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Downregulation of Organ-Derived Activin A Attenuates Muscle Atrophy and Intramuscular Fat Infiltration in Cancer Cachexia Mice - PubMed

2 days ago
  • #Muscle Atrophy
  • #Activin A
  • #Cancer Cachexia
  • Cancer cachexia is a wasting syndrome characterized by significant skeletal muscle loss, with tumors releasing high levels of Activin A (ActA) that drive muscle wasting via the ubiquitin-proteasome pathway (UPP).
  • Systemic blockade of ActA has inflammatory side effects, and targeting tumor-derived ActA alone often fails to reverse cachexia, prompting investigation into host (non-tumor) organ contributions.
  • In Lewis lung carcinoma (LLC) cancer cachexia mice, ActA expression was notably increased in host organs, particularly the kidney (2.8-fold) and heart (2.7-fold).
  • Organ-targeted ActA knockdown in the heart and kidney restored body weight (+6.1%), food intake (+8.4%), quadriceps mass (+17.2%), and grip strength (+10.7%), while reducing intramuscular fat infiltration and UPP signaling.
  • ActA knockdown also improved mitochondrial fatty-acid oxidation regulators (CPT1B and CPT2), mitochondrial ultrastructure, and partially restored adipose mass.
  • The study concludes that simultaneous downregulation of ActA in the kidney and heart attenuates muscle atrophy, improves muscle function, and mitigates adipose loss, identifying host-derived ActA as a key driver of cachexia.