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September 8, 2026International Journal of Molecular SciencesOpen Access

Cancer Cachexia in Advanced Renal Cell Carcinoma: From Molecular Mechanisms to Prognostic Assessment

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Authors

YCYushuang CuiYCYudong CaoCLChen Lin

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Overview

Review explores molecular pathways and prognostic biomarkers of cachexia in advanced renal cell carcinoma, highlighting personalized multimodal management strategies.

Key Points

  • To synthesize the biological mechanisms, prognostic assessment strategies, and therapeutic interventions for cancer cachexia in patients with advanced renal cell carcinoma.
  • Reviewed cellular and molecular pathways responsible for muscle catabolism, systemic inflammation, and metabolic reprogramming in renal cell carcinoma.
  • Evaluated the clinical utility of computed tomography body composition analysis combined with inflammatory and nutritional indices.
  • Examined current multimodal management paradigms, targeted pharmaceuticals, and emerging experimental therapies.
  • Cachexia occurs in 30% to 60% of patients with advanced renal cell carcinoma and is propagated by IL-6/STAT3, TNF-α/NF-κB, GDF15, PTHrP, and mitochondrial dysfunction.
  • Integrating computed tomography-measured skeletal muscle mass with inflammatory biomarkers—including NLR, mGPS, PNI, and CXI—enhances prognostic risk stratification.
  • Multimodal regimens combining nutritional support and exercise remain central to management, while novel targeted strategies like GDF15/GFRAL axis inhibition show therapeutic potential.

Cite This Study

Cui et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd83b58e84d0ff5b47acahttps://doi.org/10.3390/ijms27177944
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