Skip to main content

OPINION article

Front. Nutr., 04 August 2022
Sec. Nutrition and Metabolism
This article is part of the Research Topic Sterols, Nutrition, and Health View all 6 articles

Anticancer and anticholesterol attributes of sea cucumbers: An opinion in terms of functional food applications

  • 1Fishery Products Technology Study Program, Faculty of Fisheries and Marine Sciences, Sam Ratulangi University, Manado, Indonesia
  • 2Biological Sciences, State Islamic University of Sunan Kalijaga (UIN Sunan Kalijaga), Yogyakarta, Indonesia
  • 3Nutrition Science Department, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
  • 4Department of Nutrition Biology, Central University of Haryana, Mahendragarh, India
  • 5Health and Nutrition Science Executive, Nutrifood Research Center, PT Nutrifood Indonesia, Kawasan Industri Pulogadung, Jakarta, Indonesia

Introduction

Sea cucumbers, marine invertebrates belonging to the phylum Echinodermata and specifically to the class Holothuroidea, are fishery products that possess a high economic value and potent medicinal properties (1, 2). In terms of physical appearance, sea cucumbers are tube-like marine animals with skin that resembles a leathery material (2). As of late, research has been conducted on sea cucumbers, especially on their role as a functional food. Sea cucumbers, especially Actinopyga mauritiana, contain a high percentage of protein or peptides (63.3 ± 0.43%), with glycine as its most abundant amino acid. A. mauritiana also possesses a low lysine:arginine ratio. Both properties are shown to exert hypocholesterolemic effects (3). Sea cucumbers also contain certain proteins (bioactive peptides), polysaccharides, and saponins, and when extracted, these compounds are shown to exert anticancer effects (4, 5). Saponins from sea cucumbers promote osteoblast differentiation or osteogenic differentiation from pre-osteoblasts by activating molecular pathways of BMP2/Smads activation in MC3T3-E1 cells (6). More interestingly, sulfated polysaccharides in sea cucumber have the potential to be used as health-improving agents and processed through technology and combining (7), such as into functional food. Sea cucumber is a potential functional food based on the medicinal properties mentioned above. Hence, this article's main aim is to interpret the latest findings on potential applications of sea cucumbers as a functional food.

Sea cucumbers in general

Sea cucumbers, also known as teripang, “trepan,” or“beche-de-mer,” are marine invertebrates that belong to the phylum Echinodermata and the class Holothuroidea. Sea cucumbers can be found in deep seas and have a long history of being used as food and medicine in the Middle East and Asia (1). It possesses a tube-like soft body with leathery skin. The shape of sea cucumbers resembles that of a cucumber, hence the name (1, 3). Currently, there are about 1,716 species of sea cucumbers in the world, and the most biodiverse of sea cucumbers are located in the Asia Pacific region (3). Some commonly consumed sea cucumbers that possess health benefits are Holothuria leucospilota, Bohadschia argus, Pearsonothuria graeffei, Holothuria polii, Colochirusancep, Holothuria arenicola, Cucumaria japonica, and several others (4). Sea cucumbers contain numerous bioactive compounds such as chondroitin sulfates, saponins, peptides, and glycosaminoglycan, and these compounds possess anticoagulation, antiangiogenesis, anticancer, antidiabetic, and antibacterial activities (5). Besides, sea cucumbers also contain micronutrients such as thiamine or vitamin B1, B2 or riboflavin, B3 (niacin), vitamin A (retinol, retinyl esters), calcium, iron, zinc, and magnesium (4).

