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1 Department of Experimental Medicine and Oncology, University of Torino, Torino, Italy
2 Department of Clinical Medicine, UNiversity 'La Sapienza', Rome, Italy
3 Institute of Clinical Surgery, University 'Cattolica del Sacro Cuore', Rome, Italy
4 Department of Biochemistry and Molecular Biology, University of Barcelona, Barcelona, Spain
* To whom correspondence should be addressed. E-mail: paola.costelli{at}unito.it.
Cancer cachexia is characterized by skeletal muscle wasting that is mainly supported by hypercatabolism. Muscle atrophy has been suggested to depend on impaired IGF-1 signal transduction pathway. The present study has been aimed at investigating the IGF-1 system in rats bearing the AH-130 hepatoma, a well characterized model of cachexia.
IGF-1 mRNA expression in the gastrocnemius of tumor hosts progressively decreases to about 50% of controls. By contrast, both IGF-1R and insulin receptor mRNA levels increase in day 7 AH-130 hosts. IGF-1 and insulin circulating levels, as well as IGF-1 expression in the liver, are reduced.
Muscle wasting in the AH-130 bearers is associated with hyperactivation of the ubiquitin-proteasome system. Consistently, the mRNA levels of ubiquitin and of the ubiquitin-ligases atrogin-1 and MuRF1 are significantly increased in the gastrocnemius of day 7 AH-130 hosts.
Exogenous IGF-1 administered to tumor bearers does not prevent cachexia. IGF-1 mRNA levels have also been evaluated in the gastrocnemius of AH-130 hosts treated with pentoxifylline, an inhibitor of TNF
synthesis, alone or combined with formoterol, a
2-adrenergic agonist. Both treatments partially correct muscle atrophy without modifying IGF-1 and atrogin-1 mRNA levels, while MuRF1 hyperexpression is reduced by the combination of pentoxifylline with formoterol.
These results demonstrate for the first time that the IGF-1 system is down-regulated in cancer cachexia, although the underlying mechanism remains unknown. Moreover, no simple relation linking IGF-1 and/or atrogin-1 mRNA levels and muscle atrophy could be observed in these experimental conditions. Further studies are thus needed to clarify both issues.
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