Evidence map›Paper›PMID 34729960›Full record

ArticleJournal of cachexia, sarcopenia and muscle2022

Ameliorating cancer cachexia by inhibiting cancer cell release of Hsp70 and Hsp90 with omeprazole.

Zhelong Liu, Jian Xiong, Song Gao, Michael X Zhu, Kai Sun, Min Li, Guohua Zhang, Yi-Ping Li

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.7field-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

24 citing papers in PubMed, 31 citations in OpenAlex.

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  12. Cancer Cachexia.Advances in experimental medicine and biology · 2025
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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

8 authors at 5 institutions in 2 countries.

Zhelong LiuDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Jian XiongDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Song GaoDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Michael X ZhuDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Kai SunDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Min LiDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Guohua ZhangDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Yi-Ping LiDepartment of Integrative Biology and Pharmacology, The University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID 0000-0002-0811-2790
The University of Texas MD Anderson Cancer Center · USNanchang University · CNThe University of Texas Health Science Center · USThe University of Texas Health Science Center at Houston · USTongji Hospital · CN

Funding

Identification of key tumor cell-released factors that induce cachexiaR01AR063786 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI JAFRI, SYED H, LI, YI-PING · 2013 to 2024
$4.3M
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
Intramuscular Mechanisms of Cancer CachexiaR01AR067319 · NIAMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LI, YI-PING · 2015 to 2019
$2.2M
Mechanism of chemotherapy potentiation of muscle wasting in cancer cachexiaR01CA249896 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LI, YI-PING · 2021 to 2025
$2.1M
NCI NIH HHS R01 CA203108NCI NIH HHS R01 CA249896NIAMS NIH HHS R01 AR063786NIAMS NIH HHS R01 AR067319
6 · The paper itself

Abstract

backgroundCancer cachexia, characterized by muscle and fat tissue wasting, is a major determinant of cancer-related mortality without established treatment. Recent animal data revealed that cancer cells induce muscle wasting by releasing Hsp70 and Hsp90 as surface proteins on extracellular vesicles (EVs). Here, we test a therapeutic strategy for ameliorating cancer cachexia by inhibiting the release of Hsp70 and Hsp90 using proton pump inhibitor omeprazole.

methodsOmeprazole effect on Hsp70/90 release through EVs by Lewis lung carcinoma (LLC) cells in vitro, serum levels of Hsp70/90 and Hsp70/90-carrying EVs in LLC tumour-bearing mice, and LLC-induced muscle protein degradation pathways in C2C12 myotubes and mice were determined. Omeprazole effect on endolysosomal pH and Rab27b expression in LLC cells were analysed.

resultsOmeprazole treatment of LLC cells inhibited Hsp70/90 and Hsp70/90-carrying EV release in a dose-dependent manner (1 to 10 μM) and attenuated the catabolic activity of LLC cell-conditioned medium on C2C12 myotubes. Systemic omeprazole administration to LLC tumour-bearing mice (5 mg/kg/day subcutaneously) for 2 weeks blocked elevation of serum Hsp70, Hsp90, and Hsp70/90-carrying EVs, abrogated skeletal muscle catabolism, and prevented loss of muscle function as well as muscle and epididymal fat mass without altering tumour growth. Consequently, median survival increased by 23.3%. Mechanistically, omeprazole increased cancer cell endolysosomal pH level dose-dependently (0.1 to 1 μM) by inhibiting vacuolar H

conclusionsOmeprazole ameliorates cancer cachexia by inhibiting cancer cell release of Hsp70 and Hsp90.

Indexed as

CachexiaCarcinoma, Lewis LungAnimalsMiceMuscle Fibers, SkeletalMuscular AtrophyOmeprazoleOmeprazoleFat tissue wastingHsp70Hsp90Lewis lung carcinomaMuscle wastingRab27bVacuolar H+-ATPase

Identifiers

PMID34729960
PMCPMC8818607
OpenAlexW3208095641

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.