Publications by authors named "Patricia Brum"

Despite advances in cancer treatment, current cancer incidence and prevalence still demand multimodal treatments to enhance survival and clinical outcomes. Drugs used in cardiology, such as β-blockers and statins have gained attention for their potential roles in oncology. This review focused on their possible complementary use in solid tumors, including breast, colorectal, lung, and prostate cancers.

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Purpose: This study investigated whether: 1) walking training (WT) changes cardiovascular load after walking until maximal intermittent claudication (IC) in patients with peripheral artery disease (PAD); and 2) acute and chronic cardiovascular responses to walking were related to each other.

Methods: A randomized, controlled, parallel-group design was employed. Thirty-two men with PAD and IC were randomly assigned to one of two groups: WT (n=16) or control (CO, n=16) twice a week for 12 weeks.

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This investigation aimed to determine the effects of 24 weeks of resistance training (RT) on cardiac function in older women. Seventy-three physically independent older women were selected for this investigation. Participants were randomized into a training group (TG, n = 38) and a control group (CG, n = 35).

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Background: Low physical performance is associated with higher mortality rate in multiple pathological conditions. Here, we aimed to determine whether body composition and physical performance could be prognostic factors in non-small cell lung cancer (NSCLC) patients. Moreover, we performed an exploratory approach to determine whether plasma samples from NSCLC patients could directly affect metabolic and structural phenotypes in primary muscle cells.

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Aerobic exercise training (AET) has emerged as a strategy to reduce cancer mortality, however, the mechanisms explaining AET on tumor development remain unclear. Tumors escape immune detection by generating immunosuppressive microenvironments and impaired T cell function, which is associated with T cell mitochondrial loss. AET improves mitochondrial content and function, thus we tested whether AET would modulate mitochondrial metabolism in tumor-infiltrating lymphocytes (TIL).

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Aim: To summarize current knowledge, gaps, quality of the evidence and show main results related to the role of the autonomic nervous system in lung cancer.

Methods: Studies were identified through electronic databases (PubMed, Scopus, Embase and Cochrane Library) in October 2023, and a descriptive analysis was performed. Twenty-four studies were included, and most were observational.

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Background: Even though doxorubicin (DOX) chemotherapy promotes intense muscle wasting, this drug is still widely used in clinical practice due to its remarkable efficiency in managing cancer. On the other hand, intense muscle loss during the oncological treatment is considered a bad prognosis for the disease's evolution and the patient's quality of life. In this sense, strategies that can counteract the muscle wasting induced by DOX are essential.

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We investigated the locomotor muscle metaboreflex control of ventilation, circulation, and dyspnea in patients with chronic obstructive pulmonary disease (COPD). Ten patients [forced expiratory volume in 1 second (FEV1; means ± SD) = 43 ± 17% predicted] and nine age- and sex-matched controls underwent ) cycling exercise followed by postexercise circulatory occlusion (PECO) to activate the metaboreflex or free circulatory flow to inactivate it, ) cold pressor test to interpret whether any altered reflex response was specific to the metaboreflex arc, and ) muscle biopsy to explore the metaboreflex arc afferent side. We measured airflow, dyspnea, heart rate, arterial pressure, muscle blood flow, and vascular conductance during reflexes activation.

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Exercise training reduces the incidence of several cancers, but the mechanisms underlying these effects are not fully understood. Exercise training can affect the spleen function, which controls the hematopoiesis and immune response. Analyzing different cancer models, we identified that 4T1, LLC, and CT26 tumor-bearing mice displayed enlarged spleen (splenomegaly), and exercise training reduced spleen mass toward control levels in two of these models (LLC and CT26).

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Endoplasmic reticulum stress (ER stress) affects many tissues and contributes to the development and severity of chronic diseases. In contrast, regular physical exercise (PE) has been considered a powerful tool to prevent and control several chronic diseases. The present systematic review aimed to evaluate the impact of different PE protocols on ER stress markers in central and peripheral tissues in rodents.

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Article Synopsis
  • Resistance exercise can raise serum steroid concentrations, which play a key role in muscle growth and other bodily functions, but this study specifically examined if these increases also happen in skeletal muscle itself.
  • The research involved six resistance-trained men performing specific exercises to induce hormonal responses, with blood and muscle samples taken before and after to measure various steroid levels.
  • Results showed that while cortisol levels in serum increased, there were no significant changes in muscle steroid concentrations, indicating that resistance-trained individuals may not respond to exercise stimuli the same way as others.
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Unlabelled: Altered sensitivity to the chronotropic and inotropic effects of catecholamines and reduction in β/β-adrenoceptor (β/β-AR) ratio were reported in failing and in senescent human heart, as well as in isolated atria and ventricle of rats submitted to stress. This was due to downregulation of β-AR with or without up-regulation of β-AR.

