Targeting of Fn14 Prevents Cancer-Induced Cachexia and Prolongs Survival

Cell. 2015 Sep 10;162(6):1365-78. doi: 10.1016/j.cell.2015.08.031.

Abstract

The cytokine TWEAK and its cognate receptor Fn14 are members of the TNF/TNFR superfamily and are upregulated in tumors. We found that Fn14, when expressed in tumors, causes cachexia and that antibodies against Fn14 dramatically extended lifespan by inhibiting tumor-induced weight loss although having only moderate inhibitory effects on tumor growth. Anti-Fn14 antibodies prevented tumor-induced inflammation and loss of fat and muscle mass. Fn14 signaling in the tumor, rather than host, is responsible for inducing this cachexia because tumors in Fn14- and TWEAK-deficient hosts developed cachexia that was comparable to that of wild-type mice. These results extend the role of Fn14 in wound repair and muscle development to involvement in the etiology of cachexia and indicate that Fn14 antibodies may be a promising approach to treat cachexia, thereby extending lifespan and improving quality of life for cancer patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Atrophy / drug therapy
  • Cachexia / drug therapy*
  • Cachexia / pathology
  • Cell Death
  • Colonic Neoplasms / drug therapy
  • Cytokine TWEAK
  • Female
  • Humans
  • Lung Neoplasms / drug therapy
  • Mice
  • Mice, Inbred BALB C
  • Molecular Sequence Data
  • Muscle Development
  • Neoplasms / metabolism
  • Neoplasms / pathology*
  • Receptors, Tumor Necrosis Factor / antagonists & inhibitors*
  • Receptors, Tumor Necrosis Factor / chemistry
  • Receptors, Tumor Necrosis Factor / metabolism
  • Sequence Alignment
  • Signal Transduction
  • TWEAK Receptor
  • Tumor Necrosis Factors / metabolism

Substances

  • Antibodies, Monoclonal
  • Cytokine TWEAK
  • Receptors, Tumor Necrosis Factor
  • TNFRSF12A protein, human
  • TWEAK Receptor
  • Tnfrsf12a protein, mouse
  • Tnfsf12 protein, mouse
  • Tumor Necrosis Factors