Nutraceutical Interception of Cachexia: Grape-Derived Compounds as Pathophysiological Network Modulators

Anderson Matheus Oliveira Haas Verdi1, Mariana Lemos Rizzardi1, Jaqueline Machado Soares2

  • 1Postgraduate Program in Nutrition, Federal University of São Paulo (UNIFESP), Baixada Santista Campus, Santos 11015-020, Brazil.

Biology
|September 27, 2025
PubMed

Insights

Grape seed polyphenols show promise in combating cancer cachexia by modulating metabolic pathways and inflammation. Further research, including a clinical trial, is exploring grape seed flour as a nutritional strategy for cancer patients.

Area of Science:

  • Oncology
  • Nutritional Science
  • Biochemistry

Background:

  • Cancer cachexia is a complex metabolic syndrome causing muscle loss and poor outcomes in cancer patients.
  • Current treatments for cancer cachexia are limited, necessitating novel therapeutic strategies.
  • Grape seed polyphenols exhibit anti-inflammatory and metabolic regulatory properties relevant to cachexia.

Purpose of the Study:

  • To review the evidence supporting grape seed-derived compounds in managing cancer cachexia.
  • To explore the mechanisms of action, including effects on key signaling pathways and the gut-muscle axis.
  • To discuss the potential of grape seed flour as a nutraceutical intervention.

Main Methods:

  • Integration of preclinical and clinical evidence on grape seed polyphenols.
  • Analysis of molecular targets such as NF-κB and AMPK pathways.
  • Evaluation of nutritional composition and bioactive properties of grape seed flour.

Main Results:

  • Grape seed polyphenols demonstrate potential to modulate catabolic signaling, mitochondrial dysfunction, and inflammation.
  • Evidence suggests beneficial effects on redox homeostasis and the gut-muscle axis.
  • Grape seed flour is rich in fiber and phenolic compounds, indicating nutraceutical value.

Conclusions:

  • Grape-derived compounds represent a safe and mechanistically sound approach to improving nutritional status in cancer cachexia.
  • Grape seed flour supplementation is being evaluated in a clinical trial for colorectal cancer patients with cachexia.
  • These findings support the development of integrative strategies for oncological care.

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