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      Valoración de la evidencia científica para recomendar Annona muricata L. (guanábana) como tratamiento o prevención del cáncer Translated title: Assessment of scientific evidence recommending Annona muricata L. (soursop tree) for cancer prevention or treatment

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          Abstract

          INTRODUCCIÓN: la divulgación en Internet de remedios "maravillosos", para curar enfermedades que son temidas por su posible desenlace fatal, o aquellos "curalotodo" capaces de solucionar un centenar o más problemas de salud son lamentablemente frecuentes y crean expectativas falsas en pacientes, familiares y hasta en profesionales de la salud. En la Web circula la información de que Annona muricata L. puede curar el cáncer. OBJETIVOS: determinar si existe información científica publicada que permita validar el uso de A. muricata para tratar el cáncer en pacientes. MÉTODOS: se realizó una revisión en las principales bases de datos de bibliografía científica biomédica disponibles (BVS-BIREME /11/, COCHRANE /0/, PubMed /5/, LILACS /2/, SciELO /0/, SeCiMed /0/, EBSCO /2/) con las palabras claves Anonna AND muricata AND cancer, así como en Google con la estrategia: graviola AND cancer. La información fue analizada para determinar si podía sustentar la recomendación antes señalada. RESULTADOS: encontramos que los estudios científicos publicados que pudieran sustentar la recomendación de esta planta o alguno de sus extractos son en modelos experimentales in vitro y la mayoría con principios activos puros extraídos. CONCLUSIONES: no existe suficiente evidencia para recomendar el uso de ningún extracto o principio activo de A. muricata y la divulgación infundada de sus "extraordinarias propiedades anticancerígenas" es éticamente inaceptable.

          Translated abstract

          INTRODUCTION: the dissemination of information about "fantastic" remedies to cure diseases feared by everybody because of their possible fatal outcome, or those "cure all" substances that may solve more than one hundred health problems is unfortunately frequent on Internet and creates false expectations in patients, relatives and even health professionals. There are some pieces of information on the Web that Annona muricata L. is able to cure cancer. OBJECTIVES: to determine if there is published scientific information that allows validating the use of this plant in the treatment of cancer. METHODS: the main scientific biomedical literature databases available (BVS-BIREME /11/, COCHRANE /0/, PubMed /5/, LILACS /2/, SciELO /0/, SeCiMed /0/, EBSCO /2) were reviewed, using key words as Annona AND muricata AND cancer. Likewise, review was made in Google using graviola and cancer. The obtained information was then analyzed to ascertain whether it can substantiate the above-mentioned recommendation. RESULTS: it was found that the published scientific studies that might substantiate the use of this plant or some of its extracts are based on in vitro experimental models and most of them used pure extracted active principles. CONCLUSIONS: there is not enough evidence to recommend the use of any extract or active principle from A. muricata , so the groundless publication of its "extraordinary anti-cancer properties" is unacceptable from the ethical viewpoint.

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          Most cited references 42

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          Plantas medicinales aromáticas o venenosas de cuba

           K Roig,  JT Roig,  J. Roig (1988)
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            Five novel mono-tetrahydrofuran ring acetogenins from the seeds of Annona muricata.

            Bioactivity-directed fractionation of the seeds of Annona muricata L. (Annonaceae) resulted in the isolation of five new compounds: cis-annonacin (1), cis-annonacin-10-one (2), cis-goniothalamicin (3), arianacin (4), and javoricin (5). Three of these (1-3) are among the first cis mono-tetrahydrofuran ring acetogenins to be reported. NMR analyses of published model synthetic compounds, prepared cyclized formal acetals, and prepared Mosher ester derivatives permitted the determinations of absolute stereochemistries. Bioassays of the pure compounds, in the brine shrimp test, for the inhibition of crown gall tumors, and in a panel of human solid tumor cell lines for cytotoxicity, evaluated relative potencies. Compound 1 was selectively cytotoxic to colon adenocarcinoma cells (HT-29) in which it was 10,000 times the potency of adriamycin.
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              New cytotoxic monotetrahydrofuran annonaceous acetogenins from Annona muricata.

              Three new monotetrahydrofuran annonaceous acetogenins, muricin H (1), muricin I (2), and cis-annomontacin (3), along with five known acetogenins, annonacin, annonacinone, annomontacin, murisolin, and xylomaticin, were isolated from the seeds of Annona muricata. Additionally, two new monotetrahydrofuran annonaceous acetogenins, cis-corossolone (4) and annocatalin (5), together with four known ones, annonacin, annonacinone, solamin, and corossolone, were isolated from the leaves of this species. The structures of all new isolates were elucidated and characterized by spectral and chemical methods. These new acetogenins exhibited significant activity in in vitro cytotoxic assays against two human hepatoma cell lines, Hep G(2) and 2,2,15. Compound 5 showed a high selectivity toward the Hep 2,2,15 cell line.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                pla
                Revista Cubana de Plantas Medicinales
                Rev Cubana Plant Med
                ECIMED (Ciudad de la Habana )
                1028-4796
                September 2010
                : 15
                : 3
                : 169-181
                Affiliations
                [1 ] FCM Salvador Allende Cuba
                [2 ] FCM Victoria de Girón Cuba
                [3 ] CNICM-INFOMED Cuba
                Article
                S1028-47962010000300009

                http://creativecommons.org/licenses/by/4.0/

                Product
                Product Information: website
                Categories
                PLANT SCIENCES

                Plant science & Botany

                Annona muricata, cancer, ethics, ética, Anonna muricata, cáncer

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