserved regions in human PFKM .
PFKM has been identified as a potential target for cancer therapeutic studies due to its role in the Warburg effect—a phenomenon where cancer cells preferentially utilize glycolysis even in the presence of oxygen . A genome-wide association study has specifically identified PFKM as a novel marker for breast cancer in humans .
When designing studies to investigate PFKM's role in cancer, researchers should:
Compare PFKM expression and activity between normal and cancerous tissues
Examine the effects of PFKM knockdown or overexpression on cancer cell proliferation, migration, and metabolism
Investigate potential correlations between PFKM SNPs and cancer susceptibility or progression
The research literature has documented associations between PFKM genetic mutations and multiple cancer types, including:
Breast cancer
Bladder cancer
Non-small cell lung cancer
Human glioma
Human glioblastoma
Experimental approaches should include both in vitro studies using cancer cell lines and in vivo studies using animal models or patient samples. Researchers should control for confounding variables such as tissue type, metabolic state, and genetic background when studying PFKM in cancer contexts.
In silico analysis of PFKM variants requires a multi-tool approach to comprehensively assess potential functional impacts. Based on established research protocols, the following methodological workflow is recommended:
Initial SNP selection: Retrieve all known PFKM SNPs from dbSNP database and filter based on:
Conservation analysis: Use Ensembl Genome Browser to perform comparative genomic alignment across species (e.g., the 91 eutherian mammals used in previous research)
Functional prediction: Apply multiple complementary tools:
Prioritization: Classify variants as highly prioritized, moderately prioritized, or poorly prioritized based on the consensus of prediction tools
Pathway analysis: Evaluate how identified functional variants might affect PFKM's role in relevant biological pathways
This multi-layered approach allows researchers to systematically narrow down the most promising PFKM variants for further experimental validation, maximizing research efficiency and resource utilization.
When designing experiments to study PFKM function, researchers must carefully consider several methodological aspects:
Variable definition and control: Clearly define independent variables (e.g., PFKM expression levels, genetic variants) and dependent variables (e.g., enzymatic activity, glycolytic flux, cellular phenotypes) . Identify potential confounding variables and establish appropriate controls.
Hypothesis formulation: Develop specific, testable hypotheses regarding PFKM function or its relationship to specific conditions . For example: "The rs12345678 SNP in PFKM reduces enzymatic activity by disrupting the ATP binding site."
Experimental treatments: Design interventions that specifically manipulate your independent variable, such as:
CRISPR-Cas9 gene editing to introduce or correct specific PFKM variants
siRNA or shRNA for PFKM knockdown
Expression vectors for wild-type or mutant PFKM overexpression
Subject assignment: Determine whether a between-subjects or within-subjects design is more appropriate . For cell culture experiments, ensure appropriate biological replicates and randomization.
Measurement approaches: Select appropriate techniques to measure PFKM activity or function:
Enzymatic assays for direct measurement of PFK activity
Metabolic flux analysis to assess impact on glycolysis
Respirometry to determine effects on cellular bioenergetics
Protein interaction studies to examine regulatory mechanisms
Researchers should also consider technological limitations, potential artifacts, and statistical power in their experimental design.
Human subjects research investigating PFKM requires careful planning and documentation to ensure ethical compliance and scientific validity. Researchers should:
Determine exempt status: Assess whether the study qualifies for exemption from federal regulations, particularly for research using de-identified specimens or data .
Complete required documentation: For non-exempt studies, prepare comprehensive documentation including:
Protocol development: Create a detailed protocol that specifies:
Recruitment procedures
Sample collection methods
Data analysis approaches
Measures to protect participant privacy and confidentiality
Special populations consideration: When studying PFKM in the context of rare conditions like glycogen storage disease type VII (Tarui disease), develop specialized recruitment strategies and consider implementing a delayed onset study design if appropriate .
Data sharing plan: Establish protocols for sharing de-identified data with other researchers while maintaining compliance with privacy regulations.
The PHS Human Subjects and Clinical Trials Information form provides a comprehensive framework for documenting these considerations in grant applications .
Tarui disease, or glycogen storage disease type VII, results from mutations in the PFKM gene . When investigating this rare disorder, researchers should employ the following methodological approaches:
Genetic analysis: Screen for known pathogenic mutations in PFKM and identify novel variants using:
Targeted sequencing of PFKM exons and splice sites
Whole exome or genome sequencing for comprehensive coverage
Bioinformatic analysis to predict pathogenicity of novel variants
Functional validation: Assess the impact of identified mutations on:
PFKM protein expression and stability
Enzymatic activity using purified protein or cell lysates
Tetramer formation and subunit interactions
Allosteric regulation by metabolites
Phenotypic correlation: Relate specific mutations to clinical presentations through:
Detailed patient phenotyping
Exercise tolerance testing
Muscle biopsy analysis for glycogen accumulation
Longitudinal studies of disease progression
Model systems: Develop and utilize:
Patient-derived fibroblasts or myoblasts
CRISPR-engineered cell lines harboring Tarui disease mutations
Animal models (where feasible) that recapitulate disease features
Therapeutic exploration: Investigate potential treatment approaches:
Alternative metabolic pathway activation
Chaperone therapies for missense mutations
Gene therapy approaches
These methodological approaches provide a comprehensive framework for advancing our understanding of how PFKM mutations lead to Tarui disease and for developing potential therapeutic interventions.
