• 제목/요약/키워드: anti-platelet agents

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자연식품에 의한 혈소판 응집 억제능의 효율적 검색 (Assay for Screening Anti-Platelet Aggregating Capacity of Natural Food)

  • 류근호;이주영;조연숙;김미정;정진호
    • 한국식품위생안전성학회지
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    • 제9권1호
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    • pp.23-30
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    • 1994
  • When three systems commonly used for screening(washed platelets suspended in uffer containing Ca2+, washed platelets in buffer without Ca2+and platelet rich plasma) are compared by studying the anti-aggregating capacity of garlic extract, platelet rich plasma was the least sensitive system. The most sensitive assay system, based on the IC50s of garlic extract and 2 other platelet aggregation-inhibiting agents(vitamin K3 and propranolol), was the platelet preparation without Ca2+in the suspension buffer. This system was confirmed as the most sensitive during subsequent investigation of garlic extract's capacity to inhibit platelet ATP release. These results suggest that applying the system with washed platelet without Ca2+is most effective to screen for the anti-affregating capacity of natural food.

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항혈소판 응집 억제제(ASTRIX, PLAVIX) 복약 이후 하지 혈종 발생 사례 보고 (A Case Report of Hematoma in the Lower Extremity Induced by Anti-platelet Agents (Astrix, Plavix))

  • 배고은;조재현;최진용;심소현;서희정;홍진우;이인;김소연;최준용;한창우;윤영주;박성하;권정남
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.641-649
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    • 2017
  • Objective: Our aim was to report a case of hematoma in the lower extremity induced by anti-platelet agents (Astrix, Plavix). Methods: The patient was prescribed anti-platelet agents and a hematoma occurred three times in the lower extremity. Before admission, the hematoma had occurred in the lateral compartment area of left lower extremity ($2{\times}2cm$). We detected a spontaneous hematoma in the lateral compartment area of right lower extremity ($8{\times}4cm$) and we stopped the Astrix medication. We also used herbal medicine (大黃左經湯加味方 (Daehwangjwagyeong-tang-gami)), external therapy of 大黃梔子 (Dae-hwang-Chi-ja) powder, and wet cupping therapy. We then detected a spontaneous hematoma in the posterior compartment area of the left lower extremity ($5{\times}5cm$) and we stopped the Plavix medication. We also used herbal medicine and external therapy. Results: After cessation of the anti-platelet agents (Astrix, Plavix), no recurrence of hematoma was observed in lower extremity and there was no recurrence of cerebral infarction. Conclusions: When anti-platelet agents are administered, attention should be paid to the patient's age and adverse events of the drugs. Bleeding symptoms and adverse effects should be continuously monitored.

Dental management of patients on anti-thrombotic agents

  • Lee, Jeong Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권4호
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    • pp.143-150
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    • 2018
  • The number of geriatric patients seeking dental service is ever-rising because of increased life expectancy, also with problem of increased chronic medical conditions. One of them are patients on anti-thrombotic medication. Bleeding complication after minor oral surgery by anti-thrombotic agents is of concerns to dentists on dental management of these patients. Risk and benefit of the anti-thrombotic agents must be weighed before initiating dental procedures, which should be established as a treatment guideline. Purpose of the paper is to optimize the management of the dental patients on antithrombotic medication via standardization of treatment protocol of such a patient.

