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Ouyang M, Cui J, Wang H, Liang Z, Pi D, Chen L, Chen Q, Wu Y. [ Kaixinsan alleviates adriamycin-induced depression-like behaviors in mice by reducing ferroptosis in the prefrontal cortex]. NAN FANG YI KE DA XUE XUE BAO = JOURNAL OF SOUTHERN MEDICAL UNIVERSITY 2024; 44:1441-1449. [PMID: 39276039 PMCID: PMC11378055 DOI: 10.12122/j.issn.1673-4254.2024.08.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/16/2024]
Abstract
OBJECTIVE To investigate the effect of Kaixinsan (KXS, a traditional Chinese medicine formula) for alleviating adriamycin-induced depression-like behaviors in mice bearing breast cancer xenografts and explore the pharmacological mechanism. METHODS Forty female BALB/c mice were randomized equally into control group, model group, and low- and high-dose KXS treatment groups, and in the latter 3 groups, mouse models bearing orthotopic breast cancer 4T1 cell xenografts were established and treated with adriamycin along with saline or KXS via gavage. Depression-like behaviors of the mice were assessed using open field test and elevated plus-maze test, and the changes in serum levels of depression-related factors were examined. RNA-seq analysis and transmission electron microscopy were used and ferroptosis-related factors were detected to explore the mechanisms of adriamycin-induced depression and the therapeutic mechanism of KXS. The results were verified in SH-SY5Y cells using ferroptosis inhibitor Fer-1 as the positive control. RESULTS KXS significantly alleviated depression-like behaviors and depression-related serological changes induced by adriamycin in the mouse models. RNA-seq results suggested that KXS alleviated chemotherapy-induced depression by regulating oxidative stress, lipid metabolism and iron ion binding in the prefrontal cortex. Pathological analysis and detection of ferroptosis-related factors showed that KXS significantly reduced ferroptosis in the prefrontal cortex of adriamycin-treated mice. In SH-SY5Y cells, both KXS-medicated serum and the ferroptosis inhibitor were capable of attenuating adriamycin-induced cell ferroptosis. CONCLUSION KXS alleviates adriamycininduced depression-like behaviors in mice by reducing ferroptosis in the prefrontal cortex of breast cancer-bearing mice.
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Affiliation(s)
- M Ouyang
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - J Cui
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - H Wang
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - Z Liang
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - D Pi
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - L Chen
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - Q Chen
- State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - Y Wu
- College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
- State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
- Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
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吴 迎, 左 谦, 罗 薇, 王 慧, 皮 大, 陈 前, 陈 利, 林 丽, 欧阳 明. [ Yifei Sanjie Pills alleviates cancer-related skeletal muscle atrophy in mice possibly by lowering inflammatory insulin resistance]. NAN FANG YI KE DA XUE XUE BAO = JOURNAL OF SOUTHERN MEDICAL UNIVERSITY 2023; 43:1839-1849. [PMID: 38081600 PMCID: PMC10713459 DOI: 10.12122/j.issn.1673-4254.2023.11.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Indexed: 12/18/2023]
Abstract
OBJECTIVE To evaluate the effects of Yifei Sanjie Pills (YFSJ) on weight, strength, pathology, glycogen and lipid contents and metabolism of skeletal muscles in tumor-bearing mice and explore the therapeutic mechanism of YFSJ for cancer-related skeletal muscle atrophy. METHODS Sixteen female ICR mice bearing intraperitoneal Lewis lung adenocarcinoma xenografts were randomized into model group and YFSJ treatment group (daily dose of 4 g/kg for 21 days, n=8), with another 8 normal mice as the normal control group. The changes in body weight and gastrocnemius muscle weight of the mice were recorded. Liquid chromatography-mass spectrometry (LC-MS) was used to analyze the drug components in YFSJ entering the blood. Enzyme-linked immunosorbent assay was used to detect serum blood glucose and insulin concentrations and inflammatory cytokine levels in the serum and gastrocnemius. RNA-seq was performed to analyze the signaling pathways involved in the pathologies of the gastrocnemius muscle, and lipid contents in the muscle were observed using Oil red O staining. Adenosine triphosphatase staining was used to assess the metabolic intensity of the gastrocnemius muscle, and inflammatory cell infiltration and P-AKT level were evaluated using immunohistochemical staining; the contents of creatine kinase, lactate dehydrogenase and myoglobin in the gastrocnemius muscle were also detected. RESULTS Treatment with YFSJ significantly increased skeletal muscle strength and gastrocnemius muscle weight (P < 0.001) and reduced the levels of gastrocnemius muscle injury markers in the tumor-bearing mice (P < 0.01). RNA-seq and LC-MS showed that YFSJ alleviated gastrocnemius muscle injury in the tumor-bearing mice possibly by improving inflammatory infiltration, insulin resistance and lipid metabolism (P < 0.05). YFSJ lowered inflammatory cytokine levels in both the serum and gastrocnemius muscle (P < 0.05), reduced pro-inflammatory cell infiltration, increased P-AKT level, and improved glycogen and lipid contents and metabolic levels in the gastrocnemius muscle. CONCLUSION YFSJ alleviates cancer-related skeletal muscle atrophy possibly by reducing inflammatory insulin resistance.
