Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions

Abstract Sarcopenia is defined as a muscle‐wasting syndrome that occurs with accelerated aging, while cachexia is a severe wasting syndrome associated with conditions such as cancer and immunodeficiency disorders, which cannot be fully addressed through conventional nutritional supplementation. Sarc...

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Main Authors: Tiantian Wang, Dong Zhou, Zhen Hong
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:MedComm
Subjects:
Online Access:https://doi.org/10.1002/mco2.70030
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author Tiantian Wang
Dong Zhou
Zhen Hong
author_facet Tiantian Wang
Dong Zhou
Zhen Hong
author_sort Tiantian Wang
collection DOAJ
description Abstract Sarcopenia is defined as a muscle‐wasting syndrome that occurs with accelerated aging, while cachexia is a severe wasting syndrome associated with conditions such as cancer and immunodeficiency disorders, which cannot be fully addressed through conventional nutritional supplementation. Sarcopenia can be considered a component of cachexia, with the bidirectional interplay between adipose tissue and skeletal muscle potentially serving as a molecular mechanism for both conditions. However, the underlying mechanisms differ. Recognizing the interplay and distinctions between these disorders is essential for advancing both basic and translational research in this area, enhancing diagnostic accuracy and ultimately achieving effective therapeutic solutions for affected patients. This review discusses the muscle microenvironment's changes contributing to these conditions, recent therapeutic approaches like lifestyle modifications, small molecules, and nutritional interventions, and emerging strategies such as gene editing, stem cell therapy, and gut microbiome modulation. We also address the challenges and opportunities of multimodal interventions, aiming to provide insights into the pathogenesis and molecular mechanisms of sarcopenia and cachexia, ultimately aiding in innovative strategy development and improved treatments.
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spelling doaj-art-6eeee6df41df403da4a66c4f798646622025-01-20T01:45:44ZengWileyMedComm2688-26632025-01-0161n/an/a10.1002/mco2.70030Sarcopenia and cachexia: molecular mechanisms and therapeutic interventionsTiantian Wang0Dong Zhou1Zhen Hong2Department of Neurology West China Hospital of Sichuan University Chengdu Sichuan ChinaDepartment of Neurology West China Hospital of Sichuan University Chengdu Sichuan ChinaDepartment of Neurology West China Hospital of Sichuan University Chengdu Sichuan ChinaAbstract Sarcopenia is defined as a muscle‐wasting syndrome that occurs with accelerated aging, while cachexia is a severe wasting syndrome associated with conditions such as cancer and immunodeficiency disorders, which cannot be fully addressed through conventional nutritional supplementation. Sarcopenia can be considered a component of cachexia, with the bidirectional interplay between adipose tissue and skeletal muscle potentially serving as a molecular mechanism for both conditions. However, the underlying mechanisms differ. Recognizing the interplay and distinctions between these disorders is essential for advancing both basic and translational research in this area, enhancing diagnostic accuracy and ultimately achieving effective therapeutic solutions for affected patients. This review discusses the muscle microenvironment's changes contributing to these conditions, recent therapeutic approaches like lifestyle modifications, small molecules, and nutritional interventions, and emerging strategies such as gene editing, stem cell therapy, and gut microbiome modulation. We also address the challenges and opportunities of multimodal interventions, aiming to provide insights into the pathogenesis and molecular mechanisms of sarcopenia and cachexia, ultimately aiding in innovative strategy development and improved treatments.https://doi.org/10.1002/mco2.70030cachexiamoleculespathogenesissarcopeniatargeted therapy
spellingShingle Tiantian Wang
Dong Zhou
Zhen Hong
Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
MedComm
cachexia
molecules
pathogenesis
sarcopenia
targeted therapy
title Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
title_full Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
title_fullStr Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
title_full_unstemmed Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
title_short Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions
title_sort sarcopenia and cachexia molecular mechanisms and therapeutic interventions
topic cachexia
molecules
pathogenesis
sarcopenia
targeted therapy
url https://doi.org/10.1002/mco2.70030
work_keys_str_mv AT tiantianwang sarcopeniaandcachexiamolecularmechanismsandtherapeuticinterventions
AT dongzhou sarcopeniaandcachexiamolecularmechanismsandtherapeuticinterventions
AT zhenhong sarcopeniaandcachexiamolecularmechanismsandtherapeuticinterventions