The TWEAK/Fn14 signaling mediates skeletal muscle wasting during cancer cachexia

Meiricris Tomaz da Silva1,2, Anirban Roy1,2, Anh Tuan Vuong1,2

  • 1Institute of Muscle Biology and Cachexia, University of Houston College of Pharmacy, Houston, TX, USA.

Iscience
|June 30, 2025
PubMed

Insights

Targeting the TWEAK/Fn14 signaling pathway can reduce muscle wasting and tumor growth in cancer cachexia. Inhibiting Fn14 in skeletal muscle mitigates muscle atrophy, offering a potential therapeutic strategy for this debilitating condition.

Area of Science:

  • Biomedical Science
  • Molecular Biology
  • Oncology

Background:

  • Cancer cachexia involves progressive skeletal muscle wasting.
  • The TWEAK-Fn14 system influences muscle mass.
  • The role of TWEAK-Fn14 in cancer cachexia is not fully understood.

Purpose of the Study:

  • To investigate the role of the TWEAK-Fn14 system in cancer cachexia.
  • To determine if targeting TWEAK-Fn14 signaling can ameliorate muscle wasting and tumor progression.

Main Methods:

  • Utilized mouse models of pancreatic and lung cancer cachexia.
  • Performed muscle-specific deletion of Fn14.
  • Assessed myofiber atrophy and tumor growth.
  • Analyzed gene expression related to the unfolded protein response (UPR).
  • Investigated the effect of PERK inhibition in vitro.

Main Results:

  • Fn14 levels were elevated in skeletal muscle during cancer cachexia.
  • Muscle-specific Fn14 deletion reduced myofiber atrophy in cancer models.
  • Silencing Fn14 in cancer cells attenuated tumor growth.
  • Fn14 deletion modulated UPR components (PERK, IRE1α).
  • PERK inhibition improved protein synthesis and myotube diameter in TWEAK-treated cells.

Conclusions:

  • The TWEAK-Fn14 pathway is implicated in cancer cachexia-associated muscle wasting.
  • Inhibiting TWEAK/Fn14 signaling shows potential for treating cancer cachexia.
  • Targeting this pathway may reduce both tumor growth and muscle loss.

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