Antonio Vigano

Antonio Vigano, MD, MSc
Associate Professor, Departments of Oncology and Medicine, McGill University
Director, McGill Nutrition and Performance Laboratory (
vigano.antonio [at] (Email)

Through a Canadian Foundation for Innovation award, Antonio Vigano founded the McGill Nutrition and Performance Laboratory. The research and clinical activities at MNUPAL were developed in partnership with the Department of Exercise Science at Concordia University (Robert Kilgour), the Division of Geriatric Medicine (Jose Morais), the Department of Surgery (Prosanto Chaudhury) and the Lymphedema Program (Anna Towers) at the McGill University Health Centre. These activities aim to improve the classification, diagnosis, treatment and prevention of wasting and/or debilitating syndromes such as cachexia, sarcopenia and lymphedema, primarily in patients suffering from cancer and/or frailty. Current research interests at MNUPAL include: validation of tools for assessing nutrition and performance in advanced cancer patients; definition of relationships between molecular, nutritional and functional correlates of cancer cachexia; diagnosis and treatment of male hypogonadism in advanced cancer; prediction and prevention of surgical risks in elderly cancer patients; evaluation of body composition in lymphedema.

Selected Publications

Monique G. Huisman MD, PhD Federico Ghignone MD Giampaolo Ugolini MD, PhD Grigory Sidorenkov PhD Isacco Montroni MD, PhD Antonio Vigano MD Nicola de Liguori Carino MD Eriberto Farinella MD Roberto Cirocchi MD, PhD Riccardo A. Audisio MD, PhD Geertruida H. de Bock PhD Barbara L. van Leeuwen MD, PhD. Long‐Term Survival and Risk of Institutionalization in Onco‐Geriatric Surgical Patients: Long‐Term Results of the PREOP Study (in press) J Am Geriatr Soc 00:1-7, 2020.

Olga Sevryugin, Popi Kasvis, MariaLuisa Vigano, Antonio Vigano. Taste and smell disturbances in cancer patients: a scoping review of available treatments (accepted for publication pending revisions). Journal of Supportive Care in Cancer 2020.

Cyr, C., Arboleda, M.F., Aggarwal, S.K., Balneaves, L.G., Daeninck, P., Néron, A., Prosk, E., Vigano, A., Cannabis in palliative care: current challenges and practical recommendations. Annals of Palliative Medicine Vol 7, No 4 (October 2018): 463-477.

Vigano, A., Kasvis, P., Di Tomasso, J., Gillis, C., Kilgour, R., Carli, F. Pearls of optimizing nutrition and physical performance of older adults undergoing cancer therapy. Journal of Geriatric Oncology, v8 n6 (2017 11 01): 428-436.

Vigano, A.A., Morais, J.A., Ciutto, L., Rosenthall, L., Di Tomasso, J., Khan, S., Olders, H., Borod, M., Kilgour, R.D., Use of routinely available clinical, nutritional, and functional criteria to classify cachexia in advanced cancer patients. Clin Nutr, 2017. 36(5), 1378-1390.

Aapro, M., Scotte, F., Bouillet, T., Currow, D., Vigano, A. A practical approach to fatigue management in colorectal cancer. Clinical colorectal cancer, 2017 Dec; 16(4): 275-285.

Lerner, L., Tao, J., Liu, Q., Nicoletti, R., Feng, B., Krieger, B., Mazsa, E., Siddiquee, Z., Wang, R., Huang, L., Shen, L., Lin, J., Vigano, A., Chiu, M. I., Weng, Z., Winston, W., Weiler, S., and Gyuris, J. (2016) MAP3K11/GDF15 axis is a critical driver of cancer cachexia. Journal of Cachexia, Sarcopenia and Muscle, 7: 467–482. doi: 10.1002/jcsm.12077.

Kilgour, R.D., Cardiff, K., Rosenthall, L., Lucar, E., Trutschnigg, B. and Vigano, A., Use of prediction equations to determine the accuracy of whole-body fat and fat-free mass and appendicular skeletal muscle mass measurements from a single abdominal image using computed tomography in advanced cancer patients. Appl Physiol Nutr Metab, 2016. 41(1): p. 70-5.

Johns, N., Stretch, C., Tan, B.H., Solheim, T.S., Sørhaug, S., Stephens, N.A., Gioulbasanis, I., Skipworth, R.J., Deans, D.A., Vigano, A., Ross, J.A., Bathe, O.F., Tremblay, M.L., Kaasa, S., Strasser, F., Gagnon, B., Baracos, V.E., Damaraju, S., Fearon, K.C. New genetic signatures associated with cancer cachexia as defined by low skeletal muscle index and weight loss. J Cachexia Sarcopenia Muscle. 2016 Aug 5. doi: 10.1002/jcsm.12138.

Huisman, M.G., Veronese, G., Audisio, R.A., Ugolini, G., Montroni, I., Vigano, A., Gilbert, L., Spiliotis, J., Stabilini, C., de Liguori Carino, N., Farinellap, E., Stanojevic, G., Veering, B.T., Reed, M.W., Somasundar, P.S., de Bock, G.H., van Leeuwen, B.L. Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients: A multicenter prospective cohort study. European Journal of Surgical Oncology, 2017.

D Fuoco, RD Kilgour, Vigano A. A hypothesis for a possible synergy between ghrelin and exercise in patients with cachexia: Biochemical and physiological bases. Medical Hypotheses, 2016 85 (6), 927-933.

