Prevention of cancer through the diet is receiving increasing interest, and cocoa because of its polyphenolic compounds has become an important potential chemopreventive and therapeutic natural agent. Cocoa and its main polyphenols have been reported to interfere at the initiation, promotion and progression of cancer. Cocoa flavonoids have been demonstrated to influence several important biological functions in vitro and in vivo by their free radical scavenging ability or through the regulation of signal transduction pathways to stimulate apoptosis and to inhibit inflammation, cellular proliferation, apoptosis, angiogenesis and metastasis.Nevertheless, these molecular mechanisms of action are not completely characterized and many features remain to be elucidated. The aim of this review is to provide insights into the molecular basis of the potential chemopreventive activity of cocoa and its polyphenolic components by summarizing cell culture and animal models studies, as well as interventional and epidemiological studies on humans.Keywords: Cocoa, cancer, inflammation, antioxidant defenses, cell death, survival/proliferation pathways.3 Highlights -Cocoa promotes changes in redox-sensitive signaling pathways involved in the expression of many genes and cell functions.-Cocoa may prevent chronic inflammatory response and oxidative damage and thus affect carcinogenesis.-Cocoa has been demonstrated to increase serum antioxidant status and apoptosis of cancer cells, theoretically reducing cancer risk.-Research to date suggests that moderate cocoa or dark chocolate consumption may reduce cancer risks. 4
1.-IntroductionCarcinogenesis is generally a slow process and often takes decades from tumor initiation to diagnosis, offering a considerable time frame for chemopreventive approaches.Chemoprevention is defined as the use of specific natural (dietary) or synthetic agents to prevent, delay, or slow the carcinogenic process (Kelloff et al., 2006). Accumulating epidemiological and experimental studies suggest that a high consumption of fruits and vegetables and the intake of certain non-nutrients that are present in foods reduce the risk of different cancers (Ramos, 2008, Surh, 2003. Therefore, the identification of dietary components as potential cancer chemopreventive agents in the form of functional foods or nutraceuticals has become an essential subject for study in current research. This is the case for polyphenols, natural dietary compounds present in fruits and vegetables, which have attracted a great deal of interest because of their potential ability to act as highly effective chemopreventive agents (Ramos, 2008). In addition, the low toxicity and the very few adverse side effects linked to polyphenols consumption give them potential advantages.Cocoa, the dried and fermented seeds derived from Theobroma cacao, has been consumed since 1100 B.C. by ancient civilizations such as the Mayans and Aztecs (Hurst et al., 2002). In the 16th century cocoa was introduced into Europe by Hernan Cortes and, three centuri...