Evidence map›Paper›PMID 42117587›Full record

ArticleAmerican journal of physiology. Cell physiology2026

Dietary supplementation with ursolic acid preserves skeletal muscle mass and strength in mouse models of cancer cachexia.

Jeremy B Ducharme, Scott M Ebert, Miles E Cameron, Martin M Schonk, Chandler S Callaway, Andrew C D'Lugos, John J Talley, Sarah M Judge, Christopher M Adams, Andrew R Judge

Abstract read
In one paragraph

Article in American journal of physiology. Cell physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jeremy B DucharmeDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0003-1653-8721
Scott M EbertDivision of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, Rochester, Minnesota, United States.ORCID 0000-0002-6598-2629
Miles E CameronDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0003-0996-3754
Martin M SchonkDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0002-0035-8219
Chandler S CallawayDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0002-4562-0508
Andrew C D'LugosDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0003-0744-6489
John J TalleyEmmyon, Inc., Rochester, Minnesota, United States.
Sarah M JudgeDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0002-3974-0247
Christopher M AdamsDivision of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, Rochester, Minnesota, United States.ORCID 0000-0002-5795-7212
Andrew R JudgeDepartment of Physical Therapy, University of Florida, Gainesville, Florida, United States.ORCID 0000-0002-4488-291X

Funding

University of Florida Health Cancer Center Support GrantP30CA247796 · NCI · UNIVERSITY OF FLORIDA · PI DIETMAR W SIEMANN · 2023 to 2026
$10.9M
Development of novel therapeutics for cancer cachexiaR44CA277853 · NCI · EMMYON, INC. · PI ADAMS, CHRISTOPHER M, EBERT, SCOTT MATTHEW · 2023 to 2024
$2.0M
Team-based Interdisciplinary Cancer Research Training ProgramT32CA257923 · NCI · UNIVERSITY OF FLORIDA · PI SIEMANN, DIETMAR W · 2021 to 2025
$1.2M
BLRD VA I01 BX000976Florida Department of Health (DOH) 21B05HHS | National Institutes of Health (NIH) R44CA277853HHS | NIH | National Cancer Institute (NCI) T32CA257923NCI NIH HHS P30 CA247796NCI NIH HHS P30CA247796NCI NIH HHS R44 CA277853NCI NIH HHS T32 CA257923State appropriations provided in FLA. {section sign}381.915The UF Health Cancer InstituteU.S. Department of Veterans Affairs (VA) I01BX00976
6 · The paper itself

Abstract

Skeletal muscle atrophy is a devastating and defining feature of cancer cachexia that reduces quality of life, treatment tolerance, and survival, but cannot be prevented or reversed by current management strategies. Ursolic acid is a natural dietary compound that has been shown to inhibit atrophy-associated changes in skeletal muscle mRNA expression in rodents and dogs, leading to beneficial changes in skeletal muscle structure and function. We hypothesized that dietary supplementation with ursolic acid might help support skeletal muscle mass and function during cancer. To test this hypothesis, we investigated ursolic acid's effects in five in vivo mouse models of cancer cachexia that are driven by pancreatic, colon, and lung cancer cells of mouse and human origin. We found that dietary supplementation with ursolic acid has broad-spectrum effects toward cancer-induced skeletal muscle atrophy, significantly preserving muscle mass in all five cancer cachexia models. Ursolic acid's positive effects on muscle mass and muscle fiber size led to significant improvements in grip strength and muscle tetanic force, persisted in the presence of chemotherapy, and were not associated with discernible changes in food intake or tumor growth. Ursolic acid appeared to generate its beneficial effects in skeletal muscle by acting directly on muscle cells, inhibiting catabolic effects of tumor-derived secreted factors, and inhibiting >90% of cancer-induced changes in skeletal muscle mRNA expression. These results strongly nominate ursolic acid as a promising potential nutritional approach for supporting muscle mass and function in individuals with cancer.

Indexed as

CachexiaDietary SupplementsMuscle, SkeletalMuscle StrengthMuscular AtrophyTriterpenesAnimalsCell Line, TumorDisease Models, AnimalFemaleHumansMaleMiceMice, Inbred C57BLUrsolic AcidTriterpenesUrsolic Acidcancer cachexiamuscle atrophynutritionskeletal muscleursolic acid

Identifiers

PMID42117587
PMCPMC13234760

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.