Evidence map›Paper›PMID 34516881›Full record

ArticleScience advances2021

Remodeling of metabolism and inflammation by exercise ameliorates tumor-associated anemia.

Regula Furrer, Annaïse J Jauch, Tata Nageswara Rao, Sedat Dilbaz, Peter Rhein, Stefan A Steurer, Mike Recher, Radek C Skoda, Christoph Handschin

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

  1. GOT2-mediated suppression of CoQCommunications biology · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Molecular and Immunometabolic Landscape of Erythrophagocytosis-induced Ferroptosis.Cardiovascular & hematological disorders drug targets · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Erythroid Cells as Full Participants in the Tumor Microenvironment.International journal of molecular sciences · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Ironing out exercise on immuno-oncological outcomes.Journal for immunotherapy of cancer · 2022
    Article
  18. 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

9 authors at 2 institutions in 2 countries.

Regula FurrerBiozentrum, University of Basel, Basel, Switzerland.ORCID 0000-0003-1732-1110
Annaïse J JauchImmunodeficiency Laboratory, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Tata Nageswara RaoExperimental Hematology, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0002-9928-5944
Sedat DilbazBiozentrum, University of Basel, Basel, Switzerland.ORCID 0000-0002-0558-6026
Peter RheinLuminex B.V., 's-Hertogenbosch, Netherlands.
Stefan A SteurerBiozentrum, University of Basel, Basel, Switzerland.
Mike RecherImmunodeficiency Laboratory, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0002-9121-6936
Radek C SkodaExperimental Hematology, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Christoph HandschinBiozentrum, University of Basel, Basel, Switzerland.ORCID 0000-0003-0603-1097
University of Basel · CHLuminex (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A considerable number of patients with cancer suffer from anemia, which has detrimental effects on quality of life and survival. The mechanisms underlying tumor-associated anemia are multifactorial and poorly understood. Therefore, we aimed at systematically assessing the patho-etiology of tumor-associated anemia in mice. We demonstrate that reduced red blood cell (RBC) survival rather than altered erythropoiesis is driving the development of anemia. The tumor-induced inflammatory and metabolic remodeling affect RBC integrity and augment splenic phagocyte activity promoting erythrophagocytosis. Exercise training normalizes these tumor-associated abnormal metabolic profiles and inflammation and thereby ameliorates anemia, in part, by promoting RBC survival. Fatigue was prevented in exercising tumor-bearing mice. Thus, exercise has the unique potential to substantially modulate metabolism and inflammation and thereby counteracts pathological remodeling of these parameters by the tumor microenvironment. Translation of this finding to patients with cancer could have a major impact on quality of life and potentially survival.

Identifiers

PMID34516881
PMCPMC8442918
OpenAlexW3198035915

What OpenQuestion holds

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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.