PKM and cancer: In other words, the transcriptional activity of HIF depends on its own stability and accumulation within cells under hypoxia rather than its up-regulation at the mRNA level; however, another study revealed that HIF induces the expression of M2 isoform of pyruvate kinase (PKM2) and signal transducer activator of transcription 3 (STAT3), which in turn induce the transcriptional expression of HIF in highly proliferating cancer cells24.