Evidence map›Paper›PMID 40200651›Full record

SynthesisMolecular nutrition & food research2025

Pomegranate Extracts as Dual Regulators of Angiogenesis: A Systematic Review of Preclinical Evidence in Cancer and Chronic Wound Healing.

Anna Eleonora Caprifico, Gianpiero Calabrese, Riccardo Tornese, Anna Montefusco, Rocco Placì, Teodoro Semeraro, Miriana Durante, Monica De Caroli, Marcello Salvatore Lenucci

Abstract readSystematic Review
In one paragraph

Synthesis in Molecular nutrition & food research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. CarbopolGels (Basel, Switzerland) · 2026
    Article
  4. Sequential Supercritical COPlants (Basel, Switzerland) · 2026
    Article
  5. Phytochemical Analysis and Therapeutic Potential ofPlants (Basel, Switzerland) · 2025
    Article
  6. Review
  7. Review
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

9 authors.

Anna Eleonora CaprificoSchool of Allied Health Sciences, Faculty of Health & Life Sciences, De Montfort University, The Gateway, Leicester, UK.ORCID 0000-0002-2170-1063
Gianpiero CalabreseSchool of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, London, UK.
Riccardo TorneseDipartimento di Scienze e Tecnologie Biologiche ed Ambientali (DiSTeBA), Università del Salento, Via Prov.le Lecce Monteroni, Lecce, Italy.
Anna MontefuscoDipartimento di Scienze e Tecnologie Biologiche ed Ambientali (DiSTeBA), Università del Salento, Via Prov.le Lecce Monteroni, Lecce, Italy.
Rocco PlacìDipartimento di Scienze e Tecnologie Biologiche ed Ambientali (DiSTeBA), Università del Salento, Via Prov.le Lecce Monteroni, Lecce, Italy.
Teodoro SemeraroResearch Institute on Terrestrial Ecosystems (IRET-URT Lecce), National Research Council of Italy (CNR), Campus Ecotekne, Lecce, Italy.
Miriana DuranteIstituto di Scienze delle Produzioni Alimentari (ISPA)-CNR, Via Prov.le Lecce-Monteroni, Lecce, Italy.
Monica De CaroliDipartimento di Scienze e Tecnologie Biologiche ed Ambientali (DiSTeBA), Università del Salento, Via Prov.le Lecce Monteroni, Lecce, Italy.
Marcello Salvatore LenucciDipartimento di Scienze e Tecnologie Biologiche ed Ambientali (DiSTeBA), Università del Salento, Via Prov.le Lecce Monteroni, Lecce, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Angiogenesis plays a critical role in both tumor progression and wound healing. This systematic review investigates the effect of pomegranate (Punica granatum, PG) extracts as both anti- and pro-angiogenic agents in preclinical models of cancer and chronic wound healing (CWH), respectively. Following PRISMA guidelines, 14 studies (10 cancer, 4 CWH) were identified from PubMed, Scopus, and Google Scholar databases. In cancer models, PG extracts (juice, peel extract, seed oil) reduced vascular endothelial growth factor (VEGF) expression, and endothelial tube formation across multiple cancer types, with concomitant decrease in matrix metalloproteinases and inflammatory mediators. Conversely, in CWH models, topical PG peel extract applications enhanced VEGF expression and wound closure in diabetic and burn injuries. This dual angiogenic effect appears mechanistically linked to peroxisome proliferator-activated receptor signaling pathways and synergistic interactions among PG polyphenols, particularly ellagitannins. Assessment of study quality revealed generally low risk of bias across in vitro studies, while animal studies demonstrated variable methodological rigor. Despite promising preclinical evidence, standardization of extraction methods, exploration of molecular mechanisms, and translation to clinical investigations remain critical research priorities. This comprehensive analysis validates PG extracts as a promising therapeutic strategy for both inhibiting pathological angiogenesis in cancer and promoting beneficial angiogenesis in CWH.

Indexed as

NeoplasmsNeovascularization, PathologicPlant ExtractsPomegranateWound HealingAngiogenesisAngiogenesis InhibitorsAnimalsHumansVascular Endothelial Growth Factor AAngiogenesis InhibitorsPlant ExtractsVascular Endothelial Growth Factor Aangiogenesiscancerchronic wound healingpomegranate extractsvascular endothelium growth factor

Identifiers

PMID40200651
PMCPMC12128004

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.