“…extracts show that in addition to the presence of PCA, Hs extracts also possess organic acids (hydroxycitric acid and hibiscus acid) and anthocyanins (delphinidin-3-sambubioside and cyanidin-3-sambubioside) as well as flavonoids, which are likely to be responsible for the anti-oxidant, anti-inflammatory, anti-nephrotoxic, hepatoprotective, anti-aging, p53-upregulating, anti-apoptotic, antibacterial, and antidiabetic properties that have been amply elucidated by several studies [21] , [25] , [26] , [27] , [28] , [29] . Notably, the flavonoids and polyphenols in PCA, have been associated with conferring protection against brain diseases, ulcerative colitis, cancers, diabetes, and a host of other non-communicable diseases [30] , [31] , [32] , [33] , [34] . Given the central role of inflammation in tumor initiation as well as the role of oxidative stress and cell death in the initiation, maintenance, and exacerbation of DIC, the role of PCA may indeed expand beyond simply ameliorating cardiotoxicity, to include suppressing tumor progression during chemotherapy [33] , [35] , [36] .…”