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Food Sci. Technol. Res.

, 18 (3), 315 – 324, 2012

Review

Anthocyanins as Functional Food Factors

— Chemistry, Nutrition and Health Promotion —

Takanori Tsuda*

College of Bioscience and Biotechnology, Chubu University, Kasugai, Aichi 487-8501, Japan

Received January 25, 2012; Accepted February 5, 2012

Anthocyanins are widely known as pigments responsible for the rich reds and purples in fruits, veg-
etables and legume seeds. Many flower colors are also attributed to anthocyanins. The physiological func-
tions of anthocyanins as components in food have attracted attention, and research on their bioavailabil-
ity and physiological functionality has progressed over the last 20 years. This review focuses on the health
benefits of anthocyanins. It first describes the chemistry, metabolism, and absorption of anthocyanins and
next summarizes the trends in research on the anti-diabetic and anti-obesity effects of anthocyanins. It
then describes the other health benefits of anthocyanins, namely, the prevention of cancer and improve-
ment of visual and brain functions, and finally discusses the challenges in and prospects of anthocyanin
research.

Keywords: anthocyanin, bioavailability, diabetes, obesity, cancer, vision, brain function


Abbreviations: AMPK, AMP-activated protein kinase; BA, blackcurrant anthocyanins; BBE, bilberry extract;
CS, Caffeoylsophorose; Cy, cyanidin; C3G, cyanidin 3-glucoside; Del, delphinidin; Glut4, glucose transporter 4;
NF-κB, nuclear factor-kappa B; PPAR, peroxisome proliferator activated receptor; RBP4, retinol-binding protein 4;
TNF-α, tumor necrosis factor-alpha; WBP, whole blueberry powder

Introduction and it became possible after the discovery of genes involved


Anthocyanins are widely known as pigments respon- in anthocyanin biosynthesis and elucidation of their expres-
sible for the rich reds and purples in fruits such as apples, sion mechanisms. In addition to the above properties and
strawberries, and blueberries, as well as in eggplants, perilla mechanisms, the physiological functions of anthocyanins as
herbs, and legume seeds. Many flower colors are also at- components in food, have attracted attention, and research
tributed to anthocyanins (Harborne and Grayer, 1988). In on their bioavailability and physiological functionality has
food chemistry, anthocyanins have been studied in relation progressed over the last 20 years.
to changes and stability of colors in foods such as fruits dur- This review focuses on the health benefits of antho-
ing processing and storage and also for their use as natural cyanins. It first describes the chemistry, metabolism, and
colorants. Indeed, many types of anthocyanin food colorants absorption of anthocyanins and next summarizes the trends
have been developed and are now available to customize in research on the anti-diabetic and anti-obesity effects of
the appearance of foods. In horticulture, color conversion of anthocyanins. It then describes the other health benefits of
flower pigments has become possible based on new findings anthocyanins, namely, the prevention of cancer and improve-
of anthocyanin research. Creation of flowers in new colors ment of visual and brain functions, and finally discusses the
enriches our life; for example, the creation of blue roses is a challenges in and prospects of anthocyanin research.
noteworthy achievement (Tanaka et al., 2010). Genetic en-
gineering is the key technology for converting flower color, Chemistry, Source, Intake, Metabolism, and Absorption
of Anthocyanins
*To whom correspondence should be addressed. Anthocyanins are flavonoids that usually exist in plants in
E-mail: tsudat@isc.chubu.ac.jp the form of glycosides, and their non-carbohydrate moieties
316 T. Tsuda