A Comparative Study of the Anti-Platelet Effects of cis- and trans-Resveratrol

  • Kim, Hwa;Oh, Seok-Jeong;Liu, Yingqiu;Lee, Moo-Yeol
    • Biomolecules & Therapeutics
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    • 제19권2호
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    • pp.201-205
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    • 2011
  • Although various biological activities of resveratrol have been extensively studied, most reports have focused on trans-resveratrol and little attention has been paid to the cis-isomer. In this study, the effect of cis-resveratrol on platelet activity was examined and compared with that of the trans-isomer. Treatment with cis-resveratrol resulted in inhibition of platelet aggregation induced by thrombin, collagen or ADP, which are representative aggregation-inducing agents, and the trans-isomer elicited the same effects. These effects were concentration-dependent in the range of 1-100 ${\mu}M$. However, the potency of the cis-isomer was much lower than that of the trans-isomer; the $IC_{50}$ values for the cis-isomer versus the trans-isomer were $31{\pm}12$ vs $151{\pm}3$, $161{\pm}3$ vs $91{\pm}4$, and $601{\pm}15$ vs $251{\pm}6\;{\mu}M$ for thrombin-, collagen- and ADP-induced aggregation, respectively. These results indicate that cis-resveratrol has a less potent anti-platelet activity, compared with the trans-isomer, and raise the possibility that the biological activities of the cis-isomer may be different from those of the trans-isomer. It will be necessary to evaluate the activity of cis-resveratrol independently of the trans-isomer.

Anticardiovascular Diseases Effects of Fermented Garlic and Fermented Chitosan

  • Kim, Hyun-Kyoung;Lee, Jeong-Hun
    • International Journal of Advanced Culture Technology
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    • 제6권4호
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    • pp.109-115
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    • 2018
  • Garlic is a medicinal plant used throughout the world for its anti-inflammatory, antioxidant, and antiplatelet activities. Chitosan is a natural polysaccharide obtained from chitin, and derivatives of chitosan have been shown to inhibit platelet aggregation and adhesion. We hypothesized that fermented preparations of these products may possess stronger antiplatelet effects than the non-fermented forms owing to the increased bioavailability of the bioactive compounds produced during fermentation. Therefore, we compared these compounds via in vitro and ex vivo platelet aggregation assays by using standard light transmission aggregometry and ex vivo granule secretions from rat platelets. We found that fermented preparations exerted more potent and significant inhibition of platelet aggregation both in vitro and ex vivo. Likewise, ATP release from dense granules of platelets was also significantly inhibited in fermented preparation-treated rat platelets compared to that in non-fermented preparation-treated ones. We concluded that fermented preparations exerted more potent effects on platelet function both in vitro and ex vivo, possibly as a result of the increased bioavailability of active compounds produced during fermentation. We therefore suggest that fermented products may be potent therapeutics against platelet-related CVDs and can be used as antiplatelet and antithrombotic agents.

흰쥐에서 Curcuminoid 및 이를 함유한 천연식물 혼합물이 심혈관계에 미치는 영향 (Effect of Curcuminoids and Natural Plants Extract Mixture on the Cardiovascular System in Rats)

  • 안수현;이종호;박하림;권승택;고유석;손영덕;장양수;정광회
    • Journal of Nutrition and Health
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    • 제36권2호
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    • pp.101-108
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    • 2003
  • Antiplatelet aggregation, anticoagulant and lipid-lowering drugs are clinically widely used for secondary preventive purpose in the cardiovascular patients, but there is no primary preventive agents to prevent these diseases. With the aim of developing effective primary agents for cardiovascular diseases, we tried to formulate an optimized mixture of natural plants extract containing Theae sinensis, Camelliae sinensis, Vitis vinifera, Gingko folium and curcuminoids from Curcuma longa and to evaluate its anti-thrombotic and anti-hypercholesterolemic effects in vivo. The inhibitory effect of curcuminoids on vascular smooth muscle cell proliferation and migration were also investigated in vitro. in the animal experiments treated with hyperlipidemic diet, oral treatment of curcuminoids and natural plants extracts mixture (100 mg/kg) into male Sprague Dawley rats for 7 week simultaneously inhibited platelet aggregation as well as improved lipid profile in the blood. Compared to control group, both of curcuminoids-treated and mixture-treated groups revealed significantly decrease of total cholesterol (24.4%, 28.6%), free cholesterol (25.1%, 24.0%), cholesterol ester (14.6%, 29.0%), LDL-cholesterol (27.0%, 32.0%) and triglyceride (15.0%, 31.0%), respectively. However, both groups showed increase of HDL-cholesterol (46.6% and 51.5%) . In particular, atherogenic index of curcuminoids and mixture treatment group was significantly decreased to 47.0% and 56.0%, respectively. Furthermore, oral treatment of curcuminoids and mixture significantly inhibited collagen-induced platelet aggregation (21.1% and 29.1%, respectively), compared to control group. The anti-thrombotic values of mixture was almost similar to that of aspirin treatment (100 mg/kg) group. These results suggest that the oral treatment of curcuminoids-based natural plant extract mixture improved cardiovascular conditions in hyperlipidemic rats.

