The regulation of skeletal muscle protein turnover during the progression of cancer cachexia in the Apc(Min/+) mouse

PLoS One. 2011;6(9):e24650. doi: 10.1371/journal.pone.0024650. Epub 2011 Sep 19.

Abstract

Muscle wasting that occurs with cancer cachexia is caused by an imbalance in the rates of muscle protein synthesis and degradation. The Apc(Min/+) mouse is a model of colorectal cancer that develops cachexia that is dependent on circulating IL-6. However, the IL-6 regulation of muscle protein turnover during the initiation and progression of cachexia in the Apc(Min/+) mouse is not known. Cachexia progression was studied in Apc(Min/+) mice that were either weight stable (WS) or had initial (≤5%), intermediate (6-19%), or extreme (≥20%) body weight loss. The initiation of cachexia reduced %MPS 19% and a further ∼50% with additional weight loss. Muscle IGF-1 mRNA expression and mTOR targets were suppressed with the progression of body weight loss, while muscle AMPK phosphorylation (Thr 172), AMPK activity, and raptor phosphorylation (Ser 792) were not increased with the initiation of weight loss, but were induced as cachexia progressed. ATP dependent protein degradation increased during the initiation and progression of cachexia. However, ATP independent protein degradation was not increased until cachexia had progressed beyond the initial phase. IL-6 receptor antibody administration prevented body weight loss and suppressed muscle protein degradation, without any effect on muscle %MPS or IGF-1 associated signaling. In summary, the %MPS reduction during the initiation of cachexia is associated with IGF-1/mTOR signaling repression, while muscle AMPK activation and activation of ATP independent protein degradation occur later in the progression of cachexia. IL-6 receptor antibody treatment blocked cachexia progression through the suppression of muscle protein degradation, while not rescuing the suppression of muscle protein synthesis. Attenuation of IL-6 signaling was effective in blocking the progression of cachexia, but not sufficient to reverse the process.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • AMP-Activated Protein Kinases / metabolism
  • Adenosine Triphosphate / metabolism
  • Adiposity
  • Animals
  • Body Weight
  • Cachexia / blood
  • Cachexia / complications*
  • Cachexia / pathology*
  • Disease Progression*
  • Enzyme Activation
  • Inflammation / complications
  • Inflammation / pathology
  • Insulin-Like Growth Factor I / metabolism
  • Interleukin-6 / blood
  • Mice
  • Mice, Inbred C57BL
  • Mice, Mutant Strains
  • Muscle Proteins / metabolism*
  • Muscle, Skeletal / enzymology
  • Muscle, Skeletal / metabolism*
  • Muscle, Skeletal / pathology
  • Myofibrils / metabolism
  • Neoplasms / blood
  • Neoplasms / complications*
  • Neoplasms / pathology*
  • Organ Size
  • Phosphorylation
  • Protein Biosynthesis
  • Proteolysis
  • Signal Transduction
  • TOR Serine-Threonine Kinases

Substances

  • Interleukin-6
  • Muscle Proteins
  • Insulin-Like Growth Factor I
  • Adenosine Triphosphate
  • TOR Serine-Threonine Kinases
  • AMP-Activated Protein Kinases