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Functional liver genomics identifies hepatokines promoting wasting in cancer cachexia

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Item Type:Article
Title:Functional liver genomics identifies hepatokines promoting wasting in cancer cachexia
Creators Name:Kaltenecker, Doris, Fisker Schmidt, Søren, Weber, Peter, Loft, Anne, Morigny, Pauline, Machado, Juliano, Geppert, Julia, Saul, Kerstin Beate, Benedikt, Pia, Molocea, Claudia-Eveline, Scott, Rachel, Haase, Kerstin, Martignoni, Marc E., Alfaro, Ana Jimena, Chow, Kan Kau, Simoes, Estefania, Pinhata Otoch, José, Lima, Joanna D.C.C., Swanton, Charles, Spielmann, Nadine, Hrabé de Angelis, Martin, Elsner, Markus, Ertürk, Ali, Dyar, Kenneth A., Rohm, Maria, Prokopchuk, Olga, Jamal-Hanjani, Mariam, Seelaender, Marilia, Backs, Johannes, Herzig, Stephan and Berriel Diaz, Mauricio
Abstract:In cancer cachexia, the presence of a tumor triggers systemic metabolic disruption that leads to involuntary body weight loss and accelerated mortality in affected patients. Here, we conducted transcriptomic and epigenomic profiling of the liver in various weight-stable cancer and cancer cachexia models. An integrative multilevel analysis approach identified a distinct gene expression signature that included hepatocyte-secreted factors and the circadian clock component REV-ERBα as key modulator of hepatic transcriptional reprogramming in cancer cachexia. Notably, hepatocyte-specific genetic reconstitution of REV-ERBα in cachexia ameliorated peripheral tissue wasting. This improvement was associated with decreased levels of specific cachexia- controlled hepatocyte-secreted factors. These hepatokines promoted catabolism in multiple cell types and were elevated in cachectic cancer patients. Our findings reveal a mechanism by which the liver contributes to peripheral tissue wasting in cancer cachexia, offering perspectives for future therapeutic interventions.
Keywords:Cachexia, Genomics, Hepatocytes, Inbred C57BL Mice, Liver, Member 1 Group D Nuclear Receptor Subfamily 1, Neoplasms, Transcriptome, Animals, Mice
Source:Cell
ISSN:0092-8674
Publisher:Cell Press
Volume:188
Number:17
Page Range:4549-4566.e22
Date:21 August 2025
Official Publication:https://doi.org/10.1016/j.cell.2025.06.039
PubMed:View item in PubMed
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