Joshi Aniket S, Tomaz da Silva Meiricris, Vuong Anh Tuan, Xu Bowen, Singh Ravi K, Kumar Ashok
Institute of Muscle Biology and Cachexia, University of Houston College of Pharmacy, Houston, TX 77204, USA.
Department of Pharmacological and Pharmaceutical Sciences, University of Houston College of Pharmacy, Houston, TX 77204, USA.
bioRxiv. 2025 Aug 4:2025.05.05.652304. doi: 10.1101/2025.05.05.652304.
Cancer-driven cachexia is a deleterious syndrome which involves progressive loss of skeletal muscle mass with or without fat loss, fatigue, and weakness that cannot be reversed by nutritional intake. Recent studies have shown deregulation of endoplasmic reticulum (ER)-induced unfolded protein response (UPR) pathways in skeletal muscle in various catabolic conditions, including cancer growth. However, the role of individual arms of the UPR in the regulation of muscle mass remains poorly understood. Here, we demonstrate that the IRE1α/XBP1 arm of the UPR stimulates the activation of ubiquitin-proteasome system, autophagy, JAK-STAT3 signaling, and fatty acid metabolism in skeletal muscle of the KPC mouse model of pancreatic cancer cachexia. Furthermore, our results show that IRE1α/XBP1 pathway is a key contributor to cachexia as targeted ablation of XBP1 transcription factor in mouse skeletal muscle inhibits KPC tumor-induced muscle wasting. Transcriptionally active XBP1 protein binds to the promoter region of multiple genes, such as , , and , whose products are involved in skeletal muscle wasting. Treatment of KPC tumor-bearing mice with 4μ8C, a small molecule IRE1α inhibitor, reverses cachexia-induced molecular changes and improves skeletal muscle mass and strength. Altogether, our study highlights that the IRE1α/XBP1 signaling axis mediates pancreatic cancer-induced muscle wasting and inhibition of this pathway could be a potential approach to mitigate muscle wasting in pancreatic cancer patients.
癌症驱动的恶病质是一种有害综合征,其特征是骨骼肌质量逐渐丧失,可伴有或不伴有脂肪减少、疲劳和虚弱,营养摄入无法逆转这些症状。最近的研究表明,在包括癌症生长在内的各种分解代谢条件下,骨骼肌中内质网(ER)诱导的未折叠蛋白反应(UPR)途径失调。然而,UPR的各个分支在肌肉质量调节中的作用仍知之甚少。在这里,我们证明在胰腺癌恶病质的KPC小鼠模型的骨骼肌中,UPR的IRE1α/XBP1分支刺激泛素-蛋白酶体系统、自噬、JAK-STAT3信号传导和脂肪酸代谢的激活。此外,我们的结果表明,IRE1α/XBP1途径是恶病质的关键促成因素,因为在小鼠骨骼肌中靶向切除XBP1转录因子可抑制KPC肿瘤诱导的肌肉萎缩。转录活性XBP1蛋白与多个基因的启动子区域结合,如 、 和 ,其产物参与骨骼肌萎缩。用小分子IRE1α抑制剂4μ8C治疗荷KPC肿瘤的小鼠可逆转恶病质诱导的分子变化,并改善骨骼肌质量和力量。总之,我们的研究强调IRE1α/XBP1信号轴介导胰腺癌诱导的肌肉萎缩,抑制该途径可能是减轻胰腺癌患者肌肉萎缩的潜在方法。