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Graviola (Soursop)

The graviola tree is found in tropical regions of North and South America. In countries like Brazil, graviola fruit is commonly sold in local markets. All parts of the tree have been used medicinally with each being associated with different health properties. Compounds within graviola, and related species, called annonaceous acetogenins have been shown to target `MDR' cancer cells or multi-drug resistant cancer cells in laboratory in vitro and animal studies. Other studies have revealed that graviola has effective anti-parasitic and hypotensive properties suggesting it may have benefits for internal parasites, bacteria, worms, and for lowering blood pressure. While further clinical trials are required to confirm the efficacy of graviola on humans, the research to date looks very promising for this rainforest plant.
 
Browse Sections:
 Summary
 Other Names
 Description
 Traditional Internal Uses
 Indications
 Actions
 Constituents / Nutrients
 Pharmacological Summary
 Scientific Research / Actions
 Research
 Precautions / Contraindications
 Interaction with Medications
 Dosage
 References

Common Name
Graviola (Soursop)
 
Botanical Latin Name / Classification
Annona muricata
 
Parts Used
Leaves, fruit, seeds, bark, roots
 
Other Names
Soursop, Brazilian Paw Paw, Guanábana, Guanábano, Guanavana, Guanaba, Corossol Épineux, Huanaba, Toge-Banreisi, Durian Benggala, Nangka Blanda, Cachiman épineux, Annona Macrocarpa, A. Bonplandiana, A. Cearensis, Guanabanus Muricatus.

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Description
Graviola is a small, upright evergreen tree, 5-6 m high, with large, glossy, dark green leaves. It produces a large, heart-shaped, edible fruit that is 15-20 cm in diameter, is yellow-green in color, and has white flesh inside. Graviola is indigenous to most of the warmest tropical areas in South and North America, including the Amazon. The fruit is sold in local markets in the tropics, where it is called guan bana in Spanish-speaking countries and graviola in Brazil. The fruit pulp is excellent for making drinks and sherbets and, though slightly sour-acid, can be eaten out of hand.

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Traditional Internal Uses
All parts of the graviola tree are used in natural medicine in the tropics, including the bark, leaves, roots, fruit, and fruit seeds. Different properties and uses are attributed to the different parts of the tree. Generally, the fruit and fruit juice are taken for worms and parasites, to cool fevers, to increase mother's milk after childbirth, and as an astringent for diarrhea and dysentery. The crushed seeds are used against internal and external parasites, head lice, and worms. The bark, leaves, and roots are considered sedative, antispasmodic, hypotensive, and nervine, and a tea is made for various disorders toward those effects.

Graviola has a long, rich history of use in herbal medicine as well as a lengthy recorded indigenous use. In the Peruvian Andes, a leaf tea is used for catarrh (inflammation of mucous membranes) and the crushed seed is used to kill parasites. In the Peruvian Amazon the bark, roots, and leaves are used for diabetes and as a sedative and antispasmodic. Indigenous tribes in Guyana use a leaf and/or bark tea as a sedative and heart tonic. In the Brazilian Amazon a leaf tea is used for liver problems, and the oil of the leaves and unripe fruit is mixed with olive oil and used externally for neuralgia, rheumatism, and arthritis pain. In Jamaica, Haiti, and the West Indies the fruit and/or fruit juice is used for fevers, parasites and diarrhea; the bark or leaf is used as an antispasmodic, sedative, and nervine for heart conditions, coughs, flu, difficult childbirth, asthma, hypertension, and parasites.

Teas are made from the Graviola root, bark and leaves as a sedative and a nerve tonic, as well as to help maintain healthy glucose levels. In other parts of the world, such as the Polynesian Islands, Graviola tea is consumed daily to elevate mood and increase quality of life.

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Indications
Primary Indications: Cancer / Cancer Prevention, Tumors

Secondary Indications: Parasites / Parasitic Infections, Worms, Ringworms, Tapeworms, Pinworms

Other Indications: Hypertension (High Blood Pressure), Depression, Nervous System / Nervous Disorders, Nursing / Lactation, Diarrhea (Diarrhoea), Diabetes (Type I / Type II), Neuralgia (Nerve Pain), Rheumatism, Arthritis, Flu / Influenza, Asthma

Other Indications: Stress / Anxiety, Fever, Catarrh, Coughing

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Actions
Anti-Carcinogenic, Antibacterial, Anticancer / Antitumor, Anticatarrh, Anticonvulsant, Antidepressant, Antifungal, Antimicrobial, Antimutagenic, Antiparasitic, Antirheumatic, Antispasmodic, Astringent, Emetic, Hypotensive (Anti-Hypertensive), Insecticidal, Nervine, Sedative, Uterine Stimulant, Vasodilator, Heart Tonic

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Constituents / Nutrients
Many active compounds and chemicals have been found in graviola, as scientists have been studying its properties since the 1940s. Most of the research on graviola focuses on a novel set of chemicals called Annonaceous acetogenins. Graviola produces these natural compounds in its leaf and stem, bark, and fruit seeds. Three separate research groups have confirmed that these chemicals have significant antitumorous properties and selective toxicity against various types of cancer cells (without harming healthy cells) publishing eight clinical studies on their findings. Many of the acetogenins have demonstrated selective toxicity to tumor cells at very low dosages-as little as 1 part per million. Four studies were published in 1998 which further specify the chemicals and acetogenins in graviola which are demonstrating the strongest anticancerous, antitumorous, and antiviral properties. In a 1997 clinical study, novel alkaloids found in graviola fruit exhibited antidepressive effects in animals.

