Evidence map›Paper›PMID 32408015›Full record

ArticleMolecular metabolism2020

Exercise training reverses cancer-induced oxidative stress and decrease in muscle COPS2/TRIP15/ALIEN.

Christiano R R Alves, Willian das Neves, Ney R de Almeida, Eric J Eichelberger, Paulo R Jannig, Vanessa A Voltarelli, Gabriel C Tobias, Luiz R G Bechara, Daniele de Paula Faria, Maria J N Alves and 13 more

Open access · goldAbstract read
In one paragraph

Article in Molecular metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Physical Activity, Exerkines, and Their Role in Cancer Cachexia.International journal of molecular sciences · 2025
    Review
  5. Cancer Cachexia.Advances in experimental medicine and biology · 2025
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Nutritional and Exercise Interventions in Cancer-Related Cachexia: An Extensive Narrative Review.International journal of environmental research and public health · 2022
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Exercise as a therapy for cancer-induced muscle wasting.Sports medicine and health science · 2020
    Review
  19. Review
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

23 authors at 6 institutions in 4 countries.

Christiano R R AlvesSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; Section on Integrative Physiology and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA; Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA. Electronic address: calves2@mgh.harvard.edu.
Willian das NevesSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; Instituto do Cancer do Estado de Sao Paulo ICESP, Hospital das Clinicas HC FMUSP, Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Ney R de AlmeidaSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil.
Eric J EichelbergerCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Paulo R JannigSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Vanessa A VoltarelliSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil.
Gabriel C TobiasSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil.
Luiz R G BecharaSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil.
Daniele de Paula FariaDepartment of Radiology and Oncology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Maria J N AlvesHeart Institute, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
Lars HagenDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Proteomics and Modomics Experimental Core, PROMEC, at NTNU and the Central Norway Regional Health Authority, Stjørdal, Norway.
Animesh SharmaDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Proteomics and Modomics Experimental Core, PROMEC, at NTNU and the Central Norway Regional Health Authority, Stjørdal, Norway.
Geir SlupphaugDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Proteomics and Modomics Experimental Core, PROMEC, at NTNU and the Central Norway Regional Health Authority, Stjørdal, Norway.
José B N MoreiraK.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Ulrik WisloffK.G. Jebsen Center of Exercise in Medicine at Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
Michael F HirshmanSection on Integrative Physiology and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
Carlos E NegrãoSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil; Heart Institute, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
Gilberto de CastroInstituto do Cancer do Estado de Sao Paulo ICESP, Hospital das Clinicas HC FMUSP, Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.
Roger ChammasDepartment of Radiology and Oncology, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Kathryn J SwobodaCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Jorge L RuasDepartment of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Laurie J GoodyearSection on Integrative Physiology and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
Patricia C BrumSchool of Physical Education and Sport, University of Sao Paulo, Sao Paulo, Brazil. Electronic address: topcbrum@usp.br.
Universidade de São Paulo · BRNorwegian University of Science and Technology · NOJoslin Diabetes Center · USHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRMassachusetts General Hospital · USKarolinska Institutet · SE

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Exercise Regulation of Glucose Homeostasis Administrative SupplementR01DK101043 · NIDDK · JOSLIN DIABETES CENTER · PI LAURIE J GOODYEAR · 2013 to 2026
$7.3M
Novel Mechanisms of Exercise Training Effects on Glucose HomeostasisR01DK099511 · NIDDK · JOSLIN DIABETES CENTER · PI LAURIE J GOODYEAR · 2014 to 2026
$6.5M
Therapeutic Opportunities in Spinal Muscular AtrophyR01HD054599 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2007 to 2011
$1.5M
NICHD NIH HHS R01 HD054599NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK099511NIDDK NIH HHS R01 DK101043
6 · The paper itself

Abstract

objectiveWe tested the hypothesis that exercise training would attenuate metabolic impairment in a model of severe cancer cachexia.

methodsWe used multiple in vivo and in vitro methods to explore the mechanisms underlying the beneficial effects induced by exercise training in tumor-bearing rats.

resultsExercise training improved running capacity, prolonged lifespan, reduced oxidative stress, and normalized muscle mass and contractile function in tumor-bearing rats. An unbiased proteomic screening revealed COP9 signalosome complex subunit 2 (COPS2) as one of the most downregulated proteins in skeletal muscle at the early stage of cancer cachexia. Exercise training normalized muscle COPS2 protein expression in tumor-bearing rats and mice. Lung cancer patients with low endurance capacity had low muscle COPS2 protein expression as compared to age-matched control subjects. To test whether decrease in COPS2 protein levels could aggravate or be an intrinsic compensatory mechanism to protect myotubes from cancer effects, we performed experiments in vitro using primary myotubes. COPS2 knockdown in human myotubes affected multiple cellular pathways, including regulation of actin cytoskeleton. Incubation of cancer-conditioned media in mouse myotubes decreased F-actin expression, which was partially restored by COPS2 knockdown. Direct repeat 4 (DR4) response elements have been shown to positively regulate gene expression. COPS2 overexpression decreased the DR4 activity in mouse myoblasts, and COPS2 knockdown inhibited the effects of cancer-conditioned media on DR4 activity.

conclusionsThese studies demonstrated that exercise training may be an important adjuvant therapy to counteract cancer cachexia and uncovered novel mechanisms involving COPS2 to regulate myotube homeostasis in cancer cachexia.

Indexed as

Oxidative StressPhysical Conditioning, AnimalAnimalsBiomarkersCachexiaCell Line, TumorCOP9 Signalosome ComplexCytokinesDisease Models, AnimalEnergy MetabolismGene Knockdown TechniquesHumansMaleMiceMuscle Fibers, SkeletalMuscle, SkeletalBiomarkersCOP9 Signalosome ComplexCops2 protein, ratCytokinesReceptors, TNF-Related Apoptosis-Inducing LigandRepressor ProteinsAtrophyCancer cachexiaEndurance exerciseMuscle wastingResponse elements

Identifiers

PMID32408015
PMCPMC7283151
OpenAlexW3025870735

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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 OpenQuestion graph.