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Huot JR, Baumfalk D, Resendiz A, Bonetto A, Smuder AJ, Penna F. Targeting Mitochondria and Oxidative Stress in Cancer- and Chemotherapy-Induced Muscle Wasting. Antioxid Redox Signal 2023; 38:352-370. [PMID: 36310444 PMCID: PMC10081727 DOI: 10.1089/ars.2022.0149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/04/2022] [Accepted: 10/22/2022] [Indexed: 12/31/2022]
Abstract
Significance: Cancer is frequently associated with the early appearance of cachexia, a multifactorial wasting syndrome. If not present at diagnosis, cachexia develops either as a result of tumor progression or as a side effect of anticancer treatments, especially of standard chemotherapy, eventually representing the direct cause of death in up to one-third of all cancer patients. Cachexia, within its multiorgan affection, is characterized by severe loss of muscle mass and function, representing the most relevant subject of preclinical and clinical investigation. Recent Advances: The pathogenesis of muscle wasting in cancer- and chemotherapy-induced cachexia is complex, and encompasses heightened protein catabolism and reduced anabolism, disrupted mitochondria and energy metabolism, and even neuromuscular junction dismantling. The mechanisms underlying these alterations are still controversial, especially concerning the molecular drivers that could be targeted for anticachexia therapies. Inflammation and mitochondrial oxidative stress are among the principal candidates; the latter being extensively discussed in the present review. Critical Issues: Several approaches have been tested to modulate the redox homeostasis in tumor hosts, and to counteract cancer- and chemotherapy-induced muscle wasting, from exercise training to distinct classes of direct or indirect antioxidants. We herein report the most relevant results obtained from both preclinical and clinical trials. Future Directions: Including the assessment and the treatment of altered redox balance in the clinical management of cancer patients is still a big challenge. The available evidence suggests that fortifying the antioxidant defenses by either pharmacological or nonpharmacological strategies will likely improve cachexia and eventually the outcome of a broad cancer patient population. Antioxid. Redox Signal. 38, 352-370.
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Affiliation(s)
- Joshua R. Huot
- Department of Surgery and Indiana University School of Medicine, Indianapolis, Indiana, USA
- Department of Cell Biology & Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Dryden Baumfalk
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, USA
| | - Aridai Resendiz
- Department of Oncology, Surgical Oncology and Digestive Surgery Unit, S Luigi University Hospital, University of Torino, Torino, Italy
| | - Andrea Bonetto
- Department of Surgery and Indiana University School of Medicine, Indianapolis, Indiana, USA
- Department of Cell Biology & Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA
- Department of Otolaryngology–Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA
- Indiana Center for Musculoskeletal Health, and Indiana University School of Medicine, Indianapolis, Indiana, USA
- Simon Comprehensive Cancer Center, Indiana University School of Medicine, Indianapolis, Indiana, USA
- Department of Pathology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Ashley J. Smuder
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida, USA
| | - Fabio Penna
- Department of Clinical and Biological Sciences, University of Torino, Torino, Italy
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Baumfalk D, Hammond S, Horn A, Kunkel O, Parr S, Schadler K, Ade C, Behnke B. Effects of Exercise on Aortic Stiffness Associated with 5‐Flurouracil in Rats. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r5918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | | | | | | | - Carl Ade
- KinesiologyKansas State UniversityManhattanKS
- Kansas State UniversityManhattanKS
| | - Bradley Behnke
- KinesiologyKansas State UniversityManhattanKS
- Kansas State UniversityManhattanKS
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Kunkel O, Baumfalk D, Horn A, Behnke B. Exercise Training Attenuates Radiation‐Induced Impairments in Endothelium‐Dependent Vasodilation of Coronary Arterioles in Rats. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r6029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | - Brad Behnke
- KinesiologyKansas State UniversityManhattanKS
- Johnson Cancer Research CenterManhattanKS
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Horn A, Baumfalk D, Kunkel O, Poole D, Behnke B. Effects of Supplemental Oxygen During Mechanical Ventilation on Diaphragmatic Blood Flow. FASEB J 2021. [DOI: 10.1096/fasebj.2021.35.s1.04694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | | | | | - David Poole
- KinesiologyKansas State UniversityManhattanKS
- Anatomy and PhysiologyKansas State UniversityManhattanKS
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Parr S, Hammond S, Baumfalk D, Kunkel O, Behnke B, Ade C. 5‐Fluorouracil Induces Vascular Calcification in Rat Aortic Smooth Muscle Cells. FASEB J 2021. [DOI: 10.1096/fasebj.2021.35.s1.04686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | | | | | - Carl Ade
- Kansas State UniversityManhattanKS
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Kunkel O, Baumfalk D, Horn A, Behnke B. Effects of Heat Therapy on Prostate Cancer Cells Subjected to 4 Gy Radiation. FASEB J 2021. [DOI: 10.1096/fasebj.2021.35.s1.04262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | - Bradley Behnke
- KinesiologyKansas State UniversityManhattanKS
- Kansas State UniversityManhattanKS
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Baumfalk D, Opoku‐Acheampong A, Horn A, Kunkel O, Musch T, Ganta C, Behnke B. Effect of Moderate and High Intensity Exercise on Hypoxia and Radiosensitivity in Tumor‐Bearing Rats. FASEB J 2021. [DOI: 10.1096/fasebj.2021.35.s1.04416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | | | - Timothy Musch
- KinesiologyKansas State UniversityManhattanKS
- Anatomy & PhysiologyKansas State UniversityManhattanKS
| | - Charan Ganta
- Diagnostic MedicineKansas State UniversityManhattanKS
| | - Bradley Behnke
- KinesiologyKansas State UniversityManhattanKS
- Kansas State UniversityManhattanKS
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Kunkel O, Opoku‐Acheampong A, Baumfalk D, Horn A, Muller‐Delp J, Behnke B. Effect of Hypoxia on Prostate Cancer Cell Viability in Serum and Prostate Conditioned Media from Mixed‐Intensity Exercise Trained Rats. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.536.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | - Andrew Horn
- KinesiologyKansas State UniversityManhattanKS
| | - Judy Muller‐Delp
- Biomedical SciencesFlorida State University College of MedicineTallahasseeFL
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Rand T, Pyle J, Baumfalk D, Opoku‐Acheampong A, Musch T, Behnke B. NO EFFECT OF HEAD UP TILT ON TUMOR PERFUSION IN A RAT PRE‐CLINICAL MODEL OF PROSTATE CANCER. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.722.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Ardery S, Horn A, Opoku‐Acheampong A, Baumfalk D, Behnke B. EXERCISE TRAINING DOES NOT ALTER PROSTATE TUMOR CELL GROWTH IN RAT SERUM OR PROSTATE CONDITIONED MEDIA. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.855.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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