Annonaceous acetogenins are only found in the Annonaceae family (to which graviola belongs). These chemicals in general have been documented with antitumorous, antiparasitic, insecticidal, and antimicrobial activities. Mode of action studies in three separate laboratories have recently determined that these acetogenins are superb inhibitors of enzyme processes that are only found in the membranes of cancerous tumor cells. This is why they are toxic to cancer cells but have no toxicity to healthy cells. Purdue University, in West Lafayette, Indiana, has conducted a great deal of the research on the acetogenins, much of which, has been funded by The National Cancer Institute and/or the National Institute of Health (NIH). Thus far, Purdue University and/or its staff have filed at least nine U.S. and/or international patents on their work around the antitumorous and insecticidal properties and uses of these acetogenins.

The Annonaceous acetogenins discovered in graviola thus far include: annocatalin, annohexocin, annomonicin, annomontacin, annomuricatin A & B, annomuricin A thru E, annomutacin, annonacin, annonacinone, annopentocin A thru C, cis-annonacin, cis-corossolone, cohibin A thru D, corepoxylone, coronin, corossolin, corossolone, donhexocin, epomuricenin A & B, gigantetrocin, gigantetrocin A & B, gigantetrocinone, gigantetronenin, goniothalamicin, iso-annonacin, javoricin, montanacin, montecristin, muracin A thru G, muricapentocin, muricatalicin, muricatalin, muri-catenol, muricatetrocin A & B muricatin D, muricatocin A thru C muricin H, muricin I, muricoreacin, murihexocin 3, murihexocin A thru C, murihexol, murisolin, robustocin, rolliniastatin 1 & 2, saba-delin, solamin, uvariamicin I & IV, xylomaticin.

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Pharmacological Summary
There are dozens of in vitro laboratory tests on graviola. While some of these studies show graviola to have anti-viral, anti-parasitic and potent anti-cancer properties, we do not know if extracts from graviola have the same effect in humans. Until human trials are done, it is difficult to make any recommendations regarding graviola. Does graviola work well when taken as a supplement? What is the ideal dosage? How often should graviola be taken and for how long? These are questions that still need to be answered through rigorous research. However, some of the studies regarding graviola's anti-cancer potential are intriguing and certainly worthwhile to further explore.

It is important to make the distinction between graviola and paw paw fruit. While graviola is also called `Brazilian paw paw', the studies concerning MDR cancer cells were performed with genuine paw paw fruit, a close relative of graviola. Both graviola and paw paw contain acetogenins, however, those within paw paw are more powerful and, therefore, more effective at targeting and killing cancer cells. Nevertheless, graviola still operates, bio-chemically, in a similar fashion to paw paw, but with a somewhat less pronounced effect.

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Scientific Research and Pharmacologicial Actions
In an 1976 plant screening program by the National Cancer Institute, graviola leaves and stem showed active toxicity against cancer cells and researchers have been following up on these findings since. Thus far, specific acetogenins in graviola and/or extracts of graviola have been reported to be selectively toxic in vitro to these types of tumor cells: lung carcinoma cell lines; human breast solid tumor lines; prostate adenocarcinoma; pancreatic carcinoma cell lines; colon adenocarcinoma cell lines; liver cancer cell lines; human lymphoma cell lines; and multi-drug resistant human breast adenocarcinoma. Researchers in Taiwan reported in 2003 that the main graviola acetogenin, annonacin, was highly toxic to ovarian, cervical, breast, bladder and skin cancer cell lines at very low dosages saying; ". . . annonacin is a promising anti-cancer agent and worthy of further animal studies and, we would hope, clinical trials."

In 1997, Purdue University published information with promising news that several of the Annonaceous acetogenins were " . . . not only are effective in killing tumors that have proven resistant to anti-cancer agents, but also seem to have a special affinity for such resistant cells." In several interviews after this information was publicized, the head pharmacologist in Purdue's research explained how this worked. As he explains it, cancer cells that survive chemotherapy can develop resistance to the agent originally used as well as to other, even unrelated, drugs. This phenomenon is called multi-drug resistance (MDR).

One of the main ways that cancer cells develop resistance to chemotherapy drugs is by creating an intercellular pump which is capable of pushing anticancer agents out of the cell before they can kill it. On average, only about two percent of the cancer cells in any given person might develop this pump-but they are the two percent that can eventually grow and expand to create multi-drug-resistant tumors. Some of the latest research on acetogenins reported that they were capable of shutting down these intercellular pumps, thereby killing multi-drug-resistant tumors.

