Anticancer Properties of Graviola (Annona muricata Lin.): A Comprehensive Mechanistic Review

Main Article Content

Jennifer Nambooze
Ochuko L. Erukainure
Chika I. Chukwuma

Abstract

Year after year, there are more cases of cancer, sparking questions about the effectiveness of available treatments. As a result, patients are searching for new therapies to supplement and/or replace radiotherapy, surgery, and chemotherapy. Graviola and other plants have been found to contain phytochemicals compounds that could be employed to cure cancer. This review seeks to highlight the phytochemicals from A. muricata as possible anticancer agents, taking into account the increasing inadequacies of cancer treatments provided by healthcare facilities. Graviola's potential to suppress malignant cell proliferation while having minimal to no impact on normal cell survival has been demonstrated in vitro and in vivo systems against a wide range of human cancers and pathogens. The antioxidant property of bioactive principles in A. muricata appears to influence the anticancer potentials of the plant. Graviola extracts made from various plant parts have been found to have a variety of phytochemical components. Phenols, alkaloids, acetogenins and essential oils are the most important phytochemical components isolated. In vivo and in vitro studies have revealed that A. muricata extracts and bioactive compounds have anticancer and antioxidant properties.

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Nambooze, J., Erukainure, O. L., & Chukwuma, C. I. (2024). Anticancer Properties of Graviola (Annona muricata Lin.): A Comprehensive Mechanistic Review. Tropical Journal of Natural Product Research (TJNPR), 8(5), 7050-7062. https://doi.org/10.26538/tjnpr/v8i5.1
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How to Cite

Nambooze, J., Erukainure, O. L., & Chukwuma, C. I. (2024). Anticancer Properties of Graviola (Annona muricata Lin.): A Comprehensive Mechanistic Review. Tropical Journal of Natural Product Research (TJNPR), 8(5), 7050-7062. https://doi.org/10.26538/tjnpr/v8i5.1

References

Clapp, R., Howe, G., Jacob, M. Environmental and Occupational Causes of Cancer Re- Visited. J. Public Health Policy. 2006; 27: 61-76.

Ajaghaku DL, Okorie NH, Okwor MN, and Mbah CJ. Evaluation of cancer chemopreventive potentials of Bixa orellana L. Leaf extract. Trop J Nat Prod Res 2020; 4:636–642.

Rashid S. Cancer and Chemoprevention: An Overview. 2017.

Herisman MW, Gani AP, and Murwanti R. Effect of Curcuma mangga and Curcuma longa on Oxidative Stress-related Diseases and ROS Level: A Recent Study. Trop J Nat Prod Res 2022; 6:668–672.

Hossain MS, Karuniawati H, Jairoun AA, Urbi Z, Ooi DJ, John A, et al. Colorectal Cancer : A Review of Carcinogenesis , Global. Cancer 2022; 14:1–25.

Ferlay, J., Shin, H.R., Bray, F., Forman, D., Mathers, C., Parkin, D. M. G. Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 10. Lyon France. Int. Agency Res. Cancer 2008; 10: 1–8.

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71:209–249.

Siegel RL, Miller KD, Wagle NS, and Jemal A. Cancer statistics, 2023. CA Cancer J Clin 2023; 73:17–48.

Anderson BO, Ilbawi AM, E. S. N. Breast Cancer in Low and Middle Income Countries (LMICs): A Shifting Tide in Global Health. Breast J. 2017; 21 (1): 111–8.

Danhier F, Feron O, P. V. To Exploit the Tumor Microenvironment: Passive and Active Tumor Targeting of Nanocarriers for Anticancer Drug Delivery. J Control Release. 2010; 148 (2): 135–146.

Ferlay J, Colombet M, Soerjomataram I, Mathers C, Parkin DM, Piñeros M, et al. Estimating the Global Cancer Incidence and Mortality in 2018: GLOBOCAN Sources and Methods. Int J Cancer.2018;2: 10-18.

Profile, C. M.; Trends, A. C. M.; Incidence, C. Uganda. 2014; 0–1.

Farmer P, Frenk J, Knaul FM, Shulman LN, Alleyne G, Armstrong L, Atun R, Blayney D, Chen L,Feachen R, Gospodarwciz M, Gralow J, Gupta S, Langer A. Expansion of Cancer Care and Control in Countries of Low and Middle Income: A Call to Action. Lancet Lond Engl. 2010; 376 (9747): 1186–93.

