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Mangosteen Juice

Other common name(s): xango, mangostan, queen of fruits, numerous brand names

Scientific/medical name(s): Garcinia mangostana

Description

Mangosteen is a tropical fruit native to Southeast Asia, which is touted for its antioxidants, especially xanthones (a type of chemical in certain plants.) Its fruit, including the rind and pulp, can be pureed together and is sometimes sold as a drink. Mangosteen juice products may also be mixed with other types of juice. Its rind may be dried and powdered, and substances are also extracted from its bark. Mangosteen products are also available in capsule and tablet form. They are sold in health food stores, via the Internet, and network marketing.

Despite the name, mangosteen is not related to the mango.

Overview

Although there is no reliable evidence that mangosteen juice, puree, or bark is effective as a treatment for cancer in humans, its fruit has been shown to be rich in antioxidants. Very early studies in the lab suggest that it may have promise as a treatment to be applied to the skin for acne. Early small studies in the lab and on rats suggest that further research should be done to find out if it can help with cancer prevention in humans.

How is it promoted for use?

In the United States, it is taken by mouth and is supposed to support microbiological balance, help the immune system, improve joint flexibility, and provide mental support. Some proponents claim that it can help diarrhea, infections, tuberculosis, and a host of other illnesses. In countries where the tree grows, various parts of the plant are used by native healers.

What does it involve?

The juice or puree is eaten or drunk, or dried mangosteen is taken as a capsule or tablet, often along with other herbs, fruits, or plants. In Asia and the Philippines, the rind may be steeped in water to make tea. Some folk healers prepare an ointment or salve to apply to the skin for conditions such as eczema, injuries, and infections. Others boil the leaves and bark of the tree to make a medicinal drink or to mix with other herbs to apply to wounds. The roots may be boiled to make a drink for women with menstrual problems.

What is the history behind it?

Parts of the mangosteen tree, including the fruit and bark, have been used in folk medicine in Asian countries for many years. Mangostin was identified as a xanthone in mangosteen in the mid-1800s and found to have anti-inflammatory effects in rats in the late 1970s. Today, mangosteen is sold in the United States mainly through a network marketing system, in which independent distributors, rather than stores, buy and sell mangosteen juice. Many mangosteen products are also available from health food stores and via the Internet.

In 2006, the FDA sent a warning letter to one mangosteen vendor that the product was being illegally marketed. The FDA observed that the product was being promoted to treat illness, for which it had not been proved safe and effective.

What is the evidence?

Like many other plants, extracts of mangosteen have shown in lab tests that they can stop certain bacteria and fungi from growing. One lab study suggested that mangosteen extract inhibits the growth of acne-causing bacteria. It has not been tested on people to find out if it helps acne in humans. In a lab dish, it also showed activity that slowed the growth of certain cancer cells. A small study on cancer inhibition in rats suggested that the rind of the mangosteen may reduce the risk of cancer cell growth in the bowel. However, mangosteen’s cancer inhibitory effect has not been tested in humans.

Are there any possible problems or complications?

No ill effects have been reported to date. As with all plants, allergies may be possible. Because of antioxidant effects, mangosteen supplements might interfere with radiation therapy or chemotherapy, possibly making these treatments less effective. While this is only a theory, people getting treatment for cancer should speak with their doctors before taking this supplement. Other interactions are not well described. Always talk with your doctor and pharmacist about all the supplements and herbs you are taking.

Relying on this type of treatment alone, and avoiding or delaying conventional medical care, may have serious health consequences.

Additional Resources

More Information From Your American Cancer Society

The following information on complementary and alternative therapies may also be helpful to you. These materials may be ordered from our toll-free number (1-800-ACS-2345).

References

Chomnawang MT, Surassmo S, Nukoolkarn VS, Gritsanapan W. Antimicrobial effects of Thai medicinal plants against acne-inducing bacteria. J Ethnopharmacol. 2005 Jul 8.

Memorial Sloan-Kettering Cancer Center. Mangosteen, Clinical Summary. Available at: http://www.mskcc.org/mskcc/html/69295.cfm. Accessed July 13, 2007.

Moongkarndi P, Kosem N, Luanratana O, Jongsomboonkusol S, Pongpan N. Antiproliferative activity of Thai medicinal plant extracts on human breast adenocarcinoma cell line. Fitoterapia. 2004; 75:375-377.

Nabandith V, Suzui M, Morioka T, et al. Inhibitory effects of crude alpha-mangostin, a xanthone derivative, on two different categories of colon preneoplastic lesions induced by 1, 2-dimethylhydrazine in the rat. Asian Pac J Cancer Prev. 2004;5:433-438.

Mangosteen. Available at: www.quackwatch.org/01QuackeryRelatedTopics/DSH/hm.html. Accessed July 13, 2007.

US Food and Drug Administration. Cyber letters. Available at: http://www.fda.gov/foi/warning_letters/g6031d.pdf. Accessed July 13, 2007.

Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice, and should not be relied upon as a substitute for consultation with your doctor, who is familiar with your medical situation.

Revised: 07/20/2007

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