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Anthocyanins and anti-cancer properties

Anthocyanins and anti-cancer properties

Hou, Propperties. Anthocyanins and anti-cancer properties Funct Food — Sonicare is a light, green Nutritional database efficient technique for Antthocyanins industrial production propreties food ACNs Belwal et al. Iva Fernandes. The plates incubated in a Forma Scientific CO 2 water-jacketed incubator at a temperature of Anthocyanin enhances adipocytokine secretion and adipocyte-specific gene expression in isolated rat adipocytes.

Anthocyanins and anti-cancer properties -

Reactive oxygen species ROS are produced by all aerobic cells and are important to the immune system, cell signaling, and many other normal body functions. They can elicit cellular damage, leading to degenerative diseases such as inflammation, cardiovascular disease, cancer, and aging if ROS are excessively produced [ 33 , 34 , 35 ].

As we mention previously, anthocyanins are potent antioxidants and their effectiveness has been tested in vitro and in vivo. They quench free radicals and terminate the chain reaction that is responsible for the oxidative damage. Because of the pH in the human body, their antioxidant activity at a neutral pH has a particular importance [ 36 ].

It was noticed that anthocyanins have similar antioxidant potency as vitamin E α-tocopherol. Dietary anthocyanins have the potential to increase serum antioxidant capacity and thereby protect against LDL oxidation and prevent cardiovascular diseases as demonstrated in a human trial [ 39 ].

Deposits oxidized cholesterol into the artery wall can lead to atherosclerosis and eventually cardiovascular diseases [ 40 ]. Several studies have shown that anthocyanins have anti-obesity effect on high-fat diets and consequently may contribute to the prevention of type 2 diabetes.

One of the studies demonstrates that black soybean anthocyanins were found to effectively reverse the weight gain of high-fat diet group rats [ 41 ]. Moreover, a number of different reports indicate that consumption of fruits and vegetables, especially rich in polyphenols, decrease the incidence of type-2 diabetes, a condition associated with insulin resistance [ 42 , 43 ].

Nevertheless, evidence in the use of anthocyanins to improve night vision was also revealed in other scientific articles [ 44 , 45 ].

The uncontrolled growth of cells which can invade and spread to distant sites of the body is a global health problem, called cancer, with high mortality.

Prevention and routine monitoring are critical to early and accurate diagnosis. Most therapeutic options do not offer cure but rather a deceleration of cancer progression.

In recent years, fruit and vegetables, including soft fruits such as berries, may represent a valid alternative than drugs with undesirable side and adverse effects, because of their chemopreventive or chemotherapeutic properties against certain diseases, such as cancer.

Recent studies on the cancer preventative activities of the anthocyanins include results from in vitro cell culture and in vivo animal model tumor systems, as well as data from human epidemiological studies. Cancer cells differ from normal cells by a number of characteristics, thus being different in morphology and function.

Anthocyanins can attack cancer cells due to these differences and cause a number of effects. A significant characteristic of cancer cells is their uncontrolled cell cycle, which leads to continuous division and proliferation.

Pure anthocyanins and anthocyanin-rich extracts have demonstrated to inhibit cell proliferation by the ability of anthocyanins to block various stages of the cell cycle [ 46 , 47 ]. Moreover, they can selectively inhibit the proliferation of cancer cells, but have little influence on the proliferation of normal cells [ 48 , 49 ].

Anthocyanins have demonstrated to induce the apoptosis of cancer cells through the internal mitochondrial pathway and the external death receptor pathway.

Usually, apoptosis, the programed cell death, in tumor cells is not present; therefore, dead cells cannot be eliminated normally. Cancer cells have deregulated several genes to avoid the apoptosis, such as p53, and these cells have high resistance to death compared with normal cells.

In the intrinsic pathway, cytochrome c release and modulation of caspase-dependent anti- and proapoptotic proteins appear as an increase in mitochondrial membrane potential, because of anthocyanin treatment on cancer cells.

In the extrinsic pathway, the expression of FAS and FASL is modulated by anthocyanins resulting apoptosis in cancer cells [ 50 , 51 , 52 ]. Lately, anthocyanins have been shown to suppress angiogenesis through several mechanisms such as: inhibition of H 2 O 2 and tumor necrosis factor alpha TNF-α -induced VEGF expression in epidermal keratinocytes and by reducing VEGF and VEGF receptor expression in endothelial cells [ 53 ].