(aglycones) are called anthocyanidins. There are many types Anthocyanin content varies markedly among plant spe-
of anthocyanins, which are distinguished according to the cies and cultivars and also within a single species, depending
substituent groups on the B ring, type and number of conju- on harvest time. Anthocyanins are contained in many types
gated sugars, and the presence or absence of an acyl group. of regularly consumed foods, such as cereals, tubers, roots,
Six principal types of anthocyanidins (pelargonidin, cyanidin greens, pulses, and fruits. Cy and its derivatives, which pos-
(Cy), delphinidin (Del), peonidin, petunidin, and malvidin) sess two hydroxyl groups on the B-ring, are the most widely
are shown in Fig. 1. The hue of an anthocyanin is determined distributed, followed by Del and its derivatives. Although
by the substituent groups on the B-ring; the hue deepens as similar data for foods in Japan are unavailable, the typi-
the number of hydroxyl groups increases and lightens with cal concentrations of anthocyanins in foods commercially
the presence of methoxyl groups. Figure 2 shows the struc- available in the United States have been reported (Wu et al.,
tural changes of anthocyanins in aqueous solution — they 2006). Berries are particularly rich in anthocyanins (Table
exist in the form of stable red flavylium cations under acidic 1), and daily anthocyanin intake in the United States is esti-
conditions and are converted into unstable colorless pseudo- mated at 12.5 mg/person. This figure is thought to be higher
bases upon reaction with water under weakly acidic and neu- than the corresponding figure in Japan, albeit with significant
tral conditions (Brouillard, 1988). differences among individuals.
Recently, results were reported in detail for the European
Prospective Investigation into Cancer and Nutrition study,
wherein the intake of anthocyanidins in 36,037 individuals
(age range, 35 − 74 years) living across 10 European coun-
tries was investigated (Zamora-Ros et al., 2001). According
to this report, the mean daily anthocyanidin intake in men
ranged from 19.8 − 64.9 mg, while that in women ranged
Fig. 1. Chemical structures of the anthocyanidins. from 18.7 − 44.1 mg. There was a clear north-to-south gradi-

Fig. 2. Structural changes of glucosyl anthocyanins in aqueous solution (G, glucose).


Anthocyanins and Health Benefits 317

protocatechuic acid, syringic acid, vanillic acid, phloroglu-


Table 1. Concentration of anthocyanins in common foods.
cinol aldehyde, phloroglucinol acid, and gallic acid, have
Total anthocyanins been reported in multiple studies as anthocyanin metabolites,
Total anthocyanins
Food (mg/100 g of fresh weight
or form consumed)
per serving (mg) depending on their structure (Gonthier et al., 2003; Aura et
al., 2005; He et al., 2005; Keppler and Humpf, 2005; Borges
1. Apple
et al., 2007; Forester and Waterhouse, 2008, 2010; Avila et
(Fuji) 1.3 1.8
(Gala) 2.3 3.2 al., 2009). These phenolic acids are likely to be produced
(Red Delicious) 12.3 17.0 during anthocyanin metabolism involving enteric bacteria,
2. Blackberry 245.0 353.0 or by chemical conversion, and have also been found in
3. Blueberry humans (Kahle et al., 2006; Vitaglione et al., 2007; Azzini
(Cultivated) 386.6 529.0
et al., 2010). The actions of these metabolites must be taken
(Wild) 486.5 705.0
4. Cherry, sweet 122.0 177.0 into consideration when discussing the health benefits of
5. Chokeberry 1,480.0 2,147.0 anthocyanins. However, whether these metabolites are solely
6. Cranberry 140.0 133.0 responsible for the health benefits of anthocyanins remains a
7. Currant contentious topic. Recently, Lila et al. (2012) aimed to elu-
(Black currant) 476.0 533.0
cidate the metabolic fate of anthocyanins by employing two
(Red currant) 12.8 14.3
8. Elderberry 1,375.0 1,993.0 approaches. The first approach used a human gastrointestinal
9. Grape model for investigating the bioaccessibility of anthocyanins,
(Red grape) 26.7 42.7 which is defined as the potential for a substance to interact
(Concord) 120.1 192.0 with or be absorbed by an organism. The second approach
10. Nectarine 6.8 9.2
employed radio-labeled (13C or 14C) anthocyanins synthe-
11. Peach 4.8 4.7
12. Plum 19.0 12.5 sized by plant cells (Lila et al., 2012). Both approaches are
13. Strawberry 21.2 35.0 crucial for revealing the metabolic pathway and absorption
14. Black bean 44.5 23.1 of anthocyanins in detail. To date, however, only a limited
15. Eggplant 85.7 35.1 number of studies have reported anthocyanins as essential for
16. Red cabbage 322.0 113.0
human health benefits. A clinical ophthalmology study found
17. Red onion 48.5 38.8
possible visual improvement in response to a daily intake of
This table is reproduced from Wu et al. (2006) with permission 50 mg anthocyanins (Nakaishi et al., 2000).
from the American Chemical Society.

