Skeletal Muscle Deconditioning in Breast Cancer Patients Undergoing Chemotherapy: Current Knowledge and Insights From Other Cancers

Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor development and improve disease-free survival. However, chemotherapy also leads to severe off-target side-effects resulting, together with the tumor...

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Vydáno v:Frontiers in cell and developmental biology Ročník 9; s. 719643
Hlavní autoři: Mallard, Joris, Hucteau, Elyse, Hureau, Thomas J., Pagano, Allan F.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Frontiers Media S.A 14.09.2021
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ISSN:2296-634X, 2296-634X
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Abstract Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor development and improve disease-free survival. However, chemotherapy also leads to severe off-target side-effects resulting, together with the tumor itself, in major skeletal muscle deconditioning. This review first focuses on recent advances in both macroscopic changes and cellular mechanisms implicated in skeletal muscle deconditioning of breast cancer patients, particularly as a consequence of the chemotherapy treatment. To date, only six clinical studies used muscle biopsies in breast cancer patients and highlighted several important aspects of muscle deconditioning such as a decrease in muscle fibers cross-sectional area, a dysregulation of protein turnover balance and mitochondrial alterations. However, in comparison with the knowledge accumulated through decades of intensive research with many different animal and human models of muscle atrophy, more studies are necessary to obtain a comprehensive understanding of the cellular processes implicated in breast cancer-mediated muscle deconditioning. This understanding is indeed essential to ultimately lead to the implementation of efficient preventive strategies such as exercise, nutrition or pharmacological treatments. We therefore also discuss potential mechanisms implicated in muscle deconditioning by drawing a parallel with other cancer cachexia models of muscle wasting, both at the pre-clinical and clinical levels.
AbstractList Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor development and improve disease-free survival. However, chemotherapy also leads to severe off-target side-effects resulting, together with the tumor itself, in major skeletal muscle deconditioning. This review first focuses on recent advances in both macroscopic changes and cellular mechanisms implicated in skeletal muscle deconditioning of breast cancer patients, particularly as a consequence of the chemotherapy treatment. To date, only six clinical studies used muscle biopsies in breast cancer patients and highlighted several important aspects of muscle deconditioning such as a decrease in muscle fibers cross-sectional area, a dysregulation of protein turnover balance and mitochondrial alterations. However, in comparison with the knowledge accumulated through decades of intensive research with many different animal and human models of muscle atrophy, more studies are necessary to obtain a comprehensive understanding of the cellular processes implicated in breast cancer-mediated muscle deconditioning. This understanding is indeed essential to ultimately lead to the implementation of efficient preventive strategies such as exercise, nutrition or pharmacological treatments. We therefore also discuss potential mechanisms implicated in muscle deconditioning by drawing a parallel with other cancer cachexia models of muscle wasting, both at the pre-clinical and clinical levels.
Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor development and improve disease-free survival. However, chemotherapy also leads to severe off-target side-effects resulting, together with the tumor itself, in major skeletal muscle deconditioning. This review first focuses on recent advances in both macroscopic changes and cellular mechanisms implicated in skeletal muscle deconditioning of breast cancer patients, particularly as a consequence of the chemotherapy treatment. To date, only six clinical studies used muscle biopsies in breast cancer patients and highlighted several important aspects of muscle deconditioning such as a decrease in muscle fibers cross-sectional area, a dysregulation of protein turnover balance and mitochondrial alterations. However, in comparison with the knowledge accumulated through decades of intensive research with many different animal and human models of muscle atrophy, more studies are necessary to obtain a comprehensive understanding of the cellular processes implicated in breast cancer-mediated muscle deconditioning. This understanding is indeed essential to ultimately lead to the implementation of efficient preventive strategies such as exercise, nutrition or pharmacological treatments. We therefore also discuss potential mechanisms implicated in muscle deconditioning by drawing a parallel with other cancer cachexia models of muscle wasting, both at the pre-clinical and clinical levels.Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor development and improve disease-free survival. However, chemotherapy also leads to severe off-target side-effects resulting, together with the tumor itself, in major skeletal muscle deconditioning. This review first focuses on recent advances in both macroscopic changes and cellular mechanisms implicated in skeletal muscle deconditioning of breast cancer patients, particularly as a consequence of the chemotherapy treatment. To date, only six clinical studies used muscle biopsies in breast cancer patients and highlighted several important aspects of muscle deconditioning such as a decrease in muscle fibers cross-sectional area, a dysregulation of protein turnover balance and mitochondrial alterations. However, in comparison with the knowledge accumulated through decades of intensive research with many different animal and human models of muscle atrophy, more studies are necessary to obtain a comprehensive understanding of the cellular processes implicated in breast cancer-mediated muscle deconditioning. This understanding is indeed essential to ultimately lead to the implementation of efficient preventive strategies such as exercise, nutrition or pharmacological treatments. We therefore also discuss potential mechanisms implicated in muscle deconditioning by drawing a parallel with other cancer cachexia models of muscle wasting, both at the pre-clinical and clinical levels.
