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Comparison of young shoots, leaves and flowers of Crataegus oxyacantha for cardiovascular activity. III. Protective effect on isolated rat heart against arrhythmia-inducing agents and in reperfusion arrhythmias

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... According to literature survey performed for the current review, oligomeric procyanidins (OPCs, varying between 1-3% in fruits or leaves with flowers) and flavonoids (from 0.1 to 1% in fruits, 1-2% in leaves and flowers) are the major secondary metabolites found in C. oxyacantha [9,[29][30][31] (Figs. 1 and 2). The early phytochemical studies on C. oxyacantha started mainly with isolation of flavonoid derivatives, e.g. a heptahydroxyflavan glycoside, vitexin, isovitexin, vitexin-4'rhamnoside, vitexin-2''-O-rhamnoside and its acetyl derivative, flavans, apigenin, apigetrin, luteolin, luteolin 3',7-diglucoside, rutoside, hyperoside, rutin, orientin, isoorientin, kaempferol, quercetin, and isoquercitrin [32][33][34][35][36][37][38][39][40][41][42][43], oligomeric procyanidins, i.e. catechin and epicatechin, (-)-epicatechin, procyanidins B2, B4, B5, and C1 [44][45][46], other phenolics, i.e. 2,3-dihydro-3,5dihydroxy-6-methyl-4H-pyran-4-one, 1,2-dihydroxybenzene, 2-furanmethanol, 3,7,11,15-tetrametyl-2hexaden-1-ol and phenolic acids, i.e. chlorogenic, caffeic, and quinic acids [21,37,43]. Later, several cardiotonic amines, i.e. phenylethylamine, tyramine, isobutylamine, O-methoxy phenylethylamine [27,47] as well as triterpenes, i.e. maslinic (syn. ...
... Later, several cardiotonic amines, i.e. phenylethylamine, tyramine, isobutylamine, O-methoxy phenylethylamine [27,47] as well as triterpenes, i.e. maslinic (syn. crataegolic), ursolic, and oleanolic acids [38,48], fatty acids and sterols, i.e. β-sitosterol [49] were also isolated from this species (Fig. 3). O ...
... The crude extract of C. oxyacantha was revealed to display negative chronotropic effects in a cell culture assay using neonatal murine cardiomyocytes having unpaced cells since it does not cause βadrenergic receptor blockade [53]. Protective effect of the plant was demonstrated on isolated rat heart induced by arrhythmic agents [38]. Abdul-Ghani et al. [19] demonstrated hypotensive activity of C. oxyacantha in a rat model, while the hydroalcoholic extract of the flower heads of the plant was shown to inhibit thromboxane A 2 (TXA 2 ) biosynthesis in vitro [45]. ...
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Crataegus oxyacantha L. (syn. C. rhipidophylla Gand.) (Rosaceae) is one of two medicinally recognized hawthorn species in European Pharmacopeia. Standardization of the extract prepared from the berry and flowers of the plant is required according to its oligomeric procyanidins. C. oxyacantha is well-known for its use in the treatment of various heart problems particularly, including heart failure in cases of declining cardiac performance equivalent to stages I and II of the New York Heart Association classification, angina pectoris, hypertension with myocardial insufficiency, mild alterations of cardiac rhythm, and atherosclerosis. C. oxyacantha has been reported to exert several other pharmacological activities such as hypotensive, antihyperlipidemic, antihyperglycemic, anxiolytic, immunomodulatory, and antimutagenic. Oligomeric procyanidins and flavone/flavonol types of flavonoids, which are considered to be the chief groups of active substances, phenolic acids, triterpenes, fatty acids, and sterols are present in the plant. The present review aims mainly to outline cardiotonic effect of C. oxyacantha as well as its brief phytochemistry. Numerous experiments and clinical studies have underlined cardiovascular efficacy of the plant through various mechanisms including positive inotropic and negative chronotropic effects, escalation in coronary blood flow and exercise tolerance, inhibition of the enzymes such as angiotensin-converting enzyme (ACE) and phosphodiesterase, anti-inflammatory and antihyperlipidemic effects, improving status of antioxidant enzymes, etc., which support its cardioactive efficacy. The plant possesses several other bioactivities for human health usually concomitant to its rich polyphenolic content.
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Different extracts of fresh vegetative and reproductive organs from Crataegus monogyna harvested during a whole season and from some pharmaceutical hawthorn preparations exhibit in vitro antioxidant activities using three different models of oxygen reactive species generation (superoxide anion, hydrogen peroxide and hypochlorous acid). All the tested samples show low IC50 values, the most efficient being fresh young leaves, fresh floral buds and pharmaceutical dried flowers. The activities seem to be especially bound to the total phenolic proanthocyanidin and flavonoid contents.
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Different species of Crataegus, commonly called Hawthorn, were reported to possess wide pharmacological effects on the cardiovascular system. In the present study, chloroform, ethylacetate and methanol (70%) extracts of the flowering tops of Crataegus meyeri A. Pojark. were studied. The extracts were tested on the incidence and severity of arrhythmias induced by a period of myocardial ischaemia in open-chest anaesthetized male Wistar rats. Infusion of a hydroalcohol extract (1 mg/kg/min) resulted in a significant decrease in the total number of ventricular ectopic beats (from 1494 +/- 362 in the control to 634 +/- 102), mainly by reduction of beats occurring as ventricular tachycardia. A chloroform extract (1 mg/kg/min) also reduced the total number of ventricular ectopic beats but this reduction was due to the decrease of single extrasystoles. A significant reduction in the time spent for ventricular fibrillation was seen by the hydroalcohol and ethylacetate extracts. There were no significant changes in the heart rate and blood pressure during the extract infusion. However, bolus injection of all the extracts caused a significant reduction in the blood pressure. Thus, the extracts of Crataegus meyeri have a hypotensive and a potential antiarrhythmic action on ischaemic myocardium and may possess active principles.
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