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Cancer cachexia is a prevalent and often fatal wasting condition that cannot be fully reversed with nutritional interventions. Muscle atrophy is a central component of the syndrome, but the mechanisms whereby cancer leads to skeletal muscle atrophy are not well understood. We performed single-nucleus multi-omics on skeletal muscles from a mouse model of cancer cachexia and profiled the molecular changes in cachexic muscle. Our results revealed the activation of a denervation-dependent gene program that upregulates the transcription factor myogenin. Further studies showed that a myogenin-myostatin pathway promotes muscle atrophy in response to cancer cachexia. Short hairpin RNA inhibition of myogenin or inhibition of myostatin through overexpression of its endogenous inhibitor follistatin prevented cancer cachexia-induced muscle atrophy in mice. Our findings uncover a molecular basis of muscle atrophy associated with cancer cachexia and highlight potential therapeutic targets for this disorder.
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•KIC is a pancreatic cancer model manifesting severe cancer cachexia-induced muscle atrophy•Multi-omics analysis reveals activation of denervation-responsive and catabolic genes in KIC muscle•Inhibition of the myogenin-myostatin axis rescues muscle atrophy in KIC mice
In this study, Zhang et al. show that denervation-responsive and catabolic genes are induced in cachexic muscle from a genetic mouse model of pancreatic cancer. The activation of a myogenin-myostatin axis drives muscle atrophy in this model, and muscle atrophy can be rescued by inhibiting myogenin or myostatin.