SIRT1-NOX4 signaling axis regulates cancer cachexia

被引:61
作者
Dasgupta, Aneesha [1 ]
Shukla, Surendra K. [2 ]
Vernucci, Enza [2 ]
King, Ryan J. [2 ]
Abrego, Jaime [2 ]
Mulder, Scott E. [1 ]
Mullen, Nicholas J. [2 ]
Graves, Gavin [2 ]
Buettner, Kyla [2 ]
Thakur, Ravi [2 ]
Murthy, Divya [2 ]
Attri, Kuldeep S. [2 ]
Wang, Dezhen [2 ]
Chaika, Nina, V [2 ]
Pacheco, Camila G. [2 ]
Rai, Ibha [2 ]
Engle, Dannielle D. [3 ]
Grandgenett, Paul M. [2 ]
Punsoni, Michael [4 ]
Reames, Bradley N. [5 ]
Teoh-Fitzgerald, Melissa [1 ]
Oberley-Deegan, Rebecca [1 ]
Yu, Fang [6 ]
Klute, Kelsey A. [7 ]
Hollingsworth, Michael A. [2 ]
Zimmerman, Matthew C. [8 ]
Mehla, Kamiya [2 ]
Sadoshima, Junichi [9 ]
Tuveson, David A. [3 ]
Singh, Pankaj K. [1 ,2 ,4 ]
机构
[1] Univ Nebraska Med Ctr, Dept Biochem & Mol Biol, Omaha, NE 68198 USA
[2] Univ Nebraska Med Ctr, Eppley Inst Res Canc & Allied Dis, Omaha, NE 68198 USA
[3] Cold Spring Harbor Lab, Canc Ctr, POB 100, Cold Spring Harbor, NY 11724 USA
[4] Univ Nebraska Med Ctr, Dept Pathol & Microbiol, Omaha, NE 68198 USA
[5] Univ Nebraska Med Ctr, Dept Surg, Omaha, NE USA
[6] Univ Nebraska Med Ctr, Dept Biostat, Omaha, NE USA
[7] Univ Nebraska Med Ctr, Dept Internal Med, Omaha, NE USA
[8] Univ Nebraska Med Ctr, Dept Cellular & Integrat Physiol, Omaha, NE USA
[9] Rutgers State Univ, New Jersey Med Sch, Dept Cell Biol & Mol Med, Newark, NJ USA
基金
美国国家卫生研究院;
关键词
UBIQUITIN-PROTEASOME PATHWAY; NADPH OXIDASE 4; FACTOR-KAPPA-B; SKELETAL-MUSCLE; PANCREATIC-CANCER; OXIDATIVE STRESS; ACTIVATING SIRT1; MURINE MODEL; WEIGHT-LOSS; TGF-BETA;
D O I
10.1084/jem.20190745
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Approximately one third of cancer patients die due to complexities related to cachexia. However, the mechanisms of cachexia and the potential therapeutic interventions remain poorly studied. We observed a significant positive correlation between SIRT1 expression and muscle fiber cross-sectional area in pancreatic cancer patients. Rescuing Sirt1 expression by exogenous expression or pharmacological agents reverted cancer cell-induced myotube wasting in culture conditions and mouse models. RNA-seq and follow-up analyses showed cancer cell-mediated SIRT1 loss induced NF-kappa B signaling in cachectic muscles that enhanced the expression of FOXO transcription factors and NADPH oxidase 4 (Nox4), a key regulator of reactive oxygen species production. Additionally, we observed a negative correlation between NOX4 expression and skeletal muscle fiber cross-sectional area in pancreatic cancer patients. Knocking out Nox4 in skeletal muscles or pharmacological blockade of Nox4 activity abrogated tumor-induced cachexia in mice. Thus, we conclude that targeting the Sirt1-Nox4 axis in muscles is an effective therapeutic intervention for mitigating pancreatic cancer-induced cachexia.
引用
收藏
页数:24
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