Lawler M, Alsina D, Adams RA, Anderson AS, Brown G, Fearnhead NS, Fenwick WS, Hochhauser D, Hull AM, Kuelzer HV, McNair GKA, Monahan JK, Nathke I, Norton I C, Novelli MR, Steele RJ, Thomas AL, Wilde LM, Wilson RH, Tomlinson I. Critical research gaps and recommendations to inform research prioritisation for more effective prevention and improved outcomes in colorectal cancer. Gut 2018; 67:179–193

Wendt, TG. Hazards and Risks in Oncology: Radiation Oncology. GMS Current Topics Otorhinolaryngology, Head Neck Surg. 2013; 12.

Kapourani A, Kontogiannopoulos KN, Manioudaki AE, Poulopoulos AK, Tsalikis L, Assimopoulou AN, Panagiotis B. A Review on Xerostomia and Its Various Management Strategies: The Role of Advanced Polymeric Materials in the Treatment Approaches. Polymers (Basel) 2022; 14.

Dertinger SD, Avlasevich SL, Torous DK, Bemis JC, Phonethepswath S, Labash C, et al. Persistence of Cisplatin-Induced Mutagenicity in Hematopoietic Stem Cells: Implications for Secondary Cancer Risk Following Chemotherapy. Toxicol Sci. 2014; 140 (2): 307–314.

Tamokou, J. de D.; Chouna, J. R.; Fischer-Fodor, E.; Chereches, G.; Barbos, O.; Damian, G.; Benedec, D.; Duma, M.; Efouet, A. P. N.; Wabo, H. K.; Kuiate, J. R.; Mot, A.; Silaghi-Dumitrescu, R. Anticancer and Antimicrobial Activities of Some Antioxidant-Rich Cameroonian Medicinal Plants. PLoS One 2013; 8 (2). https://doi.org/10.1371/journal.pone.0055880.

Brown A, Kumar S, and Tchounwou PB. Cisplatin-Based Chemotherapy of Human Cancers. J Cancer Sci Ther 2019; 11.

Santali E, Ichoron N, Anyam J V., and Igoli JO. Spectroscopic Evaluation of Unsaturation in Some Medicinal Plant Seed Oils. Trop J Nat Prod Res 2022; 6:1223–1227

Verma DS, Vashishth E, Singh R, Kumari A, Meena A, Pant P, B. G. and P. M. A Review on Parts of Albizia Lebbeck (L.) Benth. Used as Ayurvedic Drugs. Res. J. Pharm. Tech., 2013; 6: 1307-1313 .

Sudjaroen Y, T. K. and S. K. Inappropriate of in Vitro Antimicrobial and Anticancer Activities from Cashew (Anacardium Occidentale L.) Nut Shell Extracts. J. Pharm. Negat. Results 2018; 9: 33-38.

Mitra SK, P. N. and S. R. Shatavarins (Containing Shatavarin IV) with Anticancer Activity from the Roots of Asparagus Racemosus. Ind. J. Pharmacol. 2012; 4(44): 732-736.

Kumar S, Pathania AS, Saxena AK, Vishwakarma RA, A. A. and B. S. The Anticancer Potential of Flavonoids Isolated from the Stem Bark of Erythrina Suberosa through Induction of Apoptosis and Inhibition of STAT Signaling Pathway in Human Leukemia HL-60 Cells. Chem. Biol. Interact, 2013; 205: 128-37.

Kuete V, Dzotam JK, Voukeng IK, F. A. and E. T. Cytotoxicity of Methanol Extracts of Annona muricata, Passiflora Edulis and Nine Other Cameroonian Medicinal Plants towards Multi-Factorial Drug-Resistant Cancer Cell Lines. Springerplus, 2016; 5: 1666 p.

Rajendran S, Saravanan R, R. S. and S. H. S. Antiproliferative and Antioxidant Activity of Gynandropsis Pentaphylla Linn on MCF-7 Cell Line. Int. J. Pharm. Pharmaceu. Sci. 2014; 6: 561-565.