Health Benefits of Anthocyanins


ent, and the intake was highest in southern countries. Antho- Since their antioxidant effect was revealed, various health
cyanidin intake was also high in non-obese older women and benefits of anthocyanins have been reported. In particular,
non-smokers and increased in line with educational level and marked advancements in research over the last 10 years have
degree of physical activity. The main sources of anthocyani- been made regarding the conferred health benefits of antho-
dins were fruits, vegetables, wine, and non-alcoholic bever- cyanins and the underlying molecular mechanisms. Recent
ages. Although fruits like berries are rich in anthocyanins, findings in relation to the preventive and suppressive effects
vegetables are the likely source for the Japanese population of anthocyanins against obesity and diabetes are outlined in
as they are often included daily in every meal. Considering the next section.
the relatively low anthocyanin content in vegetables, creating Obesity and diabetes Suppression of body fat accumu-
new anthocyanin-rich varieties and cultivars may contribute lation by anthocyanin intake was first reported by Tsuda et al.
to stable intake of anthocyanins. Juices rich in anthocyanins (2003). Supplementing high-fat meals (60% of energy) with
may also serve as a good source. 2 g/kg of C3G significantly reduced high-fat meal-induced
It is known that a large proportion of anthocyanin gly- body fat accumulation in C57BL/6J mice (Tsuda et al., 2003;
cosides are absorbed directly into the body without losing Tsuda, 2008), and impaired lipid synthesis in white adipose
their sugar moiety (Tsuda et al., 1999). On the other hand, tissue was considered a likely underlying mechanism. It was
protocatechuic acid, a derivative of the B-ring of cyanidin also shown that a diet supplemented with C3G significantly
3-glucoside (C3G), was also found as an anthocyanin me- suppresses the elevation of the serum glucose levels induced
tabolite (Tsuda et al., 1999). In recent years, biodegradation by high-fat meals. Prior et al. (2008) reported that supple-
of anthocyanins by enteric bacteria and the resulting pheno- menting a high-fat diet (45% of energy) with anthocyanins
lic acids has attracted much interest. Phenolic acids, such as extracted from blueberries inhibited weight gain and body fat
318 T. Tsuda