M.G. Huisman R.A. Audisio, G. Ugolini, I. Montronio, A. Vigano, J. Spiliotis, C. Stabilini, N. de Liguori Carino, E. Farinellap, G. Stanojevic, B.T. Veering, M.W. Reed, P.S. Somasundar, G.H. de Bock, B.L. van Leeuwen Screening for predictors of adverse outcome in onco-geriatric surgical patients: A multicenter prospective cohort study. European Journal of Surgical Oncology, 2015 DOI:

D Fuoco, J. DiTomasso4, C Boulos, R D Kilgour, JA Morais, M Borod A Vigano Identifying nutritional, functional, and quality of life correlates with male hypogonadism in advanced cancer patients. ecancer 2015, 9:561 DOI: 10.3332/ecancer.2015.561

Vigano A, Morais JA. The elderly patient with cancer: a holistic view. Nutrition. Published on line January 8, 2015.

Vigano AL, di Tomasso J, Kilgour RD, Trutschnigg B, Lucar E, Morais JA, Borod M. The abridged patient-generated subjective global assessment is a useful tool for early detection and characterization of cancer cachexia.  J Acad Nutr Diet. 2014 Jul;114(7):1088-98.

Trutschnigg B, Kilgour RD, Morais JA, Lucar E, Hornby L, Molla H, Vigano A. Metabolic, nutritional and inflammatory characteristics in elderly women with advanced cancer. J Geriatr Oncol. 2013 Apr;4(2):183-9.

Newman AL, Rosenthall L, Towers A, Hodgson P, Shay CA, Tidhar D, Vigano A, Kilgour RD. Determining the precision of dual energy x-ray absorpiometry and bioelectric impedance spectroscopy in the assessment of breast cancer-related lymphedema.  Lymphat Res Biol. 2013 Jun;11(2):104-9.

Vigano A, Del Fabbro E, Bruera E, Borod M. The cachexia clinic:  from staging to managing nutritional and functional problems in advanced cancer patients. Crit Rev Oncog. 2012;17(3):293-303.

Tan BH, Fladvad T, Braun TP, Vigano A, Strasser F, Deans DA, Skipworth RJ, Solheim TS, Damaraju S, Ross JA, Kaasa S, Marks DL, Baracos VE, Skorpen F, Fearon KC; European Palliative Care Research Collaborative. P-selectin genotype is associated with the development of cancer cachexia.  EMBO Mol Med. 2012 Jun;4(6):462-71.

Scheede-Bergdahl C, Watt HL, Trutschnigg B, Kilgour RD, Haggarty A, Lucar E, Vigano A. Is IL-6 the best pro-inflammatory biomarker of clinical outcomes of cancer cachexia? Clin Nutr. 2012 Feb;31(1):85-8.

Kilgour RD, Vigano A, Trutschnigg B, Hornby L, Lucar E, Bacon SL, Morais JA. Cancer-related fatigue:  the impact of skeletal muscle mass and strength in patients with advanced.  J Cachexia Sarcopenia Muscle. 2010 Dec;1(2):177-185.

Vigano A, Piccioni M, Trutschnigg B, Hornby L, Chaudhury P, Kilgour R. Male hypogonadism associated with advanced cancer:  a systematic review. Lancet Oncol. 2010 Jul;11(7):679-84.

Vigano A, Piccioni B, Trutschnigg L, Hornby P, Chaudhury RD, and Kilgour RD. Functional, Nutritional and Quality of Life Correlates of Hypogonadism in Advanced Cancer: A Qualitative Systematic Review of the Literature. Lancet Oncol. 2010 Jul;11(7):679-84

Vigano A, Trutschnigg B, Kilgour RD, Hamel N, Hornby L, Lucar E, Foulkes W, Tremblay M, and Morais JA. Relationship between angiotensin-converting enzyme gene polymorphism and body composition, functional performance, and blood biomarkers in advanced cancer patients. Clin Cancer Res. 2009 Apr 1;15(7):24427.

Rosenthall L, Trutschnigg B, and Vigano A. An analysis of the precision of total body and regional tissue measurements by dual-energy X-ray absorptiometry. Int J Body Compos Res. 2008 Vol. 6 No. 3: 108–113.

Trutschnigg B, Kilgour RD, Reinglas J, Rosenthall L, Hornby L, Morais JA, and Vigano A. Precision and reliability of strength (Jamar vs. Biodex handgrip) and body composition (dual-energy X-ray absorptiometry vs. bioimpedance analysis) measurements in advanced cancer patients. Appl Physiol Nutr Metab. 2008 Dec;33(6):1232-9.

Maltoni M, Caraceni A, Brunelli C, Broeckaert B, Christakis N, Eychmueller S, Glare P, Nabal M, Vigano A, Larkin P, De Conno F, Hanks G, and Kaasa S. Prognostic Factors in Advanced Cancer Patients: Evidence-Based Clinical Recommendations—A Study by the Steering Committee of the European Association for Palliative Care. Journal of Clinical Oncology, Vol 23, No 25 (September 1), 2005: pp. 6240-6248.

Fainsinger R, Nekolaichuk C, Lawlor P, Neumann C, Hansen J, and Vigano A. The Revised Edmonton Staging System for Cancer Pain. J Pain Symptom Manage. 2005 Mar;29(3):224-237.


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