블랙커런트의 항산화, 항응고 및 혈소판 응집저해 활성 (Anti-oxidant, Anti-coagulation, and Anti-platelet Aggregation Activities of Black Currant (Ribes nigrum L.))

  • 김미선;손호용
    • 생명과학회지
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    • 제26권12호
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    • pp.1400-1408
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    • 2016
  • 블랙커런트는 장미목 범의귀과의 낙엽관목으로, 즙이 많은 검은 열매와 잎을 주스, 잼, 젤리, 시럽 등으로 가공하여 식용하고 있다. 본 연구에서는 블랙커런트(오스트리아산)의 착즙액과 이의 순차적 유기용매 분획물인 hexane 분획물, ethylacetate (EA) 분획물, butanol 분획물 및 물 잔류물을 조제하여 각각의 성분 분석, 항산화 활성, 혈전 생성과 관련된 항응고 활성 및 혈소판 응집저해 활성을 평가하였다. 그 결과, 착즙액과 폴리페놀 및 플라보노이드 고함유 분획인 EA 분획물에서 강력한 DPPH 음이온, ABTS 양이온, nitrite 소거능과 환원력을 확인하였다. EA 분획의 $RC_{50}$ (활성 radical을 50% 제거하는 데 소요되는 시료의 양)는 각각 136.3, 66.2 및 $115.5{\mu}g/ml$ 값을 나타내어 vitamin C가 나타내는 $RC_{50}$의 각각 1/10, 1/16 및 1/7.7에 해당하는 항산화력을 나타내었다. 또한 착즙액과 이의 EA 분획물, butanol 분획물은 아스피린에 필적하는 강력한 항응고 활성을 나타내었으며, 특히 EA 분획물과 butanol 분획물은 아스피린보다 우수한 혈소판 응집억제활성을 나타내었다. 혈소판 응집을 50% 저해할 수 있는 아스피린 농도는 0.395 mg/ml인 반면, EA 분획 및 butanol 분획은 각각 0.192 및 0.261 mg/ml로 나타났다. 상기의 활성 분획물은 0.5 mg/ml 농도까지 인간 적혈구에 대한 용혈활성을 나타내지 않았다. 이러한 결과는 블랙커런트의 강력한 항산화, 항응고, 혈소판 응집저해 활성을 이용한 신규의 항혈전제 개발 및 이용이 가능함을 제시하고 있다. 본 연구는 블랙커런트의 항혈전 활성에 대한 최초의 보고이다.

모링가 지하부의 항혈전 활성 (Anti-thrombosis Activities of the Root Extract of Moringa oleifera Lam)