Evolutionary conservation analysis provides valuable insights into functionally important regions of PFKM by identifying sequences that have been preserved across species due to selective pressure. Methodologically, researchers should:
Perform multi-species alignment: Compare human PFKM sequences with orthologous genes across diverse species. Previous research has utilized genomic alignments across 91 eutherian mammals including primates, rodents, and other mammals .
Identify conserved domains: Map highly conserved regions to known functional domains such as:
Catalytic sites
Allosteric regulatory sites
Subunit interaction interfaces
Post-translational modification sites
Analyze conservation patterns: Distinguish between:
Absolutely conserved residues (likely essential for basic function)
Highly conserved regions (important for specific aspects of function)
Variable regions (potentially involved in species-specific adaptations)
Integrate with structural data: Map conservation data onto three-dimensional protein structures to visualize spatial patterns of conservation.
Apply to variant interpretation: Use conservation data to prioritize variants for functional studies, as mutations in highly conserved regions are more likely to be deleterious.
This approach can be implemented using tools such as the Ensembl Genome browser, which allows researchers to visualize alignments and identify variants in conserved regions through color-coded highlighting (yellow, green, purple, pink, and red) .
Integrating PFKM data with other -omics datasets requires sophisticated bioinformatic approaches to reveal novel insights into its biological functions and disease associations. Recommended methodological approaches include:
Multi-omics data collection:
Transcriptomics: RNA-seq to measure PFKM expression levels and splicing variants
Proteomics: Mass spectrometry to identify PFKM protein interactions and post-translational modifications
Metabolomics: Targeted and untargeted approaches to measure glycolytic intermediates
Genomics: SNP and variant data from sequencing studies
Data preprocessing and normalization:
Apply appropriate normalization methods for each data type
Handle missing values using imputation techniques
Apply quality control filters to remove low-quality measurements
Integration analysis techniques:
Correlation networks: Identify associations between PFKM expression/activity and other molecular features
Pathway enrichment analysis: Contextualize PFKM within metabolic and signaling pathways
Machine learning approaches: Develop predictive models incorporating PFKM data
Causal inference methods: Elucidate directional relationships in regulatory networks
Visualization strategies:
Interactive multi-omics visualization tools
Pathway visualization with overlaid expression/activity data
Network diagrams showing PFKM interactions
Validation approaches:
Independent dataset validation
Experimental confirmation of key findings
Literature-based validation of predicted associations
Researchers should select appropriate software tools based on their specific research questions and the types of -omics data being integrated. Popular platforms include R/Bioconductor packages, specialized multi-omics integration tools, and machine learning frameworks.
Based on current knowledge and research gaps, several promising directions for future PFKM research include:
Comprehensive characterization of PFKM variants:
Systematic functional validation of computationally predicted significant SNPs
Development of high-throughput methods to assess variant effects on enzyme kinetics
Population-specific studies to identify ancestry-related variations in PFKM function
PFKM in cancer metabolism:
Investigation of tissue-specific PFKM regulation in different cancer types
Exploration of PFKM as a therapeutic target for cancers exhibiting the Warburg effect
Development of PFKM inhibitors or modulators with anti-cancer potential
Identification of synthetic lethal interactions with PFKM in cancer contexts
Systems biology approaches:
Integration of PFKM into comprehensive metabolic models
Network analysis to identify novel regulatory interactions
Multi-omics studies to understand PFKM in the broader context of cellular metabolism
Translational applications:
Development of improved diagnostic methods for Tarui disease
Exploration of PFKM as a biomarker for cancer progression or treatment response
Investigation of personalized therapeutic approaches based on PFKM variants
Advanced methodological development:
CRISPR-based screening to systematically assess PFKM regulatory elements
Single-cell approaches to understand PFKM heterogeneity within tissues
Live-cell imaging techniques to visualize PFKM dynamics in real-time
Humans have three isozymes of phosphofructokinase: muscle, liver, and platelet. These isozymes function as subunits of the mammalian tetramer phosphofructokinase, with the tetramer composition varying depending on the tissue type . The muscle-type isozyme, encoded by the PFKM gene, is specifically adapted to meet the high energy demands of muscle tissue .
The PFKM gene is located on chromosome 12 and encodes the muscle-type isozyme of phosphofructokinase. Mutations in this gene have been associated with glycogen storage disease type VII, also known as Tarui disease . This disease is characterized by an inability to properly break down glycogen, leading to muscle weakness and cramps during exercise .
Recombinant human PFKM is produced using baculovirus-insect cell expression systems. This method allows for the production of high-purity enzyme, which is essential for research and therapeutic applications . The recombinant enzyme retains the functional properties of the native enzyme, making it a valuable tool for studying glycolysis and related metabolic pathways .
PFKM plays a pivotal role in glycolysis by catalyzing the conversion of fructose-6-phosphate and ATP into fructose-1,6-bisphosphate and ADP . This reaction is the first committing step of glycolysis, meaning it is a point of no return in the pathway, committing the cell to metabolize glucose for energy production .
Mutations in the PFKM gene can lead to metabolic disorders such as glycogen storage disease type VII. This condition results in an accumulation of glycogen in muscle tissues, causing symptoms like muscle cramps, weakness, and exercise intolerance . Understanding the function and regulation of PFKM is crucial for developing therapeutic strategies for these metabolic disorders.