“…Cytotoxic activity has been studied in fruit, leaves, root, and stem bark extracts or isolated acetogenins of some Annona species ( Table 4 ). Annonacin at a very low dose (extracted from A. muricata leaves) decreased the induced-tumors on mice [ 147 , 148 ]; moreover, acetogenins have a potent cytotoxicity against many cancer cell lines (DU-145, A-549, MCF-7, HT-29, A-498, PC-3, HL60, HCT, Caco-2, and HepG-2) [ 88 , 96 , 119 , 137 , 143 , 149 , 150 , 151 , 152 ]. The mechanism of action of acetogenins on cancer cell lines or in vivo cancer models is attributed to inhibition mitochondrial complex I (ubiquinone-linked NADH oxidase) to present in cell membranes; the ATP decrease cause apoptosis [ 123 ].…”