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. 2023 Mar 14;24(6):5561. doi: 10.3390/ijms24065561

Table 1.

Phenotypes of associated diseases and expression changes in each AK isozyme.

Isozyme Intracellular Localization/
Highly Expressed Tissues
Physiological Characteristics Related Human Diseases Animal Model/Cultured Cell
AK1 Cytosol/nuscle, brain, heart, testis Highly expressed in skeletal muscles, brain, and erythrocytes [1] Non-obstructive azoospermia [30]
Hematological abnormality [20,21,22]
KO mouse, inhibited sperm motility under specific conditions [30,33,99]
Tg medaka, increased spontaneous locomotor activity [32]
and reduced tolerance to ischemic stress [35]
AK2 Mitochondrial
intermembrane space/liver, kidney, heart
Supply of ADP to the adenine nucleotide transporter [100]
Regulation of mitochondrial apoptosis [39]
Transfer of energy from the mitochondria [36]
Reticular dysgenesis [40,41,42,47] KO drosophila, lethal at the larval stage [1]
KO zebrafish, reticular dysgenesis, and affected sensory hair cells [48]
KO mouse, lethal in the early embryo [46]
AK3 Mitochondrial
matrix/all tissues except for red blood cell
Mitochondrial energy metabolism [1]
Low expression in pancreatic beta cells [60]
Not reported HeLa cell, slow growth [61]
AK4 Mitochondrial
matrix/kidney, liver, brain, heart, stomach, intestine, gonads
Mitochondrial energy metabolism [6,67]
Hypoxia-related mitochondrial regulation [67,69,70]
Not reported Smooth muscle cells, AK4 KD
enhanced mitochondrial respiration and decreased glycolytic metabolism [68]
Hela cell, AK4 KD
decreased mitochondrial activity [70]
AK5 Cytosol nucleus/highly expressed in brain Energy regulation in brain [76] Non-paraneoplastic limbic encephalitis [77] AZ521 and MKN74 cells, AK5 KD
inhibited growth and autophagy and increased apoptosis [80]
AK6 Nucleus/all tissues Nuclear energy metabolism [81] Not reported C. elegans, growth inhibition [82,83]
AK7 Cytosol/lung, trachea, testis, mammary gland tissue Expressed in ciliated tissues and testes [3] Respiratory primary ciliary dyskinesia [91]
Morphological anomalies of the flagella [92]
Multiple morphological anomalies of the flagella, Oligoasthenoteratozoospermia [93]
KO mouse, primary ciliary dyskinesia
hydrocephalus,
abnormal spermatogenesis,
mucus accumulation in the sinuses,
and impaired spermatogenesis [3]
AK8 Cytosol/liver, paancreas, lung, testis Associated with the axoneme [95] Not reported KO mouse, hydrocephalus [96]
AK9 Cytosol, nucleus/ highly expressed in pituitary gland, trachea, thymus, testis, mammary gland Highly expressed in the pituitary gland, trachea, thymus, and testis [97] Congenital myasthenic syndrome [98] Not reported

KO: knockout, KD: knockdown, Tg: transgenic.