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Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease

  • Authors:
    • Yiyang Pan
    • Feng Yang
    • Liucan Wang
    • Tianshu Yang
    • Guangsheng Du
    • Cong Xu
    • Hua Yang
    • Min Yu
    • Weidong Xiao
  • View Affiliations / Copyright

    Affiliations: General Surgery Laboratory, Department of General Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, P.R. China, General Surgery Laboratory, Department of General Surgery, Chongqing General Hospital, Chongqing University, Chongqing 401147, P.R. China
    Copyright: © Pan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 43
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    Published online on: December 10, 2025
       https://doi.org/10.3892/ijmm.2025.5714
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Abstract

Inflammatory bowel disease (IBD) is a chronic idiopathic intestinal inflammatory disease with increasing incidence worldwide. However, the treatment of IBD is still limited and has not reached the expected therapeutic effect and new therapeutic targets are still to be discovered. Impaired autophagy and abnormal glycolysis levels were observed both in the in vivo and in vitro intestinal inflammation models, suggesting a relationship between autophagy and glycolysis in IBD. Subsequently, it demonstrated that autophagy negatively regulated the glycolysis of IECs by degradation of the key glycolytic enzyme 6‑phosphofructo‑2‑kinase/fructose‑2,6‑bisphosphatase 3 (PFKFB3). Co‑immunoprecipitation was employed to demonstrate that PFKFB3 ubiquitinated by fizzy and cell division cycle 20 related 1 E3 ligase and was then recognized by P62 autophagy receptor for degradation. Notably, increased PFKFB3 expression was detected both in patients with CD and DSS‑induced colitis. Inhibiting PFKFB3 enzyme activity relieved DSS‑induced intestinal inflammation and intestinal epithelial barrier damage. The present study proposed a combined therapy targeting autophagy and glycolysis might become a new choice for clinical treatment of IBD.
View Figures

Figure 1

Impaired autophagy and upregulated
glycolysis levels in IECs were observed under inflammatory
conditions. (A) Establishment of acute colitis mouse model and
chronic colitis mouse model. (B) The protein levels of P62 and LC3b
in colonic epithelial cells of acute DSS-induced mice (n=3) and
chronic DSS-induced mice (n=3) determined by western blot analysis.
(C) mRNA levels of PFKP, LDHA, HK2, PKM2, PFKFB3 in DSS-induced
mice epithelial cells. (D) Autophagic flux was measured by
transfecting cells with mRFP-GFP-LC3 dual-fluorescence adenovirus
(Ad-LC3), allowing differentiation between autophagosomes
(mRFP+/GFP+ fluorescence, appearing as yellow puncta) and
autolysosomes (mRFP+/GFP-fluorescence, appearing as red puncta).
TNF-α (200 ng/ml) induced epithelial cells for 48 h. Representative
immunofluorescence images were shown. (Original magnification,
×20). Quantification of LC3 puncta number of representative cells.
(E) Relative glucose content and lactate (Lac) production in
control vs. TNF-α induced epithelial cells. (F) 2-NBDG and (G)
BCECF fluorescent counter-staining in TNF-α induced epithelial
cells vs. control. Representative immunofluorescence images were
shown. (Original magnification, ×20). Quantitative fluorescence
intensity of 2-NBDG and BCECF (n=3). Data were presented as the
mean ± SD of n=3 per group. Statistical analysis was performed
using unpaired t-tests. ****P<0.0001,
***P<0.001, **P<0.01,
*P<0.05, ns, non-significant vs. control group. IECs,
intestinal epithelial cells; DSS, dextran sulfate sodium salt;
2-NBDG, 2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl)
amino]-D-glucose; BCECF, 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein.

Figure 2

Knockdown of ATG7 in IECs resulted in
increased glycolysis levels. (A) mRNA levels of ATG7 in control vs.
sh-ATG7 epithelial cells. (B) Relative glucose content and lactate
(Lac) production in control vs. sh-ATG7 epithelial cells. (C)
2-NBDG and (D) BCECF fluorescent counter-staining in ATG7 knockdown
epithelial cells vs. control. Representative immunofluorescence
images were shown. (Original magnification, ×20). Quantitative
fluorescence intensity of 2-NBDG and BCECF. (E) Enzymatic
activities of PFK-1 in ATG7-knockdown epithelial cells vs. control
(n=3). P-values were calculated using an unpaired t-test. The
values were presented as the means ± SEM, n=3,
*P<0.05, **P<0.01,
***P<0.001, ****P<0.0001. ATG,
autophagy related gene; IECs, intestinal epithelial cells; sh,
short hairpin; si, small interfering; 2-NBDG,
2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl) amino]-D-glucose;
BCECF, 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein; PFK-1,
phosphofructokinase-1.

