NF-κB signaling drives rapid skeletal muscle atrophy in patients with breast cancer: the cost of fighting cancer with chemotherapy

By combining acute and chronic muscle biopsies from patients with breast cancer with complementary in vitro experiments, we determined that breast cancer chemotherapy triggers a rapid skeletal muscle atrophy driven by NF-κB activation and subsequent upregulation of the ubiquitin-proteasome system. Importantly, sulfasalazine fully prevented muscle atrophy by mitigating the imbalance in protein turnover, offering promising perspectives for clinical translation and improving patient prognosis.

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Publication Details

Journal
American Journal of Physiology-Cell Physiology
Published
2026-04-16
DOI
https://doi.org/10.1152/ajpcell.00148.2026
Primary Topic
Muscle Physiology and Disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

NF-κB signaling drives rapid skeletal muscle atrophy in patients with breast cancer: the cost of fighting cancer with chemotherapy

Fabien Moinard‐Butot, L. Debrut, Joris Mallard, Allan F. Pagano et al.
American Journal of Physiology-Cell Physiology
Muscle Physiology and Disorders
article

NF-κB signaling drives rapid skeletal muscle atrophy in patients with breast cancer: the cost of fighting cancer with chemotherapy

Fabien Moinard‐Butot, L. Debrut, Joris Mallard, Allan F. Pagano, Roland Schött, Fabrice Favret, Thomas J. Hureau, Anouk Charlot, Céline Keime, Elyse Hucteau, Pierre Coliat, X Pivot, Abdelmalek Bendjama, Lauréline Boutonnet, Laura Somme, Hervé Bischoff, Léo Weltzer, Alexandre Sharifi Tafreshi, Claudie Billand, Gilles LAVERNY
article en

Abstract

By combining acute and chronic muscle biopsies from patients with breast cancer with complementary in vitro experiments, we determined that breast cancer chemotherapy triggers a rapid skeletal muscle atrophy driven by NF-κB activation and subsequent upregulation of the ubiquitin-proteasome system. Importantly, sulfasalazine fully prevented muscle atrophy by mitigating the imbalance in protein turnover, offering promising perspectives for clinical translation and improving patient prognosis.

American Journal of Physiology-Cell PhysiologyVol. 330(5)
Université Claude Bernard Lyon 1 (FR), Levi Strauss (United States) (US), Université de Strasbourg (FR)
Good health and well-being
Openalex Percentile: Top 24%
Muscle Physiology and Disorders
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NF-κB signaling drives rapid skeletal muscle atrophy in patients with breast cancer: the cost of fighting cancer with chemotherapy — Fabien Moinard‐Butot, L. Debrut, et al. · American Journal of Physiology-Cell Physiology (2026) | TGRS Research Map | TGRS