Graviola cancer treatment and prevention, benefits, side effects, toxicity, safety and supplement dosage, how effective are these pills for cancer prevention or treatment?
Annona muricata

Graviola has been found in in vitro studies to have anti cancer potential. In Guadeloupe graviola fruit is eaten regularly and there is concern that consumption of this fruit on a regular basis for years and decades can lead to a Parkinsonian-like syndrome.

Botanical name
Annona muricata is the botanical name. It is also known as soursoup.

The fruit
Soursop (Annona muricata L.) is a highly aromatic fruit with white juicy flesh and native to tropical North and South America. The ripe fruits are highly perishable, as they become soft and easily bruised.

Graviola supplement dosage
Graviola supplements are sold over the counter in health food stores, online, and in some pharmacies. Graviola supplements are not expensive. A typical graviola capsule has between 400 to 600 mg of graviola powder. Here are some products on the market that you can purchase:

Graviola (leaf) (powder) 375 mg
Graviola Soursop ( Annona muricata ) ( Leaf ) 500 mg
Graviola leaf and steam (soursop) 500 mg by Physician Formula, this is a reliable brand and is available on their website.
Graviola (Annona muricata) in a vegetable capsule (500 mg)



Purchase Graviola pills

Human studies
Unfortunately, as of March 2010, human studies with graviola as a treatment for cancer have not been published. Despite the lack of human studies with graviola in terms of cancer prevention or treatment, many websites promote graviola supplements to cancer patients based on traditional use and promising results of in vitro studies.

Liver cancer
Q. My Aunt has stage 4 Liver cancer. Do you think that graviola supplement pills can help her?
    A. It is not possible for us to predict since we have not seen human studies regarding the benefit of this herb for hepatic cancers.

Graviola side effects, caution, safety and toxicity
The benefits and side effects of graviola herbal supplements are not fully understood. Graviola may sometimes cause sleepiness or relaxation. Atypical parkinsonism in Guadeloupe has been associated with the consumption of fruit and infusions or decoctions prepared from leaves of graviola, which contain annonaceous acetogenins, lipophilic inhibitors of complex I of the mitochondrial respiratory chain.

Atypical parkinsonism in Guadeloupe: a common risk factor for two closely related phenotypes?
Brain. 2007 Mar; Lannuzel A, Höglinger GU, Verhaeghe S, Gire L, Belson S, Escobar-Khondiker M, Poullain P, Oertel WH, Hirsch EC, Dubois B, Ruberg M. Department of Neurology, Hospital of Pointe-à-Pitre, Guadeloupe, F.W.I.
In Guadeloupe, there is an abnormally high frequency of atypical parkinsonism. Only one-third of the patients that develop parkinsonian symptoms were reported to present the classical features of idiopathic Parkinson disease and one-third a syndrome resembling progressive supranuclear palsy. The others were unclassifiable, according to established criteria. We carried out a cross-sectional study of 160 parkinsonian patients to define more precisely the clinical phenotypes of the PSP-like syndrome and the parkinsonism that was considered unclassifiable in comparison with previously known disorders; and evaluate to what extent a candidate aetiological factor, the mitochondrial complex I inhibitor annonacin contained in the fruit and leaves of the tropical plant Annona muricata (soursop) plays a role in the neurological syndrome.  In conclusion, atypical Guadeloupean parkinsonism comprises two forms of parkinsonism and dementia that differ clinically by the presence of oculomotor signs, but have similar cognitive profiles and neuroimaging features, suggesting that they may constitute a single disease entity, and both were similarly exposed to annonaceous neurotoxins, notably annonacin.

Antioxidant
Extracts of graviola possess potent in vitro antioxidant activity.

Molluscicidal activity
An ethanolic extract of the leaves of graviola is toxic to adult forms of the snail Biomphalaria glabrata and to larvae of the brine shrimp Artemia salina.

Composition
Acetogenins, annonacin (90%), isoannonacin (6%) and goniothalamicin (4%). Acetogenins, such as annonacin, might be implicated in the etiology of Guadeloupean parkinsonism when the fruit is consumed for several decades.

MALDI-TOF MS profiling of annonaceous acetogenins in Annona muricata products for human consumption.
Molecules. 2009 Dec 15. Champy P, Guérineau V, Laprévote O. Laboratoire de Pharmacognosie, CNRS UMR 8076 BioCIS, Faculté de Pharmacie, Université Paris-Sud 11, Rue J. B. Clément, 92296 Châtenay-Malabry, France.
Annonaceous acetogenins are proposed as environmental neurotoxicants consumed through medicinal and alimentary habits and responsible for atypical parkinsonian syndromes observed in tropical areas. Potential sources of exposure still have to be determined, as, to date, only a few batches of products for human consumption were searched for these compounds. To assess the presence of acetogenins, we propose a fast, sensitive and accurate method of screening, using MALDI-TOF MS, with minimal sample preparation. Development of the technique is discussed. Its application to leaves of herbal tea, pulp and bottled nectar of Annona muricata is presented.

Questions
In November of 2008 i was operated on for colon cancer. I now have a colostomy bag and started chemo 2 weeks ago. i have had very few if any side effects from the chemo. thank goodness. I have been studying the effects of graviola on colon cancer and like what i read. I would appreciate your thoughts on graviola and can it be taken in conjunction with chemo.
    Since human research is not available regarding the role of this plant and its extract on various human cancers, it is not possible at this time, in June 2009, to say whether this supplement is useful as an anti-tumor agent and whether it works well with chemotherapy.

Can sulforaphane from broccoli extract be used together with graviola herbal extract for cancer therapy?
    We have not seen such studies with this combination, but it is intriguing.

I have ordered 500 grams of graviola from Raintree Nutrition, Carson City, NV. I was curious if there was a way to determine that the product that I received is in fact derived from the Graviola tree? Worked in clinical research most of my adult career in Los Angeles, My partner has developed an aggressive from of prostrate cancer. Would like to administer this as a prophylaxis against metastasis.
   The only way to know is to send a sample to a lab that does HPLC testing.