Evidence map›Paper›PMID 36346680›Full record

ArticleJCI insight2022

Muscle weakness precedes atrophy during cancer cachexia and is linked to muscle-specific mitochondrial stress.

Luca J Delfinis, Catherine A Bellissimo, Shivam Gandhi, Sara N DiBenedetto, Madison C Garibotti, Arshdeep K Thuhan, Stavroula Tsitkanou, Megan E Rosa-Caldwell, Fasih A Rahman, Arthur J Cheng and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  5. Subcutaneous adipose tissue outperforms muscle strength as an indicator of survival and quality of life in patients with cancer: a multicenter cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  19. Body composition alterations in patients with lung cancer.American journal of physiology. Cell physiology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Luca J DelfinisMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Catherine A BellissimoMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Shivam GandhiMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Sara N DiBenedettoMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Madison C GaribottiMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Arshdeep K ThuhanMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Stavroula TsitkanouCachexia Research Laboratory, Department of Health, Human Performance and Recreation, College of Education and Health Professions, University of Arkansas, Fayetteville, Arkansas, USA.
Megan E Rosa-CaldwellCachexia Research Laboratory, Department of Health, Human Performance and Recreation, College of Education and Health Professions, University of Arkansas, Fayetteville, Arkansas, USA.
Fasih A RahmanDepartment of Kinesiology and Health Sciences, Faculty of Health, University of Waterloo, Waterloo, Ontario, Canada.
Arthur J ChengMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
Michael P WiggsMooney Lab for Exercise, Nutrition, and Biochemistry, Department of Health, Human Performance, and Recreation, Baylor University, Waco, Texas, USA.
Uwe SchlattnerLaboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes and INSERM U1055, Grenoble, France, and Institut Universitaire de France, Paris, France.
Joe QuadrilateroDepartment of Kinesiology and Health Sciences, Faculty of Health, University of Waterloo, Waterloo, Ontario, Canada.
Nicholas P GreeneCachexia Research Laboratory, Department of Health, Human Performance and Recreation, College of Education and Health Professions, University of Arkansas, Fayetteville, Arkansas, USA.
Christopher Gr PerryMuscle Health Research Centre, School of Kinesiology, Faculty of Health, York University, Toronto, Ontario, Canada.
York University · CAUniversity of Arkansas at Fayetteville · USUniversity of Waterloo · CABaylor University · USInserm · FR

Funding

DEVELOPMENT OF TARGETED APPROACHES IN PREVENTION OF CANCER-CACHEXIAR01AR075794 · NIAMS · UNIVERSITY OF ARKANSAS AT FAYETTEVILLE · PI GREENE, NICHOLAS PERRY · 2020 to 2024
$1.6M
NIAMS NIH HHS R01 AR075794
6 · The paper itself

Abstract

Muscle weakness and wasting are defining features of cancer-induced cachexia. Mitochondrial stress occurs before atrophy in certain muscles, but the possibility of heterogeneous responses between muscles and across time remains unclear. Using mice inoculated with Colon-26 cancer, we demonstrate that specific force production was reduced in quadriceps and diaphragm at 2 weeks in the absence of atrophy. At this time, pyruvate-supported mitochondrial respiration was lower in quadriceps while mitochondrial H2O2 emission was elevated in diaphragm. By 4 weeks, atrophy occurred in both muscles, but specific force production increased to control levels in quadriceps such that reductions in absolute force were due entirely to atrophy. Specific force production remained reduced in diaphragm. Mitochondrial respiration increased and H2O2 emission was unchanged in both muscles versus control while mitochondrial creatine sensitivity was reduced in quadriceps. These findings indicate muscle weakness precedes atrophy and is linked to heterogeneous mitochondrial alterations that could involve adaptive responses to metabolic stress. Eventual muscle-specific restorations in specific force and bioenergetics highlight how the effects of cancer on one muscle do not predict the response in another muscle. Exploring heterogeneous responses of muscle to cancer may reveal new mechanisms underlying distinct sensitivities, or resistance, to cancer cachexia.

Indexed as

CachexiaColonic NeoplasmsAnimalsAtrophyHydrogen PeroxideMiceMuscle, SkeletalMuscle WeaknessHydrogen PeroxideColorectal cancerMetabolismMitochondriaOncologySkeletal muscle

Identifiers

PMID36346680
PMCPMC9869968
OpenAlexW4308522997

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.