Harnessing the Systemic Biology of Functional Decline and Cachexia to Inform more Holistic Therapies for Incurable Cancers

Author:

Willbanks Amber1,Seals Mina1,Karmali Reem23,Roy Ishan1234ORCID

Affiliation:

1. Shirley Ryan AbilityLab, Chicago, IL 60611, USA

2. Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA

3. Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA

4. Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL 60611, USA

Abstract

Options for treatment of incurable cancer remain scarce and are largely focused on limited therapeutic mechanisms. A new approach specific to advanced cancers is needed to identify new and effective treatments. Morbidity in advanced cancer is driven by functional decline and a number of systemic conditions, including cachexia and fatigue. This review will focus on these clinical concepts, describe our current understanding of their underlying biology, and then propose how future therapeutic strategies, including pharmaceuticals, exercise, and rehabilitation, could target these mechanisms as an alternative route to addressing incurable cancer.

Funder

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Reference197 articles.

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