Wang L, Jiang Y, Han T, Z. C. and Q. L. A Phytochemical, Pharmacological and Clinical Prof Ile of Paederia Foetida and P. Scandens. Nat. Prod. Commun 2014; 9: 879-86.

Qureshi H, Masood M, Arshad M, Qureshi R, Sabir S, A. M.; Z, and T. Picrorhiza Kurjoa: An Ethnophar- Macologically Important Plant Species of Himalayan Region. Pure Appl. Biol. 2015; 4 (3): 407-417.

Rai M, Jogee PS, A. G. and dos S. C. Anticancer Activities of Withania Somnifera: Current Research, Formulations, and Future Perspectives. Pharm. Biol. 2016; 54:189-97.

Moghadamtousi, S. Z.; Fadaeinasab, M.; Nikzad, S.; Mohan, G. Annona muricata ( Annonaceae ): A Review of Its Traditional Uses , Isolated Acetogenins and Biological Activities. 2015; 15625–15658. https://doi.org/10.3390/ijms160715625.

Ilango S, Sahoo DK, Paital B, Kathirvel K, Gabriel JI, Subramaniam K, et al. A Review on Annona muricata and Its Anticancer Activity. Cancers (Basel) 2022; 14:1–31

Montalvo-go, E.; Coria-te, A. V; Obledo-va, E. N. Annona muricata : A Comprehensive Review on Its Traditional Medicinal Uses , Phytochemicals , Pharmacological Activities , Mechanisms of Action and Toxicity. 2016. https://doi.org/10.1016/j.arabjc.2016.01.004.

Prasad, S. K.; Varsha, V.; Devananda, D. Anti-Cancer Properties of Annona muricata (L.): A Review. Med. Plants 2019; 11 (2): 123–134. https://doi.org/10.5958/0975-6892.2019.00016.9.

Okullo, J. B. L.; Omujal, F.; Bigirimana, C.; Isubikalu, P.; Malinga, M.; Bizuru, E.; Namutebi, A. Journal of Medicinal Plants Studies Ethno-Medicinal Uses of Selected Indigenous Fruit Trees from the Lake Victoria Basin Districts in Uganda. J. Med. Stud. 2014; 2 (1); 78–88.

Coria-Téllez, A. V.; Montalvo-Gónzalez, E.; Yahia, E. M.; Obledo-Vázquez, E. N. Annona muricata: A Comprehensive Review on Its Traditional Medicinal Uses, Phytochemicals, Pharmacological Activities, Mechanisms of Action and Toxicity. Arab. J. Chem. 2018; 11 (5): 662–691.

Sadeer, N. B., Montesano, D., Albrizio, S., Zengin, G., & Mahomoodally, M. F. The versatility of antioxidant assays in food science and safety—chemistry, applications, strengths, and limitations. In Antioxidants 2020; 9 (8); 1–39. https://doi.org/10.3390/antiox9080709

Rady, I.; Bloch, M. B.; Chamcheu, R. C. N.; Banang Mbeumi, S.; Anwar, M. R.; Mohamed, H.; Babatunde, A. S.; Kuiate, J. R.; Noubissi, F. K.; El Sayed, K. A.; Whitfield, G. K.; Chamcheu, J. C. Anticancer Properties of Graviola (Annona muricata): A Comprehensive Mechanistic Review. Oxid. Med. Cell. Longev. 2018.

Yajid, A. I.; Ab Rahman, H. S.; Wong, M. P. K.; Wan Zain, W. Z. Beneficios Potenciales de Annona muricata En La Lucha Contra El Cáncer: Una Revisión. Malaysian J. Med. Sci. 2018; 25 (1): 5–15.

Sulistyoningrum, E.; Rachmani, E. P. N.; Baroroh, H. N.; Rujito, L. Annona muricata Leaves Extract Reduce Proliferative Indexes and Improve Histological Changes in Rat’s Breast Cancer. J. Appl. Pharm. Sci. 2017; 7 (1): 149–155. https://doi.org/10.7324/JAPS.2017.70120.

Mutakin M, Fauziati R, Fadhilah FN, Zuhrotun A, Amalia R, and Hadisaputri YE. Pharmacological Activities of Soursop ( Annona muricata Lin.). Molecules 2022; 1–17.

