4.7 Article

Quercitrin inhibits platelet activation in arterial thrombosis

Journal

PHYTOMEDICINE
Volume 80, Issue -, Pages -

Publisher

ELSEVIER GMBH
DOI: 10.1016/j.phymed.2020.153363

Keywords

Platelet; Thrombosis; Quercitrin; Flavonoids; Glycoprotein VI

Funding

  1. Korean Institute of Oriental Medicine [KSN2013230]

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The study demonstrated that quercitrin has inhibitory effects on platelet activity, can block thrombus formation, reduce infarct volume in stroke, and does not prolong bleeding time.
Background: The ingestion of flavonoids has been reported to be associated with reduced cardiovascular disease risk. Quercitrin is a common flavonoid in nature, and it exhibits antioxidant properties. Although the process of thrombogenesis is intimately related to cardiovascular disease risk, it is unclear whether quercitrin plays a role in thrombogenesis. Purpose: The aim of this study was to examine the antiplatelet effect of quercitrin in platelet activation. Methods: Platelet aggregation, granule secretion, calcium mobilization, and integrin activation were used to assess the antiplatelet activity of quercitrin. Antithrombotic effect was determined in mouse using ferric chloride (FeCl3)-induced arterial thrombus formation in vivo and thrombus formation on collagen-coated surfaces under arteriolar shear in vitro. Transection tail bleeding time was used to evaluate whether quercitrin inhibited primary hemostasis. Results: Quercitrin significantly impaired collagen-related peptide-induced platelet aggregation, granule secretion, reactive oxygen species generation, and intracellular calcium mobilization. Outside-in signaling of allbp3 integrin was significantly inhibited by quercitrin in a concentration-dependent manner. The inhibitory effect of quercitrin resulted from inhibition of the glycoprotein VI-mediated platelet signal transduction during cell activation. Further, the antioxidant effect is derived from decreased phosphorylation of components of the TNF receptor-associated factor 4/p47(phox)/Hic5 axis signalosome. Oral administration of quercitrin efficiently blocked FeCl3-induced arterial thrombus formation in vivo and thrombus formation on collagen-coated surfaces under arteriolar shear in vitro, without prolonging bleeding time. Studies using a mouse model of ischemia/reperfusion-induced stroke indicated that treatment with quercitrin reduced the infarct volume in stroke. Conclusions: Our results demonstrated that quercitrin could be an effective therapeutic agent for the treatment of thrombotic diseases.

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