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Updated: Jan 10, 2026

The Colon-26 Carcinoma Tumor-bearing Mouse as a Model for the Study of Cancer Cachexia
Published on: November 30, 2016
New Horizons with Growth Differentiation Factor 15 in Oncology: From Cancer Cachexia and Tumour Immunity to Novel
Keiji Sugiyama1,2, Naureen Starling1, Ian Chau1
1Gastrointestinal Unit, Department of Medicine, Royal Marsden Hospital, London SW3 6JJ, UK.
Abstract:
Growth differentiation factor 15 (GDF-15) is a stress-induced cytokine produced by tumour cells and peripheral cells. It is implicated in the development of cancer cachexia, a debilitating condition for which no effective pharmacological therapy currently exists. GDF-15 regulates appetite and metabolic processes through complex neural and hormonal networks. Furthermore, it has been implicated in chemotherapy-induced nausea and vomiting, representing a potential therapeutic target. GDF-15 negatively affects tumour immunity, suggesting that anti-GDF-15 therapy could potentially enhance immune responses and help overcome resistance to immunotherapy. Recently, early clinical trials have reported preliminary results of GDF-15-targeted therapies in alleviating cancer cachexia and potentially enhancing the efficacy of immunotherapy. This review aims to provide an overview of the role of GDF-15 in cancer cachexia, including the underlying neural mechanisms and their involvement in tumour immunity. This review also summarises recent clinical trial findings and discusses future perspectives on GDF-15-targeted therapy in oncology, offering important insights for future research.
Insights
Growth differentiation factor 15 (GDF-15) is a key factor in cancer cachexia and nausea. Targeting GDF-15 shows promise for new therapies to improve cancer patient outcomes and enhance immunotherapy effectiveness.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Growth differentiation factor 15 (GDF-15) is a cytokine linked to cancer cachexia, a severe condition with limited treatments.
- GDF-15 influences appetite, metabolism, and chemotherapy side effects like nausea and vomiting.
- It also suppresses anti-tumour immunity, potentially hindering immunotherapy efficacy.
Purpose of the Study:
- To review the multifaceted role of GDF-15 in cancer cachexia.
- To explore the neural mechanisms underlying GDF-15's effects on metabolism and immunity.
- To summarize recent clinical findings and future directions for GDF-15-targeted cancer therapies.
Main Methods:
- Literature review of GDF-15's involvement in cancer cachexia.
- Analysis of GDF-15's impact on neural and hormonal pathways.
- Summary of early clinical trial data on GDF-15-targeted therapies.
Main Results:
- GDF-15 plays a significant role in the pathogenesis of cancer cachexia.
- It mediates appetite regulation and metabolic disturbances.
- Evidence suggests GDF-15 inhibition can enhance anti-tumour immune responses and overcome immunotherapy resistance.
Conclusions:
- GDF-15 is a critical therapeutic target for managing cancer cachexia.
- Anti-GDF-15 strategies may improve patient quality of life and treatment efficacy.
- Further research and clinical trials are warranted to fully explore GDF-15-targeted therapy in oncology.
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