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Platelet status in cancer cachexia progression in ApcMin/+ mice
Patrice Cunningham1, Christian A Unger1, Emma A Patton1
1Department of Pathology, Microbiology, and Immunology, School of Medicine, University of South Carolina, Columbia, SC, United States.
Frontiers in Immunology
|September 13, 2023
Summary
Elevated platelet counts and activation occur early in cancer cachexia, preceding physical decline. This study investigates the immunopathogenesis of this wasting syndrome.
Area of Science:
- Oncology
- Immunology
- Pathophysiology
Background:
- Cancer cachexia is a complex wasting syndrome impacting cancer patient quality of life.
- High platelet count correlates with decreased survival in cachectic individuals.
Purpose of the Study:
- Investigate the immunopathogenesis of cancer cachexia.
- Identify blood cellular elements, inflammatory markers, and fibrogenic factors in skeletal muscle.
- Characterize the behavioral and metabolic phenotype during cachexia progression.
Main Methods:
- Utilized ApcMin/+ mouse model for spontaneous colorectal cancer.
- Assessed platelet counts, inflammatory markers (e.g., IL-1β, IL-10), and fibrogenic factors (e.g., TGFβ, SMAD3).
- Conducted behavioral and metabolic phenotyping, including physical activity and anemia assessment.
Main Results:
- Platelet number elevated prior to cachexia development and showed activation during progression.
- Increased TGFβ2, TGFβ3, and SMAD3 in skeletal muscle of pre-cachectic mice.
- Elevated Ly6g, CD206, IL-10 mRNA in severely cachectic mice; elevated IL-1β in pre-cachectic mice.
- Pre-cachectic mice exhibited decreased physical activity and increased anemia.
Conclusions:
- Altered platelet status is evident in early and late stages of cancer cachexia.
- Findings provide a basis for further investigation into the role of platelets in cancer cachexia.
- Identified specific inflammatory markers and behavioral changes associated with cachexia progression.

