Medical Scientist Training Program, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA; Papé Family Pediatric Research Institute, Oregon Health & Science University, SW Sam Jackson Park Rd, Mail Code L481 Portland, OR 97239, USA.
Papé Family Pediatric Research Institute, Oregon Health & Science University, SW Sam Jackson Park Rd, Mail Code L481 Portland, OR 97239, USA; Knight Cancer Institute, Oregon Health & Science University, 2720 S Moody Avenue, Portland, OR 97201, USA; Brenden-Colson Center for Pancreatic Care, Oregon Health & Science University, 2730 S Moody Avenue, Portland, OR 97201, USA.
Auton Neurosci. 2024 Feb;251:103136. doi: 10.1016/j.autneu.2023.103136. Epub 2023 Dec 6.
Cancer cachexia, characterized by muscle wasting and widespread inflammation, poses a significant challenge for patients with cancer, profoundly impacting both their quality of life and treatment management. However, existing treatment modalities remain very limited, accentuating the necessity for innovative therapeutic interventions. Many recent studies demonstrated that changes in autonomic balance is a key driver of cancer cachexia. This review consolidates research findings from investigations into autonomic dysfunction across cancer cachexia, spanning animal models and patient cohorts. Moreover, we explore therapeutic strategies involving adrenergic receptor modulation through receptor blockers and agonists. Mechanisms underlying adrenergic hyperactivity in cardiac and adipose tissues, influencing tissue remodeling, are also examined. Looking ahead, we present a perspective for future research that delves into autonomic dysregulation in cancer cachexia. This comprehensive review highlights the urgency of advancing research to unveil innovative avenues for combatting cancer cachexia and improving patient well-being.
癌症恶病质以肌肉消耗和广泛炎症为特征,对癌症患者构成重大挑战,严重影响其生活质量和治疗管理。然而,现有的治疗方法仍然非常有限,这凸显了创新治疗干预的必要性。许多最近的研究表明,自主平衡的变化是癌症恶病质的一个关键驱动因素。本综述整合了对癌症恶病质相关自主功能障碍的研究结果,涵盖了动物模型和患者队列。此外,我们还探讨了通过受体阻滞剂和激动剂调节肾上腺素能受体的治疗策略。还研究了影响组织重塑的心脏和脂肪组织中肾上腺素能活性增加的机制。展望未来,我们提出了一个研究方向,深入研究癌症恶病质中的自主失调。本综述强调了推进研究的紧迫性,以揭示对抗癌症恶病质和改善患者福祉的创新途径。