Evidence map›Paper›PMID 40759570›Full record

ReviewThe Journal of clinical investigation2025

Cancer therapy and cachexia.

Tuba Mansoor Thakir, Alice R Wang, Amanda R Decker-Farrell, Miriam Ferrer, Rohini N Guin, Sam Kleeman, Llewelyn Levett, Xiang Zhao, Tobias Janowitz

Abstract readReview
In one paragraph

Review in The Journal of clinical investigation, 2025. 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
–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

24 citing papers in PubMed.

  1. Trial
  2. Practical prescribing in cancer cachexia.Current opinion in supportive and palliative care · 2026
    Review
  3. Review
  4. Observational
  5. Review
  6. Cardiac Biomarkers in Chronic Kidney Disease: Signal or Noise?Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. When adipose meets inflammation: a novel adiposity-inflammation signature predicts prognosis and chemotherapy benefit in locally advanced gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  14. The effects of tissue inflammation on cancer cachexia.Biochimica et biophysica acta. Molecular basis of disease · 2026
    Review
  15. Article
  16. Review
  17. Review
  18. Observational
  19. Article
  20. 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.

Tuba Mansoor ThakirCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Alice R WangCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Amanda R Decker-FarrellCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Miriam FerrerCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Rohini N GuinCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Sam KleemanCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Llewelyn LevettCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Xiang ZhaoCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.
Tobias JanowitzCold Spring Harbor Laboratory, Cold Spring Harbor, New York, USA.

Funding

CANCAN - COLDSPRINGOT2CA278690 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2022 to 2026
$3.0M
Training Program in Pharmacological SciencesT32GM144304 · NIGMS · STATE UNIVERSITY NEW YORK STONY BROOK · PI HOLLY A COLOGNATO · 2022 to 2026
$1.8M
Mechanism by which ketogenic diet uncouples tumor growth and overall survivalR37CA286477 · NCI · COLD SPRING HARBOR LABORATORY · PI Tobias Janowitz · 2024 to 2026
$1.6M
NCI NIH HHS OT2 CA278690NCI NIH HHS R37 CA286477NIGMS NIH HHS T32 GM144304
6 · The paper itself

Abstract

A central challenge in cancer therapy is the effective delivery of anticancer treatments while minimizing adverse effects on patient health. The potential dual impact of therapy is clearly illustrated in cancer-associated cachexia, a multifactorial syndrome characterized by involuntary weight loss, systemic inflammation, metabolic dysregulation, and behavioral alterations such as anorexia and apathy. While cachexia research often focuses on tumor-driven mechanisms, the literature indicates that cancer therapies themselves, particularly chemotherapies and targeted treatments, can initiate or exacerbate the biological pathways driving this syndrome. Here, we explore how therapeutic interventions intersect with the pathophysiology of cachexia, focusing on key organ systems including muscle, adipose tissue, liver, heart, and brain. We highlight examples such as therapy-induced upregulation of IL-6 and growth-differentiation factor 15, both contributing to reduced nutrient intake and a negative energy balance via brain-specific mechanisms. At the level of nutrient release and organ atrophy, chemotherapies also converge with cancer progression, for example, activating NF-κB in muscle and PKA/CREB signaling in adipose tissue. By examining how treatment timing and modality align with the natural trajectory of cancer cachexia, we underscore the importance of incorporating physiological endpoints alongside tumor-centric metrics in clinical trials. Such integrative approaches may better capture therapeutic efficacy while preserving patient well-being.

Indexed as

Antineoplastic AgentsCachexiaNeoplasmsAdipose TissueAnimalsHumansInterleukin-6Signal TransductionAntineoplastic AgentsInterleukin-6

Identifiers

PMID40759570
PMCPMC12321403

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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.