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Molocea, C.-E.* ; Schmidt, S.F.* ; Krahmer, N. ; Herzig, S. ; Diaz, M.B.

Exploring the contribution of the liver to cancer cachexia development.

J. Cachexia Sarcopenia Muscle, 1387 (2019)
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Traditionally, skeletal muscle and adipose tissue have been the focus of research on cancer cachexia. Recent studies suggest that cancer cachexia (CC) is a multi‐organ syndrome which involves not only the direct effects of tumour‐derived cachexia‐inducing factors on target organs but also the crosstalk of these dysfunctional organs. Despite its central role in other metabolic diseases, the liver has received little attention in the context of CC. However, CC is associated with systemic inflammation, and the activation of the hepatic acute phase response (APR) is well‐documented in cachectic patients. Serum amyloid A 1 and 2 (SAA 1/2) are classical APR proteins that are mainly produced by the liver and strongly induced in response to inflammatory cytokines. To assess the potential contribution of SAA to tissue wasting in vitro, we treated 3T3‐L1 adipocytes and C2C12 myotubes with recombinant SAA1. While lipolysis rates remained unaffected, we found a significant reduction in myotube diameter in response to SAA1 treatment, indicative of an atrophic effect. Next, we addressed the contribution of SAA 1/2 to cachexia development in vivo using a liver‐specific knock‐down (KD) approach. For this purpose, we injected an AAV‐miRNA targeting SAA1/2 or an AAV‐control‐miRNA into C26 tumour bearing mice. Despite a four‐fold reduction in circulating serum levels in the SAA1/2 KD group, SAA1 was still highly up‐regulated in tumour bearing mice and no differences were observed in cachexia progression. In order to define novel liver‐secreted factors that can potentially impact cachexia development, we integrated hepatocyte specific RNAseq and serum proteome analyses of C26 cachectic animals and observed a high degree of overlap. We are currently functionally characterizing a panel of these hepatocyte‐secreted proteins in order to investigate their potential adipocyte lipolysis and/or myotube atrophy‐mediating properties. These studies might contribute to a better understanding of the pathophysiology of CC and the liver‐specific contribution to its development.
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Publication type Article: Journal article
Document type Meeting abstract
Corresponding Author
ISSN (print) / ISBN 2190-5991
e-ISSN 2190-6009
Quellenangaben Volume: , Issue: , Pages: 1387 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Heidelberg
Non-patent literature Publications
Reviewing status Peer reviewed