Figure 3

Autophagy agonists and inhibitors
regulated glycolysis. (A) Relative glucose content and Lac
production in control vs. Baf A1 treated IECs. (B) Relative glucose
content and Lac production in control vs. rapamycin treated IECs.
(C and D) 2-NBDG and BCECF fluorescent counter-staining in
rapamycin or BafA1 treated IECs vs. control. Representative
immunofluorescence images were shown. (Original magnification,
×20). Quantitative fluorescence intensity of 2-NBDG and BCECF
(n=3). (E) Enzymatic activities of PFK-1 in rapamycin or BafA1
treated IECs vs. control (n=3). P-values were calculated using
One-way ANOVA followed by Tukey's post-hoc test. The values were
presented as the means ± SEM, *P<0.05,
**P<0.01, ***P<0.001,
****P<0.0001. Lac, lactate; Baf A1, bafilomycin A1;
IECs, intestinal epithelial cells; 2-NBDG,
2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl) amino]-D-glucose;
BCECF, 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein; PFK-1,
phosphofructokinase-1.

Figure 4

Autophagy regulated glycolysis levels
through PFKFB3. (A) Knockdown ATG7 had no effect on the expression
levels of genes encoding glycolytic proteins except PFKFB3.
Normalized quantification of mean gray intensity was determined
from three separate experiments. The values were presented as the
means ± SEM. Protein levels of P62, LC3b and PFKFB3 in control vs.
(B) rapamycin or (C) Baf A1 treated epithelial cells. P-values were
calculated using an unpaired t-test. The values were presented as
the means ± SEM, *P<0.05. ns, non-significant.
PFKFB3, 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3;
ATG, autophagy related gene; Baf A1, bafilomycin A1.

Figure 5

PFKFB3 played a key role in autophagy
regulating of the glycolysis of IECs. (A) The verification of
PFKFB3 knockdown and overexpression by western blotting. Relative
glucose content and Lac production in PFKFB3 knockdown IECs treated
with (B) Baf A1 (200 nM) or (E) rapamycin (200 nM). (C and F)
2-NBDG and (D and G) BCECF fluorescent counter-staining in
rapamycin or BafA1 treated PFKFB3 knockdown IECs vs. control.
Representative immunofluorescence images are shown. (Original
magnification, ×20) with quantitative fluorescence intensity of
2-NBDG and BCECF (n=3). (H) Relative glucose content and Lac
production in PFKFB3 OE IECs treated with rapamycin (200 nM). (I)
2-NBDG and (J) BCECF fluorescent counter-staining in rapamycin
treated PFKFB3 OE IECs vs. control. Representative
immunofluorescence images are shown (Original magnification, ×20)
and quantitative fluorescence intensity of 2-NBDG and BCECF (n=3).
P-values were calculated using One-way ANOVA followed by Tukey's
post-hoc test. The values were presented as the means ± SEM,
*P<0.05, **P<0.01,
***P<0.001, ****P<0.0001. PFKFB3,
6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3; Lac,
lactate; IECs, intestinal epithelial cells; Baf A1, bafilomycin A1;
2-NBDG, 2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl)
amino]-D-glucose; BCECF, 2',7'-bis(carboxyethyl)-5(6)-carboxyfluorescein; OE,
overexpression.

Figure 6

Mechanism of autophagy ubiquitination
degrading PFKFB3 protein. (A) NCM460 cells were treated with
rapamycin (200 nM) and cells were collected after treatment with
100 μg/ml CHX at the indicated time. The protein levels of
PFKFB3 were detected by western blotting. A total of three
independent experiments were repeated. (B) Representative images of
the NCM460 stained with PFKFB3 and P62. Scale bar, 10 μm.
(C) Immunoprecipitation assays of NCM460 cells with anti-PFKFB3 and
anti-P62 followed by immunoblotting with antibodies against the
indicated proteins. (D) Verification of Flag-tagged P62/SQSTM1
overexpression NCM460 cells by western blotting. (E) Flag-tagged
P62/SQSTM1 overexpression NCM460 cells were collected after being
treated with 100 μg/ml CHX at the indicated time. The
protein levels of PFKFB3 were detected by western blotting. A total
of three independent experiments were repeated. (F) Verification of
Flag-tagged PFKFB3 overexpression NCM460 cells by western blotting.
Immunoprecipitation assays of Flag-tagged PFKFB3 NCM460 cells with
anti-Flag and anti-FZR1/Cdh1 followed by immunoblotting with
antibodies against the indicated proteins. (G) FZR1 knockdown
NCM460 cells were collected after treated with 100 μg/ml CHX
at the indicated time. The protein levels of PFKFB3 were detected
by western blotting. A total of three independent experiments were
repeated. (H) FZR1 knockdown NCM460 cells were transfected with
HA-Ub plasmid. Immunoprecipitated PFKFB3 proteins were analyzed by
immunoblot analysis for ubiquitination and P62. The protein levels
of P62, PFKFB3 and FZR1/Cdh1 were detected in FZR1 knockdown NCM460
cells by western blotting. (I) Cells overexpressing Flag-tagged
FZR1 were transfected with the HA-Ub plasmid. Immunoprecipitation
of PFKFB3 was performed to assess the levels of K63- and K48-linked
polyubiquitin chains via western blotting. Western blot analysis
was further used to determine the protein expression levels of
Flag, PFKFB3 and FZR1/Cdh1 in FZR1-overexpressing NCM460 cells.
PFKFB3, 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3;
CHX, cycloheximide; HA-Ub, hemagglutinin-tagged ubiquitin; FZR1,
Fizzy and cell division cycle 20 related 1.

