Cancer cachexia: molecular mechanism and pharmacological management
Autor: | Yanjun Mi, Ting Huang, Zhengzhi Zou, Yonghua Li, Huan Jin, Yibing Chen |
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Rok vydání: | 2021 |
Předmět: |
Cachexia
Anti-Inflammatory Agents Appetite Stimulants Adipose tissue Antineoplastic Agents Anorexia Bioinformatics Biochemistry 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Weight loss Neoplasms Weight Loss Humans Medicine Muscle Skeletal Testosterone Congeners Molecular Biology Wasting Fatigue 030304 developmental biology 0303 health sciences business.industry Mechanism (biology) digestive oral and skin physiology Cell Biology musculoskeletal system medicine.disease Survival Analysis Muscle atrophy Mitochondria Muscular Atrophy Adipose Tissue 030220 oncology & carcinogenesis Quality of Life medicine.symptom business |
Zdroj: | Biochemical Journal. 478:1663-1688 |
ISSN: | 1470-8728 0264-6021 |
Popis: | Cancer cachexia often occurs in malignant tumors and is a multifactorial and complex symptom characterized by wasting of skeletal muscle and adipose tissue, resulting in weight loss, poor life quality and shorter survival. The pathogenic mechanism of cancer cachexia is complex, involving a variety of molecular substrates and signal pathways. Advancements in understanding the molecular mechanisms of cancer cachexia have provided a platform for the development of new targeted therapies. Although recent outcomes of early-phase trials have showed that several drugs presented an ideal curative effect, monotherapy cannot be entirely satisfactory in the treatment of cachexia-associated symptoms due to its complex and multifactorial pathogenesis. Therefore, the lack of definitive therapeutic strategies for cancer cachexia emphasizes the need to develop a better understanding of the underlying mechanisms. Increasing evidences show that the progression of cachexia is associated with metabolic alternations, which mainly include excessive energy expenditure, increased proteolysis and mitochondrial dysfunction. In this review, we provided an overview of the key mechanisms of cancer cachexia, with a major focus on muscle atrophy, adipose tissue wasting, anorexia and fatigue and updated the latest progress of pharmacological management of cancer cachexia, thereby further advancing the interventions that can counteract cancer cachexia. |
Databáze: | OpenAIRE |
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