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World J Gastroenterol. Apr 28, 2014; 20(16): 4618-4625
Published online Apr 28, 2014. doi: 10.3748/wjg.v20.i16.4618
Role of pomegranate and citrus fruit juices in colon cancer prevention
Saravana Kumar Jaganathan, Muthu Vignesh Vellayappan, Gayathri Narasimhan, Eko Supriyanto
Saravana Kumar Jaganathan, Eko Supriyanto, IJN-UTM Cardiovascular Engineering Centre, Faculty of Bioscience and Medical Engineering, Universiti Teknologi Malaysia, Johor Bahru 81310, Malaysia
Saravana Kumar Jaganathan, Muthu Vignesh Vellayappan, Gayathiri Narasimhan, Department of Research and Development, PSNA College of Engineering and Technology, Dindigul 624 622, India
Author contributions: Jaganathan SK designed the research; Vellayappan MV, Narasimhan G and Supriyanto E participated in the research design; Jaganathan SK, Vellayappan MV and Narasimhan G collected the literature; Vellayappan MV and Narasimhan G wrote the review in consultation with Jaganathan SK; Supriyanto E participated in writing and editing of manuscript by providing suggestions; all the authors verified the final manuscript.
Correspondence to: Saravana Kumar Jaganathan, MSc, PhD, Senior Lecturer, IJN-UTM Cardiovascular Engineering Centre, Faculty of Bioscience and Medical Engineering, Universiti Teknologi Malaysia, Johor Bahru 81310, Malaysia. jaganathaniitkgp@gmail.com
Telephone: +60-7-5558548 Fax: +60-7-5558553
Received: September 25, 2013
Revised: October 31, 2013
Accepted: November 13, 2013
Published online: April 28, 2014
Abstract

Colorectal cancer is the second leading cause of cancer-related deaths in the United States. Recent studies prove that though chemotherapeutic agents are being used for the treatment of colon cancer, they become non-effective when the cancer progresses to an invasive stage. Since consumption of certain dietary agents has been linked with various cancers, fruit juices have been investigated for their consistently protective effect against colon cancer. The unique biochemical composition of fruit juices is responsible for their anticancer properties. In this review, the chemo-preventive effect of fruit juices such as pomegranate and citrus juices against colon cancer are discussed. For this purpose, the bioavailability, in vitro and in vivo effects of these fruit juices on colorectal cancer are highlighted. Moreover, there is a scarcity of studies involving human trials to estimate the preventive nature of these juices against colon cancer. This review will support the need for more preclinical tests with these crude juices and their constituents in different colorectal cancer cell lines and also some epidemiological studies in order to have a better understanding and promote pomegranate and citrus juices as crusaders against colon cancer.

Keywords: Colon cancer, Fruit juices, Pomegranate, Citrus fruits, Chemoprevention

Core tip: Recent studies prove that though chemotherapeutic agents are being used for the treatment of colon cancer, they become non-effective when the cancer progresses to an invasive stage. This problem can be minimized by the regular intake of fruit juices. The unique biochemical composition of fruit juices is responsible for their chemo-preventive properties. In this review, the chemo-preventive effects of fruit juices such as pomegranate and citrus juices against colon cancer are discussed.