TABLE 1.
Author |
Animal/culture |
Cachexia markers |
Exercise training protocol |
Main results | |||
Species/lineage | Induction method | Type | Protocol | Volume/intensity | |||
Ballaro et al. (2019) | Female BALB/c mice | 5 × 105, C26 tumor cells | ↓ Total body mass ↓ Muscle mass ↓ Adipose tissue mass | Aerobic training | Moderate exercise on treadmill | Running speed by 11 m/min for 45 min | • Exercise-induced a decrease in muscle autophagy markers • Exercise improves mitochondrial mass and activity in skeletal muscle • Exercise reduces muscle gene expression of MuRF1 and Atrogin-1 |
Ranjbar et al. (2019) | Balb/c mice | 5 × 105 C26 carcinoma cells | ↓Body weight ↓Muscle weight ↓Functional capacity | Combined training | 1° Resistance Training (ladder protocol) and; 2° aerobic training (motorized Wheel), on the same day | 4 days/week, 4 weeks before and 11 days after tumor implantation RT - 3 sets of 2 repetitions at 50% of animal body weight AT - 25 min. 5–9 m/min speed | • Exercise does not restore body weight loss • Exercise does not prevent gastrocnemius loss but increase tibialis anterior weight • Training was able to reduce autophagy markers in muscle • Exercise does not decrease atrophy markers |
Alves et al. (2018) | C57BL/6 | 106 LLC cells | No control group was presented to indicate presence of cachexia | High-intensity interval training (HIIT) | Treadmill running | Each session consisted of 5 intervals of 3 min running at 18 m min–1 followed by 4 min running at 25 m min–1 | • Decrease on tumor size in tumor trained group • Increase on PDL1 and VEGF expression in tumor • Increase of survival |
Das Neves et al. (2016) | Wistar rats | 106, Walker 256 tumor cells injected in the bone marrow | Muscle atrophy, inflammatory markers (TNFα) | Resistance training (RT) | Hind limb (i.e., “squat-like” movement). Started after tumor injection with daily sessions for 15 days | 1–3 sets; 10–15 rep; 65% 1RM | • Cancer-induced not effect on total body mass • Muscle atrophy with no changes in RT group • No difference in atrophy markers • Loss of strength associated with decrease on survival |
Khamoui et al. (2016) | Female Balb/c mice | 5.0 × 105, C26 tumor cells | ↓ Total body mass, muscle and fat mass ↓ Physical function | Resistance and aerobic training | Training started 8 weeks before tumor injection and during 3 weeks after tumor injection RT was performed on a climb ladder AT in a motorized wheels | • RT—3 days per week, 5 sets of 3 repetitions with progressive loads • AT—60 min, 5 days per week. Speed between 5–6.5 m/min |
• RT and AT not restore total and lean or fat mass in C26 group •↑ In IGF-1 gene expression in muscle of RT-C26 and AT-C26 •↑ In Myogenin gene expression in muscle of RT-C26 group • No differences in physical function in trained groups |
Pigna et al. (2016) | Female BALB/c mice | Grafting of 0.5 mm3 fragment of colon carcinoma (C26) | ↓ Total body mass ↓ Muscle mass | Aerobic training | Wheel-running activity | Running for 20:59 ± 4:30 (h min) a day at Speed by 2.1 ± 0.1 (km/h) | • Increase in life span in wheel running C26-bearing mice • Exercise-induced muscle hypertrophy in C26-bearing mice • Exercise-induced a decrease in muscle autophagy markers • Exercise reduces muscle gene expression of MuRF1 and Atrogin-1 |
Pedersen et al. (2016) | Female C57BL/6 and NMRI-Foxn1nu mice | 2 × 105 B16F10 melanoma cells 2 × 105 LLC tumor cells | ↓Body weight ↑Inflammation | Running wheels | Voluntary running, started 4 weeks prior to tumor cell inoculation | Only total running distance was evaluated | • Running decrease tumor growth • Upregulation of pathways associated with immune function • Levels of epinephrine and IL-6 are related to tumor growth through mobilization of NK cells |
Pin et al. (2015) | Balb/C or C57BL/6 | 5 × 105 Colon26 or LLC cells | ↓ Muscle mass ↓ Physical function ↓Hematocrit content | Aerobic training | Treadmill Running, 5 days/week, 14 or 28 days after C26 or LLC implantation, respectively | Mice ran for 45 min at the speed of 14 m/min | • In the C26 hosts, acute exercise does not prevent muscle wasting • LLC hosts are responsive to exercise and their treatment with the EX-EPO combination prevents the loss of muscle strength • LLC EX-EPO group increases muscle oxidative capacity |
Donatto et al. (2013) | Wistar rats | Walker 256, 3 × 107 tumor cells | ↓ Total body mass ↓ Muscle mass inflammatory markers | Resistance training | 8 weeks of resistance training, with climbing sessions | Training sessions were 3–5 ladder climbs with 75, 90, and 100% of the rat’s previous maximal carrying capacity | • RT increased by 9% body weight gain in TB group • LDL-c levels were decreased with RT in TB group • HDL-c levels were increased with RT in TB group • IL-10/TNFα ratio was higher with RT in TB group • RT attenuate the protein content of IL-6 |
Lira et al. (2012) | Wistar rats | Walker-256 carcinosarcoma (2 × 107 cells/rat) | ↓Body weight | Aerobic training | 8 weeks of treadmill running | 15–60 min at 10 m/min. Intensity maintained between 60 and 65% VO2 max | • Training groups showed decrease on adipose tissue content; • Decrease on tumor size in tumor trained group • Exercise tumor group showed decrease of IL-6 MEAT content • Exercise tumor group showed decrease on IL-10/TNFα ratio in MEAT group • Decrease of macrophages infiltration on adipose tissue with training |
Penna et al. (2011) | C57BL/6 mice | 5 × 105 LLC cells | ↓ Muscle mass ↓ Adipose tissue mass | Aerobic training | Treadmill running | 14 m/min, 45 min, 5 days/week | • Exercise + EPA treatment attenuate muscle wasting • Exercise + EPA improve muscle strength • Exercise + EPA reduce tumor weight |
TNFα, Tumor Necrosis Factor-Alpha; RM, Maximal Repetition; RT, Resistance Training; AT, Aerobic Training; IGF-1, Insulin-Like Growth Factor-1; C26, Colon-26 Adenocarcinoma; MURF-1, Muscle RING-Finger Protein-1 (Murf1); ATROGIN-1, Muscle-Specific Ubiquitin Ligase; EPA, Eicosatetraenoic Acid; LLC, Lewis Lung Carcinoma; TB, Tumor Bearing Group; LDL, Low Density Lipoproteins; HDL, Hight Density Lipoproteins; IL-6, Interleukin Type 6; NK, Natural Killer Cells; PDL-1, Programmed Death-Ligand 1; VEGF, Vascular Endothelial Growth Factor.