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. 2021 Jul 19;13(14):3615. doi: 10.3390/cancers13143615

Table 1.

Experimental studies on the effect of exercise against chemotherapy-induced cachectic myopathy.

Study Animal Information Exercise Modality Chemotherapy Model Key Observations
Smuder et al.,
2011 [63]
6-month-old male Sprague-Dawley rats TR: F: 5 days; I: 30 m/min; D: 60 mins/day; T: 0° incline. 1 × IPI 20 mg/kg of DOX post-exercise. Harvest 24 h post-IPI.
TR normalised oxidative stress and damage, calpain activity and proteolysis of actin in SOL muscles.
Smuder et al.,
2011 [64]
6-month-old male Sprague-Dawley rats TR: F: 5 days; I: 30 m/min; D: 60 mins/day; T: 0° incline. 1 × IPI 20 mg/kg of DOX post-exercise. Harvest 24 h post-IPI. TR normalised autophagy activity in SOL muscles.
Bredahl et al.,
2016 [134]
Male Sprague-Dawley rats. Age not specified 1. TR with progressive overload: F: 5 days/week, for 10 weeks; I: 20 to 30 m/min; D: 20 to 60 min/day; T: incline 0 to 18°.
2. CHL: Progressive food and water elevation to stimulate voluntary bi-pedal standing or jumping [162].
1 × IPI 15 mg/kg of DOX post-exercise. Harvest 5 days post-IPI. TR was not protective against body mass loss and exacerbated EDL muscle mass loss.
RT did not alter body or skeletal muscle mass but prevented SOL contractile dysfunction.
Kavazis et al.,
2014 [135]
6-month-old male Sprague-Dawley rats TR: F: 5 days; I: 30 m/min; D: 60 mins/day; T: 0° incline. 1 × IPI 20 mg/kg of DOX post-exercise. Harvest 24 h post-IPI. TR normalised MuRF-1 and myostatin expression.
Mackay et al.,
2019 [136]
5-week-old male C57BL/6 mice TR: F: 5 days; I: 70% of maximal speed; D: 60 mins/day; T: 0° incline. 1 × IPI 15 mg/kg of DOX post-exercise. Harvest 72 h post-IPI. TR partially mitigated body mass loss. TR did not modulate DOX-induced iron dysregulation.
Morton et al.,
2019 [137]
6-month-old female Sprague-Dawley rats TR: F: 10 days; I: 30 m/min; D: 60 mins/day; T: 0° incline. 1 × IPI 20 mg/kg of DOX post-exercise. Harvest 48 h post-IPI. TR normalised DIA CSA, oxidative stress and reduced mitochondrial accumulation of DOX.
Huertas et al.,
2020 [138]
6-month-old female Sprague-Dawley rats TR: F: 5 days/week, for 2 weeks; I: 30 m/min; D: 60 mins/day; T: 0° incline. 1 × IPI 20 mg/kg of DOX post-exercise. Harvest 48 h post-IPI. TR normalised SOL dysfunction and the transcription of AChR isoforms, δ and γ.
Dickinson
et al., 2017
[140]
8-week-old ovariectomised female
Sprague–Dawley rats
TR with progressive overload: F: 5 days/week, for 7 weeks, starting 1-week pre-IPI and finishing 5 days post-IPI; I: 20 to 25 m/min; D: 30–40 min/day; T: 0 to 10° incline. 1 × IPI every 2 weeks, for 4 weeks of 4 mg/kg DOX. Harvested 5 days post-IPI. Normalised REDD1 expression. No effect on body mass or SOL muscle mass.
de Lima et al.,
2018 [141]
8–10-week-old male C57BL/6 mice TR: F: 5 days/week, for 6 weeks; I: 60% of maximal speed D: 60 mins/day; T: 0° incline. 2 × IPI per week for 6 weeks of 2.5 mg/kg DOX. Harvest not described relative to final IPI. TR did not mitigate glucose intolerance, reduced body or GSN mass or protein synthesis. However, TR normalised corticosterone levels, autophagy activity and ambulatory function.
Hojman
et al., 2014
[142]
8–12-week-old female NMRI mice VWR: VEH: 60–80 km/mouse/week; CDDP: 10–50 km/mouse/week. 1 × IPI per week of 4 mg/kg CDDP for 6 weeks. Harvest 7 days post final-IPI. VWR partially mitigated the loss of lean and TA mass and reduced atrogene expression. Did not protect against body or fat mass loss.
Sakai et al., 2017 [78] 8–9-week-old male C57BL/6 mice TR: F: once a day for 9 days–5 days/week pre-CDDP and 4 days/week during CDDP week; I: 15 m/min; D: 20 min/day; T: 0° incline. 1 × IPI 3 mg/kg CDDP daily for 4 days. Harvest 24 h post-IPI. TR did not alter body mass loss, but partially normalised QD mass and CSA, and atrogene expression.
de Lima et al.,
2020 [143]
8–10-week-old male C57BL/6 mice with LLC [163] TR: F: 5 days/week, for 2–3 weeks; I: 60% of maximal speed; D: 60 mins/day; T: 0° incline. 2 × IPI per week for 6 weeks of 2.5 mg/kg DOX. Harvest 24 h or 1-week post-IPI. TR did not alter body mass, but enhanced GSN re-growth, normalised inflammation and atrogene expression, and enhanced tumour volume reduction.
Ballaro et al.,
2019 [89]
6-week-old female Balb/c mice with c26 [164] MWR: F: once a day, with 3 days on followed by 1 day of rest for 4 weeks; I: 11 m/min; D: 45 mins/day; T: 0° incline. 1 × IPI per week of OXA 6 mg/kg and 5FU 50 mg/kg, for 3 weeks starting at day 7 of tumour implantation. Harvest 7 days post final IPI. MWR did not alter GSN mass, but normalised atrogene expression and mitochondrial perturbations.

Abbreviations: 5FU: 5-fluorouracil; AChR; acetylcholine receptor; c26: c26 adenocarcinoma model; CDDP: cis-diamminedichloroplatinum(II) (cisplatin); CHL: chronic hind-limb loading; CSA: cross-sectional area; DIA: diaphragm; DOX: doxorubicin; D: duration; EDL extensor digitorum longus; F: frequency; GSN: gastrocnemius; I: intensity; IPI: intraperitoneal injection; LLC: Lewis-lung carcinoma model; MWR: motorised wheel running; OXA: oxaliplatin; QD: quadriceps; REDD1: regulated in development and DNA damage response 1; SOL: soleus; T: type; TA: tibialis anterior; TR: treadmill running; VWR: voluntary wheel running.