2019
DOI: 10.15252/embr.201847258
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Energy metabolism in cachexia

Abstract: Cachexia is a wasting disorder that accompanies many chronic diseases including cancer and results from an imbalance of energy requirements and energy uptake. In cancer cachexia, tumor‐secreted factors and/or tumor–host interactions cause this imbalance, leading to loss of adipose tissue and skeletal and cardiac muscle, which weakens the body. In this review, we discuss how energy enters the body and is utilized by the different organs, including the gut, liver, adipose tissue, and muscle, and how these organs… Show more

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Cited by 115 publications
(119 citation statements)
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References 137 publications
(194 reference statements)
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“…Elevated blood free fatty acid as a result of elevated lipolysis due to increased energy expenditure was also observed in previous studies at early stage of cancer cachexia 34,35 . A decrease in blood glucose level due to tumor presence was also reported in previous studies, associated with loss in body weight and fat weight as a result of increased energy expenditure by tumor growth 36,37 . However, blood glucose levels were still within normal values in many patients of cachexia, although blood insulin levels could be high, normal or low in correlation with degree of weight loss 38 .…”
Section: Discussionsupporting
confidence: 79%
“…Elevated blood free fatty acid as a result of elevated lipolysis due to increased energy expenditure was also observed in previous studies at early stage of cancer cachexia 34,35 . A decrease in blood glucose level due to tumor presence was also reported in previous studies, associated with loss in body weight and fat weight as a result of increased energy expenditure by tumor growth 36,37 . However, blood glucose levels were still within normal values in many patients of cachexia, although blood insulin levels could be high, normal or low in correlation with degree of weight loss 38 .…”
Section: Discussionsupporting
confidence: 79%
“…The adult skeletal muscle exhibits high plasticity and its mass can be altered by intrinsic and extrinsic stimuli. The skeletal muscle mass is decreased not only in diseases, such as cancer cachexia, neuromuscular disorders, chronic kidney disease, heart failure, and chronic obstructive pulmonary disease, but also as a consequence of aging, immobilization, and malnutrition [1][2][3][4][5][6][7][8]. The latter type of loss in the muscle mass is better known as muscle atrophy or wasting condition, which affects the activities of daily living and leads to increased mortality from diseases [9,10].…”
Section: Introductionmentioning
confidence: 99%
“…Energy metabolism in HCC patients is poorly understood these days. In general, in patients with malignancies, tumor-secreted factors and/or host-tumor interactions result in an imbalance of energy demand and energy supply [37]. In our data, the difference of npRQ level between HCC and non-HCC patients was significant (p = 0.0074), suggesting the impact of HCC on energy metabolism.…”
Section: Discussionmentioning
confidence: 47%