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New hope in the fight against cachexia — cancer’s deadly co-conspirator

5 hours ago
  • Cachexia is a cancer-linked syndrome causing reduced appetite, muscle wasting, and fatigue, affecting 50–80% of people with cancer depending on tumor type and stage.
  • It is more than a quality-of-life issue; it impairs treatment tolerance, increases mortality, and accounts for 20–30% of cancer-associated deaths.
  • Historically overlooked, cachexia is now recognized as a multi-systemic, whole-body syndrome involving organ crosstalk (e.g., liver, bone, brain) and metabolic dysfunction, not just simple malnutrition.
  • The brain plays a key role in integrating inflammatory and hormonal signals, contributing to both physical and psychological symptoms like low motivation.
  • Hormones like GDF15, produced by tumors and immune cells, drive appetite loss and cachexia; blocking GDF15 reduces symptoms in mice.
  • Recent large-scale initiatives (e.g., CANCAN) and pharmaceutical trials (e.g., Pfizer) are advancing research and potential treatments for cachexia.