Evidence map›Paper›PMID 32544087›Full record

ArticleThe Journal of clinical investigation2020

Melanocortin-4 receptor antagonist TCMCB07 ameliorates cancer- and chronic kidney disease-associated cachexia.

Xinxia Zhu, Michael F Callahan, Kenneth A Gruber, Marek Szumowski, Daniel L Marks

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

35 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Review
  3. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Cancer cachexia: molecular basis and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Role of Peptides in Skeletal Muscle Wasting: A Scoping Review.Journal of cachexia, sarcopenia and muscle · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

5 authors at 2 institutions in 3 countries.

Xinxia ZhuPapé Family Pediatric Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Michael F CallahanTensive Controls Inc., MU Life Sciences Business Incubator at Monsanto Place, Columbia, Missouri, USA.
Kenneth A GruberTensive Controls Inc., MU Life Sciences Business Incubator at Monsanto Place, Columbia, Missouri, USA.
Marek SzumowskiPapé Family Pediatric Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Daniel L MarksPapé Family Pediatric Research Institute, Oregon Health and Science University, Portland, Oregon, USA.
Cancer Institute (WIA) · INUniversity of Missouri · US

Funding

Development of a Cancer Cachexia TherapeuticR44CA210763 · NCI · TENSIVE CONTROLS, INC. · PI GRUBER, KENNETH ALLEN · 2016 to 2018
$2.5M
(PQD6) Hypothalamic Inflammation in the Initiation of CachexiaR01CA184324 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MARKS, DANIEL L. · 2014 to 2017
$1.8M
Melanocortin Ligands in Disease CachexiaR44CA150703 · NCI · TENSIVE CONTROLS, INC. · PI GRUBER, KENNETH ALLEN · 2012 to 2013
$1.7M
Melanocortin Ligands in Disease CachexiaR43CA150703 · NCI · TENSIVE CONTROLS, INC. · PI GRUBER, KENNETH ALLEN · 2010 to 2010
$199k
NCI NIH HHS R01 CA184324NCI NIH HHS R43 CA150703NCI NIH HHS R44 CA150703NCI NIH HHS R44 CA210763
6 · The paper itself

Abstract

Cachexia, a devastating wasting syndrome characterized by severe weight loss with specific losses of muscle and adipose tissue, is driven by reduced food intake, increased energy expenditure, excess catabolism, and inflammation. Cachexia is associated with poor prognosis and high mortality and frequently occurs in patients with cancer, chronic kidney disease, infection, and many other illnesses. There is no effective treatment for this condition. Hypothalamic melanocortins have a potent and long-lasting inhibitory effect on feeding and anabolism, and pathophysiological processes increase melanocortin signaling tone, leading to anorexia, metabolic changes, and eventual cachexia. We used 3 rat models of anorexia and cachexia (LPS, methylcholanthrene sarcoma, and 5/6 subtotal nephrectomy) to evaluate efficacy of TCMCB07, a synthetic antagonist of the melanocortin-4 receptor. Our data show that peripheral treatment using TCMCB07 with intraperitoneal, subcutaneous, and oral administration increased food intake and body weight and preserved fat mass and lean mass during cachexia and LPS-induced anorexia. Furthermore, administration of TCMCB07 diminished hypothalamic inflammatory gene expression in cancer cachexia. These results suggest that peripheral TCMCB07 treatment effectively inhibits central melanocortin signaling and therefore stimulates appetite and enhances anabolism, indicating that TCMCB07 is a promising drug candidate for treating cachexia.

Indexed as

AnimalsAppetiteCachexiaMaleRatsRats, Sprague-DawleyReceptor, Melanocortin, Type 4Renal Insufficiency, ChronicSarcoma, ExperimentalReceptor, Melanocortin, Type 4CancerChronic kidney diseaseDrug therapyMetabolismTherapeutics

Identifiers

PMID32544087
PMCPMC7456235
OpenAlexW3034968503

What OpenQuestion 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 OpenQuestion graph.