Mangosteen
Scientific Name(s): Garcinia mangostana
Common Name(s): Mangostan, Mangosteen, Purple mangosteen
Medically reviewed by Drugs.com. Last updated on Feb 1, 2023.
Clinical Overview
Use
Mangosteen has been investigated for potential anti-inflammatory, antibacterial, antioxidant, and metabolic effects; however, clinical trial data are lacking to recommend use for any indication.
Dosing
Clinical data are lacking to provide dosing recommendations. Mangosteen is available as various oral and topical formulations and has also been used as an ingredient in nutraceutical beverages.
Contraindications
Avoid use in individuals hypersensitive to any constituents of mangosteen.
Pregnancy/Lactation
Avoid use. Information regarding safety and efficacy in pregnancy and lactation is lacking.
Interactions
Potential inhibition of hepatic CYP-450 enzymes has been reported.
Adverse Reactions
None well documented.
Toxicology
No data.
Scientific Family
- Clusiaceae (mangosteen)
Botany
The genus Garcinia comprises nearly 400 species of evergreen trees and shrubs. Mangosteen is a slow-growing and shallow-rooted evergreen tree reaching up to 25 m in height. The leaves are thick and leathery, and the flowers are fleshy, 4 to 5 cm in diameter, and often green on the outside and yellow to red on the inside with 4 sepals and 4 petals.(Akao 2008, Chin 2008, Ramage 2004)
Many of the species of the Clusiaceae family bear edible fruit; however, mangosteen is considered the most valued tropical fruit of the Clusiaceae family. The fruit is round, 2.5 to 7.5 cm in diameter, and weighs about 75 to 150 g. The rind is smooth and 0.6 to 1 cm thick. The exterior is pale green when immature and dark purple when fully ripe. The inner pulp contains 4 to 8 juicy white segments that are sweet and faintly aromatic. The fruits may or may not contain seeds.(Akao 2008, Chin 2008, Ramage 2004)
Mangosteen is thought to be native to Southeast Asia or Indonesia and remains largely indigenous to the Malay Peninsula, Myanmar, Thailand, Cambodia, Vietnam, and the Moluccas. During the past 2 centuries, mangosteen has been cultivated in tropical areas such as India, Honduras, Brazil, and Australia. The species thrives in warm and humid or tropical climates and has a narrow range of adaptability.(Akao 2008, Chin 2008, Ramage 2004)
Mangosteen species are of economic and commercial interest, with tremendous demand for the fruit in domestic and export markets. Thailand is responsible for approximately 85% of the total production of 150,000 tons per year. Depending on the growth cycle, a single tree may produce 500 to 800 fruits in 1 year. Other commercial uses include natural dye for cotton and silk yarn.(Akao 2008, Chairat 2007, Chin 2008, Ramage 2004)
History
The rind, leaves, fruit, and bark of mangosteen have been used in traditional medicine for thousands of years. The rind and leaves have been used medicinally to treat thick mucus, cystitis, diarrhea, dysentery, fever, and thrush, as well as intestinal and skin conditions such as eczema and pruritus.(Akao 2008, Chin 2008, Chomnawang 2007, Gopalakrishnan 1997, Ji 2007, Suksamrarn 2003, Yu 2007) Concentrates of mangosteen bark have been used medicinally to treat GU disorders, including gonorrhea and stomatitis.(Akao 2008, Chin 2008, Yu 2007)
Chemistry
Numerous mangosteen studies have found high concentrations of xanthones, a class of polyphenolic compounds.(Fu 2007, Ji 2007, Mahabusarakam 1987, Nilar 2002, Nilar 2005) Xanthones have antioxidant, antibacterial, antifungal, anti-inflammatory, antitumor, antiplatelet aggregation, antithrombotic, and vasorelaxant properties. They also prevent oxidative damage of LDL, histamine, and serotonin receptor blocker activity and inhibit HIV.(Ji 2007) The xanthones and tannins of the mangosteen pericarp protect against insects, fungi, plant viruses, bacteria, and animals while the fruit is still immature. Of the 200 known xanthones, nearly 50 are found in mangosteen.(Akao 2008) The major xanthones are alpha-mangostin, beta-mangostin, gamma-mangostin, and methoxy-beta-mangostin,(Akao 2008) with the most abundant being alpha-mangostin.(Chin 2008, Ji 2007) Alpha-Mangostin is a potent phytochemical and has received attention specifically for use as an anticancer agent in numerous cancer cell studies and animal cancer models.(Nauman 2022)
Calcium, phosphorus, iron, thiamine, riboflavin, niacin, and ascorbic acid are also found in mangosteen.
