Evidence map›Paper›PMID 38824130›Full record

ArticleNature communications2024

Area postrema neurons mediate interleukin-6 function in cancer cachexia.

Qingtao Sun, Daniëlle van de Lisdonk, Miriam Ferrer, Bruno Gegenhuber, Melody Wu, Youngkyu Park, David A Tuveson, Jessica Tollkuhn, Tobias Janowitz, Bo Li

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
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

39 citing papers in PubMed.

  1. Review
  2. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Mechanistic insights into the liver-brain axis during chronic liver disease.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  12. Brain Nutrient Sensing: A Unifying Framework.Annual review of physiology · 2026
    Review
  13. Cancer cachexia: molecular basis and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Brain-immune interactions generate pathogen-specific sickness states.bioRxiv : the preprint server for biology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Qingtao Sun *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0003-2167-7750
Daniëlle van de Lisdonk *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0009-0001-1551-9361
Miriam Ferrer *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0002-5589-975X
Bruno GegenhuberCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.
Melody WuCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0002-5246-2659
Youngkyu ParkCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0003-1169-6739
David A TuvesonCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.
Jessica TollkuhnCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0001-5991-7620
Tobias JanowitzCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA.ORCID http://orcid.org/0000-0002-7820-3727
Bo LiCold Spring Harbor Laboratory, Cold Spring Harbor, NY, 11724, USA. bli@cshl.edu.ORCID http://orcid.org/0000-0002-0154-3088

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 1987 to 2026
$118.9M
Pancreatic Cancer Detection ConsortiumU01CA210240 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Michael A. Hollingsworth · 2017 to 2026
$12.9M
The basal ganglia–habenula circuitry in reward processingR01MH108924 · NIMH · COLD SPRING HARBOR LABORATORY · PI Jessica Tollkuhn · 2015 to 2026
$6.8M
The central amygdala circuits in motivated behaviorsR01MH101214 · NIMH · COLD SPRING HARBOR LABORATORY · PI VAN AELST, LINDA · 2014 to 2024
$6.3M
Multiplex imaging of neuronal activity and signaling dynamics underlying learning in discrete amygdala circuits of behaving mice.R01NS104944 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI LI, BO, MAO, TIANYI · 2018 to 2022
$5.0M
Epigenetic Regulation of Sex Differences in the BrainR01MH113628 · NIMH · COLD SPRING HARBOR LABORATORY · PI Jessica Tollkuhn · 2018 to 2026
$4.8M
CSHL-JAX Patient-Derived Models of Pancreatic Cancer as Systems for Investigating Tumor HeterogeneityU01CA224013 · NCI · COLD SPRING HARBOR LABORATORY · PI ROBSON, PAUL, TUVESON, DAVID A · 2018 to 2022
$4.2M
Targeting aberrant enhancer landscapes in pancreatic cancerR01CA229699 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Christopher Vakoc · 2019 to 2026
$3.3M
CANCAN - COLDSPRINGOT2CA278690 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2022 to 2026
$3.0M
Nrf2 Regulation of Ductal Pancreatic Cancer Etiology and Treatment ResponseR01CA188134 · NCI · COLD SPRING HARBOR LABORATORY · PI TUVESON, DAVID A · 2017 to 2021
$3.0M
(PQA-4) Organoid Omics To Detect And Defeat Ductal Pancreatic CancerR01CA190092 · NCI · COLD SPRING HARBOR LABORATORY · PI TUVESON, DAVID A · 2014 to 2017
$2.2M
CRCNS: Reward and motivation in neural networks R01DA050374 · NIDA · COLD SPRING HARBOR LABORATORY · PI KOULAKOV, ALEXEI · 2019 to 2023
$2.2M
Cancer Research UK CGCATF-2021/100026Cold Spring Harbor Laboratory (CSHL) Cold Spring Harbor Laboratory and Northwell Health AffiliationNCI NIH HHS OT2 CA278690NCI NIH HHS P30 CA045508NCI NIH HHS R01 CA188134NCI NIH HHS R01 CA190092NCI NIH HHS R01 CA229699NCI NIH HHS R50 CA211506NCI NIH HHS U01 CA210240NCI NIH HHS U01 CA224013NIDA NIH HHS R01 DA050374NIMH NIH HHS F31 MH124365NIMH NIH HHS R01 MH101214NIMH NIH HHS R01 MH108924NIMH NIH HHS R01 MH113628NINDS NIH HHS R01 NS104944
6 · The paper itself

Abstract

Interleukin-6 (IL-6) has been long considered a key player in cancer cachexia. It is believed that sustained elevation of IL-6 production during cancer progression causes brain dysfunctions, which ultimately result in cachexia. However, how peripheral IL-6 influences the brain remains poorly understood. Here we show that neurons in the area postrema (AP), a circumventricular structure in the hindbrain, is a critical mediator of IL-6 function in cancer cachexia in male mice. We find that circulating IL-6 can rapidly enter the AP and activate neurons in the AP and its associated network. Peripheral tumor, known to increase circulating IL-6, leads to elevated IL-6 in the AP, and causes potentiated excitatory synaptic transmission onto AP neurons and AP network hyperactivity. Remarkably, neutralization of IL-6 in the brain of tumor-bearing mice with an anti-IL-6 antibody attenuates cachexia and the hyperactivity in the AP network, and markedly prolongs lifespan. Furthermore, suppression of Il6ra, the gene encoding IL-6 receptor, specifically in AP neurons with CRISPR/dCas9 interference achieves similar effects. Silencing Gfral-expressing AP neurons also attenuates cancer cachectic phenotypes and AP network hyperactivity. Our study identifies a central mechanism underlying the function of peripheral IL-6, which may serve as a target for treating cancer cachexia.

Indexed as

CachexiaInterleukin-6NeuronsReceptors, Interleukin-6AnimalsCell Line, TumorHumansMaleMiceMice, Inbred C57BLNeoplasmsIl6ra protein, mouseInterleukin-6interleukin-6, mouseReceptors, Interleukin-6

Identifiers

PMID38824130
PMCPMC11144211

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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.