Skeletal muscle-specific over-expression of the nuclear sirtuin SIRT6 blocks cancer-associated cachexia by regulating

Sadhana A Samant1, Vinodkumar B Pillai1, Mahesh P Gupta1,2

  • 1Department of Surgery University of Chicago 5841 South Maryland Avenue Chicago IL 60637 USA.

JCSM Rapid Communications
|July 2, 2021
PubMed
Abstract

Insights

SIRT6 over-expression in muscle combats cancer cachexia by preserving muscle mass and reducing tumor growth. This nuclear sirtuin (SIRT6) modulates multiple targets, offering a promising therapeutic strategy for this debilitating syndrome.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Cancer cachexia involves complex metabolic alterations driven by tumor-released cytokines.
  • Identifying and targeting multiple pathways is crucial for effective cachexia intervention.
  • Nuclear sirtuin 6 (SIRT6) previously shown to inhibit myostatin expression via NF-κB signaling.

Purpose of the Study:

  • To investigate the efficacy of muscle-specific SIRT6 overexpression in preventing cancer-associated muscle wasting in vivo.
  • To identify additional molecular targets regulated by SIRT6 that contribute to maintaining muscle health during cancer cachexia.

Main Methods:

  • Generation of a skeletal muscle-specific SIRT6 transgenic mouse line (Sk.T6Tg).
  • Induction of cancer cachexia by subcutaneous injection of B16F10 melanoma cells.
  • Analysis of muscle tissue (histology, immunoblotting, RT-qPCR) and plasma (cytokine arrays, ELISA) in control and transgenic mice.

Main Results:

  • Muscle-specific SIRT6 overexpression preserved muscle weight and fiber size in tumor-bearing mice.
  • SIRT6 overexpression suppressed tumor growth and reduced myostatin expression.
  • SIRT6 modulated key targets including CXCL10, WNT4, and GLUT4, while maintaining insulin levels.

Conclusions:

  • SIRT6 exhibits dual benefits by limiting tumor growth and preventing muscle atrophy in cancer cachexia.
  • SIRT6's ability to concurrently regulate multiple pathways makes it a potent therapeutic target for cachexia.
  • Targeting SIRT6 offers a promising strategy to combat the multifaceted nature of cancer cachexia.

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