Background
Cancerâassociated cachexia (CAC) is a wasting syndrome drastically reducing efficacy of chemotherapy and life expectancy of patients. CAC affects up to 80% of cancer patients, yet the mechanisms underlying the disease are not well understood and no approved diseaseâspecific medication exists. As a multiorgan disorder, CAC can only be studied on an organismal level. To cover the diverse aetiologies of CAC, researchers rely on the availability of a multifaceted pool of cancer models with varying degrees of cachexia symptoms. So far, no tumour model syngeneic to C57BL/6 mice exists that allows direct comparison between cachexigenicâ and nonâcachexigenic tumours.
Methods
MCA207 and CHX207 fibrosarcoma cells were intramuscularly implanted into male or female, 10â11âweekâold C57BL/6J mice. Tumour tissues were subjected to magnetic resonance imaging, immunohistochemicalâ, and transcriptomic analysis. Mice were analysed for tumour growth, body weight and âcomposition, foodâ and water intake, locomotor activity, O2 consumption, CO2 production, circulating blood cells, metabolites, and tumourkines. Mice were sacrificed with same tumour weights in all groups. Adipose tissues were examined using highâresolution respirometry, lipolysis measurements in vitro and ex vivo, and radioactive tracer studies in vivo. Gene expression was determined in adiposeâ and muscle tissues by quantitative PCR and Western blotting analyses. Muscles and cultured myotubes were analysed histologically and by immunofluorescence microscopy for myofibre cross sectional area and myofibre diameter, respectively. Interleukinâ6 (Ilâ6) was deleted from cancer cells using CRISPR/Cas9 mediated gene editing.
Results
CHX207, but not MCA207âtumourâbearing mice exhibited major clinical features of CAC, including systemic inflammation, increased plasma ILâ6 concentrations (190 pg/mL, P â€Â 0.0001), increased energy expenditure (+28%, P â€Â 0.01), adipose tissue loss (â47%, P â€Â 0.0001), skeletal muscle wasting (â18%, P â€Â 0.001), and body weight reduction (â13%, P â€Â 0.01) 13 days after cancer cell inoculation. Adipose tissue loss resulted from reduced lipid uptake and âsynthesis combined with increased lipolysis but was not associated with elevated betaâadrenergic signalling or adipose tissue browning. Muscle atrophy was evident by reduced myofibre cross sectional area (â21.8%, P â€Â 0.001), increased catabolicâ and reduced anabolic signalling. Deletion of ILâ6 from CHX207 cancer cells completely protected CHX207IL6KOâtumourâbearing mice from CAC.
Conclusions
In this study, we present CHX207 fibrosarcoma cells as a novel tool to investigate the mediators and metabolic consequences of CAC in C57BL/6 mice in comparison to nonâcachectic MCA207âtumourâbearing mice. ILâ6 represents an essential trigger for CAC development in CHX207âtumourâbearing mice.