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Affiliation(s)
- 迎朝 吴
- 广州中医药大学第二临床医学院,广东 广州 510405Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 谦 左
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 薇 罗
- 广州中医药大学第二临床医学院,广东 广州 510405Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 慧 王
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 大锦 皮
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 前军 陈
- 广州中医药大学第二附属医院中医证候全国重点实验室,广东 广州 510120State Key Laboratory of Traditional Chinese Medicine Syndrome, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
- 广东省中医院乳腺科,广东 广州 510120Department of Breast, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
- 广东省中医药科学院,广东 广州 510120Guangdong Academy of Traditional Chinese Medicine, Guangzhou 510120, China
| | - 利国 陈
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
| | - 丽珠 林
- 广州中医药大学第一附属医院肿瘤中心,广东 广州 510405Oncology Center, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - 明子 欧阳
- 暨南大学中医学院,广东 广州 510632College of Traditional Chinese Medicine, Jinan University, Guangzhou 510632, China
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Klassen P, Schiessel DL, Baracos VE. Adverse effects of systemic cancer therapy on skeletal muscle: myotoxicity comes out of the closet. Curr Opin Clin Nutr Metab Care 2023; 26:210-218. [PMID: 36942895 DOI: 10.1097/mco.0000000000000922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
PURPOSE OF REVIEW Systemic cancer therapy-associated skeletal muscle wasting is emerging as a powerful impetus to the overall loss of skeletal muscle experienced by patients with cancer. This review explores the clinical magnitude and biological mechanisms of muscle wasting during systemic cancer therapy to illuminate this adverse effect. Emerging strategies for mitigation are also discussed. RECENT FINDINGS Clinical findings include precise, specific measures of muscle loss over the course of chemotherapy, targeted therapy and immunotherapy. All these therapeutic classes associate with quantitatively important muscle loss, independent of tumor response. Parallel experimental studies provide understanding of the specific molecular basis of wasting, which can include inhibition of protein synthesis, proliferation and differentiation, and activation of inflammation, reactive oxygen species, autophagy, mitophagy, apoptosis, protein catabolism, fibrosis and steatosis in muscle. Strategies to mitigate these muscle-specific adverse effects of cancer therapy remain in the earliest stages of development. SUMMARY The adverse side effect of cancer therapy on skeletal muscle has been largely ignored in the development of cancer therapeutics. Given the extent to which loss of muscle mass and function can bear on patients' function and quality of life, protection/mitigation of these side effects is a research priority.
