Effect of Sipjeondaebo-tang on cancer-induced anorexia and cachexia in CT-26 tumor-bearing mice

Mediators Inflamm. 2014:2014:736563. doi: 10.1155/2014/736563. Epub 2014 May 14.

Abstract

Cancer-associated anorexia and cachexia are a multifactorial condition described by a loss of body weight and muscle with anorexia, asthenia, and anemia. Moreover, they correlate with a high mortality rate, poor response to chemotherapy, poor performance status, and poor quality of life. Cancer cachexia is regulated by proinflammatory cytokines such as interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1), and tumor necrosis factor- α (TNF- α). In addition, glucagon like peptide-1 (GIP-1), peptide YY (PYY), ghrelin, and leptin plays a crucial role in food intake. In this study, we investigated the therapeutic effects of one of the traditional herbal medicines, Sipjeondaebo-tang (Juzen-taiho-to in Japanese; SJDBT), on cancer anorexia and cachexia in a fundamental mouse cancer anorexia/cachexia model, CT-26 tumor-bearing mice. SJDBT was more significantly effective in a treatment model where it was treated after anorexia and cachexia than in a prevention model where it was treated before anorexia and cachexia on the basis of parameters such as weights of muscles and whole body and food intakes. Moreover, SJDBT inhibited a production of IL-6, MCP-1, PYY, and GLP-1 and ameliorated cancer-induced anemia. Therefore, our in vivo studies provide evidence on the role of SJDBT in cancer-associated anorexia and cachexia, thereby suggesting that SJDBT may be useful for treating cancer-associated anorexia and cachexia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anorexia / complications*
  • Anorexia / drug therapy
  • Body Weight
  • Cachexia / complications*
  • Cachexia / drug therapy
  • Cell Line, Tumor
  • Chemokine CCL2 / blood
  • Drugs, Chinese Herbal / pharmacology*
  • Ghrelin / blood
  • Glucagon-Like Peptide 1 / blood
  • Inflammation
  • Interleukin-6 / blood
  • Intestinal Mucosa / metabolism
  • Leptin / blood
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Muscles / pathology
  • Neoplasm Transplantation
  • Neoplasms / complications*
  • Neoplasms / drug therapy
  • Peptide YY / blood
  • Plant Preparations / pharmacology
  • Tumor Necrosis Factor-alpha / blood

Substances

  • Ccl2 protein, mouse
  • Chemokine CCL2
  • Drugs, Chinese Herbal
  • Ghrelin
  • Interleukin-6
  • Leptin
  • Plant Preparations
  • Tumor Necrosis Factor-alpha
  • juzentaihoto
  • Peptide YY
  • Glucagon-Like Peptide 1