accumulation, while supplementation with whole blueberry upregulation of proinflammatory cytokines (IL-6 and TNF-α)
powder (WBP) promoted body fat accumulation in C57BL/6 associated with obesity, while upregulating PPARα and
mice. A separate study by the same group also demonstrated PPARγ mRNAs in Zucker fatty rats (Seymour et al., 2009).
that consumption of blueberry juice caused a significant re- Similarly, chokeberry intake increased plasma adiponectin
duction in body weight gain and percentage of white adipose levels and decreased plasma TNF-α and IL-6 levels (Qin and
tissue (epididymal and retroperitoneal fat) in mice fed a high- Anderson, 2012).
fat diet (45% of energy) (Prior et al., 2010a). Similarly, De- Anthocyanin intake was also shown to reduce increases
Furia et al. (2009) reported that supplementing a high-fat diet in blood glucose level and to improve insulin sensitivity in
(60% of energy) with WBP did not reduce body weight gain type 2 diabetes models. Similar effects were found in stud-
significantly in C57BL/6 mice. Contrary to these findings, ies using high purity C3G (Sasaki et al., 2007; Tsuda, 2008)
interesting results were recently reported by Seymour et al. and also bilberry extract (BBE) containing different types
(2011), who demonstrated that supplementing a high-fat diet of anthocyanins (Takikawa et al., 2010). Downregulation of
(45% of energy) with 2% WBP reduced abdominal fat mass retinol binding protein 4 (RBP4) was shown to constitute a
and increased the activity of the adipose tissue and skeletal part of the mechanism underlying such effects of isolated
muscle peroxisome proliferator-activated receptor (PPAR) in C3G in KK-Ay mice, a model for type 2 diabetes (Sasaki
Zucker fatty rats. However, the same study showed a WBP- et al., 2007). Yang et al. (2005) identified RBP4 as a new
induced body weight gain in Zucker lean rats (Seymour et adipocytokine linked to the pathogenesis of type 2 diabetes
al., 2011). and a factor contributing to insulin resistance (Yang et al.,
Anthocyanins from berries other than blueberries have 2005). Although the role of RBP4 in diabetes in humans
also been tested for their anti-obesity and anti-diabetic ef- remains debatable, the anti-diabetic effect of C3G in mice
fects. Intake of black raspberry anthocyanins (as a juice or in can be explained by this finding. More specifically, C3G
powder form) did not significantly reduce body fat accumu- intake upregulates the expression of glucose transporter 4
lation or body weight gain induced by a high-fat diet (60% (Glut4), thereby decreasing RBP4 expression. This improves
of energy) in mice (Prior et al., 2009, 2010b; Kaume et al., insulin sensitivity in peripheral tissues and suppresses glu-
2012). On the other hand, intake of mulberry water extracts cose release induced by elevated gluconeogenesis (Sasaki et
containing a high concentration of anthocyanins reduced al., 2007). Further, C3G and its metabolite protocatechuic
body weight gain (Peng et al., 2011). Intake of tart cherry acid were recently shown to activate PPARγ and to induce
powder also reduced body weight gain and the amount upregulation of Glut4 and adiponectin in murine 3T3-L1
of retroperitoneal fat in Zucker fatty rats (Seymour et al., adipocytes and human adipocytes (Scazzocchio et al., 2011).
2009). Intake of extracts of another anthocyanin-rich berry, However, C3G does not appear to serve as a ligand of PPARγ
chokeberry, also suppressed the increase in epididymal white or to upregulate the expression of adiponectin in vivo (Sasaki
adipose tissue and blood glucose level in mice fed a fructose- et al., 2007). Thus, the anti-diabetic effect of C3G cannot be
rich diet (Qin and Anderson, 2012). explained by the upregulated expression of PPARγ and adi-
Anthocyanins act on adipocytes, thereby modulating ponectin.
adipocytokine expression. C3G, or its aglycon Cy, was re- Considering the low C3G content in BBE, it is difficult to
ported to upregulate the expression of adiponectin, which explain its anti-diabetic effect by the mechanism involving
increases insulin sensitivity in rat white adipose tissue and in RBP4 downregulation. BBE intake was shown to activate
human adipocytes (Tsuda et al., 2004, 2006). However, these AMP-activated protein kinase (AMPK) in skeletal muscle
findings have not yet been supported by in vivo results. The and white adipose tissue and the liver (Takikawa et al.,
study by DeFuria et al. (2009), introduced above, demon- 2010). BBE-induced AMPK activation leads to upregulation
strated the suppressive effect on obesity-associated inflam- of Glut4 expression in skeletal muscle and white adipose tis-
mation in white adipose tissue in the group that received sue, as well as suppression of gluconeogenesis in the liver.
WBP. More specifically, the degree of upregulation of tumor At the same time, it also promotes lipid utilization, thereby
necrosis factor-alpha (TNF-α) and monocyte chemoattractant suppressing increases in blood glucose level and improving
protein-1 mRNAs was significantly lower in the group fed insulin sensitivity (Fig. 3) (Takikawa et al., 2010). The fact
a high-fat diet with blueberry supplementation than in the that BBE contains many types of anthocyanins may be the
group without supplementation. It was also shown that a sig- key in the AMPK-medicated anti-diabetic effect, and this
nificant downregulation of glutathione peroxide 3 level, in- point needs to be addressed in future studies.
duced by the high-fat diet, was restored by blueberry intake. Another possible mechanism for anthocyanins’ preven-
Furthermore, intake of tart cherry powder suppressed the tive and suppressive effect on diabetes is the inhibition of
Anthocyanins and Health Benefits 319

