Evidence map›Paper›PMID 41134647›Full record

ArticleAmerican journal of physiology. Cell physiology2026

Sex impacts inflammatory signaling, body composition, and physical function in tumor-bearing mice receiving chemotherapy.

Jessica L Halle, Quan Zhang, Dryden R Baumfalk, Melissa J Puppa, Junaith S Mohamed, Evan S Glazer, Ashley J Smuder, Stephen E Alway, James A Carson

Abstract read
In one paragraph

Article in American journal of physiology. Cell physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

9 authors.

Jessica L HalleIntegrative Muscle Biology Laboratory, Division of Regenerative and Rehabilitation Sciences, College of Health Professions, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0002-3174-5713
Quan ZhangIntegrative Muscle Biology Laboratory, Division of Regenerative and Rehabilitation Sciences, College of Health Professions, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0001-6028-6977
Dryden R BaumfalkDepartment of Applied Physiology & Kinesiology, University of Florida, Gainesville, Florida, United States.
Melissa J PuppaCollege of Health Sciences, University of Memphis, Memphis, Tennessee, United States.
Junaith S MohamedLaboratory of Muscle and Nerve, Department of Diagnostic and Health Sciences, College of Health Professions, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0002-1518-4856
Evan S GlazerDepartment of Surgery and Cancer Center, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0002-5796-0542
Ashley J SmuderDepartment of Applied Physiology & Kinesiology, University of Florida, Gainesville, Florida, United States.ORCID 0000-0001-5437-3097
Stephen E AlwayLaboratory of Muscle Biology and Sarcopenia, Department of Physical Therapy, College of Health Professions, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0002-0378-4707
James A CarsonIntegrative Muscle Biology Laboratory, Division of Regenerative and Rehabilitation Sciences, College of Health Professions, University of Tennessee Health Science Center, Memphis, Tennessee, United States.ORCID 0000-0003-3733-8796

Funding

(PQ 12) The Regulation of Physical Function and Skeletal Muscle Metabolic Signaling After Cessation of 5-Fluorouracil TreatmentR21CA231131 · NCI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI CARSON, JAMES A · 2019 to 2020
$342k
HHS | National Institutes of Health (NIH) R21 CA-231131NCI NIH HHS R21 CA231131
6 · The paper itself

Abstract

Cancer-induced inflammation has been widely investigated as a driver of cachexia, and sex can affect the inflammatory response to cancer. We have an incomplete understanding of how anticancer treatments and sex impact the relationship between inflammatory responses and changes to body composition and physical function during cancer treatment. We investigated the effect of FOLFOX chemotherapy (5-fluorouracil, leucovorin, oxaliplatin) on circulating inflammatory cytokines, body composition, and physical function in CT26 tumor-bearing male and female mice. BALB/c mice were injected with CT26 tumor cells, and after the tumor was palpable, underwent three cycles of FOLFOX. FOLFOX reduced tumor mass in both sexes. CT26 induced plasma interleukin-6 (IL-6), leukemia inhibitory factor (LIF), and tumor necrosis factor-alpha (TNF-α) in males and females. FOLFOX attenuated the CT26-induced IL-6 and LIF levels in males, but in females FOLFOX alone induced IL-6 and TNF-α, and did not attenuate their CT26 induction. In CT26 males, but not females, total lean and hindlimb mass were negatively associated with IL-6, and FOLFOX disrupted this association. The CT26-induced muscle p-STAT3 was inversely associated with muscle mass in males only and disrupted by FOLFOX. Circulating inflammatory cytokines were associated with body composition changes and functional deficits in CT26 males, but FOLFOX and female sex altered this relationship. Our results provide evidence that the female response to circulating inflammatory cytokines in the CT26 tumor environment, following FOLFOX chemotherapy, differs from that of males, and the physiological ramifications of this regulation warrant further investigation.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBody CompositionColonic NeoplasmsInflammationAnimalsCachexiaCell Line, TumorCytokinesFemaleFluorouracilInflammation MediatorsLeucovorinMaleMiceMice, Inbred BALB COrganoplatinum CompoundsCytokinesFluorouracilInflammation MediatorsLeucovorinOrganoplatinum Compoundscolorectal cancerFOLFOXinterleukin-6 (IL-6)leukemia inhibitory factor (LIF)signal transducer and activator of transcription 3 (STAT3)

Identifiers

PMID41134647
PMCPMC12681084

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.