Dur AG, Guti MT, Mac FA, and Molinillo JMG. An Overview of the Chemical Characteristics , Bioactivity and Achievements Regarding the Therapeutic Usage of Acetogenins. Molecules 2021;6 (1) :4-7

Arthur, F.K., Woode, E., Terlabi, E., Larbie, C. Evaluation of Acute and Subchronic Toxicity of Annona muricata (Linn.) Aqueous Extract in Animals. Eur. J. Exp. Biol.2018; 1: 115–124.

Jaramillo-Flores ME, H.-S. H. Thermal Diffusivity of Soursop (Annona muricata L.) Pulp. Engineering. J. Food . 2009; 46: 139-143.

Omar A, Abdussalam-mohammed W, and Omar M. Review of Phytochemical and Medical Applications of Annona muricata Fruits. Med Environ Sci 2020; 2:70–79.

Machado, A.R., Lage, G.A., da Silva Medeiros, F., de Souza Filho, J.; D., Pimenta, L. P. S. Total a, b-Unsaturated-c-Lactone Acetogenins in Annona muricata by Proton NMR Spectroscopy. Magn. Reson. 2014; 2 (46):153–160.

Alali, F.Q., Xiao-Xi, L., McLaughlin, J. L. Annonaceous Acetogenins: Recent Progress. J. Nat. Prod. 1999; 62: 504–540.

Nascimento N, Carreiro D, James K, Souza L, and Arag D. Acetogenins from Annonaceae plants : potent antitumor and neurotoxic compounds. PharmaNutrition 2022; 20: 135-146.

Fofana, S., Ziyaev, R., Abdusamatov, A., Zakirov, S. K. Alkaloids from Annona muricata Leaves. Chem. Nat. Compd. 2011; 47: 321.

Hasrat, J.A., Pieters, L., De Backer, J.P., Vauquelin, G., Vlietinck, A.; J. Screening of Medicinal Plants from Suriname for 5-HT 1A Ligands: Bioactive Isoquinoline Alkaloids from Fruit of Annona muricata. Phytomedicine 2020; 4: 133–140.

Hasrat, J.A., De Bruyne, T., De Backer, J.-P., Vauquelin, G.; Vlietinck, A. J. Isoquinoline Derivatives Isolated from the Fruit of Annona muricata as 5-HTergic 5-HT1A Receptor Agonists in Rats: Unexploited Antidepressive (Lead) Products. J. Pharm. Pharmacol. 2019; 49: 1145–1149.

Matsushige, A., Matsunami, K., Kotake, Y., Otsuka, H., Ohta, A. 2011. Three New Megastigmanes from the Leaves of Annona muricata. J. Nat. Med. 2011; 66: 284–291.

Moghadamtousi S, Rouhollahi E, K. H. The Chemopotential Effect of Annona muricata Leaves against Azoxymethaneinduced Colonic Aberrant Crypt Foci in Rats and the Apoptotic Effect of Acetogenin Annomuricin E in HT-29 Cells: A Bioassay – Guided Approach. PLoS One 2015; 10(4): 1-28.

Nawwar M, Ayoub N, Hussein S, H. A. Flavonol Triglycoside and Investigation of the Antioxidant and Cell Stimulating Activities of Annona muricata Linn. Arch Pharm Res 2012, 35 (5), 761–767.

Balderrama-carmona AP, Patricia N, Juan-carlos G, Chaidez-quiroz C, and Felipe E. Antiviral, Antioxidant, and Antihemolytic Effect of Annona muricata L. Leaves Extracts. Molecules 2020; 9:1–11.

Vijayameena C, Subhashini G, Loganayagi M, R. B. Phytochemical Screening and Assessment of Antibacterial Activity for the Bioactive Compounds in Annona muricata. Microbiol Appl SciInt J Curr. 2013; 2 (1): 1-8.

Wu F, Zhao G, Zeng L, Z. Y. Additional Bioactive Acetogenins, Annomutacin and (2, 4-Trans and Cis)-10R-Annonacin-Aones, from the Leaves of Annona muricata. J Nat 1995; 58 (9); 1 1430-1437.

Li C-M, Ning-Hua T, Hui-Lan Z, Q. M. Cyclopeptide from the Seeds of Annona muricata. Phytochemistry 1998; 48 (3): 555-556.