Fig. 3. Proposed mechanism for amelioration of hyperglycemia and insulin sensitivity by dietary bilberry extract,
BBE (Takikawa et al., 2010). ACC, acetylCoA carboxylase; ACO, acylCoA oxidase; CPT1A, carnitine palmitoyl-
transferase-1A; G6Pase, glucose-6-phosphatase; PEPCK, phosphoenol pyruvate carboxykinase.

α-glucosidase in the small intestinal endothelium, which in expression (Kwon et al., 2009). However, Del does not exist
turn inhibits degradation and absorption of carbohydrates, in the form of the flavylium cation and is unstable under neu-
thereby ameliorating hyperglycemia. Glycosides, such as tral conditions; thus, whether it can exert an action on these
C3G, are generally very weak inhibitors of α-glucosidase target molecules in vivo remains unclear.
(Iwai et al., 2006), except for acylated anthocyanins (Matsui Recent attempts to create purple tomatoes by expressing
et al., 2001a, 2001b, 2002; Terahara et al., 2003, 2009) and high levels of anthocyanins (Butelli et al., 2008; Gonzali et
Matsui et al. (2004) revealed that caffeoylsophorose (CS), a al., 2009; Povero et al., 2011) are of particular interest. Mar-
component of acylated anthocyanins, is the molecular struc- tin and colleagues expressed snapdragon genes involved in
ture responsible for this strong inhibitory activity. Since CS anthocyanin biosynthesis in tomato and successfully obtained
is absorbed in an intact form to produce caffeic acid and its anthocyanin-rich tomatoes with intense purple coloration
conjugates (Qiu et al., 2011), it is possible that absorbed CS (Butelli et al., 2008). When cancer-susceptible mice (Trp53-
/-
or its metabolites exert an anti-diabetic effect via pathways mice) were fed a diet supplemented with purple tomatoes
that do not include α-glucosidase inhibition. or normal tomatoes, the life span extension was significantly
longer in the mice that consumed purple tomatoes than in
Other Health Benefits of Anthocyanins: Anthocyanins in those that consumed normal tomatoes (Butelli et al., 2008).
Relation to Cancer, Visual Function, and Brain Function A similar approach may be useful for other health promoting
Cancer The preventive and suppressive effects of purposes, as well as for cancer prevention. More precisely,
anthocyanins on cancer have been demonstrated in many establishing and cultivating vegetables that contain appropri-
studies, and key findings in this area can be found in the ate anthocyanin compositions and content, sufficient for ex-
literature (Thomasset et al., 2009; Prasad et al., 2010). In erting health benefits, will be useful for health improvement.
general, anthocyanins suppress inflammatory pathways as- Visual function Improvement of visual function as well
sociated with cancer pathogenesis. For example, Del, an as antioxidant effects is a well-known health benefit of antho-
aglycon, binds directly to mitogen-activated protein kinase cyanins. A famous anecdote about the effect of anthocyanins
4 and phosphatidylinositol 3-kinase to inhibit both enzymes, on vision in Japan describes Royal Air Force pilots during
thereby suppressing ultraviolet B-induced cyclooxygenase-2 World War II who experienced enhanced vision in the dark
320 T. Tsuda

