The antithrombotic activity of the active fractions from the fruits of Celastrus orbiculatus Thunb through the anti-coagulation, anti-platelet activation and anti-fibrinolysis pathways

J Ethnopharmacol. 2019 Sep 15:241:111974. doi: 10.1016/j.jep.2019.111974. Epub 2019 May 24.

Abstract

Ethnopharmacological relevance: Traditional Chinese medicine Celastrus orbiculatus Thunb (C. orbiculatus) with peel and seeds is mainly composed of flavonoids, sesquiterpenes and tripenes. According to the Traditional Chinese medicine standard of Liaoning province (2009), it has been long used to invigorate blood circulation.

Aim of the study: To identify the antithrombus fraction and components of C. orbiculatus, and to investigate the underlying mechanisms.

Materials and methods: The antithrombus effects of C. orbiculatus fractions were evaluated in vitro by plasma recalcification time (PRT). The antithrombus effect of NST-50, the most effective fraction, was further investigated in acute pulmonary embolism (APE) mice and FeCl3-induced carotid arterial thrombus rats. Bleeding assessment was also carried out to assess the side effects of NST-50. In addition, the content of total flavonoids and active components of NST-50 was also quantified.

Results: Nine flavonoids were detected in NST-50 as main components with the content of 44.70%. Next, NST-50 was found with significant anticoagulation activity by prolonging the plasma recalcification time (PRT), activated partial thromboplastin time (APTT), thrombin time (TT) and prothrombin time (PT) and decreasing the content of fibrinogen (FIB). Furthermore, NST-50 administration markedly suppressed the level of TXB2 and PAI-1, while significantly up-regulated the level of 6-keto-PGF1a and t-PA (p < 0.05).

Conclusion: The results demonstrated that NST-50 could be valuable in clinical application against acute coronary syndrome, venous thromboembolisms and cerebrovascular thrombosis. It was possible that the anticoagulation action of NST-50 could be related to the regulation of TXA2 - PGI2 and t-PA - PAI-1 pairs.

Keywords: Antithrombotic activity; Celastrus orbiculatus Thunb; Flavonoids; Thrombosis.

MeSH terms

  • Animals
  • Anticoagulants / pharmacology
  • Anticoagulants / therapeutic use*
  • Blood Coagulation / drug effects
  • Blood Coagulation Tests
  • Carotid Arteries / drug effects
  • Carotid Arteries / pathology
  • Celastrus*
  • Fibrinolytic Agents / pharmacology
  • Fibrinolytic Agents / therapeutic use*
  • Flavonoids / pharmacology
  • Flavonoids / therapeutic use
  • Fruit
  • Lung / drug effects
  • Lung / pathology
  • Male
  • Mice
  • Plant Extracts / pharmacology
  • Plant Extracts / therapeutic use*
  • Platelet Activation / drug effects
  • Platelet Aggregation Inhibitors / pharmacology
  • Platelet Aggregation Inhibitors / therapeutic use
  • Pulmonary Embolism / drug therapy*
  • Pulmonary Embolism / pathology
  • Rabbits
  • Rats, Sprague-Dawley
  • Thrombosis / drug therapy*
  • Thrombosis / pathology

Substances

  • Anticoagulants
  • Fibrinolytic Agents
  • Flavonoids
  • Plant Extracts
  • Platelet Aggregation Inhibitors