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. 2023 Sep 19;8(39):35452–35469. doi: 10.1021/acsomega.3c02586

Table 3. Pharmacological Activities of Pomegranate Peel.

Pharmacological activity Plant part Model (cell/animal/humans) Dosage/conc Effects Ref
Cardio-protective Pomegranate extract capsule Human intervention study (in vivo) Walnuts (30 g/day) Urolithin metabotype A showed positive correlation with ApoA-I. Urolithin metabotype A phenotype protects against CVDs compared to urolithin metabotype phenotype B. (32)
Pomegranate extract capsule (450 mg/day)
Mixed nuts (30 g/day)
Hydroethanolic PPE extract Apoe–/– mice (in vivo) 200 mg/kg Improved metabolic profile (decreased total cholesterol, triglycerides, plasma insulin, blood glucose levels, improved glucose tolerance). Reduction of proinflammatory cytokines and plaque necrosis. (33)
Pomegranate peel polyphenols Human hepatic L-02 cells (in vitro) 10, 20, and 40 μg/mL (pomegranate peel polyphenols, punicalagin, pomegranate ellagic acid) Decreased total cholesterol and increased total bile acid content. Up-regulation of PPARγ, ABCA1, and CYP7A1 mRNA expression. (34)
PPE Wistar albino rats (in vivo) 50 or 100 mg/kg body weight (PPE), 1 mg/kg body weight (ellagic acid), and 7 mg/kg body weight (punicalagin) Reduced TC, TAG, LDL cholesterol, VLDL cholesterol, atherogenic index of plasma, atherogenic coefficient. Improved activity of GR, SOD, CAT, and GSH. Elevated serum PON1 activity. (35)
Anticancer Pomegranate peel polyphenols Human hepatoma cells HepG2 (in vitro) 50 and 100 μM (punicalagin and ellagic acid) Reduced the HepG2 cells survival rate. Punicalagin and ellagic acid arrested the cells in the S phase and G0/G1 phase of the cell cycle resulting in apoptosis. Increased caspase 3/9 activity and apoptosis related genes. (37)
PPE MCF-7 and MDA-MB-231 cells (in vitro) Punicalagin concentration (0, 12.5, 25, 50, 100 μM) Punicalagin (>50 μM) inhibited viability, migration, and invasion of MDA-MB-231 and MCF-7 cells. A substantial decrease in the expression of GOLPH3, MMP-9, MMP2, and N-cadherin and an increase in the expression of E-cadherin were observed. (38)
PPE DU145, PC3, TRAMP-C1 cell lines (in vitro) 0, 12.5, 25, 50, 100, and 200 μg/mL PPE suppressed growth on prostate cancer cells, increased expression of pro-apoptotic Bax, and decreased expression of antiapoptotic Bcl2. Up-regulation of MMP2/9 expression and mitochondrial mediated apoptosis in TRAMP-C1. (39)
PPE BCPAP and TPC-1 cell lines (in vitro) 0, 12.5, 25, 50, 100, 200 μg/mL PPE considerably reduced proliferation in cell lines, thus exhibiting cytotoxic and cytostatic activity. Concentration-dependent apoptosis was induced in cancer cell lines. PPE reduced the mitochondrial membrane potential, thereby inducing apoptosis. (40)
PPE Female BALB/c nude mice (in vivo) 125 mg/kg and 62.5 mg/kg body weight Tumor growth was inhibited by preventing metastasis, promoting apoptosis, and reducing the proliferation of cells.  
Antimicrobial Pomegranate peel polyphenols Ralstonia solanacearum model strain GMI1000 (in vitro) 0, 5, 10, and 15 μg/mL Growth curve was steady in treated cultures. Cell wall and cell membrane were detached. Bacterial motility was reduced. Attachment of punicalagin with functional domains of PhcA resulted in disarranged network eventually leading to bacterial damage. (48)
PPE Wistar rats (in vivo) 125, 250, and 500 mg/kg/d BW Decreased the growth of Candida albicans. Compared to nystatin, pomegranate peel exhibited 100% efficacy at all doses. Preserved the natural structure of epithelium, muscular core, and lamina propria in tongue. (49)
PPE Swiss albino mice (in vivo) 100 μL (300 mg/kg) ELISA revealed a gradual reduction in Giardia antigen in the feces of mice treated with PPE. A decrease in the cyst formation with a simultaneous increase in cure rate was observed in the experimental group. (50)
Wound healing Pomegranate pele extract Rats (in vivo) 5 g PPE/100 g gel Increase in collagen content, hydroxyproline levels, wound contraction, expression of EGF, VEGF, and TGF- β1, epithelialization, and granulation was observed in the treatment group. (53)
Anti-inflammatory Ethanolic PPE Swiss Webster mice (in vivo) 240 and 480 mg/kg/d (Doses-1 and Doses-2, respectively) Reduction in COX-2 and iNOS expression via inhibition of the NF-κB pathway was reported. (58)
  Pomegranate peel polyphenols RAW264.7 macrophage (in vitro) 1, 10, 100 μg/mL (pomegranate peel polyphenols) Test polyphenols down-regulated LPS induced NO and PGE2 generation. Decreased pro-inflammatory cytokines and inhibited MAPKs pathway. (59)
  1, 10, 50 μM (punicalagin and ellagic acid)