Anticancer property of sea cucumbers

As mentioned previously, sea cucumbers exhibits an anticancer activity. Anticancer activities can be achieved through cytotoxic activity, apoptosis induction, cell cycle arrest, tumor growth reduction, metastasis inhibition, and drug resistance inhibition methods (Figure 1) (4). Cytotoxic activity is achieved by blockage or growth prevention of cancer cells. Holothuria scabra species produce bioactive carbohydrate compounds such as holothurine A3 and A4 that were shown to be cytotoxic in hepatocellular carcinoma (Hep-G2) and epidermoid carcinoma (KB) cell lines (8). In the apoptosis induction aspect, Frondanol A5, a compound obtained from Cucumaria frondosa extract, caused apoptosis in S2013 and AsPC pancreatic cancer cells (9). Cell cycle arrest is also a potential mechanism for inhibiting cancer cell growth. Pearsonothuria graeffei contains Ds-echinoside A and Echonoside A that disrupt the G0/G1 cell cycle process of liver carcinoma cells (Hep-G2), disrupting the preparation for DNA replication (10). Pentacta quadrangulari possesses a tumor growth reduction ability because of its saponin content, specifically Philinopsides E and A in sarcoma 180 and hepatoma 22 mouse models (11, 12). P. graeffei contains Ds-echinoside A, which prevents cell migration and invasion, and adhesion of hepatocellular carcinoma (Hep-G2) cells, hence reducing the probability of metastasis (development of new cancer site) of cancer cells (13). Cancer cells could develop drug resistance; hence drug resistance inhibition is crucial in chemotherapy (4). Cucumariaokhotensis possesses a type of saponin named Frondoside A that inhibits autophagy to survive in human urothelial carcinoma cell lines. Hence, cancer drug resistance is inhibited (14).

FIGURE 1
www.frontiersin.org

Figure 1. Sea cucumbers effect possible-scheme for anti-cancer and anti-cholesterol.

Anticholesterol property of sea cucumbers

Diverse sea cucumbers have demonstrated that they could be an intriguing natural source of useful substances because they contain amino acids, vitamins, triterpene glycosides, PUFAs, flavonoids, polysaccharides, carotenoids, minerals, collagen, gelatin, phenolic, saponin, and bioactive peptides (3, 15). From a nutritional standpoint, sea cucumber is the perfect food with medical significance, since it includes more proteins and less fats than most other foods. Bioactive compounds and pigments in sea cucumbers exhibit an antioxidant activity, which may have the potential to improve cholesterol and reduce the possibility of atherosclerosis using many capable mechanisms (Figure 1) (16). Polysaccharides from Apostichopus japonicus also have antihyperlipidemic and antioxidant attributes (17). Triterpene glycosides (or triterpene saponin) exhibit hypolipidemic (18), anti-inflammatory (19), immunomodulatory (20), and wound-healing properties (21), which indirectly contribute to dyslipidemia. Triterpene glycosides are also known to interact with sterol in the membrane of sea cucumbers as a self-defense mechanism against saponin (22, 23). In obese mouse models, sterol sulfate significantly reduced insulin resistance with inflammation induced by high-fat, high-fructose diets (24). The saponin from sea cucumbers has been proved to suppress adipose accumulation (Figure 1) (25), lower lipid levels, and attenuate atherosclerosis (26). Saponin can also modulate cholesterol metabolism in Thelenota ananas (27). These facts stated the health-related beneficial effects of the both saponin and the sterol in sea cucumbers.

The lipid content of Australostichopus mollis consists of high levels of 54% PUFA compared to MUFA (23%) and SFA (24%), with arachidonic acid followed by eicosapentaenoic acid as the dominant PUFA (28). Replacing SFAs with PUFAs was known to reduce total cholesterol levels and provide beneficial cardio-metabolic effects (2931). Wen et al. (32) also found that arachidonic acid was the dominant composition of PUFAs in many species of sea cucumbers. They further elaborated that while fatty acid profiles varied between species, amino acid levels were comparable. These facts suggest the potential of sea cucumbers as a high-protein source with low total fat and high unsaturated fatty acid contents. The sea cucumber powder (33) and dietary glucosylceramide from sea cucumber (34) also significantly decreased the cholesterol level in mice models fed with high fat-enriched diet.

Future functional food product development of sea cucumbers

Significant efforts have been made to identify more therapeutic-related food and their pharmaceutical applications, along with the growing understanding of the health-beneficial properties of compounds derived from sea cucumbers. The numerous therapeutic benefits of sea cucumbers and their valuable bioactive components have shown their potential as both functional meals and a natural source of novel multifunctional medications (35). However, despite high hopes, only a few foodstuffs made from sea cucumbers are available in the food and medical industries now. One of the techniques to utilize sea cucumbers as a functional food product would be to fortify food and health products with sea cucumbers to increase the customer acceptability of sea cucumbers effectively. Moreover, depending on seasonal fluctuations, geographic location, and feeding practices, sea cucumbers' proximate composition varies significantly, resulting in sea cucumbers being versatile food ingredients to be utilized for a specific health benefit or personalized nutrition (15). Xu et al. (36) also emphasized that the potential for creating high-quality nutraceutical products by extraction and purification of bioactive chemicals found in sea cucumbers has not been completely explored.

