Perceive Symptom-Related Barriers to Eating and Associated Quality of Life in Head and Neck Cancer Survivors

Background: Head and neck cancer (HNC) survivors experience significant symptom burden as a result of tumor location and treatment received. These symptoms may negatively impact quality of life (QOL) and compromise dietary intake into the post-treatment survivorship phase. Few studies have examined how symptoms are associated with quality of life in HNC survivors beyond the acute phase of care. Purpose: The objective of this research was to examine associations between perceived symptom-related barriers to eating and quality of life (QOL) in post-treatment head and neck cancer (HNC) survivors who participated in a dietary intervention trial. Methods: This was an exploratory analysis of 23 post-treatment HNC survivors who had previously participated in a 12-week randomized dietary intervention trial to assess the feasibility of increasing cruciferous (CV) and green leafy vegetable (GLV) intake. For this analysis, both treatment groups were combined into one. Participants completed a pre-intervention survey that assessed HNC-specific QOL (FACT-HN) and ranked self-perceived symptom-related barriers to eating on a 5-point Likert scale (1 = “never” to 5 = “very often”). A summary score for all symptom-related barriers was computed (maximum of 80 points) and Pearson correlations between the summary score and QOL were examined. Pearson correlations were also examined between scores for individual symptom-related barriers and QOL. Results: A lower symptom-related barrier summary score was significantly correlated with improved physical, emotional, and functional QOL (p < 0.01 for all). Lower individual symptom-related barrier scores for dry mouth, food does not taste good, feeling full too quickly, choking, phlegm production in mouth, difficulty swallowing, and lack of appetite were significantly associated with improved physical QOL (p < 0.05 for all). Symptom-related barrier summary score was not correlated with overall QOL. Conclusions: In this analysis of post-treatment HNC survivors, the degree of perceived symptom related barriers was associated with reduced QOL in several domains. Many individual perceived symptom related barriers were positively correlated with the physical domain of QOL. Although this was a small and exploratory secondary data analysis, these results suggest that perceived symptom related barriers and reduced QOL may be unmet needs in this survivor population and a larger study is warranted. Funding for the original study was provided by a NIH/NCI Cancer Prevention and Control Training Grant: R25 CA047888 and a Research Enhancement Project Grant from the University of Alabama at Birmingham Center for Palliative and Supportive Care.NIH/NCI Cancer Prevention and Control Training GrantR25 CA047888Research Enhancement Project Grant from the University of Alabama at Birmingham Center for Palliative and Supportive CareOpe

RESPONSE OF VIMENTIN TO MECHANICAL OVERLOAD INDUCED SKELETAL MUSCLE HYPERTROPHY

BACKGROUND: Vimentin (VIM) is an intermediate filament that plays a key role in development and regeneration of various tissue types, however the role of VIM during skeletal muscle hypertrophy, to our knowledge has not been fully elucidated. Therefore, the purpose of this study was to determine the role and response of VIM following mechanical overload (MOV) induced skeletal muscle hypertrophy. METHODS: C57BL/6 mice (age 4mo) were subjected to 10 or 20 days of synergist ablation to induce overload of the plantaris muscle, time matched sham surgery mice served as controls. Following overload, the plantaris was removed and either sectioned for immunohistochemistry (IHC) or placed in Trizol for RNA/protein isolation. VIM expression was examined via RT-qPCR, western blotting, and IHC. To examine expression of VIM in stromal cells occupying the muscle environment, the Tabula Muris single cell transcriptome data set was used for stromal cell target selection, and IHC was performed to examine co-expression of stromal cells and VIM (area of VIM per stromal cell) in response to overload. Data were checked for normality via Shapiro-Wilks tests and one-way ANOVAs were performed with Tukey post-hoc tests. Western blotting data and RT-qPCR data were normalized to sham mice and IHC derived data were expressed as a percentage. RESULTS: VIM mRNA and protein expression was significantly upregulated following 10 and 20 days of MOV (p\u3c0.001). Cross-sectional muscle area occupied by VIM and VIM area per fiber significantly increased following 10 and 20 days of MOV (p\u3c0.001). Based on the Tabula Muris data set, mesenchymal stem cells (e.g. fibro-adipogenic progenitors; FAPs), satellite cells, and macrophages presented the highest expression of VIM in skeletal muscle in the basal state. Area of VIM per stromal cell with satellite cells, FAPs (FAPs), and macrophages increased following 10 and 20 days of MOV (p=0.0012, p\u3c0.001, and p\u3c0.001, respectively). Interestingly, area of VIM per fibroblast did not significantly change following 10 or 20 days of MOV (p=0.581). CONCLUSION: VIM expression is upregulated following MOV induced skeletal muscle hypertrophy. Furthermore, VIM is co-expressed with various stromal cells, and appears to be predominantly produced by fibroblast in response to overload

A case–control study of the association between the gut microbiota and colorectal cancer: exploring the roles of diet, stress, and race