  • 권정숙;성화정;손호용
    • 한국미생물·생명공학회지
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    • 제47권1호
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    • pp.20-24
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    • 2019
  • 열매, 잎, 꽃, 봉우리, 꼬투리 등의 지상부를 약용 및 식용으로 사용하고 있는 모링가는 miracle tree라고 불리고 있다. 그러나, 현재까지 주로 잎과 씨에 대한 연구가 진행된 바, 지하부에 대한 성분 및 효능 연구는 초보적인 상태이다. 본 연구에서는 모링가 지하부의 유용 생리활성을 평가하기 위해 지하부의 ethanol 추출물 및 이의 순차적 유기 용매 분획물을 조제하고 이의 혈액응고 저해 및 혈소판 응집저해 활성을 평가하였다. 그 결과, 모링가 지하부 ethanol 추출물은 항응고 활성이 미약하고, 혈소판 응집 촉진효과를 나타내어 지혈작용을 나타내었으나, 추출물의 hexane 및 ethylacetate 분획에서는 우수한 트롬빈, 프로트롬빈, 혈액응고인자 저해와 함께 혈소판 응집저해 활성을 나타내었다. 또한 모링가 지하부 추출물 및 분획물들은 1.0 mg/ml 농도까지 인간 적혈구 용혈활성이 없음을 확인하여, 상기 분획물들이 신규의 항혈전제로 사용 가능함을 제시하였다.

Anti-platelet role of Korean ginseng and ginsenosides in cardiovascular diseases

  • Irfan, Muhammad;Kim, Minki;Rhee, Man Hee
    • Journal of Ginseng Research
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    • 제44권1호
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    • pp.24-32
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    • 2020
  • Cardiovascular diseases prevail among modern societies and underdeveloped countries, and a high mortality rate has also been reported by the World Health Organization affecting millions of people worldwide. Hyperactive platelets are the major culprits in thrombotic disorders. A group of drugs is available to deal with such platelet-related disorders; however, sometimes, side effects and complications caused by these drugs outweigh their benefits. Ginseng and its nutraceuticals have been reported to reduce the impact of thrombotic conditions and improve cardiovascular health by antiplatelet mechanisms. This review provides (1) a comprehensive insight into the available pharmacological options from ginseng and ginsenosides (saponin and nonsaponin fractions) for platelet-originated cardiovascular disorders; (2) a discussion on the impact of specific functional groups on the modulation of platelet functions and how structural modifications among ginsenosides affect platelet activation, which may further provide a basis for drug design, optimization, and the development of ginsenoside scaffolds as pharmacological antiplatelet agents; (3) an insight into the synergistic effects of ginsenosides on platelet functions; and (4) a perspective on future research and the development of ginseng and ginsenosides as super nutraceuticals.

Antiplatelet Effects of Garlic and Chitosan: a Comparative Study between Fermented and Non-Fermented Preparations

  • Irfan, Muhammad;Kim, Minki;Kwon, Hyuk-Woo;Rhee, Man Hee;Kim, Hyun-Kyoung
    • 대한의생명과학회지
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    • 제24권3호
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    • pp.280-284
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    • 2018
  • The incidence of cardiovascular diseases (CVDs) is increasing rapidly in developed countries, with CVDs now representing the leading cause of morbidity and mortality. Natural products and ethnomedicines have been shown to reduce the risk of CVDs. Garlic is a medicinal plant used throughout the world for its anti-inflammatory, antioxidant, and antiplatelet activities. Chitosan is a natural polysaccharide obtained from chitin, and derivatives of chitosan have been shown to inhibit platelet aggregation and adhesion. We hypothesized that fermented preparations of these products may possess stronger antiplatelet effects than the non-fermented forms owing to the increased bioavailability of the bioactive compounds produced during fermentation. Therefore, we compared these compounds via in vitro and ex vivo platelet aggregation assays by using standard light transmission aggregometry and ex vivo granule secretions from rat platelets. We found that fermented preparations exerted more potent and significant inhibition of platelet aggregation both in vitro and ex vivo. Likewise, ATP release from dense granules of platelets was also significantly inhibited in fermented preparation-treated rat platelets compared to that in non-fermented preparation-treated ones. We concluded that fermented preparations exerted more potent effects on platelet function both in vitro and ex vivo, possibly as a result of the increased bioavailability of active compounds produced during fermentation. We therefore suggest that fermented products may be potent therapeutics against platelet-related CVDs and can be used as antiplatelet and antithrombotic agents.