Abstract

BackgroundAnorexia, body wasting, inflammation, muscle, and adipose tissue loss are hallmarks of cancer cachexia, a syndrome that affects the majority of cancer patients, impairing their ability to endure chemotherapeutic therapies and reducing their lifespan. In the last 10 years, alterations of protein turnover and impairment of adult myogenesis have been proposed as major contributing factors.MethodsMuscle stem cells, including satellite cells, mesoangioblasts, and fibroadipogenic progenitors, were isolated and characterized from C26 colon carcinoma‐bearing (C26) mice. Circulating levels of interleukin‐4/13 (IL4/IL13) were analysed by ELISA, and the effects of IL4 on muscle mass and function, protein synthesis, muscle regeneration, and myogenic progenitor cell number were analysed at both functional (treadmill and grip test) and molecular levels (qRT–PCR, immunofluorescence analysis, surface sensing of translation, and western blot). The Kaplan–Meier test was used to analyse the survival curve of IL4‐treated and IL4‐untreated C26 mice.ResultsThe administration of IL4 to C26 mice rescued muscle mass by increasing protein synthesis. The IL4 treatment improved performances and prolonged survival of C26 mice. IL4 administration re‐established both number and function of satellite cells and fibroadipogenic progenitors without affecting mesoangioblasts in C26 mice, rescuing myogenesis. Upon IL4 treatment, a high number of cytotoxic lymphocytes and type II macrophages were observed with a subsequent increase in necrotic areas of C26 tumours.ConclusionsThe results here presented shed new light on IL4 signalling during muscle wasting and early stages of muscle regeneration that explain the beneficial effect observed in IL4‐treated C26 mice. These findings might aid to develop therapeutic approaches to improve mobility and quality of life in cachectic patients.

Highlights

  • Cachexia is a multifactorial syndrome associated to many types of cancers, affecting mainly gastrointestinal tract and lungs, that compromises absorption of nutrients and decreases the possibility for the patients to efficiently breathe.[1]

  • The aim of the present study is to investigate the mechanisms underlying the impaired myogenesis in cancer hosts, focusing on the role that interstitial cells and cytokines involved in muscle differentiation might play in contributing to cancerinduced muscle wasting

  • The number of SCs isolated from muscles of C26 hosts was higher than that obtained from C muscles (CSCs; Figure 1C)

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Summary

Introduction

Cachexia is a multifactorial syndrome associated to many types of cancers, affecting mainly gastrointestinal tract and lungs, that compromises absorption of nutrients and decreases the possibility for the patients to efficiently breathe.[1]. With or without loss of fat mass, is one of the main hallmarks of the cachectic phenotype, is not reversed by nutrient supplementation, and, at least in experimental model systems, is mainly associated with the hyperactivation of catabolic signals involving the main proteolytic systems.[2,3,4] In addition, protein synthesis is altered in favour of degradation and cannot be restored in experimental models by forcing the activity of anabolic pathways.[5] Cytokines and pro-inflammatory signals produced by the host immune system interact with the tumour, contributing to generate insulin and other growth factors resistance in the muscle of cancer patients. Body wasting, inflammation, muscle, and adipose tissue loss are hallmarks of cancer cachexia, a syndrome that affects the majority of cancer patients, impairing their ability to endure chemotherapeutic therapies and reducing their lifespan. The Kaplan–Meier test was used to analyse the survival curve of IL4-treated and IL4-untreated C26 mice

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