Angiogenesis is the physiological process of forming new blood vessels from the existing vascular network for the growth and metastasis of malignant tumors. The process of angiogenesis is controlled by multiple cytokines, of which the most important factor is vascular endothelial growth factor VEGF ; therefore, inhibiting the receptor of angiogenesis vascular endothelial growth factor receptor VEGFR could inhibit the metastasis of tumors effectively [ 18 ].

Anthocyanins were found to inhibit cancer cell invasion by reducing the expression of matrix metalloproteinase MMP and urokinase plasminogen activator u-PA , both of which degrade extracellular matrix as part of the invasive process and, by stimulating the expression of inhibitors, both of which counteract the action of MMP and uPA [ 54 ].

Successful tumor cell extravasation is successful by facilitating degradation of the extracellular matrix barriers.

The balance of activated proteases and their naturally occurring inhibitors determine the degradation of the basement membrane [ 55 ]. In carcinogen-treated animals and also animals with a hereditary predisposition to cancer, anthocyanins have been shown to inhibit the development of cancer.

Moreover, they have been proven effective in: esophageal cancer, colon cancer, skin cancer, and lung cancer. After treatment, administration in different forms, such as anthocyanin-rich tart cherry extract, black raspberry powder, lyophilized black raspberries or ethanol: H 2 O extract from berries, certain effects, were observed.

A small summary of several types of cancer will be discussed further. Colon cancer is one of the most prevalent diseases across the world. In the United States, colon cancer is the second most prevalent cause of death from cancer in men and women after lung cancer, with approximately 50, causes of death [ 56 ].

In Europe, colorectal cancer is the second most common cancer, with 50, new cases diagnosed in [ 57 ]. The development of colon cancer is associated with high alcohol consumption, high-fat diet poor in fiber, red meat, obesity, smoking, lack of physical exercise, diabetes, inflammatory bowel disease, and some genetic and epigenetic alterations as: microsatellite instability, chromosomal instability, mutation of p53 gene is one of the familiar genetic changes in the development of colon cancer, and several others [ 58 ].

The anthocyanin extract administered to mice resulted in less inflammation of the colon and a reduced number of tumors than the control group. Another in vivo study investigated the chemopreventive activity of commercially available anthocyanin-rich extracts of bilberry, chokeberry, and grape prepared for the food industry [ 60 ] Colon cancer male rats treated with a colon carcinogen, azoxymethane, had multiple biomarkers investigated such as: the number and multiplicity of colonic aberrant crypt foci, colonic cell proliferation, urinary levels of oxidative DNA damage, and expression of cyclooxygenase COX genes.

Compared to the control group, rats fed with different extracts showed several changes. In rats fed with bilberry, chokeberry, and grape extracts, the number of large aberrant crypt foci was reduced. The bilberry and chokeberry diet decreased the colonic cellular proliferation, and the grape and bilberry diets had lower COX-2 mRNA expression of gene.

These results clearly support the chemopreventive activity of tested extracts. Breast cancer is the second most common cause of cancer-associated mortalities in women. The American Cancer Society estimated that 60, new cases of breast carcinoma in situ were expected to be diagnosed among women in the United States during [ 61 ].

HER2 is involved in proliferation, angiogenesis, invasion, and metastasis [ 62 ]. A group of scientists have used injection of cyanidingglucoside and peonidinglucoside to evaluate the effect on the tumors of the rats used in the experiments [ 63 ]. Compared with the control group, the tumors treated with cyanidinglucoside and peonidinglucoside expressed lower levels of HER2 as well as Ki67, a proliferation marker, demonstrated with histopathological studies.

Also, the treated tumors expressed higher levels of caspase 3, showing the apoptotic effect of the treatment. A recent published study [ 64 ] evaluated the cytotoxicity of an anthocyanin-rich extract from black rice AEBR on breast cancer cells in vitro and in vivo.

This study demonstrated that black rice extract has promising roles against breast cancer. Lung cancer emerged as the most common cancer worldwide, with 1. The treatment and prevention for lung cancer remains scarce, comparing too many other types of cancer e. Also, there are no standard practices for the prevention of lung cancer recurrence and metastasis, so there is a great need for some unconventional, user-friendly approaches to improve the treatment and prevent or delay the recurrent lung disease.

A recent study published in , investigated the tumor inhibitory activity of diet supplemented with blackberry, alone and in combination with black raspberry, against lung tumor xenograft using nude mice [ 65 ].

