Ruxolitinib alleviated muscle atrophy in cancer cachexia by inhibiting IL-6/JAK/STAT3 signaling pathway in mice

Cong Li1, Xiaofan Gu1, Zixia Zhu1

  • 1Shanghai Engineering Research Center of Molecular Therapeutics and New Drug Development, School of Chemistry and Molecular Engineering, East China Normal University, Shanghai 200062, PR China.

Abstract

Insights

Ruxolitinib (Rux) effectively combats cancer cachexia by preventing muscle atrophy and body weight loss in preclinical models. This Janus tyrosine Kinase inhibitor works by inhibiting STAT3 signaling, offering a potential new treatment for cancer-related muscle wasting.

Area of Science:

  • Oncology
  • Pharmacology
  • Muscle Biology

Background:

  • Cancer cachexia is a complex metabolic syndrome characterized by involuntary weight loss and muscle wasting.
  • Skeletal muscle atrophy contributes significantly to morbidity and mortality in cancer patients.
  • Ruxolitinib (Rux), a Janus tyrosine Kinase (JAK) inhibitor, has shown anti-inflammatory effects and efficacy in mitigating muscle atrophy.

Purpose of the Study:

  • To investigate the efficacy of Ruxolitinib in treating cancer cachexia.
  • To elucidate the underlying mechanisms by which Ruxolitinib may exert its effects on cancer cachexia.

Main Methods:

  • In vitro studies using C2C12 myotubes exposed to C26 or LLC conditioned media to assess Ruxolitinib's impact on myotube atrophy.
  • In vivo studies utilizing a C26 tumor-bearing mouse model to evaluate Ruxolitinib's effects on cachexia symptoms.
  • Western blot analysis to explore the molecular mechanisms of Ruxolitinib action.

Main Results:

  • Ruxolitinib significantly reduced myotube atrophy in vitro.
  • Ruxolitinib suppressed interleukin-6 secretion by inhibiting STAT3 activation in tumor cells and macrophages.
  • In tumor-bearing mice, Ruxolitinib administration prevented body weight loss and muscle wasting without impacting tumor growth, leading to a 6.7% increase in body weight compared to controls.
  • Ruxolitinib treatment improved gastrocnemius muscle cross-sectional area and grip strength.

Conclusions:

  • Ruxolitinib ameliorates cancer cachexia-induced muscle atrophy through the inhibition of STAT3/Atrogin-1 signaling.
  • Ruxolitinib demonstrates potential as a therapeutic agent for managing cancer cachexia.

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