Evidence map›Paper›PMID 40208971›Full record

ArticleScience (New York, N.Y.)2025

A neuroimmune circuit mediates cancer cachexia-associated apathy.

Xiaoyue Aelita Zhu, Sarah Starosta, Miriam Ferrer, Junxiao Hou, Quentin Chevy, Federica Lucantonio, Rodrigo Muñoz-Castañeda, Fengrui Zhang, Kaikai Zang, Xiang Zhao and 11 more

Abstract read
In one paragraph

Article in Science (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. The causes of cachexia: key signals and the brain.Nature reviews. Endocrinology · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Xiaoyue Aelita ZhuDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0003-7935-8442
Sarah Starosta *Department of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0009-5491-7192
Miriam Ferrer *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID 0000-0002-5589-975X
Junxiao HouDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-5326-2299
Quentin ChevyDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-4708-557X
Federica LucantonioDepartment of Psychiatry and Taylor Family Institute for Innovative Psychiatric Research, Washington University School of Medicine, St. Louis, MO, USA.
Rodrigo Muñoz-CastañedaCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID 0000-0002-1176-7421
Fengrui ZhangDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-2188-7558
Kaikai ZangDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-4074-5819
Xiang ZhaoCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID 0000-0003-3067-3970
Francesca R FiocchiDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0000-6605-1941
Mason BergstromDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.
Aubrey A SiebelsCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID 0000-0002-2625-0484
Thomas UpinDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0002-3970-4470
Michael WulfDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.
Sarah EvansDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0006-8243-3652
Alexxai V KravitzDepartments of Anesthesiology, Psychiatry, and Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-5983-0218
Pavel OstenCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.
Tobias JanowitzCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID 0000-0002-7820-3727
Marco PignatelliDepartment of Psychiatry and Taylor Family Institute for Innovative Psychiatric Research, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-8437-3343
Adam KepecsDepartment of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-0049-8120

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 1987 to 2026
$118.9M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JOSEPH D DOUGHERTY, Natasha Marrus · 2020 to 2026
$15.5M
The cytokine code and neural circuits for sensing inflammation stateDP1MH140021 · NIMH · WASHINGTON UNIVERSITY · PI Adam Kepecs · 2024 to 2026
$5.4M
CANCAN - COLDSPRINGOT2CA278690 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2022 to 2026
$3.0M
Dopaminergic control of obesity in miceR01DK136810 · NIDDK · WASHINGTON UNIVERSITY · PI Alexxai V Kravitz · 2023 to 2026
$2.1M
A synaptic substrate for ketamine-mediated amelioration of stress-induced anhedoniaR01MH130610 · NIMH · WASHINGTON UNIVERSITY · PI Marco Pignatelli · 2022 to 2026
$1.9M
Functions of Target-Defined Orbitofrontal Neuron Types in Decision MakingR01DA062387 · NIDA · WASHINGTON UNIVERSITY · PI Adam Kepecs · 2024 to 2026
$1.9M
Mechanism by which ketogenic diet uncouples tumor growth and overall survivalR37CA286477 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2024 to 2026
$1.6M
Accumbal adaptations that contribute to weight regain after weight lossR01DK138131 · NIDDK · WASHINGTON UNIVERSITY · PI Alexxai V Kravitz · 2024 to 2026
$1.5M
NCI NIH HHS OT2 CA278690NCI NIH HHS P30 CA045508NCI NIH HHS R37 CA286477NICHD NIH HHS P50 HD103525NIDA NIH HHS R01 DA062387NIDDK NIH HHS R01 DK136810NIDDK NIH HHS R01 DK138131NIMH NIH HHS DP1 MH140021NIMH NIH HHS R01 MH130610
6 · The paper itself

Abstract

Cachexia, a severe wasting syndrome associated with inflammatory conditions, often leads to multiorgan failure and death. Patients with cachexia experience extreme fatigue, apathy, and clinical depression, yet the biological mechanisms underlying these behavioral symptoms and their relationship to the disease remain unclear. In a mouse cancer model, cachexia specifically induced increased effort-sensitivity, apathy-like symptoms through a cytokine-sensing brainstem-to-basal ganglia circuit. This neural circuit detects elevated interleukin-6 (IL-6) at cachexia onset and translates inflammatory signals into decreased mesolimbic dopamine, thereby increasing effort sensitivity. We alleviated these apathy-like symptoms by targeting key circuit nodes: administering an anti-IL-6 antibody treatment, ablating cytokine sensing in the brainstem, and optogenetically or pharmacologically boosting mesolimbic dopamine. Our findings uncovered a central neural circuit that senses systemic inflammation and orchestrates behavioral changes, providing mechanistic insights into the connection between chronic inflammation and depressive symptoms.

Indexed as

ApathyCachexiaNeoplasmsNeuroimmunomodulationAnimalsBasal GangliaBrain StemDepressionDisease Models, AnimalDopamineInflammationInterleukin-6Interleukin-6 InhibitorsMaleMiceMice, Inbred C57BLDopamineInterleukin-6Interleukin-6 Inhibitorsinterleukin-6, mouse

Identifiers

PMID40208971
PMCPMC13051291

What OpenQuestion holds

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Registered trials

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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.