Abstract Background The gut microbiota is associated with risk for colorectal cancer (CRC), a chronic disease for which racial disparities persist with Black Americans having a higher risk of CRC incidence and mortality compared to other groups. Given documented racial differences, the gut microbiota may offer some insight into previously unexplained racial disparities in CRC incidence and mortality. A case–control analysis comparing 11 women newly diagnosed with CRC with 22 cancer-free women matched on age, BMI, and race in a 1:2 ratio was conducted. Information about participants’ diet and perceived stress levels were obtained via 24-h Dietary Recall and Perceived Stress Scale-10 survey, respectively. Participants provided stool samples from which microbial genomic DNA was extracted to reveal the abundance of 26 genera chosen a priori based on their previously observed relevance to CRC, anxiety symptoms, and diet. Results Significantly lower alpha diversity was observed among cancer-free Black women compared to all other race-cancer status combinations. No group differences were observed when comparing beta diversity. Non-Hispanic White CRC cases tended to have higher relative abundance of Fusobacteria, Gemellaceae, and Peptostreptococcus compared to all other race-cancer combination groups. Perceived stress was inversely associated with alpha diversity and was associated with additional genera. Conclusions Our findings suggest that microbiome-CRC associations may differ by racial group. Additional large, racially diverse population-based studies are needed to determine if previously identified associations between characteristics of the gut microbiome and CRC are generalizable to Black women and other racial, ethnic, and gender groups

Effects of Resistance Training on the Redox Status of Skeletal Muscle in Older Adults

The aim of this study was to investigate the effects of resistance training (RT) on the redox status of skeletal muscle in older adults. Thirteen males aged 64 ± 9 years performed full-body RT 2x/week for 6 weeks. Muscle biopsies were obtained from the vastus lateralis prior to and following RT. The mRNA, protein, and enzymatic activity levels of various endogenous antioxidants were determined. In addition, skeletal muscle 4-hydroxynonenal and protein carbonyls were determined as markers of oxidative damage. Protein levels of heat shock proteins (HSPs) were also quantified. RT increased mRNA levels of all assayed antioxidant genes, albeit protein levels either did not change or decreased. RT increased total antioxidant capacity, catalase, and glutathione reductase activities, and decreased glutathione peroxidase activity. Lipid peroxidation also decreased and HSP60 protein increased following RT. In summary, 6 weeks of RT decreased oxidative damage and increased antioxidant enzyme activities. Our results suggest the older adult responses to RT involve multi-level (transcriptional, post-transcriptional, and post-translational) control of the redox status of skeletal muscle

Effects of Resistance Training on the Redox Status of Skeletal Muscle in Older Adults

The aim of this study was to investigate the effects of resistance training (RT) on the redox status of skeletal muscle in older adults. Thirteen males aged 64 ± 9 years performed full-body RT 2x/week for 6 weeks. Muscle biopsies were obtained from the vastus lateralis prior to and following RT. The mRNA, protein, and enzymatic activity levels of various endogenous antioxidants were determined. In addition, skeletal muscle 4-hydroxynonenal and protein carbonyls were determined as markers of oxidative damage. Protein levels of heat shock proteins (HSPs) were also quantified. RT increased mRNA levels of all assayed antioxidant genes, albeit protein levels either did not change or decreased. RT increased total antioxidant capacity, catalase, and glutathione reductase activities, and decreased glutathione peroxidase activity. Lipid peroxidation also decreased and HSP60 protein increased following RT. In summary, 6 weeks of RT decreased oxidative damage and increased antioxidant enzyme activities. Our results suggest the older adult responses to RT involve multi-level (transcriptional, post-transcriptional, and post-translational) control of the redox status of skeletal muscle

Additional file 1 of A case–control study of the association between the gut microbiota and colorectal cancer: exploring the roles of diet, stress, and race

Additional file 1: Table S1. Number of reads per sample

The effects of resistance training with or without peanut protein supplementation on skeletal muscle and strength adaptations in older individuals

Several studies suggest resistance training (RT) while supplementing with various protein supplements can enhance strength and muscle mass in older individuals. However, to date, no study has examined the effects of RT with a peanut protein powder (PP) supplement on these outcomes. Herein, 39 older, untrained individuals (n = 17 female, n = 22 male; age = 58.6 ± 8.0 years; body mass index =28.7 ± 5.8) completed a 6-week (n = 22) or 10-week (n = 17) RT program, where full-body training was implemented twice weekly (ClinicalTrials.gov trial registration NCT04015479; registered July 11, 2019). Participants in each program were randomly assigned to consume either a PP supplement once per day (75 total g powder providing 30 g protein, > 9.2 g essential amino acids, ~ 315 kcal; n = 20) or no supplement (CTL; n = 19). Right leg vastus lateralis (VL) muscle biopsies were obtained prior to and 24 h following the first training bout in all participants to assess the change in myofibrillar protein synthetic rates (MyoPS) as measured via the deuterium-oxide (D2O) tracer method. Pre- and Post-intervention testing in all participants was conducted using dual energy x-ray absorptiometry (DXA), VL ultrasound imaging, a peripheral quantitative computed tomography (pQCT) scan at the mid-thigh, and right leg isokinetic dynamometer assessments. Integrated MyoPS rates over a 24-h period were not significantly different (p < 0.05) between supplement groups following the first training bout. Regarding chronic changes, there were no significant supplement-by-time interactions in DXA-derived fat mass, lean soft tissue mass or percent body fat between supplementation groups. There was, however, a significant increase in VL thickness in PP versus CTL participants when the 6- and 10-week cohorts were pooled (interaction p = 0.041). There was also a significant increase in knee flexion torque in the 10-week PP group versus the CTL group (interaction p = 0.032). In conclusion, a higher-protein, defatted peanut powder supplement in combination with RT positively affects select markers of muscle hypertrophy and strength in an untrained, older adult population. Moreover, subanalyses indicated that gender did not play a role in these adaptations