The protective effect of cannabinoids against colorectal cancer cachexia through modulation of inflammation and immune responses - 28/03/23

Abstract |
Cancer cachexia is a multifactorial disorder characterized by weight loss and muscle wasting, and there are currently no FDA-approved medications. In the present study, upregulation of six cytokines was observed in serum samples from patients with colorectal cancer (CRC) and in mouse models. A negative correlation between the levels of the six cytokines and body mass index in CRC patients was seen. Gene Ontology analysis revealed that these cytokines were involved in regulating T cell proliferation. The infiltration of CD8+ T cells was found to be associated with muscle atrophy in mice with CRC. Adoptive transfer of CD8+ T cells isolated from CRC mice resulted in muscle wasting in recipients. The Genotype-Tissue Expression database showed that negative correlations between the expression of cachexia markers and cannabinoid receptor 2 (CB2) in human skeletal muscle tissues. Pharmacological treatment with Δ9-tetrahydrocannabinol (Δ9-THC), a selective CB2 agonist or overexpression of CB2 attenuated CRC-associated muscle atrophy. In contrast, knockout of CB2 with a CRISPR/Cas9-based strategy or depletion of CD8+ T cells in CRC mice abolished the Δ9-THC-mediated effects. This study demonstrates that cannabinoids ameliorate CD8+ T cell infiltration in CRC-associated skeletal muscle atrophy via a CB2-mediated pathway. Serum levels of the six-cytokine signature might serve as a potential biomarker to detect the therapeutic effects of cannabinoids in CRC-associated cachexia.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | The six-cytokine signature could serve as a potential biomarker for detecting colorectal cancer-associated cachexia. |
• | The infiltration of CD8+ T cells was found to be associated with muscle atrophy in colorectal cancer. |
• | Negative correlations between cachexia markers and CB2 receptor were found in human skeletal muscle tissues. |
• | Cannabinoids ameliorated CD8+ T cell infiltration in colorectal cancer-associated skeletal muscle atrophy. |
Keywords : Colorectal cancer cachexia, Cytokines, Cannabinoids, CD8+ T cell, Cannabinoid receptor 2
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Vol 161
Article 114467- mai 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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