Table 2 Molecular mechanisms driving skeletal muscle atrophy during cachexia, evidence derived from human studies are italicized

From: Understanding cachexia as a cancer metabolism syndrome

Skeletal muscle wasting

UPR

Upregulation of the ubiquitin-proteasome pathway in cancer model

Baracos et al.60

 

Proteasome and NF-kB inhibitors prevent experimental cancer cachexia

Chacon-Cabrera et al.65

 

UPR activation is required for muscle atrophy

Bodine et al.59

Authophagy

It is induced in the skeletal muscle of cancer patients

Op den Kamp et al.70 Tardif et al.71 Boyer-Guittaut et al.72

 

Promotes muscle wasting during cachexia

Penna et al.68

ActRIIB

Decoy receptor reverses muscle wasting

Zhou et al.50

 

Cachectic patients present increased circulating levels of ActRIIB ligand, activin

Loumaye et al.49

 

Myostatin (ActRIIB ligand) knock-out prevents experimental cachexia

Gallot et al.48

Lipid wasting

 Lipolysis

Adipose Triglyceride Lipase inhibition prevents muscle wasting in experimental cachexia.

Das and Hoefler117

 

Cachectic cancer patients present increased lipolytic activity

 
  1. Abbreviations: ActRIIB, activin receptor IIB; UPR, ubiquitin-mediated proteasome degradation.