Human cachexia induces changes in mitochondria, autophagy and apoptosis in the skeletal muscle

Cachexia is a wasting syndrome characterized by the continuous loss of skeletal muscle mass due to imbalance between protein synthesis and degradation, which is related with poor prognosis and compromised quality of life. Dysfunctional mitochondria are associated with lower muscle strength and muscle atrophy in cancer patients, yet poorly described in human cachexia. We herein investigated mitochondrial morphology, autophagy and apoptosis in the skeletal muscle of patients with gastrointestinal cancer-associated cachexia (CC), as compared with a weight-stable cancer group (WSC). CC showed prominent weight loss and increased circulating levels of serum C-reactive protein, lower body mass index and decreased circulating hemoglobin, when compared to WSC. Electron microscopy analysis revealed an increase in intermyofibrillar mitochondrial area in CC, as compared to WSC. Relative gene expression of Fission 1, a protein related to mitochondrial fission, was increased in CC, as compared to WSC. LC3 II, autophagy-related (ATG) 5 and 7 essential proteins for autophagosome formation, presented higher content in the cachectic group. Protein levels of phosphorylated p53 (Ser46), activated caspase 8 (Asp384) and 9 (Asp315) were also increased in the skeletal muscle of CC. Overall, our results demonstrate that human cancer-associated cachexia leads to exacerbated muscle-stress response that may culminate in muscle loss, which is in part due to disruption of mitochondrial morphology, dysfunctional autophagy and increased apoptosis. To the best of our knowledge, this is the first report showing quantitative morphological alterations in skeletal muscle mitochondria in cachectic patients

Sulodexide counteracts endothelial dysfunction induced by metabolic or non-metabolic stresses through activation of the autophagic program

OBJECTIVE: Endothelial dysfunction (ED) predisposes to venous thrombosis (VT) and post-thrombotic syndrome (PTS), a long-term VT-related complication. Sulodexide (SDX) is a highly purified glycosaminoglycan with antithrombotic, pro-fibrinolytic and anti-inflammatory activity used in the treatment of chronic venous disease (CVD), including patients with PTS. SDX has recently obtained clinical evidence in the “extension therapy” after initial-standard anticoagulant treatment for the secondary prevention of recurrent deep vein thrombosis (DVT). Herein, we investigated how SDX counteracts ED. MATERIALS AND METHODS: Human umbilical vein endothelial cells (HUVEC) were used. Metabolic and non metabolic-induced ED was induced by treating with methylglyoxal (MGO) or irradiation (IR), respectively. Bafilomycin A1 was used to inhibit autophagy. The production of reactive oxygen species (ROS), tetrazolium bromide (MTT) assay for cell viability, terminal de-oxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay for cell apoptosis, Real-time PCR and Western blot analysis for gene and protein expression were used. RESULTS: SDX protected HUVEC from MGO- or IR-induced apoptosis by counteracting the activation of the intrinsic and extrinsic caspase cascades. The cytoprotective effects of SDX resulted from a reduction in a) ROS production, b) neo-synthesis and release of pro-inflammatory cytokines (TNFα, IL1, IL6, IL8), c) DNA damage induced by MGO or IR. These effects were reduced when autophagy was inhibited. CONCLUSIONS: Data herein collected indicate the ability of SDX to counteract ED induced by metabolic or non-metabolic stresses by involving the intracellular autophagy pathway. Our experience significantly increases the knowledge of the mechanisms of action of SDX against ED and supports the use of SDX in the treatment of CVD, PTS and in the secondary prevention of recurrent DVT

Symmetric Points in the Landscape as Cosmological Attractors

In the landscape, if there is to be any prospect of scientific prediction, it is crucial that there be states which are distinguished in some way. The obvious candidates are states which exhibit symmetries. Here we focus on states which exhibit discrete symmetries. Such states are rare, but one can speculate that they are cosmological attractors. We investigate the problem in model landscapes and cosmologies which capture some of the features of candidate flux landscapes. In non-supersymmetric theories we find no evidence that such states might be cosmologically favored. In supersymmetric theories, simple arguments suggest that states which exhibit $R$ symmetries might be. Our considerations lead us to raise questions about some popular models of eternal inflation.Comment: 27 pages, latex, minor typo correcte

On a modular property of N=2 superconformal theories in four dimensions

In this note we discuss several properties of the Schur index of N=2 superconformal theories in four dimensions. In particular, we study modular properties of this index under SL(2,Z) transformations of its parameters.Comment: 23 page, 2 figure

Fast Scramblers Of Small Size

We investigate various geometrical aspects of the notion of `optical depth' in the thermal atmosphere of black hole horizons. Optical depth has been proposed as a measure of fast-crambling times in such black hole systems, and the associated optical metric suggests that classical chaos plays a leading role in the actual scrambling mechanism. We study the behavior of the optical depth with the size of the system and find that AdS/CFT phase transitions with topology change occur naturally as the scrambler becomes smaller than its thermal length. In the context of detailed AdS/CFT models based on D-branes, T-duality implies that small scramblers are described in terms of matrix quantum mechanics.Comment: 14 pages, 3 figures. Added reference

Exploring Curved Superspace

We systematically analyze Riemannian manifolds M that admit rigid supersymmetry, focusing on four-dimensional N=1 theories with a U(1)_R symmetry. We find that M admits a single supercharge, if and only if it is a Hermitian manifold. The supercharge transforms as a scalar on M. We then consider the restrictions imposed by the presence of additional supercharges. Two supercharges of opposite R-charge exist on certain fibrations of a two-torus over a Riemann surface. Upon dimensional reduction, these give rise to an interesting class of supersymmetric geometries in three dimensions. We further show that compact manifolds admitting two supercharges of equal R-charge must be hyperhermitian. Finally, four supercharges imply that M is locally isometric to M_3 x R, where M_3 is a maximally symmetric space.Comment: 39 pages; minor change

Correction to: The first-in-class alkylating deacetylase inhibitor molecule tinostamustine shows antitumor effects and is synergistic with radiotherapy in preclinical models of glioblastoma

The original article contained an error whereby Fig. 4 displayed incorrect magnification scales. This has now been corrected, and can be seen ahead and in the original article