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Affiliation(s)
- Pamela Klassen
- Department of Agricultural, Food & Nutritional Sciences, University of Alberta, Canada
| | - Dalton L Schiessel
- Department of Nutrition, Health Science Center, Campus CEDETEG, Midwest State University - UNICENTRO, Guarapuava, Parana State, Brazil
| | - Vickie E Baracos
- Department of Oncology, University of Alberta, Edmonton, Alberta, Canada
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Deciphering the Molecular Mechanism of Yifei-Sanjie Pill in Cancer-Related Fatigue. JOURNAL OF ONCOLOGY 2023; 2023:5486017. [PMID: 36814560 PMCID: PMC9940949 DOI: 10.1155/2023/5486017] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 10/25/2022] [Accepted: 11/24/2022] [Indexed: 02/15/2023]
Abstract
Background The incidence of cancer-related fatigue (CRF) is increasing, but its lack of clear pathogenesis makes its prevention and treatment difficult. Therefore, it is of great significance to clarify the pathogenesis of CRF and find effective methods to treat it. Methods The CRF model was established by intraperitoneal injection of LLC cells in ICR mice to explore the pathogenesis of CRF and verify the therapeutic effect of the Yifei-Sanjie pill (YFSJ). The active components of YFSJ were found by LC/MS, the in vitro inflammatory infiltration model of skeletal muscle was constructed by TNF-α and C2C12 myoblasts, and the results of in vivo experiments were verified by this model. Results Behavioral analysis results showed that YFSJ alleviated CRF; histological examination results showed that YFSJ could reverse the tumor microenvironment leading to skeletal muscle injury; ELISA and RNA-seq results showed that the occurrence of CRF and the therapeutic effect of YFSJ were closely related to the tumor inflammatory microenvironment; IHC and WB results showed that the occurrence of CRF and the therapeutic effect of YFSJ were closely related to the Stat3-related signaling pathway and autophagy. Conclusions YFSJ can reduce the level of inflammation in the tumor microenvironment in vivo, inhibit the abnormal activation of the Stat3/HIF-1α/BNIP3 signaling pathway induced by tumor-related inflammation, thereby inhibiting the overactivation of mitophagy in skeletal muscle, and finally alleviate CRF. Quercetin, one of the components of YFSJ, plays an important role in inhibiting the phosphorylation activation of Stat3.
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Wu Y, Pi D, Zhou S, Wang W, Ye H, Yi Z, Chen Y, Ouyang M. Yiqi Chutan Formula Reverses Cisplatin-Induced Apoptosis and Ferroptosis of Skeletal Muscle by Alleviating Oxidative Stress. Integr Cancer Ther 2023; 22:15347354231172117. [PMID: 37132527 PMCID: PMC10161340 DOI: 10.1177/15347354231172117] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 03/24/2023] [Accepted: 04/10/2023] [Indexed: 05/04/2023] Open
Abstract
BACKGROUND Cisplatin is a widely used anticancer drug in clinic, but it has a damaging effect on skeletal muscle cells. Clinical observation showed that Yiqi Chutan formula (YCF) had a alleviating effect on cisplatin toxicity. METHODS In vitro cell model and in vivo animal model were used to observe the damage effect of cisplatin on skeletal muscle cells and verify that YCF reversed cisplatin induced skeletal muscle damage. The levels of oxidative stress, apoptosis and ferroptosis were measured in each group. RESULTS Both in vitro and in vivo studies have confirmed that cisplatin increases the level of oxidative stress in skeletal muscle cells, thus inducing cell apoptosis and ferroptosis. YCF treatment can effectively reverse cisplatin induced oxidative stress in skeletal muscle cells, thereby alleviating cell apoptosis and ferroptosis, and ultimately protecting skeletal muscle. CONCLUSIONS YCF reversed cisplatin-induced apoptosis and ferroptosis of skeletal muscle by alleviating oxidative stress.
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Affiliation(s)
- Yingchao Wu
- Jinan University, Guangzhou, Guangdong, China
| | - Dajin Pi
- Jinan University, Guangzhou, Guangdong, China
| | - Shuyao Zhou
- Guangdong Hanchao Traditional Chinese Medicine Technology Co., Ltd., Guangzhou, Guangdong, China
| | - Wuhong Wang
- Jinan University, Guangzhou, Guangdong, China
| | - Huan Ye
- Jinan University, Guangzhou, Guangdong, China
| | - Zhongjia Yi
- Jinan University, Guangzhou, Guangdong, China
| | - Yiliu Chen
- Jinan University, Guangzhou, Guangdong, China
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