Discussions

The morbidity due to cancer has increased daily in both developed and developing nations, and it is one of the major causes of death, as nearly ten million deaths are caused by cancer every year worldwide (37). Another illness condition is high body cholesterol, which also affects people universally and may be a primary cause of several disorders such as atherosclerosis, and cardiovascular diseases. Therefore, there is an urgent need for a remedy that can be used to treat these ailments. Marine organisms are augmented for development of drugs; about 10% of these creatures' extracts contain anticancer attributes. In addition, the organisms' extracts are categorized by reduced drug resistance, lower toxicity, safety, and high efficiency (5). Sea cucumber has been explored for its anticancer and cholesterol-lowering activities due to the presence of potential bioactive components (Figure 1). For instance, sea cucumber (golden) contains several bioactive components such as saponin, flavonoids, docosahexaenoic and eicosapentaenoic acid (EPA-DHA), proteoglycans, mucopolysaccharide, heparin sulfate, heparin, dermatan sulfate, chondroitin sulfate, hyaluronic acid, glycosaminoglycan, collagen, and glycoprotein and has several promising attributes beyond its nutritional qualities (3840). In conclusion, the opinion suggested that sea cucumber and its derived bioactive peptide and carbohydrate components could be a point of great interest for future research as a potential treatment for cancer and cholesterol illnesses (Figure 1). It is just an opinion that summarizes sea cucumber's potential as a new hope for these ailments, but for validation of these health benefits, there is a need to perform extensive studies (especially in vivo and clinical trials); after that, it may be further considered for development of functional foods or nutraceuticals.

Author contributions

NS, FN, MH, and WG contributed to the conception and design of the opinion-study and drafted the manuscript first. MS, FN, and RM edited, revised, and approved the final version of the submitted manuscript. All authors contributed to the article and approved the submitted version.

Acknowledgments

Thanks to Prof. Dr. Nurpudji Astuti Taslim, MD, MPH, Sp.GK(K), who provided suggestions, input and reviews on the draft of this article. He is the Chairperson of the Indonesian Association of Clinical Nutrition Specialists, and declares that there is no conflict of interest whatsoever in reviewing the draft of this article. Thanks also to the Sam Ratulangi University (Especially to Faculty of Fisheries & Marine Sciences) and the Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher's note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Abbreviations

DNA, deoxyribonucleic acid; PUFAs, polyunsaturated fatty acids; MUFAs, monounsaturated fatty acids; SFAs, saturated fatty acids; EPA, eicosapentaenoic acid; DHA, docosahexaenoic acid.

References

1. Bordbar S, Anwar F, Saari N. High-value components and bioactives from sea cucumbers for functional foods - a review. Mar Drugs. (2011) 9:1761–805. doi: 10.3390/md9101761

PubMed Abstract | CrossRef Full Text | Google Scholar

2. Manuputty GD, Pattinasarany MM, Limmon GV, Luturmas A. Diversity and abundance of sea cucumber (Holothuroidea) in seagrass ecosystem at Suli Village, Maluku, Indonesia. IOP Conf Ser Earth Environ Sci. (2019) 339:012032. doi: 10.1088/1755-1315/339/1/012032

CrossRef Full Text | Google Scholar

3. Pangestuti R, Arifin Z. Medicinal and health benefit effects of functional sea cucumbers. J Trad Complement Med. (2018) 8:341–51. doi: 10.1016/j.jtcme.2017.06.007

PubMed Abstract | CrossRef Full Text | Google Scholar

4. Wargasetia TL, Widodo. Mechanisms of cancer cell killing by sea cucumber-derived compounds. Invest New Drugs. (2017) 35:820–6. doi: 10.1007/s10637-017-0505-5

PubMed Abstract | CrossRef Full Text | Google Scholar

5. Ru R, Guo Y, Mao J, Yu Z, Huang W, Cao X, et al. Cancer cell inhibiting sea cucumber (Holothuria leucospilota) protein as a novel anti-cancer drug. Nutrients. (2022) 14:786. doi: 10.3390/nu14040786

PubMed Abstract | CrossRef Full Text | Google Scholar

6. Li R, Meng J, Shi H, Wang C, Li Z, Xue C, et al. Dietary supplementation with sea cucumber saponins and exercise can significantly suppress adipose accumulation in mice fed with high-fat diet. J Ocean Univer China. (2021) 20:629–40. doi: 10.1007/s11802-021-4577-7

