Table 2 Regulatory roles of inflammatory factors in systemic metabolic reprogramming

From: Cancer cachexia: molecular basis and therapeutic advances

Classification

Mediators

Receptor

Major Activities

Mechanism of Action

References

Interleukin family

IL1

IL1R1, IL1R2

Inhibit food intake; promote protein and fat decomposition; enhance IL6 expression

Promoting α-MSH release from POMC neurons; stimulating hypothalamic neurons to release CRH

350,351,353

IL4

IL4Rα, IL13Rα, γc

Inhibit adipogenic differentiation of FAPs by insulin; prevent fatty degeneration of muscle; promote clearance of injured muscle fibers

Activating the STAT6 signaling pathway

366,367

IL6

IL6Rα, gp130

Inhibit myofibril synthesis and stimulate muscle breakdown; promote lipolysis and browning; massive liver hypertrophy and APR; splenomegaly; neuroinflammation; cardiac dysfunction and wasting

Activating the STAT signaling pathway; increasing the expression of Atrogin1; inhibiting phosphorylation of mTOR, EIF4EBP1, and RPS6 kinases

360,362,363,527

IL20

IL22R1, IL20R2

Loss of adipose tissue

Enhancing PD-L1 via IFN-α; promoting macrophage infiltration to adipose tissue; increasing expression of ATGL and HSL

368

Tumor necrosis factor

TNFα

TNFR

Promote lipolysis; inhibit protein synthesis and promote muscle atrophy; weaken muscle strength

Inhibiting LPL expression; enhancing ATGL activity; activating the NF-κB signaling pathway; promoting ROS generation; activating the UPS; activating the AMPK pathway; inhibiting the PI3K/Akt pathway

371,372,528

Growth factors

TGFβ

TGFβR1, TGFβR2

Stimulate profibrotic muscle; inhibit muscle function recovery; promote skeletal myogenesis

Reversing the IGF-1/PI3K/Akt hypertrophy pathway by inhibiting Akt phosphorylation; inducing smad2/3/4 complex; regulating skeletal muscle oxidative metabolism

376,379,529,530

OSM

OSMR, gp130, LIFR

Promote muscle atrophy; stimulate lipolysis and inhibit adipocyte insulin response

Activating the JAK/STAT signaling pathway; inducing amyotrophic-related genes expression; increasing EDA2R expression

382,531

LIF

LIFR, gp130

Elevate lipolysis; induction of muscle atrophy; appetite suppression

Activating JAK/STAT3, PI3K/Akt/mTOR and MAPK signaling pathways; stimulating α-MSH release; increasing leptin expression

353,387,390

GDF15

GFRAL, ALK1, ALK5

Regulate vagal sympathetic nervous system, inhibit appetite; enhance ATGL-dependent sympathetic nerve activation of adipose tissue lipolysis; promote osteoclast differentiation

Activating Smad pathway, PI3K/Akt signaling pathway and NF-κB signaling387 pathway; promoting activation of RET oncogene; activating HPA axis; promoting the expression of MuRF1 and MAFbx/atrogin-1

155,398,532,533,534

Interferon

IFNγ

IL28Rα, IL10Rβ

Accelerate protein degradation; suppression of appetite

Activating JAK/STAT signaling pathway; promoting inflammatory response

1,11,345

Chemokines

LCN2

MC4R, SLC22A17

Suppress appetite; activation of immune cells; promote lipolysis

Activating cAMP and MC4R signaling in the hypothalamus; inducing the ferroptosis

66,67,301,535

  1. IL1 interleukin 1, IL1R1 interleukin-1 receptor 1, IL1R2 interleukin-1 receptor 2, α-MSH α-melanocyte-stimulating hormone, POMC recombinant proopiomelanocortin, CRH corticotropin-releasing hormone, IL4 interleukin 4, IL4Rα interleukin-4 receptor subunit alpha, FAP fibro/adipogenic progenitors, IL13Rα interleukin 13 receptor subunit alpha, γc cytokine receptor common gamma chain, STAT signal transducers and activators of transcription, IL6 interleukin 6, IL6Rα interleukin-6 receptor subunit alpha, APR acute phase response, EIF4EBP1 recombinant eukaryotic translation initiation factor 4E binding protein 1, RPS6 ribosomal protein S6, gp130 glucoprotein 130,IL20R1 interleukin-20 receptor 1, IL20R2 interleukin-20 receptor 2, ATGL antiadipose triglyceride lipase, HSL hormone-sensitive lipase, TNFα tumor necrosis factor-α, TNFR tumor necrosis factor receptor, LPL lipoprotein lipase, NF-κB nuclear factor kappa-B, ROS reactive oxygen species, UPS ubiquitin‒proteasome system, AMPK reactive oxygen species, TGFβ hormone-sensitive growth factor