Table 2.

Prevention of chronic diseases using plant anthocyanins.

Health benefits of anthocyaninsReferences
Cardiovascular disease 
Inhibited platelet aggregation (in vitro antithrombotic properties)[71]
Possessed vasorelaxation properties in isolated coronary artery rings of mature female pigs[72]
Decreased susceptibility to ischemia-reperfusion injury and infarct size with increased myocardial antioxidant enzyme[73]
Improved lipid profile and platelet function in healthy volunteers[74]
Anticancer effect 
Suppressed cell proliferation, inflammation, and angiogenesis and induced apoptosis in esophageal tissue of rats[75]
Demonstrated significant anti-invasive potential in breast cancer cell lines (MDA-MB-231 and MCF7)[76]
Demonstrated anticancer effect on BALB/c nude mice bearing MDA-MB-453 cell xenografts and breast cancer cell lines (MCF-7, MDA-MB-231, and MDA-MB-453) by inducing apoptosis and suppressing angiogenesis[77]
Inhibited cell migration and invasion, suppressed activation of rapidly accelerated fibrosarcoma (RAF), mitogen-activated protein kinase kinase (MEK) and c-Jun N-terminal kinase (JNK), and downregulated secretion of matrix metalloproteinase 2 (MMP2) and MMP9 of MDA-MB-453 cells (HER2+)[78]
Inhibited growth of human HT-29 colon cancer cells, increased expression of tumor suppression genes (p21WAF1 and p27KIP1) and decreased cyclooxygenase-2 gene expression[79]
Reduced colonic aberrant crypt foci, colonic cellular proliferation and COX-2 mRNA expression in rats.[80]
Suppressed formation of aberrant crypt foci in colons of CF-1 mice[81]
Promoted apoptosis in benign prostatic hyperplasia rats[82]
Possessed anti-invasive effect on human hepatoma Hep3B cells and inhibited matrix metalloproteinase MMP-2 and MMP-9 gene expression[83]
Inhibited Akt-mTOR signalling thereby inducing maturation of acute myeloid leukaemia cells, besides inducing apoptotic players such as TRAIL in cancer systems[84]
Diabetes 
Ameliorated hyperglycemia and insulin sensitivity via activation of AMP-activated protein kinase in diabetic mice[85]
Improved dyslipidemia, enhanced antioxidant capacity, and prevented insulin resistance in human subjects with type 2 diabetes[86]
Alleviated glomerular angiogenesis of diabetic kidneys by attenuating the induction of VEGF and HIF-1α in studied mice[87]
Ameliorated renal apoptosis in diabetic nephropathy mice via activation of AMP-activated protein kinase (AMPK) which eventually inhibit oxidative stress and lipotoxicity.[88]
Activated adipose tissue-derived adiponectin to defend against diabetes-related endothelial dysfunction in mice[89]
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