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Pomegranate (Punica granatum)

Background

  • One pomegranate delivers approximately 40% of an adult's daily vitamin C requirement and is high in polyphenol compounds. These compounds are thought to reduce 'silent inflammation,' which is at the root of diseases such as cancer, heart disease, and diabetes.
  • Although pomegranate juice has been commonly consumed for atherosclerosis (hardening of the arteries), evidence of its effectiveness is inconclusive. Pomegranate juice may have antioxidant properties, but its effects have not been widely studied; more evidence is needed. More research is needed for the use of pomegranate as an antifungal agent before a firm recommendation can be made.
  • Pomegranate has a long history of use as a food and medicine in Asia and South America. In the United States, pomegranate is typically juiced or the seeds are used as food. Pomegranate may have medicinal benefit as an anthelmintic (expels worms) and antidiarrheal agent, although reports conflict. The seeds may have phytoestrogenic qualities and may be used in hormonally-related conditions such as menopause.

References

  • Aviram M, Rosenblat M, Gaitini D, et al. Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation. Clin Nutr 2004;23(3):423-433.
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  • Cerdá B, Soto C, Albaladejo MD, et al. Pomegranate juice supplementation in chronic obstructive pulmonary disease: a 5-week randomized, double-blind, placebo-controlled trial. Eur J Clin Nutr 2006 Feb;60(2):245-53.
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  • Cerda B, Espin JC, Parra S, et al. The potent in vitro antioxidant ellagitannins from pomegranate juice are metabolised into bioavailable but poor antioxidant hydroxy-6H-dibenzopyran-6-one derivatives by the colonic microflora of healthy humans. Eur J Nutr 2004;43(4):205-220.
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  • Forest CP, Padma-Nathan H, Liker HR. Efficacy and safety of pomegranate juice on improvement of erectile dysfunction in male patients with mild to moderate erectile dysfunction: a randomized, placebo-controlled, double-blind, crossover study. Int J Impot Res 2007 Nov-Dec;19(6):564-7.
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  • Heber D, Seeram NP, Wyatt H, et al. Safety and antioxidant activity of a pomegranate ellagitannin-enriched polyphenol dietary supplement in overweight individuals with increased waist size. J Agric Food Chem 2007 Nov 28;55(24):10050-4.
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  • Kawaii S, Lansky EP. Differentiation-promoting activity of pomegranate (Punica granatum) fruit extracts in HL-60 human promyelocytic leukemia cells. J Med Food 2004;7(1):13-18.
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  • Kim ND, Mehta R, Yu W, et al. Chemopreventive and adjuvant therapeutic potential of pomegranate (Punica granatum) for human breast cancer. Breast Cancer Res Treat 2002;71(3):203-217.
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  • Menezes SM, Cordeiro LN, Viana GS. Punica granatum (pomegranate) extract is active against dental plaque. J Herb Pharmacother 2006;6(2):79-92.
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  • Newton KM, Reed SD, Grothaus L, et al. The Herbal Alternatives for Menopause (HALT) Study: background and study design. Maturitas 2005 Oct 16;52(2):134-46.
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  • Pantuck AJ, Leppert JT, Zomorodian N, et al. Phase II study of pomegranate juice for men with rising prostate-specific antigen following surgery or radiation for prostate cancer. Clin Cancer Res 2006 Jul 1;12(13):4018-26.
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  • Sastravaha G, Gassmann G, Sangtherapitikul P, et al. Adjunctive periodontal treatment with Centella asiatica and Punica granatum extracts in supportive periodontal therapy. J Int Acad Periodontol 2005 Jul;7(3):70-9.
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  • Sastravaha G, Yotnuengnit P, Booncong P, et al. Adjunctive periodontal treatment with Centella asiatica and Punica granatum extracts. A preliminary study. J Int Acad Periodontol 2003;5(4):106-115.
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  • Toi M, Bando H, Ramachandran C, et al. Preliminary studies on the anti-angiogenic potential of pomegranate fractions in vitro and in vivo. Angiogenesis 2003;6(2):121-128.
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  • Vasconcelos LC, Sampaio MC, Sampaio FC, et al. Use of Punica granatum as an antifungal agent against candidosis associated with denture stomatitis. Mycoses 2003;46(5-6):192-196.
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  • Vidal A, Fallarero A, Pena BR, et al. Studies on the toxicity of Punica granatum L. (Punicaceae) whole fruit extracts. J Ethnopharmacol 2003;89(2-3):295-300.
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Disclaimer: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.