after ingesting blueberry jam. However, this anecdote itself Challenges in and Prospect for Anthocyanin Research
is not evidence-based, and several clinical studies failed to This review so far described the health benefits of antho-
verify the above claim (Levy and Glovinsky, 1998; Zadok et cyanins, with an emphasis on their preventive and suppres-
al., 1999; Muth et al., 2000; Canter and Ernst, 2004). On the sive effects on obesity and diabetes, as well as their metabo-
other hand, bilberry anthocyanins have been shown to ex- lism and absorption, and then outlined the trends in cancer
hibit neuroprotective effects in ocular tissue and suppressive prevention research and the improvement of visual and brain
effects on diabetic retinopathy via a reduction of angiogen- function by anthocyanins. Next, challenges in anthocyanin
esis (Matsunaga et al., 2010a, 2010b). Furthermore, several research are discussed to conclude this review.
studies have demonstrated that blackcurrant anthocyanins Although evidence of the pleiotropic properties of an-
(BA) improve visual function; for example, BA inhibit tran- thocyanins, such as the suppressive effect on body fat ac-
sient myopia, reduce eye fatigue, improve dark adaptation, cumulation and anti-diabetic action, continue to accumulate,
and increase retinal blood flow in glaucoma (Nakaishi et al., only a limited number of studies have identified the specific
2000; Ohguro et al., 2007; Iida et al., 2010). The first three molecular structures of anthocyanins responsible for their
benefits have been shown in humans, and effective daily BA health benefits. Interestingly, in some cases, intake of a blend
intake was reported as 50 mg (Nakaishi et al., 2000). Two of multiple types of anthocyanins can be more effective than
studies have indicated the possible mechanism underlying intake of a single molecular species, suggesting the necessity
inhibition of myopia. The BA concentration was higher in of clarifying the most effective molecular species and blend
ocular tissues (sclera, choroid, ciliary body, retina, iris, and compositions of anthocyanins for exerting individual health
cornea) than in blood in a rat fed a diet containing BA, and benefits. For example, black raspberry anthocyanins do
in particular, concentrations in the sclera and choroid were not appear effective for suppressing body fat accumulation
100-fold higher than the blood BA concentration (Matsu- (Prior et al., 2009, 2010b; Kaume et al., 2012), and this lack
moto et al., 2006). In addition, it was shown that an antho- of effect may be attributed to the compositional difference
cyanin in the concentration range of 10-7 to 10-8 M relaxed between black raspberry and blueberry anthocyanins, as the
endothelin-1-induced contraction of bovine ciliary smooth main anthocyanin in black raspberry is cyanidin 3-rutinoside.
muscle (Matsumoto et al., 2005), which plays an important If so, the sugar moieties of anthocyanins may influence the
role in modulating refraction of the lens through contraction degree of function.
and relaxation, which in turn control accommodation. Thus, Investigations in the current literature used mainly
it is suggested that anthocyanins stimulate the endothelin-1 anthocyanin-rich extracts, with a few exceptions of isolated
receptor to induce production of NO, thereby relaxing ciliary and purified anthocyanins. In fact, anthocyanins, as a part of
smooth muscle, which in turn flattens the lens and conse- a diet, are more likely to be ingested with other dietary com-
quently inhibits myopia. ponents such as polyphenols. Nevertheless, it is important
Brain function The favorable effects of intake of an- to determine whether an anthocyanin (or anthocyanins) is
thocyanin-rich fruits on memory (Shukitt-Hale et al., 2006; solely responsible for exerting health benefits, whether other
Krikorian et al., 2010a, 2010b) and on cognitive and mo- dietary components are the main mediators of the benefits, or
tor function by delaying deterioration of neural function in whether co-intake of an anthocyanin (or anthocyanins) and
aged individuals (Shukitt-Hale et al., 2009a, 2009b) were other dietary components is necessary.
studied mainly by the group lead by Joseph. Neural signal- Current evidence to support the health benefits of antho-
ing and suppression of neuroinflammation are implicated cyanins in humans is insufficient. Although several studies
in the mechanism for such effects. In Fisher rats, blueberry showed the favorable effects of anthocyanins on visual func-
intake suppressed an aging-associated increase in nuclear tion, they used a small number of subjects, and are thus not
factor-kappa B levels (NF-κB) (Goyarzu et al., 2004) and considered thorough. Further investigation is necessary to
upregulation of TNF-α, IL-1β and NF-κB expression in the address the benefits of anthocyanins in humans.
hippocampus (Shukitt-Hale et al., 2008). Understanding anthocyanin metabolites on the basis of
Williams et al. (2008) demonstrated that blueberry intake chemical structures of anthocyanins is of particular impor-
induced activation of cyclic AMP-response element-bonding tance. The quantity of anthocyanin metabolites produced
protein and an increase in the level of brain-derived neuro- from processing by enteric bacteria or chemical reactions
trophic factor, in which extracellular signal-related kinases 1 must be taken into account when considering the efficacy
and 2 were involved. Improvement of cerebrovascular blood of anthocyanins. On the other hand, the effect of the antho-
flow may also be implicated in the favorable effects of ber- cyanins directly absorbed in the form of glycosides, albeit
ries on brain function (Spencer, 2010). with their low bioavailability, should not be neglected. Even
Anthocyanins and Health Benefits 321