Their findings indicated that the mixture of blackberry and black raspberry resulted in higher inhibition of tumor growth vs. blackberry alone. Also, the combination between delphinidin bioactive in blackberries and punicalagin bioactive in black raspberry, which gets converted to ellagic acid in vivo determined a higher tumor growth inhibition than delphinidin alone.

In another study, two bioactive compounds, peonidin 3-glucoside and cyanidin 3-glucoside, were isolated and identified the from Oryza sativa L. Moreover, those compounds were used to treat various cancer cells.

They have demonstrated the inhibition on the growth of Lewis lung carcinoma cells in vivo [ 66 ]. Malignant melanoma of skin accounted for , new cases, and the regions affected are largely those with white populations [ 57 ].

Melanoma skin cancer originates in melanocytes, specialized pigment-producing cells found in both the basal layer of the epidermis. Solar UVB radiation has been implicated as the main cause for skin cancer [ 67 ].

Early diagnosis is the key for curing this potentially deadly disease. Also prevention is playing a crucial role in spotting melanomas at earlier and more curable stages [ 68 ]. Biochemotherapy, the coadministration of traditional chemotherapeutic drugs and biological agents, show a higher response rate for patients than classical treatments that are based only on chemotherapy alone [ 69 , 70 , 71 , 72 ].

Most anticancer treatments are derived from natural resources such as marine, microbial, and botanical sources [ 72 ]. Natural supplements, a rich diet in antioxidants used as a complementary medication, become a common field of research in order to develop new products originating from natural sources with antioxidant and chemopreventive properties.

The ability of anthocyanins to influence parameters of skin tumor development on mice was demonstrated in various studies. SKH-1 hairless mouse was used in order to investigate the photo-chemopreventive effect of delphinidin on UVB-induced biomarkers of skin cancer development [ 17 ].

After the treatment, the results suggest that delphinidin inhibited UVB-mediated oxidative stress and reduced DNA damage, thereby protecting the cells from UVB-induced apoptosis. The study revealed an increase in the counts of stromal progenitor cells in the tumor node and their accelerated maturation.

The potentiation of the antimetastatic activity of the cytostatic was demonstrated as well. The inhibitory effects of mulberry anthocyanins on the metastasis of BF1 cells under noncytotoxic concentrations were investigated.

The findings of the study have demonstrated that mulberry anthocyanins have strong anticancer effects by inhibiting the metastasis ability of BF1 cells.

Prostate cancer is the most common malignancy in men and affects most men over the age of 50 and also presents one of the main causes of mortality. For the in vivo study, athymic nude mice are used. To highlight the effects of anthocyanins on tumor growth in vivo , DH tumor xenograft have been established in these mice.

The effects of treatment were analyzed every 4 weeks. In the first 4 weeks after incubation, the difference between the control and the treated group was insignificant. In the second set of analyses 8 weeks , the difference between the groups was very clear, the control group tumors being much bigger.

These differences were observed until the end of the experiment, demonstrating the ability of anthocyanins to reduce tumor growth [ 74 ]. Another study has found that delphinidin is effective in vitro on PC3 cells and has determined whether these results are also visible in in vivo models.

The delphinidin doses were not toxic to the animals because they did not lose weight and did not affect the amount of food they consumed. After measurements for 12 weeks, the differences between the tumors of the two groups control and treated each week were significant, suggesting an antiangiogenic effect on tumor cells.

At the end of the experiment, tumors were extirpated and analyzed, where effects similar to in vitro studies were observed [ 75 ]. Acute myeloid leukemia is a hematological malignancy that has numerous causes such as chromosomal abnormalities and various gene mutations.

Leukemia mice treated with anthocyanins had a higher survival rate than the untreated ones, this survival being correlated with the concentration of treatment. All leukemia-induced mice had the spleen and liver measured at autopsy, indicating splenomegaly and hepatomegaly.

The size of these organs was significantly reduced for those treated compared to the control group. The organs were evaluated histopathologically as well and again the treated group had less infiltrated tissue with leukemic cells.

Taken all this into consideration, we can say that mulberry anthocyanins can improve or eliminate the leukemic mice disorder [ 86 ]. Based on the substitution pattern of anthocyanidins, a recent study reported that growth inhibition of HT29 cells human colon cancer was highly affected by delphinidin and malvidin, while pelargonidin exhibited the lowest growth inhibitory potential.

