Evidence map›Paper›PMID 41997136›Full record

ReviewCancer cell2026

Cancer cachexia: A tumor-driven disorder of whole-body homeostasis.

Yuqing Zhang, Ryan D Nipp, Tobias Janowitz, Yi-Ping Li, Denis C Guttridge, Min Li

Abstract readReview
In one paragraph

Review in Cancer cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Long-chain Polyunsaturated Fatty Acids MitigatebioRxiv : the preprint server for biology · 2026
    Article
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

6 authors.

Yuqing ZhangDepartment of Medicine, the University of Oklahoma Health Campus, Oklahoma City, OK 73104, USA.
Ryan D NippDepartment of Medicine, the University of Oklahoma Health Campus, Oklahoma City, OK 73104, USA.
Tobias JanowitzCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Yi-Ping LiDepartment of Integrative Biology & Pharmacology, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Denis C GuttridgeDepartment of Pediatrics, Darby Children's Research Institute, Medical University of South Carolina, Charleston, SC 29425, USA.
Min LiDepartment of Medicine, the University of Oklahoma Health Campus, Oklahoma City, OK 73104, USA; Department of Surgery, the University of Oklahoma Health Campus, Oklahoma City, OK 73104, USA. Electronic address: min-li@ou.edu.

Funding

Prognostic Biomarkers for ZIP4-mediated Cachexia in Pancreatic CancerR01CA203108 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI LI, MIN, LI, YI-PING · 2016 to 2020
$2.7M
Role of Zinc Dependent EMT-Transcription Factors (EMT-TF) in Pancreatic Cancer MetastasisR01CA247234 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI LI, MIN · 2020 to 2024
$1.6M
NCI NIH HHS R01 CA203108NCI NIH HHS R01 CA247234
6 · The paper itself

Abstract

Cancer cachexia is a systemic metabolic syndrome driven by tumor-induced disruption of whole-body homeostasis. Characterized by skeletal muscle atrophy and adipose tissue loss, cachexia leads to functional decline, impaired quality of life, reduced treatment tolerance, and poor survival across multiple malignancies. Emerging evidence indicates that cachexia arises from complex and dynamic interactions between tumors and host organ systems, including immune, metabolic, endocrine, and neural networks, that collectively reshape energy balance, immune function, and tissue integrity. Despite its profound clinical impact, effective therapies remain limited, reflecting incomplete mechanistic understanding and the absence of integrated clinical frameworks. Here, we review recent advances in cachexia biology, including tumor-host signaling, multiorgan metabolic remodeling, and neuroendocrine regulation. We further propose a tumor-centric framework in which cachexia represents a progressive collapse of systemic homeostasis and outline translational strategies to guide mechanism-informed therapeutic interventions.

Indexed as

CachexiaHomeostasisNeoplasmsAdipose TissueAnimalsEnergy MetabolismHumansMuscle, SkeletalSignal Transductionadipose tissue lossanorexiacancer cachexiaenergy balancemetabolic reprogrammingneuroendocrine regulationskeletal muscle wastingsystemic inflammationtumor-host interactionswhole-body homeostasis

Identifiers

PMID41997136
PMCPMC13570801

What Socratic holds

Textmetadata
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.