Abstract

Cachexia is a multifactorial and multi-organ syndrome that is a major cause of morbidity and mortality in late-stage chronic diseases. The main clinical features of cancer-related cachexia are chronic inflammation, wasting of skeletal muscle and adipose tissue, insulin resistance, anorexia, and impaired myogenesis. A multimodal treatment has been suggested to approach the multifactorial genesis of cachexia. In this context, physical exercise has been found to have a general effect on maintaining homeostasis in a healthy life, involving multiple organs and their metabolism. The purpose of this review is to present the evidence for the relationship between inflammatory cytokines, skeletal muscle, and fat metabolism and the potential role of exercise training in breaking the vicious circle of this impaired tissue cross-talk. Due to the wide-ranging effects of exercise training, from the body to the behavior and cognition of the individual, it seems to be able to improve the quality of life in this syndrome. Therefore, studying the molecular effects of physical exercise could provide important information about the interactions between organs and the systemic mediators involved in the overall homeostasis of the body.

Highlights

  • Cachexia is a multifactorial and multi-organ syndrome that is a major cause of morbidity and mortality in late-stage chronic diseases such as acquired immune deficiency syndrome (AIDS), chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), multiple sclerosis, tuberculosis, and cancer [1]

  • Exercise training is currently recommended for the clinical management of low inflammatory diseases such as cancer cachexia, as its overall efficacy seems to offset the impairment of skeletal muscle function and attenuate muscle mass loss and fat metabolism

  • The purpose of this review is to present the evidence for the relationship between inflammatory cytokines, skeletal muscle, and fat metabolism and the potential role of exercise training in breaking the vicious circle of this impaired tissue cross-talk

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Summary

Introduction

Cachexia is a multifactorial and multi-organ syndrome that is a major cause of morbidity and mortality in late-stage chronic diseases such as acquired immune deficiency syndrome (AIDS), chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), multiple sclerosis, tuberculosis, and cancer [1]. The main clinical features of cancer-related cachexia are chronic inflammation, wasting of skeletal muscle and adipose tissue, insulin resistance, anorexia, and impaired myogenesis [5]. Consistent with the hypermetabolic state leading to adipose tissue and skeletal muscle wasting, considerable interest has focused on the role of pro-inflammatory cytokines in mediating cachexia [6]. A multimodal treatment for cancerrelated cachexia has been suggested [7] In this context, exercise training is currently recommended for the clinical management of low inflammatory diseases such as cancer cachexia, as its overall efficacy seems to offset the impairment of skeletal muscle function and attenuate muscle mass loss and fat metabolism. The purpose of this review is to present the evidence for the relationship between inflammatory cytokines, skeletal muscle, and fat metabolism and the potential role of exercise training in breaking the vicious circle of this impaired tissue cross-talk

Cellular Processes Involved in Muscle Mass Homeostasis
Evidence for Inflammation as a Therapeutic Target in Cachexia
Findings
Inflammation and Lipid Metabolism in Cancer-Related Cachexia
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