Figure 7

PFKFB3 was upregulated in IBD. (A)
Analysis of PFKFB3 mRNA expression in normal and Crohn's disease
tissues within public datasets (GSE119600, GSE126124, GSE112057).
(B) mRNA levels of PFKPFB3 in control (n=10) vs. tissue of patients
with Crohn's disease (n=10), control (n=26) vs. blood of patients
with Crohn's disease (active stage n=12; remission stage n=7). (C)
Immunohistochemical staining of PFKFB3 in tissue of patients with
Crohn's disease and semiquantitative analysis (n=3). (D)
Immunofluorescence images of PFKFB3 in colonic epithelial tissue of
patients with Crohn's disease and quantification of the
fluorescence intensity of PFKFB3 (n=3). (E) Protein levels of
PFKFB3 in control vs. colonic epithelium of DSS-induced mice (acute
n=3, chronic n=3). (F) Immunofluorescence images of PFKFB3 in
colonic epithelium of DSS-induced mice and quantification of the
fluorescence intensity of PFKFB3 (acute n=3, chronic n=3). (G)
Representative hematoxylin and eosin staining of the colon.
DSS-induced colitis mice were treated with intraperitoneal
injection of PFK-15 every three days. (H) Immunohistochemical
staining of claudin-5, claudin-8, claudin-2 and occludin in colon
tissue. (I) mRNA levels of IL-6, TNF-α and IL-1β. The P values for
all figures except B, F, and H were calculated using unpaired
t-tests, while one-way ANOVA followed by Tukey's multiple
comparisons test was used for B, F and H. The values were presented
as the means ± SEM, *P<0.05, **P<0.01,
***P<0.001, ****P<0.0001. PFKFB3,
6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3; IBD,
inflammatory bowel disease; DSS, dextran sulfate sodium salt;
PFK-1, phosphofructokinase-1; CD, Crohn's disease; WT,
Wild-type.
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Copy and paste a formatted citation
Spandidos Publications style
Pan Y, Yang F, Wang L, Yang T, Du G, Xu C, Yang H, Yu M and Xiao W: Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease. Int J Mol Med 57: 43, 2026.
APA
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C. ... Xiao, W. (2026). Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease. International Journal of Molecular Medicine, 57, 43. https://doi.org/10.3892/ijmm.2025.5714
MLA
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C., Yang, H., Yu, M., Xiao, W."Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease". International Journal of Molecular Medicine 57.2 (2026): 43.
Chicago
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C., Yang, H., Yu, M., Xiao, W."Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease". International Journal of Molecular Medicine 57, no. 2 (2026): 43. https://doi.org/10.3892/ijmm.2025.5714
Copy and paste a formatted citation
x
Spandidos Publications style
Pan Y, Yang F, Wang L, Yang T, Du G, Xu C, Yang H, Yu M and Xiao W: Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease. Int J Mol Med 57: 43, 2026.
APA
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C. ... Xiao, W. (2026). Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease. International Journal of Molecular Medicine, 57, 43. https://doi.org/10.3892/ijmm.2025.5714
MLA
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C., Yang, H., Yu, M., Xiao, W."Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease". International Journal of Molecular Medicine 57.2 (2026): 43.
Chicago
Pan, Y., Yang, F., Wang, L., Yang, T., Du, G., Xu, C., Yang, H., Yu, M., Xiao, W."Selective autophagic degradation of glycolytic activator PFKFB3 contributes to maintaining intestinal epithelial barrier in inflammatory bowel disease". International Journal of Molecular Medicine 57, no. 2 (2026): 43. https://doi.org/10.3892/ijmm.2025.5714
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