Aims: To investigate the stress-induced behavior of β-AR in the heart of mice expressing a non-functional β-AR subtype.

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Purpose: To investigate the mechanoreflex control of respiration and circulation in patients with chronic obstructive pulmonary disease (COPD).

Methods: Twenty-eight patients with moderate-to-severe COPD (mean ± SD: 67.0 ± 7.

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Patients with peripheral artery disease (PAD) have reduced muscle capillary density. Walking training (WT) is recommended for PAD patients. The goal of the study was to verify whether WT promotes angiogenesis in PAD-affected muscle and to investigate the possible role of miRNA-126 and the vascular endothelium growth factor (VEGF) angiogenic pathways on this adaptation.

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To determine the metabolic effects of cancer-conditioned media on myotube metabolism and to understand whether the variability of these effects is associated with cancer cachexia progression. We established single-cell clones from murine Lewis lung carcinoma (LLC) cells and generated conditioned media from each clonal line. Differentiated primary mouse myotubes were incubated with conditioned media derived from each individual clonal cell line.

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Article Synopsis
  • Hypothalamic interleukin-6 (IL6) activates the ERK1/2 pathway in the ventromedial hypothalamus, which promotes fatty acid oxidation in mouse skeletal muscle via AMPK/ACC signaling.
  • Bioinformatics analysis links the IL6/ERK1/2 pathway to fatty acid metabolism-related genes in both mice and humans, indicating its broad metabolic control.
  • The study shows that the α2-adrenergic pathway is necessary for IL6's effect on muscle metabolism, as blocking the IL6 receptor in the VMH disrupts exercise-induced fatty acid oxidation.
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Knockout (ko) mice for the β2 adrenoceptor (Adrβ2) have impaired skeletal muscle regeneration, suggesting that this receptor is important for muscle stem cell (satellite cell) function. Here, we investigated the role of Adrβ2 in the function of satellite cells from β2ko mice in the context of muscle regeneration, through in vivo and in vitro experiments. Immunohistochemical analysis showed a significant reduction in the number of self-renewed Pax7 satellite cells, proliferating Pax7/MyoD myogenic precursor cells, and regenerating eMHC myofibers in regenerating muscle of β2ko mice at 30, 3, and 10 days post-injury, respectively.

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Cancer cachexia is a multifactorial and devastating syndrome characterized by severe skeletal muscle mass loss and dysfunction. As cachexia still has neither a cure nor an effective treatment, better understanding of skeletal muscle plasticity in the context of cancer is of great importance. Although aerobic exercise training (AET) has been shown as an important complementary therapy for chronic diseases and associated comorbidities, the impact of AET on skeletal muscle mass maintenance during cancer progression has not been well documented yet.

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Article Synopsis
  • Many cancer patients remain inactive despite knowing the benefits of exercise, which include better quality of life and reduced cancer recurrence.
  • This study investigates a 16-week program for breast cancer survivors that combines supervised group exercise (canoeing) with lifestyle recommendations to boost physical activity.
  • The focus is on evaluating various outcomes like aerobic capacity, quality of life, and immune function among participants to determine the program's effectiveness.
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We investigated the effects of AET on myomiRs expression in the skeletal muscle and serum of colon cachectic (CT26) and breast non-cachectic (MMTV-PyMT) cancer mice models. Colon cancer decreased microRNA-486 expression, increasing PTEN in tibialis anterior muscle (TA), decreasing the PI3K/mTOR protein pathway, body and muscle wasting, fibers' cross-sectional area and muscle dysfunction, that were not preserved by AET. In contrast, breast cancer decreased those muscle functions, but were preserved by AET.

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Background: Although maximal and submaximal walking are recommended for patients with peripheral artery disease (PAD), performing these exercises may induce different physiological responses.

Objectives: To compare the acute effects of maximal and submaximal walking on post-exercise cardiovascular function, regulation, and associated pathophysiological processes in patients with symptomatic PAD.

Methods: Thirty male patients underwent 2 sessions: maximal walking (Gardner's protocol) and submaximal walking (15 bouts of 2 minutes of walking separated by 2 minutes of upright rest).

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  • The study examined how cancer cachexia affects oxidative post-translational modifications (Ox-PTMs) in two different muscle types (glycolytic vs. oxidative) in rats.
  • Researchers found muscle wasting primarily in the glycolytic plantaris muscle, with no significant changes in the oxidative soleus muscle in tumor-bearing rats.
  • The results indicated that cancer progression alters metabolic pathways, energy levels, and oxidative stress markers, highlighting that the type of muscle fiber influences how it responds to cancer-induced muscle atrophy.
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