though the quantities of absorbed anthocyanins, in the form Mila, I., Lapierre, C., Rémésy, C. and Scalbert, A. (2007). The
of glycosides, or their metabolite are small, it is possible that bioavailability of raspberry anthocyanins and ellagitannins in
the signals triggered by them are amplified in the digestive rats. Mol. Nutr. Food Res., 51, 714-725.
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despite their low absorption rates in the body. Nevertheless, Butelli, E., Titta, L., Giorgio, M., Mock, H.P., Matros, A., Peterek,
the correlations between beneficial levels of anthocyanin S., Schijlen, E.G., Hall, R.D., Bovy, A.G., Luo, J. and Martin,
intake and concentrations of their metabolites have not yet C. (2008). Enrichment of tomato fruit with health-promoting
been clarified. If enteric bacteria-generated metabolites of anthocyanins by expression of select transcription factors. Nat.
anthocyanins are important for promoting health benefits, Biotechnol., 26, 1301-1308.
differences in the quality and quantity of gut flora will influ- Canter, P.H. and Ernst, E. (2004). Anthocyanosides of Vaccinium
ence the levels of expected health benefits among individu- myrtillus (bilberry) for night vision-a systematic review of place-
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It was only a few decades ago that anthocyanins were DeFuria, J., Bennett, G., Strissel, K.J., Perfield, J.W. 2nd, Milbury,
regarded as highly degradable compounds, and the main P.E., Greenberg, A.S. and Obin, M.S. (2009). Dietary blueberry
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Anthocyanins will continue to attract researchers across droxybenzaldehyde, inhibit cell proliferation of Caco-2 cells. J.
various disciplines, including those involved in the creation Agric. Food Chem., 58, 5320-5327.
of new flower varieties with novel colors. Research on the Forester, S.C. and Waterhouse, A.L. (2008). Identification of Caber-
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metabolism. Moreover, once these benefits are proven in Gonthier, M.P., Cheynier, V., Donovan, J.L., Manach, C., Morand,
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capsule form can be accelerated to promote the proven func- crobial aromatic acid metabolites formed in the gut account for a
tions. major fraction of the polyphenols excreted in urine of rats fed red
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Acknowledgements This review was supported in part by Grants- Gonzali, S., Mazzucato, A. and Perata, P. (2009). Purple as a to-
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the Japan Society for Promotion of Science. 237-241.
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