CrossRef Full Text | Google Scholar

7. Li Y, Li M, Xu B, Li Z, Qi Y, Song Z, et al. The current status and future perspective in combination of the processing technologies of sulfated polysaccharides from sea cucumbers: a comprehensive review. J Funct Foods. (2021) 87:104744. doi: 10.1016/j.jff.2021.104744

CrossRef Full Text | Google Scholar

8. Nguyen HD, Van Thanh N, Van Kiem P, Le MH, Chau VM, Young HK. Two new triterpene glycosides from the Vietnamese sea cucumber Holothuria scabra. Arch Pharm Res. (2007) 30:1387–91. doi: 10.1007/BF02977361

PubMed Abstract | CrossRef Full Text | Google Scholar

9. Roginsky AB, Ding XZ, Woodward C, Ujiki MB, Singh B, Bell RH, et al. Anti-pancreatic cancer effects of a polar extract from the edible sea cucumber, cucumaria frondosa. Pancreas. (2010) 39:646–52. doi: 10.1097/MPA.0b013e3181c72baf

PubMed Abstract | CrossRef Full Text | Google Scholar

10. Zhao Q, Xue Y, Wang J, Li H, Long T, Li Z, et al. In vitro and in vivo anti-tumour activities of echinoside A and ds-echinoside A from Pearsonothuria graeffei. J Sci Food Agric. (2012) 92:965–74. doi: 10.1002/jsfa.4678

PubMed Abstract | CrossRef Full Text | Google Scholar

11. Tong Y, Zhang X, Tian F, Yi Y, Xu Q, Li L, et al. Philinopside A, a novel marine-derived compound possessing dual anti-angiogenic and anti-tumor effects. Int J Cancer. (2005) 114:843–53. doi: 10.1002/ijc.20804

PubMed Abstract | CrossRef Full Text | Google Scholar

12. Tian F, Zhu CH, Zhang XW, Xie X, Xin XL, Yi YH, et al. Philinopside E, a new sulfated saponin from sea cucumber, blocks the interaction between kinase insert domain-containing receptor (KDR) and αvβ3 integrin via binding to the extracellular domain of KDR. Mol Pharmacol. (2007) 72:545–52. doi: 10.1124/mol.107.036350

PubMed Abstract | CrossRef Full Text | Google Scholar

13. Zhao Q, Liu ZD, Xue Y, Wang JF, Li H, Tang QJ, et al. Ds-echinoside A, a new triterpene glycoside derived from sea cucumber, exhibits antimetastatic activity via the inhibition of NF-κB-dependent MMP-9 and VEGF expressions. J Zhejiang Univer Sci B. (2011) 12:534–44. doi: 10.1631/jzus.B1000217

PubMed Abstract | CrossRef Full Text | Google Scholar

14. Dyshlovoy SA, Madanchi R, Hauschild J, Otte K, Alsdorf WH, Schumacher U, et al. The marine triterpene glycoside frondoside A induces p53-independent apoptosis and inhibits autophagy in urothelial carcinoma cells. BMC Cancer. (2017) 17:93. doi: 10.1186/s12885-017-3085-z

PubMed Abstract | CrossRef Full Text | Google Scholar

15. Oh GW, Ko SC, Lee DH, Heo SJ, Jung WK. Biological activities and biomedical potential of sea cucumber (Stichopus japonicus): a review. Fish Aquat Sci. (2017) 20:1–17. doi: 10.1186/s41240-017-0071-y

CrossRef Full Text | Google Scholar

16. Malekmohammad K, Sewell RDE, Rafieian-Kopaei M. Antioxidants and atherosclerosis: mechanistic aspects. Biomolecules. (2019) 9:301. doi: 10.3390/biom9080301

PubMed Abstract | CrossRef Full Text | Google Scholar

17. Liu X, Sun Z, Zhang M, Meng X, Xia X, Yuan W, et al. Antioxidant and antihyperlipidemic activities of polysaccharides from sea cucumber Apostichopus japonicus. Carbohydr Polym. (2012) 90:1664–70. doi: 10.1016/j.carbpol.2012.07.047

