PKLR Gene (Pyruvate Kinase L/R): Function, Mutations, and Associated Diseases

Comprehensive biomedical resource on PKLR, including gene structure, expression, pathogenic variants, and clinical significance.

Gene Information Card

Symbol PKLR
Full Name Pyruvate Kinase L/R
Gene Type Protein coding
Chromosomal Location 1q22
NCBI Gene ID 5313 ncbi.nlm.nih.gov/gene/5313
Ensembl ID ENSG00000143627
UniProt ID P30613
OMIM ID 609712
HGNC ID 9021
Aliases PK1, PKL, PKR, RPK, PyK, PK3

Description

The PKLR gene encodes pyruvate kinase, a key glycolytic enzyme that catalyzes the conversion of phosphoenolpyruvate to pyruvate, generating ATP. It has two tissue-specific isoforms: L-type (liver) and R-type (red blood cells), produced by alternative promoters. Mutations in PKLR cause pyruvate kinase deficiency, the most common hereditary non-spherocytic hemolytic anemia. The gene is also implicated in other metabolic and hematological conditions.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Pyruvate kinase deficiency (PKD) Loss-of-function mutations reduce enzyme activity in red blood cells, impairing glycolysis and ATP production, leading to hemolytic anemia. ClinVar, OMIM
Chronic hemolytic anemia Same mechanism as PKD; severity varies with residual enzyme activity. ClinVar, OMIM
Neonatal hyperbilirubinemia Secondary to hemolysis in PKD patients, causing elevated bilirubin. ClinVar
Gallstones (cholelithiasis) Chronic hemolysis increases bilirubin load, predisposing to pigment gallstones. ClinVar
Iron overload Chronic hemolysis and transfusions can lead to iron accumulation. ClinVar
Aplastic crisis Parvovirus B19 infection suppresses erythropoiesis, worsening anemia in PKD. ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 30.1 High
Bone Marrow 20.5 Medium
Spleen 15.2 Medium
Whole Blood 12.8 Medium
Small Intestine 8.4 Low
Kidney 5.1 Low
Cell Line Expression
Cell Line nTPM Notes
K-562 (leukemia) 25.3 High expression
HepG2 (liver cancer) 22.7 High expression
HL-60 (promyeloblast) 18.9 Medium
MCF7 (breast cancer) 3.2 Low
A549 (lung cancer) 2.1 Low
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1529G>A (p.Arg510Gln) Missense ~20% of PKD alleles Reduced enzyme activity, causes hemolytic anemia
c.1456C>T (p.Arg486Trp) Missense ~10% of PKD alleles Severe enzyme deficiency, common in Northern European
c.994G>A (p.Gly332Ser) Missense ~5% of PKD alleles Moderate enzyme deficiency
c.1261A>G (p.Ile421Val) Missense ~3% of PKD alleles Mild phenotype, often asymptomatic
c.721G>T (p.Glu241Ter) Nonsense Rare Truncated protein, complete loss of function
c.1468C>T (p.Arg490Ter) Nonsense Rare Premature stop, severe deficiency
c.1174A>G (p.Thr392Ala) Missense Rare Reduced stability, associated with PKD
c.1493C>T (p.Pro498Leu) Missense Rare Impaired catalytic activity
Mutation functional classification

Loss of Function (LOF)

Most PKLR mutations are loss-of-function, reducing or abolishing pyruvate kinase activity in red blood cells. This leads to ATP depletion, oxidative stress, and premature red cell destruction, causing hemolytic anemia.

Gain of Function (GOF)

No gain-of-function mutations have been reported for PKLR. The enzyme's activity is tightly regulated; increased activity is not associated with disease.

Dominant Negative (DN)

Some missense mutations may exert a dominant-negative effect by producing subunits that interfere with the tetrameric enzyme complex, but this is rare. Most PKD cases are autosomal recessive, requiring biallelic mutations.

Gene Ontology (GO)

• ATP binding • Kinase activity
• Magnesium ion binding • Pyruvate kinase activity
• Phosphoenolpyruvate binding • Glycolysis
• Cytoplasm • Cytosol

Pathways

Glycolysis / Gluconeogenesis
Pyruvate metabolism
Metabolic pathways
Carbon metabolism
HIF-1 signaling pathway (indirect)

Protein Summary

The PKLR gene encodes two isoforms: the L-type (liver) and R-type (red blood cell) pyruvate kinase, both generated by alternative promoters. The protein is a tetramer of 4 identical subunits, each containing a catalytic domain. It catalyzes the final step of glycolysis, converting phosphoenolpyruvate to pyruvate with ATP production. In red blood cells, this enzyme is essential for maintaining ATP levels and cell integrity. Deficiency leads to hemolytic anemia. The protein is allosterically regulated by fructose-1,6-bisphosphate (activator) and ATP (inhibitor).

Related Products

Product name Cat.No. Species Gene ID
PKLR Knockout HEK293 Cell Line EDJ-KQ5470 Human 5313 Details Get a Quote
PKLR Knockout HeLa Cell Line EDJ-KQ54147 Human 5313 Details Get a Quote
PKLR Knockout A-549 Cell Line EDJ-KQ62639 Human 5313 Details Get a Quote
PKLR Knockout HCT 116 Cell Line EDJ-KQ71107 Human 5313 Details Get a Quote
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