Evidence map›Paper›PMID 31830975›Full record

ArticleBMC complementary and alternative medicine2019

The pro-apoptotic effect of a Terpene-rich Annona cherimola leaf extract on leukemic cell lines.

Carl Ammoury, Maria Younes, Marianne El Khoury, Mohammad H Hodroj, Tony Haykal, Peter Nasr, Marilyne Sily, Robin I Taleb, Rita Sarkis, Rana Khalife and 1 more

Abstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Aqueous Extracts and Flavonoids Obtained fromPharmaceuticals (Basel, Switzerland) · 2025
    Article
  2. Review
  3. Anticancer acumens of three Annona species: a proportional review.Journal of cancer research and clinical oncology · 2023
    Review
  4. Pharmaceuticals (Basel, Switzerland) · 2023
    Article
  5. Review
  6. Antihyperglycemic Effects ofPharmaceuticals (Basel, Switzerland) · 2023
    Article
  7. Article
  8. Foods (Basel, Switzerland) · 2022
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

11 authors.

Carl AmmouryDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Maria YounesDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Marianne El KhouryDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Mohammad H HodrojDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Tony HaykalDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Peter NasrDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Marilyne SilyDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Robin I TalebDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Rita SarkisDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon.
Rana KhalifeBiochemical Engineering Department, UCL, London, UK.
Sandra RizkDepartment of Natural Sciences, Lebanese American University, Byblos, Lebanon. sandra.rizk@lau.edu.lb.ORCID http://orcid.org/0000-0002-4405-5703

Funding

Lebanese American University SRDC
6 · The paper itself

Abstract

backgroundThe edible fruit Annona cherimola has previously shown many nutritional and medicinal properties. The current study evaluates the anti-cancer and anti-proliferative properties of Annona cherimola ethanolic leaf extract (AELE) on Acute Myeloid Leukemia (AML) cell lines cultured in vitro (Monomac-1 and KG-1).

methodsThe anti-proliferative effect of A. cherimola ethanolic leaf extract was evaluated via cell viability assay. Its pro-apoptotic effect was assessed through Cell Death ELISA and dual Annexin V/PI staining. To further investigate the molecular mechanism by which the extract promoted apoptosis and inhibited the proliferation of the AML cells used, apoptotic protein expression was determined through western blots. Extract composition was elucidated by Gas Chromatography-Mass Spectrometry (GC-MS).

resultsOur results showed that the treatment with A. cherimola ethanolic leaf extract exhibited an inhibitory effect on the proliferation of both cancer cell lines used in a dose- and time-dependent manner, with no toxic effects on normal mononuclear cells (MNCs) isolated from human bone marrow. This effect was mediated by DNA fragmentation and apoptosis, as revealed by Cell Death ELISA and dual Annexin V/PI staining. Western blot analysis revealed a Bax/Bcl2 dependent mechanism of apoptosis, as well as PARP cleavage, confirming the apoptotic results observed previously. These effects may be attributed to the presence of terpenes which constitute a large component of the leafy extract, as revealed via GC-MS.

conclusionAll the data presented in our study show that the terpene-rich A. cherimola ethanolic leaf extract exhibits an anti-proliferative and pro-apoptotic effect on the AML cell lines used.

Indexed as

AnnonaAntineoplastic AgentsApoptosisCell Line, TumorCell ProliferationHumansLeukemia, Myeloid, AcutePlant ExtractsPlant LeavesTerpenesAntineoplastic AgentsPlant ExtractsTerpenesAcute myeloid leukemiaAnnona cherimolaApoptosisCancerTerpenes

Identifiers

PMID31830975
PMCPMC6909458

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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.