PubMed Abstract | CrossRef Full Text | Google Scholar

18. Olivera-Castillo L, Davalos A, Grant G, Valadez-Gonzalez N, Montero J, Barrera-Perez HAM, et al. Diets containing sea cucumber (Isostichopus badionotus) meals are hypocholesterolemic in young. PLoS ONE. (2013) 8:e0079446. doi: 10.1371/journal.pone.0079446

PubMed Abstract | CrossRef Full Text | Google Scholar

19. Sharipov A, Tursunov K, Fazliev S, Azimova B, Razzokov J. Hypoglycemic and anti-inflammatory effects of triterpene glycoside fractions from aeculus hippocastanum seeds. Molecules. (2021) 26:3784. doi: 10.3390/molecules26133784

PubMed Abstract | CrossRef Full Text | Google Scholar

20. Aminin D. Immunomodulatory properties of sea cucumber triterpene glycosides. Toxicology. (2014) 1–17. doi: 10.1007/978-94-007-6650-1_3-1

CrossRef Full Text | Google Scholar

21. Agra LC, Ferro JNS, Barbosa FT, Barreto E. Triterpenes with healing activity: a systematic review. J Dermatol Treat. (2015) 26:465–70. doi: 10.3109/09546634.2015.1021663

PubMed Abstract | CrossRef Full Text | Google Scholar

22. Claereboudt EJS, Eeckhaut I, Lins L, Deleu M. How different sterols contribute to saponin tolerant plasma membranes in sea cucumbers. Sci Rep. (2018) 8:10845. doi: 10.1038/s41598-018-29223-x

PubMed Abstract | CrossRef Full Text | Google Scholar

23. Thimmappa R, Wang S, Zheng M, Misra RC, Huang AC, Saalbach G, et al. Biosynthesis of saponin defensive compounds in sea cucumbers. Nat Chem Biol. (2022) 18:774–81. doi: 10.1038/s41589-022-01054-y

PubMed Abstract | CrossRef Full Text | Google Scholar

24. Zhang HJ, Chen C, Ding L, Shi HH, Wang CC, Xue CH, et al. Sea cucumbers-derived sterol sulfate alleviates insulin resistance and inflammation in high-fat-high-fructose diet-induced obese mice. Pharmacol Res. (2020) 160:105191. doi: 10.1016/j.phrs.2020.105191

PubMed Abstract | CrossRef Full Text | Google Scholar

25. Li Z, Tian Y, Ma H, Wang M, Yan Z, Xue C, et al. Saponins from the sea cucumber promote the osteoblast differentiation in MC3T3-E1 cells through the activation of the BMP2/Smads pathway. Curr Pharm Biotechnol. (2021) 22:1942–52. doi: 10.2174/1389201021666200519135446

PubMed Abstract | CrossRef Full Text | Google Scholar

26. Ding L, Zhang TT, Che HX, Zhang LY, Xue CH, Chang YG, et al. Saponins of sea cucumber attenuate atherosclerosis in ApoE–/– mice via lipid-lowering and anti-inflammatory properties. J Funct Foods. (2018) 48:490–7. doi: 10.1016/j.jff.2018.07.046

CrossRef Full Text | Google Scholar

27. Han QA, Li K, Dong X, Luo Y, Zhu B. Function of Thelenota ananas saponin desulfated holothurin A in modulating cholesterol metabolism. Sci Rep. (2018) 8:9506. doi: 10.1038/s41598-018-27932-x

PubMed Abstract | CrossRef Full Text | Google Scholar

28. Liu F, Zamora L, Jeffs A, Quek SY. Biochemical composition of the Australasian sea cucumber, Australostichopus mollis, from a nutritional point of view. Nutrire. (2017) 42:12. doi: 10.1186/s41110-017-0036-z

CrossRef Full Text | Google Scholar

29. Ramprasath VR, Jones PJH, Buckley DD, Woollett LA, Heubi JE. Decreased plasma cholesterol concentrations after pufa-rich diets are not due to reduced cholesterol absorption/synthesis. Lipids. (2012) 47:1063–71. doi: 10.1007/s11745-012-3708-8

PubMed Abstract | CrossRef Full Text | Google Scholar

30. Qian F, Korat AA, Malik V, Hu FB. Metabolic effects of monounsaturated fatty acid-enriched diets compared with carbohydrate or polyunsaturated fatty acid-enriched diets in patients with type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. Diabetes Care. (2016) 39:1448–57. doi: 10.2337/dc16-0513