Moreover, same study reported that malvidin could inhibit the activity of phosphodiesterase PDE and the hydrolysis of cAMP effectively in HT29 cells thereby inhibiting the MAPK signaling pathway [ 76 ].

Another research paper [ 77 ] investigated anthocyanin-rich extracts from grape Vitis vinifera , bilberry Vaccinium myrtillus L. for their potential chemopreventive activity against colon cancer. The growth of colon-cancer-derived HT and nontumorigenic colonic NCM cell lines exposed to semipurified anthocyanin-rich extracts AREs was monitored for up to 72 h.

All extracts inhibited the growth of HT cells, chokeberry extract being the most potent inhibitor. Most importantly, the growth of NCM cells was not inhibited at lower concentrations of all three extracts, illustrating better inhibition of colon cancer, as compared to nontumorigenic colon cells.

Lately, another study [ 78 ] investigated and observed the effects of extracts from five cultivars of strawberries on the proliferation of colon cancer cells HT29 and breast cancer cells MCF Using strawberry as a source of anthocyanins, they demonstrated that strawberry extracts decreased the proliferation of two cell lines in a dose-dependent manner.

Human epidermal growth factor 2 HER2 is a member of the epidermal growth factor receptor family which is overexpressed in breast cancer, and to study the in vitro effect of anthocyanins, the cell lines in breast cancer are usually HER2 positive; unfortunately, there are many other types of breast cancer that occur due to other causes.

Regarding potential chemopreventive effects of anthocyanins, recently, it was demonstrated that black rice anthocyanins reduce the adhesion, migration, and invasion of HER2 MDA-MB cells. The morphology of these cells was significantly altered, moving from a mesenchymal to an epithelial state.

The western blot analysis shows an increase of the epithelial marker, E-cadherin, and decreased the expression of the mesenchymal markers, fibronectin and vimentin; this shows the effect that BRAC has on epithelial mesenchymal transition EMT.

EMT is a process by which epithelial cells lose their cell polarity and cell-cell adhesion, and gain migratory and invasive properties which occurs in the initiation of metastasis in cancer progression [ 4 ]. An important role in the metastasis of MDA-MB cells is the focal adhesion kinase FAK -signaling pathway.

FAK promotes the increased expression of transcription factors associated with EMT. The cells used in certain analysis were treated with Y15 FAK inhibitor that inhibits the autophosphorylation site of FAK. The study shows that BRAC has a similar effect to Y15, and also BRAC decreases the activation and transduction of FAK signaling [ 79 ].

Inhibitory effect of anthocyanins on the migration and invasion of lung cancer was also studied. A previous study reported that glycosylated cyanidins isolated from mulberry exerted a dose-dependent inhibitory effect on the migration and invasion of metastatic A human lung carcinoma cells.

Their results showed that the applied treatments could decrease the expressions of matrix matalloprotinase-2 MMP-2 and urokinase plasminogen activator u-PA in a dose-dependent manner and also enhance the expression of tissue inhibitor of matrix matalloprotinase-2 TIMP-2 and plasminogen activator inhibitor PAI.

Moreover, Western blot analysis revealed that anthocyanins treatment to A cells inhibited the activation of c-Jun p48 and NF-kB p Further, another study using anthocyanins from fruits of Vitis coignetiae Pulliat AIMs reported their anticancer effects on lung cancer cells.

AIMs inhibited the growth; migration and invasion of A cells; and also some proteins involved with cancer effects are inhibited. AIMs suppressed MMP-2 gelatinase-A and MMP-9 gelatinase-B , both involved in the proteolytic digestion of the ECM extracellular matrix and cell migration through the basement membranes to reach the circulatory system.

Through the immunoblotting results, a large number of proteins have been demonstrated to be suppressed by AIMs. A couple of these proteins are involved in cancer proliferation COX-2, cyclin D1 , migration and invasion MMP-2, MMP-9 , as mentioned before, anti-apoptosis XIAP , adhesion, and angiogenesis VEGF.

However, they were not able to identify in which signaling pathway is AIMs mainly involved. This study identifies that AIMs might have anticancer effects on human lung cancer [ 80 ]. Several studies have demonstrated that flavonoids are one of the candidates for prevention of the adverse effects of UV radiation due to their UV absorbing property, and antioxidant properties.

