Differential effects of IL6 and activin A in the development of cancer-associated cachexia
Hagg, A; Qian, H; Walton, KL; Colgan, TD; Chen, JL; Watt, MJ; Harrison, CA; Gregorevic, P
Abstract
Cachexia is a life-threatening wasting syndrome lacking effective treatment, which arises in many cancer patients. Although ostensibly induced by multiple tumor-produced cytokines (tumorkines), their functional contribution to initiation and progression of this syndrome has proven difficult to determine. In this study, we used adeno-associated viral vectors to elevate circulating levels of the tumorkines IL6 and/or activin A in animals in the absence of tumors as a tactic to evaluate hypothesized roles in cachexia development. Mice with elevated levels of IL6 exhibited 8.1% weight loss after 9 weeks, whereas mice with elevated levels of activin A lost 11% of their body weight. Co-elevation of both tumorkines to levels approximating those observed in cancer cachexia models induced a more rapid and profound body weight loss of 15.4%. Analysis of body composition revealed that activin A primarily triggered loss of lean mass, whereas IL6 was a major mediator of fat loss. Histologic and transcriptional analysis of affected organs/tissues (skeletal muscle, fat, and liver) identified interactions between the activin A and IL6 signaling pathways. For example, IL6 exacerbated the detrimental effects of activin A in skeletal muscle, whereas activin A curbed the IL6-induced acute-phase response in liver. This study presents a useful model to deconstruct cachexia, opening a pathway to determining which tumorkines are best targeted to slow/reverse this devastating condition in cancer patients. Cancer Res; 76(18); 5372-82. ©2016 AACR.
©2016 American Association for Cancer Research.
| Journal | CANCER RES |
| ISSN | 0008-5472 |
| Published | 15 Sep 2016 |
| Volume | 76 |
| Issue | 18 |
| Pages | 5372-82 |
| DOI | 10.1158/0008-5472.CAN-15-3152 |
| Type | Journal Article |
| Sponsorship |
NHMRC: 1078907, 1046782, 1077703
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