PubMed Abstract | CrossRef Full Text | Google Scholar

31. Gaundal L, Myhrstad MCW, Leder L, Byfuglien MG, Gjovaag T, Rud I, et al. Beneficial effect on serum cholesterol levels, but not glycaemic regulation, after replacing SFA with PUFA for 3 d: a randomised crossover trial. Br J Nutr. (2021) 125:915–25. doi: 10.1017/S0007114520003402

PubMed Abstract | CrossRef Full Text | Google Scholar

32. Wen J, Hu C, Fan S. Chemical composition and nutritional quality of sea cucumbers. J Sci Food Agric. (2010) 90:2469–74. doi: 10.1002/jsfa.4108

PubMed Abstract | CrossRef Full Text | Google Scholar

33. Gangadaran S, Cheema SK. A high-fat diet enriched with sea cucumber gut powder provides cardio-protective and anti-obesity effects in C57BL/6 mice. Food Res Int. (2017) 99:799–806. doi: 10.1016/j.foodres.2017.06.066

PubMed Abstract | CrossRef Full Text | Google Scholar

34. Hossain Z, Sugawara T, Aida K, Hirata T. Effect of dietary glucosylceramide from sea cucumber on plasma and liver lipids in cholesterol-fed mice. Fish Sci. (2011) 77:1081–5. doi: 10.1007/s12562-011-0407-y

CrossRef Full Text | Google Scholar

35. Shi S, Feng W, Hu S, Liang S, An N, Mao Y. Bioactive compounds of sea cucumbers and their therapeutic effects. Chin J Oceanol Limnol. (2016) 34:549–58. doi: 10.1007/s00343-016-4334-8

CrossRef Full Text | Google Scholar

36. Xu C, Zhang R, Wen Z. Bioactive compounds and biological functions of sea cucumbers as potential functional foods. J Funct Foods. (2018) 49:73–84. doi: 10.1016/j.jff.2018.08.009

CrossRef Full Text | Google Scholar

37. Siegel RL, Kimberly DM, Hannah EF, Ahmedin J. Cancer statistics, 2021. CA Cancer J Clin. (2021) 71:7–33. doi: 10.3322/caac.21654

PubMed Abstract | CrossRef Full Text | Google Scholar

38. Safitri I, Purwanto B, Rochyani L, Prabowo GI, Suknaya D. Effect of Sticophus hermanii extract on fasting blood glucose and skeletal muscle glut4 on type 2 diabetes mellitus rats model effect of Sticophus hermanii extract on fasting blood glucose and skeletal muscle glut4 on type 2 diabetes mellitus rats model. IOP Conf Ser Earth Environ Sci. (2019) 217:012025. doi: 10.1088/1755-1315/217/1/012025

CrossRef Full Text | Google Scholar

39. Prawitasari DS, Safitri I, Notopuro H. Effects of golden sea cucumber extract (Stichopus hermanii) on fasting blood glucose, plasma insulin, and mda level of male rats (Rattus norvegicus) induced with streptozotocin. Fol Med Indones. (2019) 55:107–11. doi: 10.20473/fmi.v55i2.14336

CrossRef Full Text | Google Scholar

40. Hartono F, Mukono IS, Rochmanti M. Effects of golden sea cucumber (Stichopus hermanii) ethanol extracts on cholesterol levels of hypercholesterolemic rats. Ind J Public Health Res Dev. (2020) 11:650–4. Available online at: https://www.ijphrd.com/scripts/IJPHRD%20May_2020%20(2).pdf

Google Scholar

Keywords: functional food, sea cucumbers, cancer, cholesterol, marine products

Citation: Salindeho N, Nurkolis F, Gunawan WB, Handoko MN, Samtiya M and Muliadi RD (2022) Anticancer and anticholesterol attributes of sea cucumbers: An opinion in terms of functional food applications. Front. Nutr. 9:986986. doi: 10.3389/fnut.2022.986986

Received: 05 July 2022; Accepted: 20 July 2022;
Published: 04 August 2022.

Edited by:

Marc Poirot, INSERM U1037 Centre de Recherche en Cancérologie de Toulouse, France

Reviewed by:

Bin Du, Hebei Normal University of Science and Technology, China

Copyright © 2022 Salindeho, Nurkolis, Gunawan, Handoko, Samtiya and Muliadi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Netty Salindeho, nettysalindeho0312@unsrat.ac.id

These authors have contributed equally to this work

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.