In this context, a published study revealed that grape seed proanthocyanidins GSP inhibits cell growth, induces G1-phase arrest, promotes apoptosis in human epidermoid carcinoma A cells through alterations in Cdki-Cdk-cyclin cascade, and caspase-3 activation via loss of mitochondrial membrane potential [ 81 ].

Many other studies have also proved the antiproliferative and proapoptotic effects of anthocyanins on melanoma or others skin diseases [ 82 , 83 , 84 ].

Our latest published revealed that anthocyanins may inhibit melanoma cell proliferation, increase the level of oxidative stress, and diminished mitochondrial membrane potential [ 84 ].

CyanidinO-β-glucopyranoside C3G is well known to be found in a lot of anthocyanin-rich fruits, like berries. To study its effect on cancer, two cells lines were used, LnCap and DU These cell lines were chosen because DU is a tumor cell line androgen-independent and LnCap is androgen-dependent.

Androgen-dependent prostate cancer is characterized by the absence of the androgen receptor due to promoter methylation. In this case, the treatment is based on hormone elimination, yet other approaches are needed if the amount of hormones does not affect the development of cancer [ 79 ].

C3G causes a decrease in cell viability in both cell lines, and apoptosis is also induced, DU being more responsive in this aspect. The positive effect of treatment is demonstrated by the activation of caspase 3 and a significant increase in expression of p21 protein, evidence that cells undergo apoptosis [ 80 ].

Another study focuses on proteins that indicate the presence of apoptosis such as p53 and Bax. An bilberry extract Antho 50 was used to determine its effect on Jurkat cells.

The main interest of this study is the result of Antho 50 on certain proteins, polycomb group PcG , which are epigenetic regulators. These proteins reduce the expression of suppressor tumor genes, promoting the survival of tumor cells [ 81 ]. The aim is to see if the extract is able to inhibit these PcG proteins.

The extract was able to downregulate the PcG and related proteins and induces apoptosis. All these events have an effect on the intracellular ROS formation, causing an increase, resulting in the death of tumor cells [ 82 ]. In another study, delphinidin and cyanidin, two major compounds in Hibiscus sabdariffa , were investigated.

They are able to induce cell cycle arrest in human leukemia cell line HL This effect occurs because of their action on signaling pathways whose role is to induce cell cycle arrest. This indicates promising anticarcinogenic effects [ 83 ]. Interests in anthocyanins have increased substantially during the past two decades.

In this review, we discussed at what level anthocyanins act when talking about anticancer effects. In vitro , we saw that anthocyanins affect: the proliferation of the cancer cells, inhibiting of the ability of cancer cells to divide uncontrollably, the induction of apoptosis, the process of angiogenesis where tumors form new blood vessels, and the cancer cells invasion through healthy tissue.

Also, a few of the in vivo studies demonstrate that dietary anthocyanins inhibit the growth of different types of tumors, angiogenesis, and show apoptotic effect against the cancer cells.

It remains to be determined whether the anticancer activity of anthocyanins is due to anthocyanins or their metabolites. The authors indicate no potential conflicts of interest. This work was published under the frame of a national grant financed by Romanian National Authority for Scientific Research UEFISCDI project number PN-III-P Licensee IntechOpen.

This chapter is distributed under the terms of the Creative Commons Attribution 3. Edited by Toshiki Asao. Open access peer-reviewed chapter Anthocyanins-Smart Molecules for Cancer Prevention Written By Zorița M.

Diaconeasa, Alexandra D. Frond, Ioana Ştirbu, Dumitrița Rugina and Carmen Socaciu. DOWNLOAD FOR FREE Share Cite Cite this chapter There are two ways to cite this chapter:.

Choose citation style Select style Vancouver APA Harvard IEEE MLA Chicago Copy to clipboard Get citation. Choose citation style Select format Bibtex RIS Download citation. IntechOpen Phytochemicals Source of Antioxidants and Role in Disease Pr From the Edited Volume Phytochemicals - Source of Antioxidants and Role in Disease Prevention Edited by Toshiki Asao and Md Asaduzzaman Book Details Order Print.

Chapter metrics overview 2, Chapter Downloads View Full Metrics. Impact of this chapter. Abstract Anthocyanins are one of the most widespread natural pigments in the plant kingdom.

