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Sarcopenia can be considered a component of cachexia, with the bidirectional interplay between adipose tissue and skeletal muscle potentially serving as a molecular mechanism for both conditions. However, the underlying mechanisms differ. Recognizing the interplay and distinctions between these disorders is essential for advancing both basic and translational research in this area, enhancing diagnostic accuracy and ultimately achieving effective therapeutic solutions for affected patients. This review discusses the muscle microenvironment's changes contributing to these conditions, recent therapeutic approaches like lifestyle modifications, small molecules, and nutritional interventions, and emerging strategies such as gene editing, stem cell therapy, and gut microbiome modulation. We also address the challenges and opportunities of multimodal interventions, aiming to provide insights into the pathogenesis and molecular mechanisms of sarcopenia and cachexia, ultimately aiding in innovative strategy development and improved treatments.<\/jats:p>","DOI":"10.1002\/mco2.70030","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:40:46Z","timestamp":1736124046000},"source":"Crossref","is-referenced-by-count":50,"title":["Sarcopenia and cachexia: molecular mechanisms and therapeutic interventions"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7623-7245","authenticated-orcid":false,"given":"Tiantian","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neurology West China Hospital of Sichuan University  Chengdu Sichuan China"},{"name":"Institute of Brain Science and Brain\u2010Inspired Technology of West China Hospital Sichuan University  Chengdu Sichuan 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