Uses and Pharmacology
Antibacterial activity
Animal and in vitro data
Mangosteen has strong antibacterial activity against methicillin-resistant and methicillin-sensitive Staphylococcus aureus.(Iinuma 1996) Alpha-mangostin from the stem bark of mangosteen was active against vancomycin-resistant Enterococci and methicillin-resistant S. aureus, with minimum inhibitory concentration (MIC) values of 6.25 to 12.5 mcg/mL.(Sakagami 2005) Activity against the acne-inducing bacteria Propionibacterium acnes and Staphylococcus epidermidis is also documented.(Chomnawang 2005, Chomnawang 2007)
The xanthones alpha- and beta-mangostins and garcinone B isolated from the fruit hulls and the edible arils and seeds of mangosteen exhibited strong inhibitory activity against Mycobacterium tuberculosis, with an MIC value of 6.25 mcg/mL.(Suksamrarn 2003)
Dairy cattle fed a mangosteen peel liquid added to soybean meal were found to have increased milk production as well as a reduction of methanogenic rumen bacteria.(Phesatcha 2022)
Clinical data
A small study (N=10) evaluating the nanoparticulate delivery of mangostin extract in patients with acne vulgaris caused by P. acnes noted a significant improvement in acne vulgaris after 4 weeks.(Pan-In 2015)
Antifungal effects
In vitro data
Several xanthones isolated from the fruit hulls of mangosteen have demonstrated antifungal activity against 3 phytopathogenic fungi: Fusarium oxysporum vasinfectum, Alternaria tenuis, and Dreschlera oryzae.(Gopalakrishnan 1997) Mangosteen also has activity against the dermatophytes Trichophyton mentagrophytes, Microsporum gypseum, and Epidermophyton floccosum.(Mahabusarakam 1983, Mahabusarakam 1986)
Antihistaminic activity
In vitro data
Several studies show potent inhibitory activity of mangosteen fruit extract on both histamine release and prostaglandin E2 synthesis. In one study, a crude methanolic extract of the fruit hull of mangosteen inhibited contractions of isolated thoracic rabbit aorta induced by histamine and serotonin.(Chairungsrilerd 1996) In another study in rat glioma cells, gamma-mangostin demonstrated potent inhibitory activity of induced prostaglandin E2 synthesis.(Nakatani 2002) A pharmacological study of G. mangostana showed that alpha-mangostin is a selective and competitive H1 receptor antagonist, while gamma-mangostin is a selective and competitive 5-hydroxytriptamine2A receptor antagonist.(Chairungsrilerd 1996, Furukawa 1997) Alpha-, beta-, and gamma-mangostin suppressed the upstream degranulation (release of allergic mediators) process in rat basophilic leukemia cells.(Itoh 2008)
Anti-inflammatory activity
Reviews of the anti-inflammatory activities of mangosteen xanthones have been published.(Gutierrez-Orozco 2013, Obolskiy 2009) The relationship between nuclear factor kappa B (NF-ĸB)–mediated chronic inflammatory responses and oxidative stress present in both type 2 diabetes mellitus and beta-amyloid accumulation in Alzheimer disease could allow for the creation of a polyvalent treatment for patients with both diseases.(Ovalle-Magallanes 2017)
Animal and in vitro data
In C6 rat glioma cells, the xanthone gamma-mangostin potently inhibited prostaglandin E2 release and competitively inhibited the activities of cyclooxygenase 1 (COX-1) and COX-2 enzymes, which are major mediators in regulating inflammation.(Nakatani 2002) Gamma-mangostin also inhibited inhibitor kappa B kinase activity associated with expression of the COX-2 enzyme.(Nakatani 2004) In addition, alpha-mangosteen has potent inhibitory activity against prostaglandin E2 release from lipopolysaccharide-stimulated RAW 264.7 cells.(Chen 2008) Both alpha- and gamma-mangostin inhibited nitrite production of lipopolysaccharide-activated macrophage cells.(Wang 2004) In studies of induced paw edema or asthma in rodents, positive findings were observed with mangosteen xanthones.(Gutierrez-Orozco 2013, Obolskiy 2009)