W´el´e A, Ndoye I, B. M. Fatty Acid and Essential Oil Compositions of the Seed Oil of Five Annona Species. Niger. J Nat Prod Med. 2005; 8 (1): 62-65.

Thang TD, Dai DN, Hoi TM, O. I. Study on the Volatile Oil Contents of Annona glabra L., Annona squamosa L., Annona muricata L. and Annona reticulata L., from Vietnam. Nat Prod Res. 2013; 27 (13): 1232-1236.

Owolabi MS, Ogundajo AL, Dosoky NS, S. W. The Cytotoxic Activity of Annona muricata Leaf Oil from Badagary, Nigeria. Am J Essent Oil Nat Prod. 2013; 1 (1): 1-3.

George VC, Kumar N, Rajkumar V, Suresh PK, A. R. Quantitative Assessment of the Relative Antineoplastic Potential of the N-Butanolic Leaf Extract of Annona muricata Linn. in Normal and Immortalized Human Cell Lines. Asian Pac J Cancer Prev. 2012; 13 (2): 699-704.

Valencia L, Muñoz D, Robledo S, Echeverri F, A. G.; V´elez I, et al. Trypanocidal and Cytotoxic Activity of Extracts from Colombian Plants. Biom´edica. 2011; 31 (4); 552-559.

Gavamukulya, Y.; Wamunyokoli, F.; El-Shemy, H. A. Annona muricata: Is the Natural Therapy to Most Disease Conditions Including Cancer Growing in Our Backyard? A Systematic Review of Its Research History and Future Prospects. Asian Pac. J. Trop. Med. 2017; 10 (9): 835–848. https://doi.org/10.1016/j.apjtm.2017.08.009.

Chih, H.-W.; Chiu, H.-F.; Tang, K.-S.; Chang, F.-R.; Wu, Y.-C. Bullatacin, a Potent Antitumor Annonaceous Acetogenin, Inhibits Proliferation of Human Hepatocarcinoma Cell Line 2.2.15 by Apoptosis Induction. Life Sci. 2001; 69:1321–1331.

Osorio E, Arango G, Jim´enez N, A. F. Antiprotozoal and Cytotoxic Activities in Vitro of Colombian Annonaceae. J Ethnopharmacol 2007;111 (3): 630-635.

Pieme CA, Kumar SG, Dongmo MS, Moukette BM, B. F.; Ngogang JY, Saxena KA. Antiproliferative Activity and Induction of Apoptosis by Annona muricata (Annonaceae) Extract on Human Cancer Cells. BMC Complement Altern Med. 2014; 14 (1):516.

Mohamad M, Daud N, Zulkifli R, Y. H. Cytotoxic Effect of Annona muricata Linn Leaves Extract on Capan-1 Cells. J Appl Pharm Sci. 2015: 5 (5): 045-048.

Artanti A, Astirin O, P. A. Cytotoxic Activity of Non Polar Fraction from Annona muricata L. Leaves on Hela and Raji Cell Line. J Pharm Sci Clin Res. 2016; 1 (2): 112-118.

Asare GA, Afriyie D, Ngala RA, Abutiate H, D. D.; Mahmood SA, Rahma H. Antiproliferative Activity of Aqueous Leaf Extract of Annona muricata L. on the Prostate, BPH-1 Cells, and Some Target Genes. Integr Cancer Ther. 2015; 14 (1): 65-74.

Torres MP, Rachagani S, Purohit V, Pandey P, J. S.; Moore ED, Jahansson SL, Singh P, Batra SK, Ganti AK. Graviola: A Novel Promising Natural-Derived Drug That Inhibits Tumorigenicity and Metastasis of Pancreatic Cancer Cells in Vitro and in Vivo through Altering Cell Metabolism. Cancer Lett. 2012; 323 (1): 29-40.

Nakanishi Y, Chang F-R, Liaw C-C, Wu Y-C, B. K.; K-H., L. Acetogenins as Selective Inhibitors of the Human Ovarian 1A9 Tumo Cell Line 1. J Med Chem. 2003: 46 (15): 3185-3188.

Yang G, Rosen DG, Liu G, Yang F, Guo X, Xiao X, Xue F, Uribe MI, Huang J, Lin SH, Mills GB, Liu J. CXCR2 Promotes Ovarian Cancer Growth through Dysregulated Cell Cycle, Diminished Apoptosis, and Enhanced Angiogenesis. Clin Cancer Res. 2010; 16 (15): 3875-3886.

