Increased expression of phosphorylated forms of RNA-dependent protein kinase and eukaryotic initiation factor 2α may signal skeletal muscle atrophy in weight-losing cancer patients
2008

Increased PKR and eIF2α in Muscle of Cancer Patients

Sample size: 29 publication Evidence: moderate

Author Information

Author(s): Eley H L, Skipworth R J E, Deans D A C, Fearon K C H, Tisdale M J

Hypothesis

Are phosphorylated forms of PKR and eIF2α important in muscle wasting in cancer patients?

Conclusion

Phosphorylation of PKR may be a key initiator of muscle wasting in cancer patients.

Supporting Evidence

  • Phosphorylation of PKR was significantly enhanced in muscle of cancer patients with weight loss.
  • There was a linear relationship between phosphorylation of PKR and eIF2α.
  • Myosin levels decreased as weight loss increased.

Takeaway

Cancer patients who are losing weight have higher levels of certain proteins in their muscles that may cause muscle loss.

Methodology

Muscle biopsies were taken from cancer patients and healthy controls to measure levels of phosphorylated PKR and eIF2α.

Limitations

The study only included patients with oesophago-gastric cancer and may not be generalizable to other types of cancer.

Participant Demographics

{"cancer_patients":{"number":29,"sex":{"male":13,"female":2},"age_range":"49-83"},"healthy_controls":{"number":10,"sex":{"male":9,"female":1},"age_range":null}}

Statistical Information

P-Value

0.005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604150

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