Clinical data
Mangosteen juice has been evaluated for its effect on biomarkers of inflammation, with reduced C-reactive protein reported in 44 individuals with body mass index 30 to 45 kg/m2.(Udani 2009)
Antioxidant activity
Animal and in vitro data
The phenolic compounds from the hull of mangosteen had strong antioxidant activity in 1,1-diphenyl-2-picrylhydrazyl radical scavenging activity assays.(Yu 2007) One study documented neuroprotective activity of extracts of the fruit hull.(Weecharangsan 2006) Similar studies document antioxidant and ferric-reducing activity of mangosteen compared with various fruits.(Okonogi 2007, Patthamakanokporn 2008) A study in rats fed high-cholesterol diets noted positive effects of mangosteen on plasma lipid levels and plasma antioxidant activity.(Leontowicz 2007) Mangosteen concentrate drink supplementation promoted antioxidant effects and lactate clearance in rats after exercise.(Chang 2020)
In another study in rats, mangosteen peel infusion, especially at a concentration of 2%, showed potential to improve liver and kidney structure and function after hydrogen peroxide (H2O2) induction. This is believed to be due to various antioxidants that may scavenge free radicals produced by H2O2.(Rusman 2021)
Antiplasmodial activity
In vitro data
Prenylated xanthones from mangosteen exhibited potent antiplasmodial activity against Plasmodium falciparum.(Mahabusarakam 2006) Additionally, mangosteen rind extract demonstrated synergistic effects against P. falciparum when used with artemisinin.(Tjahjani 2017)
Antiviral activity
In vitro data
Noncompetitive inhibition against HIV-1 protease is documented for mangostin and gamma-mangostin.(Chen 1996)
Cancer
Reviews on the anticancer activities of mangosteen xanthones have been published.(Gutierrez-Orozco 2013, Obolskiy 2009) Nanoformulations of alpha-mangostin offer a promising tool as a cancer drug delivery system to enhance alpha-mangostin cellular uptake, efficacy, and accumulation in cancer cells.(Meylina 2021)
Animal and in vitro data
Alpha-mangostin, mangostanol, and garcinone D extracts from the stem and root bark of G. mangostana were cytotoxic against the CEM-SS cell line.(Ee 2008, Ee 2006)
The efficacy and potency of garcinone E, a xanthone from mangosteen, was compared with 6 chemotherapeutic drugs used to treat 4 hepatoma cell lines. Garcinone E is equal to or more potent than mitoxantrone in terms of cytotoxicity against hepatoma cell lines, and may be more effective than methotrexate, vincristine, 5-fluorouracil (5-FU), and cisplatin.(Ho 2002) Six xanthones were extracted from the pericarps of mangosteen and examined for cell growth inhibition of the human leukemia cell line HL60. All xanthones had documented inhibitory effects on growth, but alpha-mangostin showed the most potent inhibitory activity.(Matsumoto 2003) In another study, both mangosteen peel extract and alpha-mangostin were selective for leukemia HL60 and K562 cell lines.(Novilla 2016) The mechanism of action is associated with activation ofcaspase-9 and caspase-3 (but not caspase-8) and mediation of the mitochondrial pathway during apoptosis.(Chiang 2004, Matsumoto 2004)
Alpha-mangostin inhibited growth of DLD-1 human colon cancer cells with potency similar to 5-FU. The mechanism of action of xanthones from mangosteen is associated with cell cycle arrest by affecting expression of cyclins, cdc2, and p27; G1 cell cycle arrest by alpha-mangostin and beta-mangostin; and S cycle arrest by gamma-mangostin. Alpha-mangostin also induces apoptosis that is mediated by the intrinsic pathway through mitochondria and modulates growth-related signal transduction pathways.(Akao 2008) Another study noted a synergistic growth reduction in human colon cancer DLD-1 cells with combined treatment of alpha-mangostin and 5-FU.(Nakagawa 2007)
