Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine

Chemotherapy-induced cachexia causes severe metabolic abnormalities independently of cancer and reduces the therapeutic efficacy of chemotherapy. The underlying mechanism of chemotherapy-induced cachexia remains unclear. Here we investigated the cytarabine (CYT)-induced alteration in energy balance...

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Main Authors: Mi-Rae Park, Hye-Jin Lee, Hye-Min Jang, Nam Hoon Kim, Jun-Seok Lee, Yong Taek Jeong, Inho Kim, Sang-Hyun Choi, Kwan Sik Seo, Dong-Hoon Kim
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227523000603
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author Mi-Rae Park
Hye-Jin Lee
Hye-Min Jang
Nam Hoon Kim
Jun-Seok Lee
Yong Taek Jeong
Inho Kim
Sang-Hyun Choi
Kwan Sik Seo
Dong-Hoon Kim
author_facet Mi-Rae Park
Hye-Jin Lee
Hye-Min Jang
Nam Hoon Kim
Jun-Seok Lee
Yong Taek Jeong
Inho Kim
Sang-Hyun Choi
Kwan Sik Seo
Dong-Hoon Kim
author_sort Mi-Rae Park
collection DOAJ
description Chemotherapy-induced cachexia causes severe metabolic abnormalities independently of cancer and reduces the therapeutic efficacy of chemotherapy. The underlying mechanism of chemotherapy-induced cachexia remains unclear. Here we investigated the cytarabine (CYT)-induced alteration in energy balance and its underlying mechanisms in mice. We compared energy balance-associated parameters among the three groups of mice: CON, CYT, and PF (pair-fed mice with the CYT group) that were intravenously administered vehicle or CYT. Weight gain, fat mass, skeletal muscle mass, grip strength, and nocturnal energy expenditure were significantly lowered in the CYT group than in the CON and PF groups. The CYT group demonstrated less energy intake than the CON group and higher respiratory quotient than the PF group, indicating that CYT induced cachexia independently from the anorexia-induced weight loss. Serum triglyceride was significantly lower in the CYT group than in the CON group, whereas the intestinal mucosal triglyceride levels and the lipid content within the small intestine enterocyte were higher after lipid loading in the CYT group than in the CON and PF groups, suggesting that CYT inhibited lipid uptake in the intestine. This was not associated with obvious intestinal damage. The CYT group showed increased zipper-like junctions of lymphatic endothelial vessel in duodenal villi compared to that in the CON and CYT groups, suggesting their imperative role in the CYT-induced inhibition of lipid uptake. CYT worsens cachexia independently of anorexia by inhibiting the intestinal lipid uptake, via the increased zipper-like junctions of lymphatic endothelial vessel.
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spelling doaj.art-1683d5e8d8884c39a941c7f03da1a0692023-06-23T04:42:17ZengElsevierJournal of Lipid Research0022-22752023-06-01646100387Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestineMi-Rae Park0Hye-Jin Lee1Hye-Min Jang2Nam Hoon Kim3Jun-Seok Lee4Yong Taek Jeong5Inho Kim6Sang-Hyun Choi7Kwan Sik Seo8Dong-Hoon Kim9Department of Pharmacology, Korea University College of Medicine, Seoul, Republic of Korea; Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of Korea; Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of KoreaDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea; For correspondence: Dong-Hoon Kim; Kwan Sik SeoDepartment of Pharmacology, Korea University College of Medicine, Seoul, Republic of Korea; Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Republic of Korea; For correspondence: Dong-Hoon Kim; Kwan Sik SeoChemotherapy-induced cachexia causes severe metabolic abnormalities independently of cancer and reduces the therapeutic efficacy of chemotherapy. The underlying mechanism of chemotherapy-induced cachexia remains unclear. Here we investigated the cytarabine (CYT)-induced alteration in energy balance and its underlying mechanisms in mice. We compared energy balance-associated parameters among the three groups of mice: CON, CYT, and PF (pair-fed mice with the CYT group) that were intravenously administered vehicle or CYT. Weight gain, fat mass, skeletal muscle mass, grip strength, and nocturnal energy expenditure were significantly lowered in the CYT group than in the CON and PF groups. The CYT group demonstrated less energy intake than the CON group and higher respiratory quotient than the PF group, indicating that CYT induced cachexia independently from the anorexia-induced weight loss. Serum triglyceride was significantly lower in the CYT group than in the CON group, whereas the intestinal mucosal triglyceride levels and the lipid content within the small intestine enterocyte were higher after lipid loading in the CYT group than in the CON and PF groups, suggesting that CYT inhibited lipid uptake in the intestine. This was not associated with obvious intestinal damage. The CYT group showed increased zipper-like junctions of lymphatic endothelial vessel in duodenal villi compared to that in the CON and CYT groups, suggesting their imperative role in the CYT-induced inhibition of lipid uptake. CYT worsens cachexia independently of anorexia by inhibiting the intestinal lipid uptake, via the increased zipper-like junctions of lymphatic endothelial vessel.http://www.sciencedirect.com/science/article/pii/S0022227523000603cytarabinetriglyceridesmetabolic dysfunctioncachexiamalabsorptionsmall intestine
spellingShingle Mi-Rae Park
Hye-Jin Lee
Hye-Min Jang
Nam Hoon Kim
Jun-Seok Lee
Yong Taek Jeong
Inho Kim
Sang-Hyun Choi
Kwan Sik Seo
Dong-Hoon Kim
Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
Journal of Lipid Research
cytarabine
triglycerides
metabolic dysfunction
cachexia
malabsorption
small intestine
title Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
title_full Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
title_fullStr Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
title_full_unstemmed Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
title_short Cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
title_sort cytarabine induces cachexia with lipid malabsorption via zippering the junctions of lacteal in murine small intestine
topic cytarabine
triglycerides
metabolic dysfunction
cachexia
malabsorption
small intestine
url http://www.sciencedirect.com/science/article/pii/S0022227523000603
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