Evidence map›Paper›PMID 37902220›Full record

ArticleCancer medicine2023

Early skeletal muscle loss in adolescent and young adult cancer patients treated with anthracycline chemotherapy.

Savannah V Wooten, Fei Wang, Michael E Roth, Guanshu Liu, J Andrew Livingston, Behrang Amini, Susan C Gilchrist, Michelle Hildebrandt, Eugenie S Kleinerman

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Diversity in chemotherapy-induced cachexia.American journal of physiology. Cell physiology · 2025
    Review
  6. Review
  7. 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 1 institution in 1 country.

Savannah V WootenDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-7811-5447
Fei WangDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0001-6773-5798
Michael E RothDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Guanshu LiuDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
J Andrew LivingstonDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Behrang AminiDepartment of Musculoskeletal Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-4962-3466
Susan C GilchristDepartment of Cardiology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Michelle HildebrandtDepartment of Lymphoma/Myeloma, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Eugenie S KleinermanDepartment of Pediatrics Research, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Harry S. Moss Heart Trust FundMD Anderson Cancer Survivorship Seed FundThe Alan Ryden EndowmentThe Mary V. and John A. Reilly Distinguished ChairThe Sanders Pediatric Sarcoma Research Fund
6 · The paper itself

Abstract

backgroundEarly skeletal muscle loss has been observed in adolescent and young adult (AYA) sarcoma patients undergoing treatment. Identification of individuals within the AYA populace that are at greatest risk of anthracycline-induced skeletal muscle loss is unknown. Moreover, investigations which seek out underlying causes of skeletal muscle degradation during chemotherapy are critical for understanding, preventing, and reducing chronic health conditions associated with poor skeletal muscle status.

methodsComputed tomography (CT) scans were used to investigate changes in skeletal muscle of 153 AYA sarcoma and Hodgkin lymphoma patients at thoracic vertebra 4 after anthracycline treatment. Images were examined at three time points during the first year of treatment. In parallel, we used translational juvenile mouse models to assess the impact of doxorubicin (DOX) in the soleus and gastrocnemius on muscle wasting.

resultsSignificant reductions in total skeletal muscle index and density were seen after chemotherapy in AYA cancer patients (p < 0.01 & p = 0.04, respectively). The severity of skeletal muscle loss varied by subgroup (i.e., cancer type, sex, and treatment). Murine models demonstrated a reduction in skeletal muscle fiber cross-sectional area, increased apoptosis and collagen volume for both the soleus and gastrocnemius after DOX treatment (all p < 0.05). After DOX, hindlimb skeletal muscle blood flow was significantly reduced (p < 0.01).

conclusionSignificant skeletal muscle loss is experienced early during treatment in AYA cancer patients. Reductions in skeletal muscle blood flow may be a key contributing factor to anthracycline doxorubicin induced skeletal muscle loss.

Indexed as

Hodgkin DiseaseSarcomaAdolescentAnimalsAnthracyclinesAntibiotics, AntineoplasticDoxorubicinHumansMiceMuscle, SkeletalYoung AdultAnthracyclinesAntibiotics, AntineoplasticDoxorubicinchemotherapyclinical observationsHodgkin's lymphomapediatric cancer

Identifiers

PMID37902220
PMCPMC10709738
OpenAlexW4388014728

What OpenQuestion holds

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LicenceCC BY
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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.