In one study, an extract from the pericarp of mangosteen inhibited the growth of breast cancer cells through apoptosis.(Moongkarndi 2004) In another experiment, alpha-mangostin exhibited the most potent effects among the isolates studied.(Suksamrarn 2006)
In one study in mice with induced skin cancer, tumor formation and growth was suppressed and incidence reduced by alpha-mangostin.(Wang 2017) A study on putative preneoplastic lesions in rat colon carcinogenesis found that dietary administration of alpha-mangostin inhibited the development of aberrant crypt foci (P<0.05 for 0.02% crude alpha-mangostin; P<0.01 for 0.05% crude alpha-mangostin). Rats treated with 0.05% crude alpha-mangostin showed decreased dysplastic foci (P<0.05) and beta-catenin accumulated crypts (P<0.05).(Nabandith 2004)
In another study, alpha-mangostin treatment (20 mg/kg/day) significantly increased the survival rate of mice carrying mammary tumors, and greatly suppressed tumor volume and the multiplicity of lymph node metastases. In vitro studies showed that alpha-mangostin induced mitochondria-mediated apoptosis and G1- and S-phase cell cycle arrest and decreased levels of phospho-Akt-threonine 308.(Li 2017)
Cardiovascular disease
Animal and in vitro data
A study in rats documented efficacy of alpha-mangostin against cardiotoxicity and beta-adrenergic catecholamine–induced myocardial toxicity and oxidative stress.(Sampath 2008) In another study, mangostin inhibited oxidative changes in human LDL by acting as a free radical scavenger to protect LDL.(Williams 1995)
CNS effects
Research demonstrates that the neurobiological properties of the mangosteen pericarp are well aligned with the current understanding of the pathophysiology of bipolar disorder and schizophrenia. Mangosteen pericarp has antioxidant, putative neuroprotective, anti-inflammatory, and putative mitochondrial-enhancing properties.
Animal data
Animal studies demonstrate favorable pharmacotherapeutic benefits with respect to bipolar disorder and schizophrenia.(Ashton 2019)
Clinical data
A 24-week double-blind, randomized, placebo-controlled efficacy trial (N=148) concluded that despite promising preclinical and clinical work, results do not support 1,000 mg/day of mangosteen pericarp extract as an adjunctive treatment for schizophrenia or schizoaffective disorder.(Turner 2021)
Dental health
Clinical data
A study reported clinical improvement in periodontal inflammation following topical application of mangosteen pericarp extract.(Gutierrez-Orozco 2013, Obolskiy 2009) In one study of 60 individuals with mild or moderate chronic gingivitis, an herbal mouthwash containing a pericarp extract of mangosteen had beneficial effects on volatile sulfur compound levels (compared to placebo) and plaque index and papillary bleeding index (compared to baseline), suggesting a role in treating oral malodor.(Rassameemasmaung 2007)
A placebo-controlled, split-mouth trial in 25 patients demonstrated clinical and antioxidant efficacy of a mangosteen 4% gel in the treatment of chronic periodontitis. After 3 months, the full-mouth plaque index and gingival bleeding index values were significantly improved. There was also a significantly greater reduction in the probing depth and relative attachment level scores compared with control.(Manjunatha 2022)
An 8-week multicentered randomized controlled clinical trial (N=104) concluded that oral administration of mangosteen and propolis extracts (MAEC) have the potential to reduce gingival inflammation clinically and immunologically in patients with gingivitis and incipient periodontitis; dosage used in the study was a single capsule containing 194 mg of MAEC daily for 8 weeks.(Park 2021)
