Alves de Lima Edson, Teixeira Alexandre Abilio de Souza, Biondo Luana Amorim, Diniz Tiego Aparecido, Silveira Loreana Sanches, Coletti Dario, Busquets Rius Silvia, Rosa Neto José Cesar
Immunometabolism Research Group, Department of Cell and Developmental Biology, University of São Paulo, São Paulo 05508-000, Brazil.
Biological Adaptation and Ageing, B2A CNRS UMR 8256, INSERM ERL U1164, Sorbonne Université, 75005 Paris, France.
Cancers (Basel). 2020 Nov 20;12(11):3466. doi: 10.3390/cancers12113466.
The pathogenesis of muscle atrophy plays a central role in cancer cachexia, and chemotherapy contributes to this condition. Therefore, the present study aimed to evaluate the effects of endurance exercise on time-dependent muscle atrophy caused by doxorubicin. For this, C57 BL/6 mice were subcutaneously inoculated with Lewis lung carcinoma cells (LLC group). One week after the tumor establishment, a group of these animals initiated the doxorubicin chemotherapy alone (LLC + DOX group) or combined with endurance exercise (LLC + DOX + EXER group). One group of animals was euthanized after the chemotherapy cycle, whereas the remaining animals were euthanized one week after the last administration of doxorubicin. The practice of exercise combined with chemotherapy showed beneficial effects such as a decrease in tumor growth rate after chemotherapy interruption and amelioration of premature death due to doxorubicin toxicity. Moreover, the protein degradation levels in mice undergoing exercise returned to basal levels after chemotherapy; in contrast, the mice treated with doxorubicin alone experienced an increase in the mRNA expression levels of the proteolytic pathways in gastrocnemius muscle (). Collectively, our results suggest that endurance exercise could be utilized during and after chemotherapy for mitigating muscle atrophy promoted by doxorubicin and avoid the resumption of tumor growth.
肌肉萎缩的发病机制在癌症恶病质中起核心作用,化疗会促使这种情况发生。因此,本研究旨在评估耐力运动对阿霉素引起的时间依赖性肌肉萎缩的影响。为此,将C57 BL/6小鼠皮下接种Lewis肺癌细胞(LLC组)。肿瘤形成一周后,其中一组动物开始单独进行阿霉素化疗(LLC + DOX组)或联合耐力运动(LLC + DOX + EXER组)。化疗周期结束后对一组动物实施安乐死,而其余动物在最后一次给予阿霉素一周后实施安乐死。运动与化疗相结合的做法显示出有益效果,如化疗中断后肿瘤生长速率降低以及阿霉素毒性导致的过早死亡情况得到改善。此外,运动小鼠在化疗后蛋白质降解水平恢复到基础水平;相比之下,单独接受阿霉素治疗的小鼠腓肠肌中蛋白水解途径的mRNA表达水平有所增加。总体而言,我们的结果表明,在化疗期间及化疗后可利用耐力运动来减轻阿霉素促进的肌肉萎缩,并避免肿瘤生长的恢复。