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Updated: Jul 4, 2026

The Colon-26 Carcinoma Tumor-bearing Mouse as a Model for the Study of Cancer Cachexia
Published on: November 30, 2016
A dietary switch promotes sensory neuron-dependent cancer-associated cachexia
Michael Cross1,2, Stefan Kotschi1,3, Warren Wu1,3
1Department of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Loss of liver kinase B1 (Lkb1) promotes lung cancer cachexia. Tumor-derived prostaglandin E2 (PGE2) signals to sensory neurons, driving sickness and cachexia, not circulating factors.
Area of Science:
- Oncology
- Neuroscience
- Molecular Biology
Background:
- Cancer-associated cachexia significantly impacts patient quality of life, affecting up to 50% of lung cancer patients.
- Sickness behaviors are a prominent feature of cachexia, complicating patient management and treatment.
- The liver kinase B1 (Lkb1) gene is frequently mutated in common cancers, but its role in cachexia is not well understood.
Purpose of the Study:
- To investigate the role of Lkb1 loss in promoting lung cancer cachexia.
- To identify the specific mechanisms driving cachexia-associated sickness behaviors.
- To explore therapeutic strategies targeting cachexia development.
Main Methods:
- Utilized preclinical models of lung cancer with Lkb1 loss.
- Administered obesogenic high-fat diets to assess impact on cachexia.
- Measured local prostaglandin E2 (PGE2) production and circulating factors.
- Investigated genetic, dietary, and pharmacological inhibition of tumor-derived PGE2.
- Examined the role of lung sensory neurons in cachexia development.
Main Results:
- Loss of Lkb1 promotes cachexia in preclinical lung cancer models.
- Tumor-derived prostaglandin E2 (PGE2), not circulating factors, drives cachexia-associated sickness.
- Inhibition of tumor PGE2 suppressed sickness and cachexia.
- Abrogation of lung sensory neurons prevented PGE2-dependent cachexia.
Conclusions:
- Localized tumor-derived signals, specifically PGE2 acting on sensory neurons, are key drivers of cancer cachexia.
- This study highlights a novel role for the peripheral nervous system in mediating cancer cachexia.
- Targeting tumor-derived PGE2 and its interaction with sensory neurons presents a potential therapeutic avenue for cachexia.
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