Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia

<i>Objective</i>: Cachexia is a complex metabolic syndrome frequently occurring in cancer patients and exacerbated by chemotherapy. In skeletal muscle of cancer hosts, reduced oxidative capacity and low intracellular ATP resulting from abnormal mitochondrial function were described. <...

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Main Authors: Riccardo Ballarò, Patrizia Lopalco, Valentina Audrito, Marc Beltrà, Fabrizio Pin, Roberto Angelini, Paola Costelli, Angela Corcelli, Andrea Bonetto, Hazel H. Szeto, Thomas M. O’Connell, Fabio Penna
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/4/850
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author Riccardo Ballarò
Patrizia Lopalco
Valentina Audrito
Marc Beltrà
Fabrizio Pin
Roberto Angelini
Paola Costelli
Angela Corcelli
Andrea Bonetto
Hazel H. Szeto
Thomas M. O’Connell
Fabio Penna
author_facet Riccardo Ballarò
Patrizia Lopalco
Valentina Audrito
Marc Beltrà
Fabrizio Pin
Roberto Angelini
Paola Costelli
Angela Corcelli
Andrea Bonetto
Hazel H. Szeto
Thomas M. O’Connell
Fabio Penna
author_sort Riccardo Ballarò
collection DOAJ
description <i>Objective</i>: Cachexia is a complex metabolic syndrome frequently occurring in cancer patients and exacerbated by chemotherapy. In skeletal muscle of cancer hosts, reduced oxidative capacity and low intracellular ATP resulting from abnormal mitochondrial function were described. <i>Methods</i>: The present study aimed at evaluating the ability of the mitochondria-targeted compound SS-31 to counteract muscle wasting and altered metabolism in C26-bearing (C26) mice either receiving chemotherapy (OXFU: oxaliplatin plus 5-fluorouracil) or not. <i>Results</i>: Mitochondrial dysfunction in C26-bearing (C26) mice associated with alterations of cardiolipin fatty acid chains. Selectively targeting cardiolipin with SS-31 partially counteracted body wasting and prevented the reduction of glycolytic myofiber area. SS-31 prompted muscle mitochondrial succinate dehydrogenase (SDH) activity and rescued intracellular ATP levels, although it was unable to counteract mitochondrial protein loss. Progressively increased dosing of SS-31 to C26 OXFU mice showed transient (21 days) beneficial effects on body and muscle weight loss before the onset of a refractory end-stage condition (28 days). At day 21, SS-31 prevented mitochondrial loss and abnormal autophagy/mitophagy. Skeletal muscle, liver and plasma metabolomes were analyzed, showing marked energy and protein metabolism alterations in tumor hosts. SS-31 partially modulated skeletal muscle and liver metabolome, likely reflecting an improved systemic energy homeostasis. <i>Conclusions</i>: The results suggest that targeting mitochondrial function may be as important as targeting protein anabolism/catabolism for the prevention of cancer cachexia. With this in mind, prospective multi-modal therapies including SS-31 are warranted.
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spelling doaj.art-d756f105502d425b98959b06951052622023-12-11T17:27:48ZengMDPI AGCancers2072-66942021-02-0113485010.3390/cancers13040850Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced CachexiaRiccardo Ballarò0Patrizia Lopalco1Valentina Audrito2Marc Beltrà3Fabrizio Pin4Roberto Angelini5Paola Costelli6Angela Corcelli7Andrea Bonetto8Hazel H. Szeto9Thomas M. O’Connell10Fabio Penna11Department of Clinical and Biological Sciences, University of Torino, 10125 Torino, ItalyDipartimento di Scienze Mediche di Base, Neuroscienze e Organi di Senso, University of Bari Aldo Moro, 70121 Bari, ItalyMolecular Biotechnology Center, University of Torino, 10125 Torino, ItalyDepartment of Clinical and Biological Sciences, University of Torino, 10125 Torino, ItalyDepartment of Anatomy, Cell Biology and Physiology, Indiana University, Indianapolis, IN 46202, USASwansea University Medical School, Swansea University, Swansea SA2 8PP, UKDepartment of Clinical and Biological Sciences, University of Torino, 10125 Torino, ItalyDipartimento di Scienze Mediche di Base, Neuroscienze e Organi di Senso, University of Bari Aldo Moro, 70121 Bari, ItalyDepartment of Surgery, Indiana University, Indianapolis, IN 46202, USASocial Profit Network Research Lab, New York, NY 10016, USADepartment of Otolaryngology, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Clinical and Biological Sciences, University of Torino, 10125 Torino, Italy<i>Objective</i>: Cachexia is a complex metabolic syndrome frequently occurring in cancer patients and exacerbated by chemotherapy. In skeletal muscle of cancer hosts, reduced oxidative capacity and low intracellular ATP resulting from abnormal mitochondrial function were described. <i>Methods</i>: The present study aimed at evaluating the ability of the mitochondria-targeted compound SS-31 to counteract muscle wasting and altered metabolism in C26-bearing (C26) mice either receiving chemotherapy (OXFU: oxaliplatin plus 5-fluorouracil) or not. <i>Results</i>: Mitochondrial dysfunction in C26-bearing (C26) mice associated with alterations of cardiolipin fatty acid chains. Selectively targeting cardiolipin with SS-31 partially counteracted body wasting and prevented the reduction of glycolytic myofiber area. SS-31 prompted muscle mitochondrial succinate dehydrogenase (SDH) activity and rescued intracellular ATP levels, although it was unable to counteract mitochondrial protein loss. Progressively increased dosing of SS-31 to C26 OXFU mice showed transient (21 days) beneficial effects on body and muscle weight loss before the onset of a refractory end-stage condition (28 days). At day 21, SS-31 prevented mitochondrial loss and abnormal autophagy/mitophagy. Skeletal muscle, liver and plasma metabolomes were analyzed, showing marked energy and protein metabolism alterations in tumor hosts. SS-31 partially modulated skeletal muscle and liver metabolome, likely reflecting an improved systemic energy homeostasis. <i>Conclusions</i>: The results suggest that targeting mitochondrial function may be as important as targeting protein anabolism/catabolism for the prevention of cancer cachexia. With this in mind, prospective multi-modal therapies including SS-31 are warranted.https://www.mdpi.com/2072-6694/13/4/850cancer cachexiamuscle wastingmitochondriaSS-31metabolomicsliver
spellingShingle Riccardo Ballarò
Patrizia Lopalco
Valentina Audrito
Marc Beltrà
Fabrizio Pin
Roberto Angelini
Paola Costelli
Angela Corcelli
Andrea Bonetto
Hazel H. Szeto
Thomas M. O’Connell
Fabio Penna
Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
Cancers
cancer cachexia
muscle wasting
mitochondria
SS-31
metabolomics
liver
title Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
title_full Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
title_fullStr Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
title_full_unstemmed Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
title_short Targeting Mitochondria by SS-31 Ameliorates the Whole Body Energy Status in Cancer- and Chemotherapy-Induced Cachexia
title_sort targeting mitochondria by ss 31 ameliorates the whole body energy status in cancer and chemotherapy induced cachexia
topic cancer cachexia
muscle wasting
mitochondria
SS-31
metabolomics
liver
url https://www.mdpi.com/2072-6694/13/4/850
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