Lannuzel A, Michel P, H¨oglinger G, C. P. The Mitochondrial Complex I Inhibitor Annonacin Is Toxic to Mesencephalic Dopaminergic Neurons by Impairment of Energy Metabolism. Neuroscience. 2003; 12 (2): 287-296.

McLaughlin, JL. Paw Paw and Cancer: Annonaceous Acetogenins from Discovery to Commercial Products. J Nat Prod. 2008; 71 (7): 1311-1321.

Yang, C., Gundala, S.R., Mukkavilli, R., Vangala, S., Reid, M. D.; Aneja, R. Yang, C., Gundala, S.R., Mukkavilli, R., Vangala, S., Reid, M.D., Aneja, R., Synergistic Interactions among Flavonoids and Acetogenins in Graviola (Annona muricata) Leaves Confer Protection against Prostate Cancer. Carcinogenesis 2015; 36 (6): 656–665.

Rieser, M.J.; Fang, X.P.; Anderson, J.E.; Miesbauer, L.R.; Smith, D.L.; McLaughlin, J. L. Muricatetrocins a and b and Gigantetrocin b: Three New Cytotoxic Monotetrahydrofuran-Ring Acetogenins from Annona muricata. Helv. Chim. Acta 1993; 76: 2433–2444.

Hamizah, S., Roslida, A.H., Fezah, O., Tan, K.L., Tor, Y.S., Tan, C.; I. Chemopreventive Potential of Annona muricata L. Leaves on Chemically-Induced Skin Papillomagenesis in Mice. Asian Pac. J. Cancer Prev. 2012; 13: 2533–2539.

Dai, Y., Hogan, S., Schmelz, E.M., Ju, Y.H., Canning, C., Zhou, K. Selective Growth Inhibition of Human Breast Cancer Cells by Graviola Fruit Extract in Vitro and in Vivo Involving Downregulation of EGFR Expression. Nutr. Cancer. 2011; 63:795–801.

Ko, Y.M., Wu, T.Y., Wu, Y.C., Chang, F.R., Guh, J.Y., Chuang, L.; Y. Annonacin Induces Cell Cycle-Dependent Growth Arrest and Apoptosis in Estrogen Receptor-Alfa-Related Pathways in MCF-7 Cells. Ethnopharmacol., J. 2011;137: 1283–1290.

Wu, F.-E.; Gu, Z.-M.; Zeng, L.; Zhao, G.-X.; Zhang, Y.; McLaughlin., J.L.; Sastrodihardjo, S. Two New Cytotoxic Monotetrahydrofuran Annonaceous Acetogenins, Annomuricins a and b, from the Leaves of Annona muricata. J. Nat. Prod. 1995; 58, 830–836.

Kim, G.-S.; Zeng, L.; Alali, F.; Rogers, L.L.; Wu, F.-E.; McLaughlin, J.L.; Sastrodihardjo, S. Two New Mono-Tetrahydrofuran Ring Acetogenins, Annomuricin e and Muricapentocin, from the Leaves of Annona muricata. J. Nat. Prod. 1998; 61: 432–43.

Zeng, L.; Wu, F.-E.; McLaughlin, J. L. Annohexocin, a Novel Mono-THF Acetogenin with Six Hydroxyls, from Annona muricata (Annonaceae). Bioorg. Med. Chem. Lett 1955; 5, 1865–1868.

Zeng, L.; Wu, F.-E.; Oberlies, N.H.; McLaughlin, J.L.; Sastrodihadjo, S. Five New Monotetrahydrofuran Ring Acetogenins from the Leaves of Annona muricata. J. Nat. Prod. 1996; 59: 1035–1042.

Kim, G.-S.; Zeng, L.; Alali, F.; Rogers, L.L.; Wu, F.-E.; Sastrodihardjo, S.; McLaughlin, J Muricoreacin and Murihexocin C, Mono-Tetrahydrofuran Acetogenins, from the Leaves of Annona muricata in Honour of Professor Gh Neil Towers 75th Birthday. Phytochemistry 1998; 49: 565–571.