Purdue researchers reported that the acetogenins preferentially killed multi-drug-resistant cancer cells by blocking the transfer of ATP-the chief source of cellular energy-into them. A tumor cell needs energy to grow and reproduce, and a great deal more to run its pump and expel attacking agents. By inhibiting energy to the cell , it can no longer run its pump. When acetogenins block ATP to the tumor cell over time, the cell no longer has enough energy to operate sustaining processes-and it dies. Normal cells seldom develop such a pump; therefore, they don't require large amounts of energy to run a pump and, generally, are not adversely affected by ATP inhibitors.

Purdue researchers reported that 14 different acetogenins tested thus far demonstrate potent ATP-blocking properties (including several found only in graviola). They also reported that 13 of these 14 acetogenins tested were more potent against MDR breast cancer cells than all three of the standard drugs (adriamycin, vincristine, and vinblastine) they used as controls.

An interesting in vivo study was published in March of 2002 by researchers in Japan, who were studying various acetogenins found in several species of plants. They inoculated mice with lung cancer cells. One third received nothing (the control group), one third received the chemotherapy drug adriamycin, and one third received the main graviola acetogenin, annonacin (at a dosage of 10 mg/kg). At the end of two weeks, five of the six in the untreated control group were still alive and lung tumor sizes were then measured. The adriamycin group showed a 54.6% reduction of tumor mass over the control group-but 50% of the animals had died from toxicity (three of six). The mice receiving annonacin were all still alive, and the tumors were inhibited by 57.9%-slightly better than adriamycin-and without toxicity. This led the researchers to summarize; "This suggested that annonacin was less toxic in mice. On considering the antitumor activity and toxicity, annonacin might be used as a lead to develop a potential anticancer agent."

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Research
"A Friendly Skeptic Looks At Graviola"
"Graviola: Alternative Cancer Therapy"
"Graviola: Billion Dollar Company Nearly Squashes Research"
"Graviola: Herbal Secret of the Rain Forest"

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Precautions / Contraindications
Graviola has demonstrated uterine stimulant activity in an animal study (rats) and should therefore not be used during pregnancy.

Graviola has demonstrated hypotensive, vasodilator, and cardiodepressant activities in animal studies and is contraindicated for people with low blood pressure. People taking antihypertensive drugs should check with their doctors before taking graviola and monitor their blood pressure accordingly (as medications may need adjusting).

Graviola has demonstrated significant in vitro antimicrobial properties. Chronic, long-term use of this plant may lead to die-off of friendly bacteria in the digestive tract due to its antimicrobial properties. Supplementing the diet with probiotics and digestive enzymes is advisable if this plant is used for longer than 30 days.

Graviola has demonstrated emetic properties in one animal study with pigs. Large single dosages may cause nausea or vomiting. Reduce the usage accordingly if this occurs.

One study with rats given a stem-bark extract intragastrically (at 100 mg/kg) reported an increase in dopamine, norepinephrine, and monomine oxidase activity, as well as a inhibition of serotonin release in stress-induced rats.

Alcohol extracts of graviola leaf showed no toxicity or side effects in mice at 100 mg/kg; however, at a dosage of 300 mg/kg, a reduction in explorative behavior and mild abdominal constrictions was observed. If sedation or sleepiness occurs, reduce the amount used.

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Interaction with Medications
None have been reported; however, graviola may potentiate antihypertensive and cardiac depressant drugs. It may potentiate antidepressant drugs and interfere with MAO-inhibitor drugs. See contraindications above.

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Possible Side Effects
None documented.

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Dosage
The therapeutic dosage is reported to be 2 g (2000 mg) three times daily in capsules or tablets.

A standard infusion (one cup 3 times daily) or a 4:1 standard tincture (2-4 mL three times daily) can be substituted if desired.

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References
Our thanks to the following information resources: Rain-tree.com, and Raysahelian.com.

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2 total products
Graviola (Soursop)   (Read all about Graviola (Soursop).)

Botanical Latin Name: Annona muricata
Plant Part: Leaves, fruit, seeds, bark, roots
Graviola (Soursop) - Health - Super Immunity Complex Powder - Graviola, Astragalus, Green Tea and More
Graviola (Soursop) - Health - Super Immunity Complex Powder - Graviola, Astragalus, Green Tea and More
4 oz / 114 g

26.22 US
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Graviola (Soursop) - Health - Super Immunity Complex Powder - Graviola, Astragalus, Green Tea and More
Graviola (Soursop) - Health - Super Immunity Complex Powder - Graviola, Astragalus, Green Tea and More
1 oz / 28 g

11.84 US
In Stock - Ships Today!
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These statements have not been evaluated by the Food and Drug Administration (FDA). Products are intended to support general well being and are not intended to treat, diagnose, mitigate, prevent, or cure any condition or disease. If conditions persist, please seek advice from your medical doctor.



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