The cancer preventive properties of grape products such as red wine have been attributed to polyphenols enriched in red wine.
However, much of the studies on cancer preventive mechanisms of grape polyphenols have been conducted with individual compounds
at concentrations too high to be achieved via dietary consumption. We recently reported that combined grape polyphenols at
physiologically relevant concentrations are more effective than individual compounds at inhibition of ERα(−), ERβ(+) MDA-MB-231
breast cancer cell proliferation, cell cycle progression, and primary mammary tumor growth (Schlachterman et al., Transl Oncol
1:19–27, 2008). Herein, we show that combined grape polyphenols induce apoptosis and are more effective than individual resveratrol,
quercetin, or catechin at inhibition of cell proliferation, cell cycle progression, and cell migration in the highly metastatic
ER (−) MDA-MB-435 cell line. The combined effect of dietary grape polyphenols (5 mg/kg each resveratrol, quercetin, and catechin)
was tested on progression of mammary tumors in nude mice created from green fluorescent protein-tagged MDA-MB-435 bone metastatic
variant. Fluorescence image analysis of primary tumor growth demonstrated a statistically significant decrease in tumor area
by dietary grape polyphenols. Molecular analysis of excised tumors demonstrated that reduced mammary tumor growth may be due
to upregulation of FOXO1 (forkhead box O1) and NFKBIA (IκBα), thus activating apoptosis and potentially inhibiting NfκB (nuclear
factor κB) activity. Image analysis of distant organs for metastases demonstrated that grape polyphenols reduced metastasis
especially to liver and bone. Overall, these results indicate that combined dietary grape polyphenols are effective at inhibition
of mammary tumor growth and site-specific metastasis.
Keywords Breast cancer - Catechin - Metastasis - Quercetin - Resveratrol