Supraphysiologic Administration of GDF11 Induces Cachexia in Part by Upregulating GDF15
2018
Summary The age-related effects of
GDF11have been a subject of controversy. Here, we find that elevated
GDF11causes signs of
cachexiain mice: reduced food intake, body weight, and muscle mass.
GDF11also elicited a significant elevation in plasma Activin A, previously shown to contribute to the loss of skeletal muscle. The effects of
GDF11on skeletal muscle could be reversed by administration of antibodies to the Activin type II receptors. In addition to the effects on muscle,
GDF11increased plasma
GDF15, an
anorecticagent. The anorexia, but not the muscle loss, could be reversed with a
GDF15-
neutralizing antibody.
GDF15upregulation is due to
GDF11-induced recruitment of SMAD2/3 to the
GDF15promoter. Inhibition of
GDF15can restore appetite but cannot restore the
GDF11-induced loss of muscle mass, which requires blockade of ActRII signaling. These findings are relevant for treatment of
cachexia.
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