Liaw, C.-C.; Chang, F.-R.; Lin, C.-Y.; Chou, C.-J.; Chiu, H.-F.; Wu, M.-J.; Wu, Y.-C. New Cytotoxic Monotetrahydrofuran Annonaceous Acetogenins from Annona muricata. J. Nat. Prod. 2002; 65: 470–475.

Rieser, M.J.; Kozlowski, J.F.; Wood, K.V.; McLaughlin, J. L. M. A Simple Biologically Active Acetogenin Derivative from the Seeds of Annona muricata (Annonaceae). Tetrahedron Lett. 1991; 32: 1137–1140.

Cortes, D.; Myint, S.H.; Laurens, A.; Hocquemiller, R.; Leboeuf, M.; Cavé, A. Corossolone et Corossoline, Deux Nouvelles γ-Lactones Mono-Tétrahydrofuraniques Cytotoxiques. Can. J. Chem. 1991; 69: 8–11.

Laurens, A.; Hocquemiller, R.; Lebȩuf, M.; Cavé, A.; Cotte, J.; Quéro, A.-M. Hla Myint, S.; Cortes, D.; Solamin, a Cytotoxic Mono-Tetrahydrofuranic γ-Lactone Acetogenin from Annona muricata Seeds. Phytochemistry. 1991; 30: 3335–3338.

Rieser, M.J.; Gu, Z.-M.; Fang, X.-P.; Zeng, L.; Wood, K.V.; McLaughlin, J. . Five Novel Mono-Tetrahydrofuran Ring Acetogenins from the Seeds of Annona muricata. J. Nat. Prod. 1996; 59: 100–108.

Chang, F.-R.; Wu, Y.-C. Novel Cytotoxic Annonaceous Acetogenins from Annona muricata. Novel Cytotoxic Annonaceous Acetogenins from Annona muricata. J. Nat. Prod. 2001; 64: 925–931.

Sun, S.; Liu, J.; Kadouh, H.; Sun, X.; Zhou, K. Three New Anti-Proliferative Annonaceous Acetogenins with Mono-Tetrahydrofuran Ring from Graviola Fruit (Annona muricata). Bioorg. Med. chem. 2014; 24: 2773–2776.

Chance, B.; Sies, H. . Boveris, A. Hydroperoxide Metabolism in Mammalian Organs. Physiol. Rev. 1979; 59: 527–605.

Almeida M, Sousa P. A. A. Bioactive Compounds and Antioxidant Activity of Fresh Exotic Fruits from Northeastern Brazil. Food Res Int. 2011;44 (7): 2155-2159.

Essama S, Nyegue M, Foe C, Silihe K, Tamo S, E. F. Antibacterial and Antioxidant Activities of Hydro-Ethanol Extracts of Barks, Leaves and Stems of Annona muricata. Am J Pharmacol Sci. 2016; 3 (6): 126–131.

Alitonou G, Tchobo F, Sessou P, A. F. Chemical Composition, Antiradical and Antiinflammatory Activities of Four Annonaceae from Benin. Int J Pharm Chem Biol Sci. 2013; 3 (3): 914–923.

Padma, P.; Chansauria, J.; Khosa, R. . R. A. Effect of Annooa Muricata and Polyalthia Cerasoides on Brain Neurotransimitters and Enzyme Monoamine Oxidase Following Cold Immobilization Stress. J. Nat. Rem. 2001; 1: 144–146.

Olakunle, S.; Onyechi, O.; James, O. Toxicity, Anti-Lipid Peroxidation, in Vitro and in Vivo Evaluation of Antioxidant Activity of Annona muricata Ethanol Stem Bark Extract. Am. J. Life Sci. 2014; 2: 271–277.

Agu, K.C., Okolie, N.P., Falodun, A., Engel-Lutz, N. In vitro antIicancer assessments of Annona muricata fractions and in vitro antioxidant profile of fractions and isolated acetogenin (15-acetyl guanacone). J. Canc. Res. Prac. 5 (2): 53-66.

Sanni O, Erukainure OL, Oyebode OA, I. M. Fractions from Annona muricata Attenuate Oxidative Stress in Pancreatic Tissues, Inhibits Key Carbohydrate Digesting Enzymes and Intestinal Glucose Absorption but Enhances Muscle Glucose Uptake. J. Food Biochem. 2020; (6): 13211.