Cachexia often causes deterioration in the quality of life in cancer patients; however, its mechanism remains poorly understood. Cachexia has often been observed in experimental animals with bone metastases, and parathyroid hormonerelated protein (PTHrP) plays an important role in the formation of such metastases. We therefore investigated the possible involvement of PTHrP in an experimental cachexia model using human lung-cancer cells (HARA-B Cachexia often accompanies various cancers in advanced stages and tends to deteriorate the quality of life in such patients while also affecting the survival period and/or response to chemotherapy. 1 As a result, understanding the mechanism of cancer cachexia could lead to the development of appropriate types of therapeutic intervention for these patients; however, its mechanism remains poorly understood. Cachexia is thought to be induced by soluble factors produced and released from hematopoietic cells and/or cancer cells. Several cytokines, i.e., TNF, 2,3 IL-1, 4 IFN-␥, 5 IL-6, 6,7 leukemia inhibitory factor (LIF) 8 and TGF-, 9 induce cachexia in different models. However, exactly how these cytokines are involved in the mechanism of cachexia induction remains to be elucidated.In the present report, we describe an experimental cachexia model using a human lung cancer-derived cell line (HARA-B), in which parathyroid hormone-related protein (PTHrP) mRNA is strongly expressed. Using this model, the involvement of PTHrP in the mechanism of cachexia induction was investigated.
MATERIAL AND METHODS
CellsHARA-B cells were established from a bone lesion formed after the intracardiac inoculation of HARA cells. 10 Cells were maintained in RPMI-1640 supplemented with 10% FBS at 37°C in humidified atmosphere of 5% CO 2 . Cells were grown as a monolayer culture in a flask, and a single-cell suspension of cells was obtained by trypsin treatment.
MiceMale 5-week-old BALB/c nu/nu mice (Nippon CLEA, Tokyo, Japan), kept in a specific pathogen-free environment, were used.
Measurement of cachexic parametersFor the in vivo experiment on cachexia, a single-cell suspension of HARA-B cells (5 ϫ 10 6 ) was inoculated s.c. into the right flank of nude mice. Body weight and tumor size [length (a) and width (b)] were thereafter measured periodically. Then, mice were killed 8 weeks after cell inoculation. At this time, blood was collected from the heart and the epididymal adipose tissue and gastrocnemius muscle were weighed. Serum samples, obtained after centrifugation, were stored at -30°C until serum glucose, calcium and PTHrP levels were determined. Serum glucose and calcium levels were measured using the enzyme-reaction method (glucose C⌸ test; Wako, Osaka, Japan) and a color-chelate reaction method (Calcium C-test, Wako), respectively. The serum PTHrP level was measured using a radioimmunoassay kit specific for the C-terminal portion of PTHrP (Daiichi, Tokyo, Japan). The serum mouse IL-6 level was measured using an ELISA kit (Endogen, Woburn, MA). Tumor weight was estimated by the formula (ab 2...