Author Hucteau, Elyse
Pagano, Allan F.
Mallard, Joris
Hureau, Thomas J.
AuthorAffiliation 3 Faculté des Sciences du Sport, Centre Européen d’Enseignement de Recherche et d’Innovation en Physiologie de l’Exercice (CEERIPE), Université de Strasbourg , Strasbourg , France
1 Institut de Cancérologie Strasbourg Europe (ICANS) , Strasbourg , France
2 Centre de Recherche en Biomédecine de Strasbourg (CRBS), Fédération de Médecine Translationnelle, UR 3072, Université de Strasbourg , Strasbourg , France
AuthorAffiliation_xml – name: 3 Faculté des Sciences du Sport, Centre Européen d’Enseignement de Recherche et d’Innovation en Physiologie de l’Exercice (CEERIPE), Université de Strasbourg , Strasbourg , France
– name: 1 Institut de Cancérologie Strasbourg Europe (ICANS) , Strasbourg , France
– name: 2 Centre de Recherche en Biomédecine de Strasbourg (CRBS), Fédération de Médecine Translationnelle, UR 3072, Université de Strasbourg , Strasbourg , France
Author_xml – sequence: 1
  givenname: Joris
  surname: Mallard
  fullname: Mallard, Joris
– sequence: 2
  givenname: Elyse
  surname: Hucteau
  fullname: Hucteau, Elyse
– sequence: 3
  givenname: Thomas J.
  surname: Hureau
  fullname: Hureau, Thomas J.
– sequence: 4
  givenname: Allan F.
  surname: Pagano
  fullname: Pagano, Allan F.
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Reviewed by: Paola Costelli, University of Turin, Italy; Bert Blaauw, University of Padua, Italy; Amélie Rébillard, Laboratoire des Sciences du Mouvement, du Sport et de la Santé (M2S), France
Edited by: Yann Simon Gallot, University of Évry Val d’Essonne, France
This article was submitted to Signaling, a section of the journal Frontiers in Cell and Developmental Biology
OpenAccessLink https://doaj.org/article/2c0d563b8ae1472ea9c8c042527c3043
PMID 34595171
PQID 2578768554
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crossref_primary_10_3389_fcell_2021_719643
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PublicationDate 2021-09-14
PublicationDateYYYYMMDD 2021-09-14
PublicationDate_xml – month: 09
  year: 2021
  text: 2021-09-14
  day: 14
PublicationDecade 2020
PublicationTitle Frontiers in cell and developmental biology
PublicationYear 2021
Publisher Frontiers Media S.A
Publisher_xml – name: Frontiers Media S.A
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Snippet Breast cancer represents the most commonly diagnosed cancer while neoadjuvant and adjuvant chemotherapies are extensively used in order to reduce tumor...
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SubjectTerms cancer cachexia
Cell and Developmental Biology
inflammatory cytokines
intermuscular adipose tissue
mitochondria
muscle atrophy
protein turnover
Title Skeletal Muscle Deconditioning in Breast Cancer Patients Undergoing Chemotherapy: Current Knowledge and Insights From Other Cancers
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