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Program
Thursday, 8th December, 2005

14.00 – 16.00

A. An introduction to cachexia and anorexia

1. Cachexia in the centuries
Josef Fischer, Boston, MA, USA

2. Cachexia: prevalence and impact in medicine
Claude Pichard, Geneva, Switzerland

3. Anorexia: prevalence and impact in medicine
Michael Meguid, Syracuse, NY, USA

4. Health Care expenditure due to cachexia and cost of therapy
Wayne Levy, Seattle, WA, USA

5. Authority approved and guideline confirmed therapies of cachexia
Charles Loprinzi, Rochester, MN, USA

16.30 – 18.30

B. What is cachexia and what is it not

Discussants:
Stefan Anker, Berlin, Germany
William Evans, Little Rock, AR, USA
John Morley, St. Louis, MI, USA
Annemie Schols, Maastricht, The Netherlands


6. Weight loss in ageing – sarcopenia is not cachexia ?!
David Thomas, St. Louis, MI, USA

7. Muscle wasting without weight loss: the case of rheumatoid arthritis
TBA

8. The most important feature of cachexia is inflammation
TBA

9. The hallmark of cachexia is weight loss
TBA

General discussion

From 21.00
Faculty Dinner

Friday, 9th December, 2005


09.00 – 11.00

C. Common factors and mechanisms in cachexia

10. Pathophysiology of changes in energy intake in chronic illness
TBA

11. Pathophysiology of changes in energy expenditure in chronic illness
Steven Heymsfield, New York, NY, USA

12. Disuse atrophy vs. muscle wasting
Susan Kandarian, Boston, MA, USA

13. Lipolysis in chronic illness: pathophysiology and clinical implication
Peter Arner, Stockholm, Sweden

14. Hormones, cytokines and free radicals
Josep Argiles, Barcelona, Spain

11.30 – 13.00

D. BASIC TRACK:
Mechanisms of muscle wasting


15. Muscular catabolic pathways
Vickie Baracos, Edmonton, Canada

16. Impaired muscle anabolism
Denis Guttridge, Columbus, OH, USA

17. Neural control of lean body mass
Antonio Musarò, Rome, ITA

18. Regulation of muscle mass by myostatin
Roger Hill, Groton, CT, USA

E. CLINICAL TRACK:
Symptoms and comorbidities of patients with cachexia: pathophysiology and clinical impact


19. Muscle fatigue and weakness
Andrew Clark, Hull, UK

20. Shortness of breath
Andrew Coats, Sydney, Australia

21. Anorexia
Filippo Rossi Fanelli, Rome, Italy

22. Depression
Mauro Mauri, Pisa, Italy

23. The importance of anemia, hyperuricemia and insulin resistance
Wolfram Doehner, Berlin, Germany

14.30 – 16.00

F. BASIC TRACK:
Pathophysiology of tissue wasting


24. Ubistatins
Raymond Deshaies, Pasadena, CA, USA

25. Hormone resistance syndromes
Christian J. Strasburger, Berlin, Germany

26. Leptin, Ghrelin, PYY and beyond
Matthias Tschöp, Cincinnati, OH, USA

27. Innate immunity in cachexia
Ralf Schumann, Berlin, Germany

28. Males/females: does it make a difference?
Nori Geary, Zurich, Switzerland

G. CLINICAL TRACK:
The clinical approach


29. Cachexia in COPD
Annemie Schols, Maastricht, The Netherlands

30. Cachexia in chronic heart failure
Piotr Ponikowski, Wroclaw, Poland

31. Cachexia in renal failures
William Mitch, Galveston, TX, USA

32. Cachexia in chronc liver failure
TBA

33. Lessons on cachexia in CHF and COPD from large-scale trials
TBA

17.00 – 18.45

H. Therapeutic options in cachexia – the present

34. Key note lecture: Growth hormone
Ezio Ghigo, Turin, Italy

35. Appetite stimulants
William Evans, Little Rock, AR, USA

36. AIDS-related cachexia
TBA

37. Intensive nutritional counselling
Paula Ravasco, Lisbon, Portugal

38. Anabolic steroids
Kathleen Mulligan, San Francisco, CA, USA

From 19.30
Anti-cachexia Dinner
Dinner Talk: Baroque in Rome
Kenneth Fearon, Edinburgh, UK

Saturday, 10th December, 2005


09.00 – 11.00

I. Therapeutic options in cachexia – current studies and concepts

39. EPA in cachexia
Attilio Giacosa, Genova, Italy

40. IGF-I et al.
Ross Clark, Auckland, New Zealand

41. Gene therapy trials
Jeffrey Chamberlain, Seattle, WA, USA

DEBATE: Should the focus be on gaining muscle tissue?

42. PRO: Only muscle tissue counts!
Maurizio Muscaritoli, Rome, Italy

43. CONTRA: Increasing fat mass is at least as important!
John Morley, St. Louis, MI, USA

11.30 – 13.00

K. BASIC TRACK:
Cell death and recovery – therapeutic implications


44. Targeting muscular catabolic pathways
Paola Costelli, Turin, Italy

45. The role of apoptosis in catabolism
Marco Sandri, Padua, Italy

46. Ubiquitination vs. ubiquitin-independent proteolysis
Didier Attaix, Clermont-Ferrand, France

47. The role of cytokines
Lyle Moldawer, Gainesville, FL, USA

L. CLINICAL TRACK:
Cancer cachexia


48. Pathophysiology of cancer cachexia – much more than host-tumor-interaction
Kenneth Fearon, Edinburgh, UK

49. Approved therapies for cancer cachexia: a critical review
Maurizio Bossola, Rome, Italy

50. Integrated artificial nutrition
Kent Lundholm, Göteborg, Sweden

51. Update on clinical trials in cancer cachexia
Florian Strasser, Zurich, Switzerland

14.30 – 16.00

M. BASIC TRACK:
Treatment approaches closer to reality


52. Targeting cytokines – why and how?
Hans-Dieter Volk, Berlin, Germany

53. Targeting the ubiquitination pathway
David Glass, Tarrytown, NY, USA

54. Ghrelin and ghrelin analogues
Michael D. Culler, Paris, France

55. Myostatin antibodies
TBA

N. CLINICAL TRACK:
Anorexia and appetite stimulation


56. Pathophysiology of appetite regulation
TBA

57. Branched-chain amino acids
Alessandro Laviano, Rome, Italy

58. Role of orexigenic peptides in the treatment of cancer anorexia Akio Inui, Kobe, Japan

59. Megestrol acetate – an overview of its application
Aminah Jatoi, Rochester, MN, USA

17.00 – 18.45

O. Cachexia research 2005 – where to go ?

60. Key note lecture: From molecular biology to new therapeutic targets
TBA

61. News from published patents
Stefan Anker, Berlin, Germany

62. Helping the skeletal musculature – stem cell therapy
Nadia Rosenthal, Rome, Italy

63. Rebuilding tissues – triggering myocyte rejuvenation
Rüdiger von Harsdorf, Berlin, Germany

Closing Remarks







Link to 2007 event:
4th Cachexia Conference
Tampa, Florida, USA

6-8 December, 2007
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