Abstract
Background: Annona Muricata is used as a folkloric herbal medicine as it has anticancer,
antiproliferative, and anti-tumorigenic properties. The extracts from various parts of the
plant are considered therapeutic due to Annonaceous Acetogenin compounds which are an absolute
boon to the versatility of the plant, paving the mechanistic pathways for its therapeutic potential.
Methods: Google Scholar and PubMed databases were reviewed with the main focus on availing
information on Annona muricata and its anticancer effect on breast cancer.
Results and Discussion: An array of clinical investigations on the dosage of extracts on cell
lines, animal models, and human trials provide confirmatory insights of A. muricata as a preventive
and therapeutic measure for cancer. The extract, when administered at different dosages,
shows a high cytotoxic effect on the cancer cells, mostly accounting for an IC50 of less than
1000μg/mL, which is of significance.
Conclusion: Although high efficacy has been conclusive, assurance of safety prior to commercialization
is of significance. Investigations are required to define the origin and magnitude of
side effects along with long-term safety for the enhancement of efficacy and optimum utilization
of potential chemopreventive properties of the plant for the development of a cancer nutraceutical
intervention that outperforms traditional medicine.
Keywords:
Annona Muricata, soursop, Annona muricata Crude Extract (AMCE), breast cancer, nutraceutical, antiproliferative.
Graphical Abstract
[2]
Minarni Artika IM, Julistiono H, Bermawie N, et al. Anticancer activity test of ethyl acetate extract of endophytic fungi isolated from soursop leaf (Annona muricata L.). Asian Pac J Trop Med 2017; 10(6): 566-71.
[7]
Patel S, Patel DJK. A review on a miracle fruits of Annona muricata. J Pharmacogn Phytochem 2016; 5(1): 137-48.
[9]
Prasad S, Varsha V, Devegowda D. Anti-cancer properties of Annona muricata (L.): A review. Med Plants - Int J Phytomed. Relat Ind 2019; 11: 123.
[10]
Ezirim A, Okochi VI, James AB, Adebeshi OA, Ogunnowo S, Odeghe O. Induction of apoptosis in myelogenous leukemic k562 cells by ethanolic leaves extract of Annona muricata L. Glob J Res Med Plants Indig Med 2013; 2: 142-51.
[12]
Rady I, Bloch MB, Chamcheu R-CN, et al. Anticancer properties of graviola (Annona muricata): A comprehensive mechanistic review. Oxid Med Cell Longev 2018; 2018e1826170
[17]
Hadisaputri YE, Habibah U, Abdullah FF, et al. Antiproliferation activity and apoptotic mechanism of soursop (Annona muricata L.) leaves extract and fractions on MCF7 breast cancer cells. Breast Cancer Targets Ther 2021; 13: 447-57.
[18]
Kariyil BJ, Ayyappan UPT, Gopalakrishnan A, George AJ. Chloroform fraction of methanolic extract of seeds of Annona muricata induce S phase Arrest and ROS dependent caspase activated mitochondria-mediated apoptosis in triple-negative breast cancer. Anti-Cancer Agents Med Chem- Anti-Cancer Agents 2021; 21(10): 1250-65.
[20]
Rachmani EP, Sri Suhesti T, Widiastuti AR. The breast of anticancer from leaf extract of Annona muricata against cell line in t47d. Int J Appl Sci Technol 2012; 2: 157-64.
[21]
Kim JY, Dao TTP, Song K, et al. Annona muricata leaf extract triggered intrinsic apoptotic pathway to attenuate cancerous features of triple negative breast cancer MDA-MB-231 cells. Evid Based Complement Alternat Med 2018; 2018e7972916
[23]
Endrini S, Suherman S, Widowati W. Annona muricata leaves have strongest cytotoxic activity against breast cancer cells. Universa Med 2014; 33(3): 179-84.
[26]
Fidianingsih I, Handayani ES. Annona muricata aqueous extract suppresses T47D breast cancer cell proliferation. Univ Med 2015; 33(1): 19-26.