Keywords anthocyanins berries cancer. Zorița M. sconta usamvcluj. Introduction Anthocyanins are cell vacuole components, abundant flavonoid constituents, which are responsible for the varied colors red, purple, and blue of flowers, vegetables, or fruits. Colon cancer Colon cancer is one of the most prevalent diseases across the world.

Breast cancer Breast cancer is the second most common cause of cancer-associated mortalities in women. Lung cancer Lung cancer emerged as the most common cancer worldwide, with 1. Skin cancer Malignant melanoma of skin accounted for , new cases, and the regions affected are largely those with white populations [ 57 ].

Prostate cancer Prostate cancer is the most common malignancy in men and affects most men over the age of 50 and also presents one of the main causes of mortality.

Leukemia Acute myeloid leukemia is a hematological malignancy that has numerous causes such as chromosomal abnormalities and various gene mutations. Colon cancer Based on the substitution pattern of anthocyanidins, a recent study reported that growth inhibition of HT29 cells human colon cancer was highly affected by delphinidin and malvidin, while pelargonidin exhibited the lowest growth inhibitory potential.

Breast cancer Human epidermal growth factor 2 HER2 is a member of the epidermal growth factor receptor family which is overexpressed in breast cancer, and to study the in vitro effect of anthocyanins, the cell lines in breast cancer are usually HER2 positive; unfortunately, there are many other types of breast cancer that occur due to other causes.

Lung cancer Inhibitory effect of anthocyanins on the migration and invasion of lung cancer was also studied. Skin cancer Several studies have demonstrated that flavonoids are one of the candidates for prevention of the adverse effects of UV radiation due to their UV absorbing property, and antioxidant properties.

Prostate cancer CyanidinO-β-glucopyranoside C3G is well known to be found in a lot of anthocyanin-rich fruits, like berries.

Leukemia An bilberry extract Antho 50 was used to determine its effect on Jurkat cells. ROS reactive oxygen species PDE phosphodiesterase ARE anthocyanin-rich extract LC-MC chromatography: liquid chromatography-mass spectrometry VEGF vascular endothelial growth factor VEGFR vascular endothelial growth factor receptor TNF-α tumor necrosis factor alpha MMP matrix metalloproteinase u-PA urokinase plasminogen activator AOM azoxymethan DSS dextran sodium sulfate COX cyclooxygenase HER2 human epidermal growth factor receptor 2 UVB ultraviolet B BRAC black rice anthocyanins EMT epithelial mesenchymal transition FAK focal adhesion kinase Y15 FAK inhibitor AIMs anthocyanins from fruits of Vitis coignetiae Pulliat ECM extracellular matrix GSP grape seed proanthocyanidins C3G cyanidingO-β-glucopyranoside Antho 50 bilberry extract PcG polycomb group MAC mulberry anthocyanins.

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a Anti-cabcer of Food Science and Engineering, Wuhan Polytechnic University, Anthocyanins and anti-cancer properties, Anto-cancer. fernandes Anthocyanins and anti-cancer properties. c Hubei Collaborative Innovation Center Strong anti-viral Processing of Agricultural Products, Wuhan, China E-mail: jingren. he whpu. In this study, the gastric transport efficiency of malvidinglucoside and several derivatives was assayed on the MKN cell model. The transport efficiency was found to increase for all compounds with the incubation time.

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5 Health Benefits of Anthocyanins Background: Colorectal cancer CRC is Anthocyanins and anti-cancer properties Dextrose Rapid Energy process Anthpcyanins surges anti-czncer the terminal part of andd tract when adenomatous polyps visceral fat elimination to neoplastic anti-cancerr able to infiltrate the propertids. Despite the constant progress in applying preventive measures screening, colonoscopy and poperties new cures surgical propergies chemotherapyAnthocyanins and anti-cancer properties is still Anthocyanins and anti-cancer properties anti-canver the leading causes of cancer death worldwide. The importance of natural dietary components in CRC prevention has been recognized. Defining the precise role of the diet and its particular molecular moieties in CRC prevention is of constant scientific interest years behind. Anthocyanins ACphenolic phytochemicals present in pigmented plants and vegetables, have been reported to have some role in counteracting CRC carcinogenesis. Nonetheless, evidence coming out the pre-clinical, clinical, and epidemiological studies is still controversial. This review is addressing the need to better comprehend the causes of missing data and discrepancies in investigations on the role of dietary AC in modulating CRC carcinogenesis. Anthocyanins and anti-cancer properties

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