Evidence map›Paper›PMID 22475682›Full record

ArticleCancer letters2012

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.

María P Torres, Satyanarayana Rachagani, Vinee Purohit, Poomy Pandey, Suhasini Joshi, Erik D Moore, Sonny L Johansson, Pankaj K Singh, Apar K Ganti, Surinder K Batra

Registry-linked trialAbstract read
In one paragraph

Article in Cancer letters, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04773769 (Pilot Phase 2 Study of Graviola), which is not on this map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% of its field
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.

NCT04773769 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Pilot Phase 2 Study of Graviola (Guanabana) Leaves for The Treatment of Patients With Relapsed or Refractory Gastric Adenocarcinoma, Adenocarcinoma of Gastroesophageal Junction, Hepatocellular Carcinoma, Pancreatic Adenocarcinoma, Low Grade Lymphomas and Colorectal Adenocarcinoma

TypeinterventionalSponsorAuxilio Mutuo Cancer CenterRan2018 to 2023Enrolled54ConditionsGastric Adenocarcinoma, Adenocarcinoma of the Gastroesophageal Junction, Hepatocellular Carcinoma, Pancreatic AdenocarcinomaArmsTea Made of Graviola Leaves
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 197 citations in OpenAlex.

  1. Pooled it
  2. Naturally Available Extracts Inhibiting Cancer Progression: A Systematic Review.Journal of evidence-based complementary & alternative medicine · 2017
    Pooled it
  3. Glucose metabolic phenotype of pancreatic cancer.World journal of gastroenterology · 2016
    Pooled it
  4. Acetogenins fromACS omega · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Heliyon · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Molecules (Basel, Switzerland) · 2023
    Article
  14. Anticancer acumens of three Annona species: a proportional review.Journal of cancer research and clinical oncology · 2023
    Review
  15. Article
  16. Article
  17. A Proteomic Study of the Bioactivity ofInternational journal of molecular sciences · 2023
    Article
  18. Article
  19. Review
  20. Acetogenins-Rich Fractions ofMolecules (Basel, Switzerland) · 2023
    Article

17 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

María P TorresDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA; Eppley Institute for Research in Cancer and Allied Diseases, Omaha, NE 68198-5870, USA.
Satyanarayana RachaganiDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA.
Vinee PurohitEppley Institute for Research in Cancer and Allied Diseases, Omaha, NE 68198-5870, USA.
Poomy PandeyDepartment of Environmental, Agricultural & Occupational Health, Omaha, NE 68198-5870, USA.
Suhasini JoshiDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA.
Erik D MooreDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA.
Sonny L JohanssonEppley Institute for Research in Cancer and Allied Diseases, Omaha, NE 68198-5870, USA; Department of Pathology and Microbiology, Omaha, NE 68198-5870, USA.
Pankaj K SinghDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA; Eppley Institute for Research in Cancer and Allied Diseases, Omaha, NE 68198-5870, USA.
Apar K GantiDepartment of Internal Medicine VA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha, NE 68198-5870, USA.
Surinder K BatraDepartment of Biochemistry and Molecular Biology, Omaha, NE 68198-5870, USA; Eppley Institute for Research in Cancer and Allied Diseases, Omaha, NE 68198-5870, USA; Department of Pathology and Microbiology, Omaha, NE 68198-5870, USA. Electronic address: sbatra@unmc.edu.
University of Nebraska at Omaha · USVA Nebraska Western Iowa Health Care System · US

Funding

Tissue CoreP50CA127297 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI HOLLINGSWORTH, MICHAEL A. · 2008 to 2018
$17.1M
Early Diagnosis of Pancreatic CancerU01CA111294 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BATRA, SURINDER K., HOLLINGSWORTH, MICHAEL A. · 2004 to 2015
$7.1M
MOLECULAR STUDIES ON MUC4 MUCIN GENER01CA078590 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BATRA, SURINDER K. · 1998 to 2011
$2.5M
Novel deregulated genes in the etiology and progression of human prostate cancerR01CA138791 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BATRA, SURINDER K. · 2010 to 2014
$1.9M
Smoking and pancreatic cancerR01CA133774 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BATRA, SURINDER K. · 2008 to 2012
$1.8M
Molecular Markers for the Diagnosis of Pancreatic CancerR01CA131944 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BATRA, SURINDER K. · 2008 to 2012
$1.5M
RADIOLOGY RESEARCH TRAININGT32CA009479 · NCI · UNIVERSITY OF UTAH · PI SIMONS, MARGARET A · 1985 to 1989
–
NCI NIH HHS CA111294NCI NIH HHS P50 CA127297NCI NIH HHS R01 CA078590NCI NIH HHS R01 CA131944NCI NIH HHS R01 CA133774NCI NIH HHS R01 CA138791NCI NIH HHS R01 CA78590NCI NIH HHS T32CA009479NCI NIH HHS U01 CA111294NCI NIH HHS U54 CA160163
6 · The paper itself

Abstract

Pancreatic tumors are resistant to conventional chemotherapies. The present study was aimed at evaluating the potential of a novel plant-derived product as a therapeutic agent for pancreatic cancer (PC). The effects of an extract from the tropical tree Annona Muricata, commonly known as Graviola, was evaluated for cytotoxicity, cell metabolism, cancer-associated protein/gene expression, tumorigenicity, and metastatic properties of PC cells. Our experiments revealed that Graviola induced necrosis of PC cells by inhibiting cellular metabolism. The expression of molecules related to hypoxia and glycolysis in PC cells (i.e. HIF-1α, NF-κB, GLUT1, GLUT4, HKII, and LDHA) were downregulated in the presence of the extract. In vitro functional assays further confirmed the inhibition of tumorigenic properties of PC cells. Overall, the compounds that are naturally present in a Graviola extract inhibited multiple signaling pathways that regulate metabolism, cell cycle, survival, and metastatic properties in PC cells. Collectively, alterations in these parameters led to a decrease in tumorigenicity and metastasis of orthotopically implanted pancreatic tumors, indicating promising characteristics of the natural product against this lethal disease.

Indexed as

AnnonaAnimalsAntineoplastic AgentsBlotting, WesternCell Line, TumorCell MovementFemaleHumansMiceMice, NudeMicroscopy, ConfocalNecrosisNeoplasms, ExperimentalPancreatic NeoplasmsPhytotherapyPlant ExtractsAntineoplastic AgentsPlant Extracts

Identifiers

PMID22475682
PMCPMC3371140
OpenAlexW2131311561

What OpenQuestion holds

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Registered trials

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.