Hepatic steatosis
Animal data
In rats with high-fat diet–induced hepatic steatosis, alpha-mangostin significantly reduced triglyceride levels.(Tsai 2016)
Obesity
Animal data
In a 9-week study in rats fed a high-calorie diet, the 2 groups treated with mangosteen extract (200 mg/kg and 500 mg/kg of body weight) demonstrated reduced weight gain compared to control groups (orlistat-treated and normally fed).(Abuzaid 2016)
Clinical data
An herbal combination formulation containing extracts obtained from mangosteen and Sphaeranthus indicus has been evaluated for weight loss. Although positive findings have been reported, attributing the findings to either of the individual constituent extracts is difficult.(Kudiganti 2016, Stern 2013) Alpha-mangostin reduces tumor necrosis factor alpha in adipose tissue, which leads to amelioration of insulin sensitivity, a target for treating obesity and diabetes.(Ovalle-Magallanes 2017) A review concluded that mangosteen and its xanthones have a potential role in controlling and modifying metabolic syndrome and its related disorders (eg, obesity, disrupted lipid profile, diabetes and diabetes-related complications).(Tousian Shandiz 2017)
Osteoclast-related disease
In vitro and in vivo data
Both in vitro and in vivo, alpha-mangostin was observed to inhibit osteoclast production and reduce bone resorption.(Zhang 2022)
Prostatic hyperplasia
Animal data
In rats, mangosteen pericarp components alleviated progression of prostatic hyperplasia due to antiproliferative effects (eg, via improvement in mitochondrial function of prostate tissues); further research is needed regarding underlying mechanisms.(Tsai 2020)
Dosing
Clinical data are lacking to provide dosing recommendations. Mangosteen is available as various oral and topical formulations and has also been used as an ingredient in various nutraceutical beverages. Numerous patents exist for mangosteen nutraceutical applications in beverages,(Fugal 2006, Garrity 1996) animal products,(Wadsworth 2007) and cosmetic and dermatological preparations.(Gupta 2004, Moffett 2006)
Pregnancy / Lactation
Avoid use. Information regarding safety and efficacy in pregnancy and lactation is lacking.
Interactions
Potential mangosteen components-drug interactions and adverse reactions should be considered before consumption of beverages containing mangosteen pulp and pericarps as complementary therapy, mainly regarding the potential of mangosteen juices to inhibit hepatic CYP-450 enzyme activities, thus interfering with drug metabolism.(Ovalle-Magallanes 2017)
Mangosteen products have antioxidant activity and may interact with chemotherapeutic drugs such anthracyclines, platinum compounds, and alkylating agents. Individuals taking antihistamines may note an additive effect with mangosteen.
Adverse Reactions
Avoid use if hypersensitive to any constituents of mangosteen. Individuals with diabetes should be aware of the high sugar content in mangosteen juice. Theoretically, mangosteen may interfere with the action of certain chemotherapeutic drugs and radiation therapy.
Severe lactic acidosis was reported in a 58-year-old male ingesting mangosteen juice daily for 12 months, possibly resulting from alpha-mangostin–associated mitochondrial dysfunction.(Wong 2008)
Toxicology
Mangosteen products appear safe and have been well tolerated in clinical trials.(Naumann 2022)
In one experiment, the seed oil was not toxic to the liver, heart, or spleen when administered to rats. Kidney lesions observed in some rats were mild and not limited to the test rats.(Ajayi 2007) An older report showed decreased serum glutamic oxaloacetic transaminase and serum glutamic pyruvic transaminase levels in rodents administered mangostin.(Obolskiy 2009)
References
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